Through our articles, resources and multiple communications CMS offers ongoing educational services to its members and their practices.

What is the Colorado Professional Review Act?
Colorado’s Professional Review Act (CPRA) promotes patient safety by encouraging the frank and honest assessment of health care professionals by their peers. A professional review committee evaluates the competence, quality and appropriateness of patient care provided by, or the professional conduct of a licensed physician, physician assistant, or advanced practice nurse. Certain adverse actions identified by professional review must be reported to the state licensing board.

The act was established by the Colorado state legislature and sets rules that govern professional review. It has been extended by the legislature several times and will be up for reauthorization in 2019.

Why is it important?
Participants and institutions involved with professional review as part of the act are granted immunity from legal actions as long as certain standards are met. Materials related to the professional review process such as evaluation reports are confidential, privileged, not subject to subpoena, and are inadmissible in court.

The legal protections and qualified immunity for professional review participants promotes the unfettered reviews of health care professionals, which are critical to ensuring safe and quality patient care.

Without the protections of the act, medical professionals would be unlikely to participate in medical reviews, reporting would decline and learning would be stifled.

Why should CPRA be renewed?
CPRA promotes the critical review of the provision of health care services by a health care provider’s peers. CPRA allows individuals involved with reviews to openly evaluate the care in an environment that supports ongoing learning and improvements that benefit patients. The ultimate goal of professional review is to ensure that qualified health care professionals are providing safe and appropriate patient care. Peer reviews are conducted not simply when an adverse outcome or error has occurred but, most often, when it is observed that care could be improved to avert possible issues and to develop ways to improve care delivery in order to prevent avoidable errors in the future.

Friday, May 10, 2019
Professional review polls
Colorado and Florida: A stark look at professional review when protections are removed

Friday, May 10, 2019
Cover: Hard-fought legislative session adjourns
Big wins in patient safety and prior authorization and big changes in out-of-network billing