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2018 Georgia Code 31-7-132 | Car Wreck Lawyer

TITLE 31 HEALTH

Section 7. Regulation and Construction of Hospitals and Other Health Care Facilities, 31-7-1 through 31-7-412.

ARTICLE 6 PEER REVIEW GROUPS

31-7-132. Immunity from liability for peer review activities; immunity from liability of persons providing information.

  1. No professional health care provider nor any individual who serves as a member or employee of a professional health care provider or review organization nor any individual who furnishes counsel or services to a professional health care provider or review organization shall be held, by reason of the performance of peer review activities, to have violated any criminal law or to be civilly liable under any law unless he was motivated by malice toward any person affected by such activity.
  2. No person, whether as a witness or otherwise, who provides information regarding peer review to a professional health care provider or review organization shall be held, by reason of having provided such information, to have violated any criminal law or to be civilly liable under any law unless such information is false and the person providing it knew that such information was false.

(Ga. L. 1975, p. 739, §§ 2, 3; Code 1933, § 84-7603, enacted by Ga. L. 1980, p. 1282, § 1; Ga. L. 1987, p. 1494, § 2; Ga. L. 1995, p. 612, § 3.)

Cross references.

- Immunity of medical review committee members from civil liability, § 31-7-140 et seq.

Nonliability of licensed dentist serving on peer review board for damages for any action taken by such board, § 43-11-16.

Receipt of evidence before Composite State Board of Medical Examiners regarding licensee's or applicant's fitness to practice medicine, § 43-34-8.

JUDICIAL DECISIONS

Immunity from civil or criminal liability.

- If an organization meets the definition of review organization and is conducting peer review within the meaning of O.C.G.A. § 31-7-132, a health care provider or member of a review organization is immune from criminal or civil liability, provided the health care provider is acting without malice. Fulton-DeKalb Hosp. Auth. v. Dawson, 270 Ga. 376, 509 S.E.2d 28 (1998).

Georgia peer review and medical review statutes, which establish the privilege for the proceedings and records of peer review organizations and medical review committees, also provide for immunity to participants and witnesses in such proceedings under: (1) O.C.G.A. § 31-7-130, which sets forth the intent of the Georgia General Assembly; (2) O.C.G.A. § 31-7-132(a), which provides immunity from liability for peer review; (3) O.C.G.A. §§ 31-7-133(a) and31-7-141, which provide immunity for medical review committee members from claims for damages filed by health care providers; and (4) O.C.G.A. § 31-7-143, which provides that peer review and medical review proceedings are both absolutely privileged. Patton v. St. Francis Hosp., 260 Ga. App. 202, 581 S.E.2d 551 (2003).

Hospital's immunity following suit by physician.

- Grant of summary judgment in favor of the hospital was affirmed because 42 U.S.C. § 11101 et seq. provided the hospital immunity, as a matter of law, from suit brought by a physician suspended of medical staff privileges as the physician failed to overcome, by a preponderance of the evidence, the presumption that the hospital summarily suspended clinical privileges only after a reasonable effort to obtain the facts of the matter occurred, as required under 42 U.S.C. § 11112(a)(2). Kolb v. Northside Hospital, 342 Ga. App. 192, 802 S.E.2d 413 (2017).

Preemption.

- To the extent that peer reviewer immunity under O.C.G.A. § 31-7-132(a) was conditioned upon the absence of the hospital's bias in denying the doctor's staff privileges, § 31-7-132(a) was preempted by the Health Care Quality Improvement Act (Act), 42 U.S.C. § 11101 et seq., under which bias was irrelevant; thus, the grant of summary judgment to the hospital on the ground that the hospital was entitled to immunity under the Act was not an error. Patrick v. Floyd Med. Ctr., 255 Ga. App. 435, 565 S.E.2d 491 (2002).

Under O.C.G.A. § 31-7-132(a), a peer reviewer is immune unless the reviewer is motivated by malice toward any person affected by such activity, and under O.C.G.A. § 31-7-141, a medical review committee member is immune if the committee member acts without malice or fraud; to the extent that peer review and medical review immunity are conditioned upon the absence of malice and deception, the statutes are preempted by the Health Care Quality Improvement Act of 1986, specifically 42 U.S.C. § 11111(a), under which bias is irrelevant. Patton v. St. Francis Hosp., 260 Ga. App. 202, 581 S.E.2d 551 (2003).

Federal law does not completely preempt O.C.G.A. § 31-7-132(a) as the Health Care Quality Improvement Act of 1986 (HCQIA), 42 U.S.C. § 11101 et seq., only preempts § 31-7-132(a) to the extent the two statutes conflict; because the HCQIA does not provide immunity against claims for equitable relief, it is not in conflict with that aspect of § 31-7-132(a) that provides immunity for equitable relief claims. Taylor v. Kennestone Hosp., Inc., 266 Ga. App. 14, 596 S.E.2d 179 (2004).

