Is the CRP certification application, along with the documents submitted with it, protected from discovery in a civil suit? Yes, provided the applicant meets the conditions below. If the applicant is a hospital, RCW 70.41.200 protects information and documents created specifically for and collected and maintained by the coordinated quality improvement committee from discovery or introduction into evidence in any civil action.If the applicant is not a hospital, the applicant can receive the same protection by having the Department of Health approve its coordinated quality improvement program (CQIP) under RCW 43.70.510.Coordinated quality improvement programs may share information and documents with other approved coordinated quality improvement programs and maintain this protection. In 2015, the Department of Health approved the Foundation’s CRP Validation/Certification process as a coordinated quality improvement program. Therefore, any information and documents an applicant submits as part of the CRP Validation/Certification process is protected from discovery.To ensure full protection, a non-hospital applicant must ensure that its Department of Health-approved CQIP specifically includes CRP activities and CRP Validation/Certification activities. For CRP activities, the CQIP should include
- Exchange of information between the risk manager and the CQIP committee; and
- Exchange of information between the risk manager or CQIP representative and the CQIPs of other health care organizations with CQIPs that are involved in their patients’ care.
The CRP activities may involve the transmission of information about individual adverse event investigations, remedial actions and resolutions with patients and families.
For CRP Validation/Certification activities, the Department of Health-approved CQIP should include
- Information and documents compiled for and submitted as part of the application to the CRP Validation/Certification event review board;
- Receiving the CRP Validation/Certification report; and
- Sending the Certification report and other information and documents to Department of Health licensing boards, commissions and programs.
If the applicant’s Department of Health-approved quality improvement program does not specifically include these elements, the applicant should submit an amended quality improvement program to the Department of Health and redefine their program to include this material.