licensing reviews med.

[Yu_Mor]

Друзья, подскажите, что имеется в виду после первых скобок:

I hereby authorize the Medical Director or his/her designee and other health care professionals who have provided health-related services to my child/ward to release medical information (including information related to drug/alcohol treatment), as required to carry out treatment, health care operations (e.g. quality assessment and licensing reviews), and payment, unless more specific authorization is required by law.

В начале вроде все понятно (грубый перевод): Я разрешаю директору (а по сути клинике), его уполномоченному лицу или иным медработникам, оказывающим мед.услуги моему ребенку/опекаемому лицу раскрывать информацию (включая информацию о лечении от наркотической/алкогольной зависимости), необходимую для проведения лечения....

А вот дальше я уже не очень понимаю, о каких медицинских операциях идет речь.

[I. Havkin]

оценка качества (лекарства и пр.) и проверка наличия лицензии на производство (оборот, продажу и пр.)?

[Erdferkel]

в глубинах интернета нашелся оборот "выполнения операций по обеспечению медицинских услуг." - т.е. вроде здесь операций = действий (напр., результатов оценки качества /лечения/ и перечня /имеющихся/ лицензий)
могу ошибаться

[Amor 71]

Это HIPAA. Будь он проклят. ТрЫжды. Меня профессор 2 раза срезал. В список документов входят все аккредитации, сертификаты, и прочие квалифиционные бумажки.

Короче, изучайте.

What are Treatment, Payment, and Health Care Operations?

The core health care activities of “Treatment,” “Payment,” and “Health Care Operations” are defined in the Privacy
Rule at 45 CFR 164.501.

C “Treatment” generally means the provision, coordination, or management of
health care and related services among health care providers or by a health care
provider with a third party, consultation between health care providers regarding a
patient, or the referral of a patient from one health care provider to another.

“Payment” encompasses the various activities of health care providers to obtain
payment or be reimbursed for their services and of a health plan to obtain
premiums, to fulfill their coverage responsibilities and provide benefits under the
plan, and to obtain or provide reimbursement for the provision of health care.

“Health care operations” are certain administrative, financial, legal, and quality
improvement activities of a covered entity that are necessary to run its business
and to support the core functions of treatment and payment. These activities,
which are limited to the activities listed in the definition of “health care
operations” at 45 CFR 164.501, include:

Conducting quality assessment and improvement activities, populationbased activities relating to improving health or reducing health care costs,
and case management and care coordination;
Reviewing the competence or qualifications of health care professionals,
evaluating provider and health plan performance, training health care and
non-health care professionals, accreditation, certification, licensing, or
credentialing activities;
Underwriting and other activities relating to the creation, renewal, or
replacement of a contract of health insurance or health benefits, and
ceding, securing, or placing a contract for reinsurance of risk relating to
health care claims;
Conducting or arranging for medical review, legal, and auditing services,
including fraud and abuse detection and compliance programs;
Business planning and development, such as conducting cost-management
and planning analyses related to managing and operating the entity; and
Business management and general administrative activities, including
those related to implementing and complying with the Privacy Rule and
other Administrative Simplification Rules, customer service, resolution of
internal grievances, sale or transfer of assets, creating de-identified health
information or a limited data set, and fundraising for the benefit of the
covered entity.

http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/coveredentities/sharingfortpo.pdf

[Yu_Mor]

Спасибо огромное, выручили!