Clinical peer review in the United States: History, legal development and subsequent abuse

Table 2 Part A Health Care Quality Improvement Act peer review immunity requirements

Peer review action is taken:

In the reasonable belief that the action was in furtherance of quality of care

After a reasonable effort to obtain the facts of the matter

After adequate notice and hearing procedures are afforded to the physician involved or after such other procedures as are fair to the physician under the circumstances

In the reasonable belief that the action was warranted by the facts known after such reasonable efforts to obtain the facts