The entity maintains PSWP separately from the rest of the organization, and establishes appropriate security measures to maintain the confidentiality of the PSWP, The entity does not make an unauthorized disclosure of PSWP to the rest of the organization in breach of confidentiality, The mission of the entity does not create a conflict of interest with the rest of the organization, The mission and primary activity of the entity are to conduct activities that improve patient safety and the quality of healthcare delivery, The entity has appropriately qualified staff (whether directly or through contract), including licensed or certified medical professionals, The entity, within each 24-month period that begins after the date of the initial listing as a PSO, will establish two bona fide contracts, each of a reasonable period of time, with more than one provider, for the purpose of receiving and reviewing PSWP, The entity is not, and is not a component of, a health insurance issuer, any financial, reporting, or contractual relationship between the entity and any provider that contracts with the entity; and, if applicable, the fact that the entity is not managed, controlled, and operated independently from any provider that contracts with the entity, To the extent practical and appropriate, the entity collects PSWP from providers in a standardized manner that permits valid comparisons of similar cases among similar providers, The entity uses PSWP for the purpose of providing direct feedback and assistance to providers to effectively minimize patient risk. PSOs are the external experts that collect and review patient safety information. Patient safety improvement centers on three actions: measure, intervene, and prevent. multiple examples of how the model is used to address patient safety challenges. This diagram,Working with a PSO: One Approach,AHRQ Publication No. 73 FR 70768. The Office for Civil Rights (OCR) administers and enforces the confidentiality protections provided to PSWP. A PSO may be required to engage additional qualified workforce members as the activities, services, and subject matter of the collection and analysis of patient safety work product performed by a PSO change. Public comment on the Common Formats can be submitted on an ongoing basis. In Conversation With Tejal K. Gandhi, MD, MPH. The bill, signed into law July 29, 2005, provides legal protection of information voluntarily reported to patient safety organizations (PSOs). Also, a PSO is a business associate of a HIPAA-covered provider subject to the business associate requirements of the HIPAA Privacy Rule. To sign up for updates or to access your subscriber preferences, please enter your email address The term "shared staffing agreement" describes the written agreement required by section 3.102(c)(3) of the Patient Safety Rule to permit a component PSO to provide access to identifiable PSWP to an individual or unit of its parent organization for assistance in conducting patient safety activities.

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