Georgia's peer review statute, O.C.G.A. § 31-7-132(a), was preempted by the Health Care Quality Improvement Act of 1986, 42 U.S.C. § 11101 et seq., in a doctor's suit alleging that defendants initiated a peer review proceeding for the purpose of closing down the doctor's competing dialysis center because the allegations stated that defendants were motivated by malice, and the doctor sought only monetary damages, not equitable relief. Wood v. Archbold Med. Ctr., F. Supp. 2d (M.D. Ga. June 28, 2006).

O.C.G.A. § 31-7-132 was not intended to provide an absolute shield of immunity protecting utilization review providers from potential liability for the consequences of their administrative acts. Fulton-DeKalb Hosp. Auth. v. Dawson, 270 Ga. 376, 509 S.E.2d 28 (1998).

Evaluation of anesthesiologists for working relationships rather than medical care was not peer review.

- In an action by anesthesiologists who were not rehired by a hospital after their group contract was terminated, the hospital defendants were not entitled to immunity under O.C.G.A. § 31-7-132 because the panel was not evaluating the quality and efficiency of actual medical care services by the anesthesiologists but was evaluating their ability to work harmoniously; however, remand was required to determine whether the trial court had concluded that peer review immunity was appropriate. Sewell v. Cancel, 331 Ga. App. 687, 771 S.E.2d 388 (2015).

Credentialing information not covered by civil immunity.

- O.C.G.A. § 31-7-15 does not expand the privilege set forth in O.C.G.A. § 31-7-133(a) to those proceedings and records of a peer review committee which involve only the credentialing process and not a peer review function. The same analysis is equally applicable in holding that § 31-7-15 does not expand the civil immunity otherwise afforded to peer review groups under O.C.G.A. § 31-7-132(a) so as to include all aspects of the credentialing process. Hosp. Auth. v. Meeks, 285 Ga. 521, 678 S.E.2d 71 (2009).

Malice allegation is not sufficient to trigger application of confidentiality requirement so as to allow the opportunity for full discovery of peer review material in every case; however, a motion to compel discovery could not be denied in its entirety, even though some of the materials sought were privileged. Freeman v. Piedmont Hosp., 264 Ga. 343, 444 S.E.2d 796 (1994).

Equitable claims covered.

- Unlike the Health Care Quality Improvement Act of 1986, 42 U.S.C. § 11101 et seq., O.C.G.A. § 31-7-132(a) provides immunity from civil liability, not just from monetary damages; consequently, Georgia's peer review statute covers claims for equitable relief. Taylor v. Kennestone Hosp., Inc., 266 Ga. App. 14, 596 S.E.2d 179 (2004).

Hospital immune from liability because malice not established.

- Surgeon sued a hospital for revoking the surgeon's medical staff privileges. As the evidence of the surgeon's errors, some of which caused a patient's death, supported the revocation, and as the surgeon did not prove that the hospital acted with malice in revoking the surgeon's medical privileges, the hospital was entitled to summary judgment based on the hospital's immunity from liability under Georgia's peer review statute, O.C.G.A. § 31-7-132. Burrowes v. Northside Hosp., 294 Ga. App. 472, 671 S.E.2d 176 (2008).

Superior court erred in denying a hospital's motion for summary judgment in a doctor's action contending that the denial of an application for renewal of clinical privileges was void because the hospital was entitled to immunity from the doctor's equitable claims pursuant to O.C.G.A. § 31-7-132(a); the superior court erred in finding that there was evidence from which the jury could infer that the peer review process was motivated by malice. DeKalb Med. Ctr. v. Obekpa, 315 Ga. App. 739, 728 S.E.2d 265 (2012).

In a suit by doctors against a hospital where the doctors had served as anesthesiologists alleging that the hospital's failure to rehire the doctors was motivated by malice, summary judgment to the hospital was proper based on peer review immunity under O.C.G.A. § 31-7-132(a); the doctors failed to show malice. Cancel v. Medical Center of Central Ga., Inc., 345 Ga. App. 215, 812 S.E.2d 592 (2018).

Cited in Patton v. St. Francis Hosp., 246 Ga. App. 4, 539 S.E.2d 526 (2000).

OPINIONS OF THE ATTORNEY GENERAL

Member of peer review panel for rehabilitation suppliers not protected.

- Person who is a private rehabilitation supplier serving on a peer review panel for the State Board of Workers' Compensation would not be afforded the statutory protection provided in O.C.G.A. § 31-7-130 et seq., regardless of whether that peer review committee conformed to the model promulgated by the National Association of Rehabilitation Professionals. 1987 Op. Att'y Gen. 87-4.

Applicability to trauma advisory committee.

- Since the Trauma Advisory Committee for Emergency Medical Services is a review organization consisting of surgeons licensed in the State of Georgia which evaluates care provided by professional health care providers as defined in O.C.G.A. § 31-7-131(2) for the purposes of improving the quality of care rendered and reducing morbidity and mortality due to trauma, it is a review organization within the meaning of § 31-7-131(3) and is covered by the immunity and confidentiality provisions of O.C.G.A. §§ 31-7-132 and31-7-133. 1988 Op. Att'y Gen. No. 88-5.

RESEARCH REFERENCES

ALR.

