Health Care Quality Improvement Act of 1986

(Measure passed House, amended)

Health Care Quality Improvement Act of 1986 - Title I: Promotion of Professional Review Activities - Provides protection from liability under Federal and State laws for members of a professional review body and their staffs who, in the reasonable belief that the action was in the furtherance of quality health care, warranted by the facts known, and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Provides such protection to those who provide information to professional review bodies.

Sets forth certain standards for professional review action is proposed by a health care entity; and (2) specified hearing requirements. Allows the court to award the payment of reasonable attorneys' fees and costs to a prevailing defendant or plaintiff.

Allows the Secretary of Health and Human services to establish voluntary guidelines to assist the professional review bodies.

Title II: Reporting of Information - Requires any entity (including an insurance company) making a payment in a medical malpractice action to report certain information to the Secretary and to State licensing boards, including: (1) the name of the physician or health care practitioner; (2) the amount of payment; (3) the name of any hospital with which the physician or health care practitioner is associated; and (4) a description of the acts and injuries upon which the claim was based. Establishes civil penalties for the failure to report such information.

Directs the Secretary to study whether information respecting small payments should continue to be reported, and transmit the results of such study to the Congress.

Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary.

Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physican to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians.

Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physican to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians.

Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physician to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians.

Specifies sanctions to be taken against health care entities and Boards of Medical Examiners which fail to comply with such requirements.

Requires hospitals to request certain information from the Secretary regarding staff physicians and health care practitioners (or physicians and health care practitioners being considered for staff positions).

Requires the Secretary to provide: (1) for the disclosure of such information to the physician or health care practitioner; and (2) procedures to correct inaccurate information.

Directs the Secretary to make such information available to: (1) State licensing boards; (2) hospitals; and (3) other health care entities.

Title III; Definitions and Reports - Defines certain terms for the purposes of this Act.

Requires the Secretary to report to the Congress annually on the implementation of this Act.

Directs the Secretary to seek to enter into a memorandum of understanding with: (1) the Secretary of Defense and the Administrator of Veterans Affairs to apply the provisions of this Act to hospitals and other facilities and health care providers under their jurisdiction; and (2) the Administrator of Drug Enforcement to provide information respecting physicians and other practitioners whose registration to dispense controlled substances has been revoked or suspended under the Controlled Substances Act. Requires the Secretary to report to the Congress on such memoranda.