In AS 18.23.005 — 18.23.070, unless the context otherwise requires,
- (1) “administrative staff” means the staff of an agency, institution, or organization that provides health care;
- (2) “health care” means professional services rendered by a health care provider or an employee of a health care provider, and services furnished by a sanatorium, rest home, nursing home, boarding home, or other institution for the hospitalization or care of human beings;
- (3) "health care provider" means a person licensed, certified, or otherwise permitted by law to provide health care services in the ordinary course of business or practice of a profession; an organization or government agency that is certified or licensed to provide emergency medical services under AS 18.08; a hospital as defined in AS 47.32.900, including a governmentally owned or operated hospital; and an employee of a health care provider acting within the course and scope of employment;
- (4) “professional service” means service rendered by a health care provider of the type the provider is licensed to render;
(5) “review organization” means
(A) a hospital governing body or a committee whose membership is limited to health care providers and administrative staff, except where otherwise provided for by state or federal law, and that is established by a hospital, by a clinic, by one or more state or local associations of health care providers, by an organization of health care providers from a particular area or medical institution, by an organization or government agency that provides emergency medical services, or by a professional standards review organization established under 42 U.S.C. 1320c-1, to gather and review information relating to the care and treatment of patients for the purposes of
- (i) evaluating and improving the quality of health care rendered in the area or medical institution;
- (ii) reducing morbidity or mortality;
- (iii) obtaining and disseminating statistics and information relative to the treatment and prevention of diseases, illness, and injuries;
- (iv) developing and publishing guidelines showing the norms of health care in the area or medical institution;
- (v) developing and publishing guidelines designed to keep the cost of health care within reasonable bounds;
- (vi) reviewing the quality or cost of health care services provided to enrollees of health maintenance organizations;
- (vii) acting as a professional standards review organization under 42 U.S.C. 1320c;
- (viii) reviewing, ruling on, or advising on controversies, disputes, or questions between a health insurance carrier or health maintenance organization and one or more of its insured or enrollees; between a professional licensing board, acting under its powers of discipline or license revocation or suspension, and a health care provider licensed by it when the matter is referred to a review organization by the professional licensing board; between a health care provider and the provider's patients concerning diagnosis, treatment, or care, or a charge or fee; between a health care provider and a health insurance carrier or health maintenance organization concerning a charge or fee for health care services provided to an insured or enrollee; or between a health care provider or the provider's patients and the federal or a state or local government, or an agency of the federal or a state or local government;
- (ix) acting on the recommendation of a credential review committee or a grievance committee;
- (B) the State Medical Board established by AS 08.64.010;
- (C) a committee established by the commissioner of health and approved by the chief medical officer in the Department of Health to review public health issues regarding morbidity or mortality;
- (D) a nationally recognized group or entity that accredits health care organizations, including the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).