- Tort liability of medical society or professional association for failure to discipline or investigate negligent or otherwise incompetent medical practitioner, 72 A.L.R.4th 1148.

Cases Citing O.C.G.A. § 31-7-132

Total Results: 4  |  Sort by: Relevance  |  Newest First

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Emory Clinic v. Houston, 369 S.E.2d 913 (Ga. 1988).

Cited 39 times | Published | Supreme Court of Georgia | Jul 15, 1988 | 258 Ga. 434

...t only an advantage in pre-trial negotiations but in polluting the jury pool. Under the majority opinion, discovery occurs in the public media, not the courtroom. The "absolute embargo" construction is not in line with the legislative intent. OCGA §§ 31-7-132 and 31-7-141 provide lists of exceptions to the immunity granted....
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Freeman v. Piedmont Hosp., 264 Ga. 343 (Ga. 1994).

Cited 17 times | Published | Supreme Court of Georgia | Jul 11, 1994 | 444 S.E.2d 796

...678 (b) (279 SE2d 430) (1981); Eubanks v. Ferrier, supra, Div. 5; Cobb County Kennestone Hosp. Auth. v. Martin, 208 Ga. App. 326 (430 SE2d 604), cert. den. 208 Ga. App. 909 (1993). The statutory interpretation suggested by the special concurrence, intertwining OCGA § 31-7-132 (a) with § 31-7-133, would open the door of discovery too widely by stripping the entire peer review process of its confidentiality. OCGA § 31-7-132 (a) deals only with immunity from liability, and the fact that a plaintiff seeks to avoid an immunity defense by alleging the applicability of the malice exception does not convert the action into one "alleging violation of [OCGA §§ 31-7-130-133]" so as to provide for an exception to the confidentiality mandate....
...l and civil liability arising out of their performance of peer review activities, the statute also contains an exception created by the legislature to accommodate those persons adversely affected by peer review activity motivated by malice. See OCGA § 31-7-132 (a)....
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Fulton-DeKalb Hosp. Auth. v. Dawson, 509 S.E.2d 28 (Ga. 1998).

Cited 11 times | Published | Supreme Court of Georgia | Nov 23, 1998 | 270 Ga. 376, 98 Fulton County D. Rep. 3945

...evidence that Ms. Dawson failed to keep *30 certain clinic appointments at Grady in May and June 1991. Ms. Dawson's petition for certiorari was granted in Case No. S97G1956 to determine whether GMCF is entitled to civil immunity from suit under OCGA § 31-7-132....
...For the reasons which follow, we conclude that GMCF was not conducting a peer review function when it denied the request for Antonio's treatment and conveyed that information to Grady. Therefore, GMCF is not shielded from potential liability under OCGA § 31-7-132(a). Recognizing the need for confidentiality of peer review committee records, the General Assembly adopted OCGA § 31-7-132, enacted by 1975 Ga....
...See 1988 Ga. Op. Atty. Gen. 15. Even assuming GMCF meets the broad definition of review organization under OCGA § 31-7-131(3) [2] insofar as it performs peer review as defined by OCGA § 31-7-131(1), [3] it will not be shielded from immunity under OCGA § 31-7-132(a) for performing a function which does not amount to peer review....
...[5] Because the act of transmitting that information to the provider was purely *32 administrative in nature, it is not peer review activity as defined by OCGA § 31-7-130. Reading the statutory scheme as a whole, and giving deference to the stated intent of the legislature, we conclude that OCGA § 31-7-132 was not intended to provide an absolute shield of immunity protecting utilization review providers from potential liability for the consequences of their administrative acts. Thus, to the extent that liability is predicated on GMCF's alleged negligence in processing the medical precertification, it is not immune from liability under OCGA § 31-7-132(a)....
...Appeals failed to take into consideration the very broad definitional language of the peer review immunity statute, OCGA § 31-7-131, as amended by 1995 Ga. Laws, p. 612, § 3, and erroneously concluded that "peer review immunity established by OCGA § 31-7-132 applies only to individuals, not organizations." Dawson, supra at 718, 490 S.E.2d 142....
...See Note, Paying the Piper: Third Party Payor Liability for Medical Treatment Decisions, 25 Ga. L.Rev. 861, 907-911 (1991) (proposing that without liability for negligence in utilization review decisions, third party payors lack incentive to use reasonable care in the decision-making process). [6] We note that OCGA § 31-7-132 has been applied and interpreted primarily in the context of discovery by providing immunity from disclosure of confidential information....
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Hosp. Auth. of Valdosta & Lowndes Cnty. v. Meeks, 678 S.E.2d 71 (Ga. 2009).

Cited 9 times | Published | Supreme Court of Georgia | Jun 8, 2009 | 285 Ga. 521, 2009 Fulton County D. Rep. 1909

...See Hospital Auth. of Valdosta and Lowndes County v. Meeks, supra; McCall v. Henry Medical Center, supra (the same analysis is equally applicable in holding that OCGA § 31-7-15 does not expand the civil immunity otherwise afforded to peer review groups under OCGA § 31-7-132(a) so as to include all aspects of the credentialing process)....