Medical & Peer Review
(1)    Medical Committee
a.  Tex. Health and Safety 161.031-32 (Medical Committee privilege)
b.  elements
i.  medical committee:  any committee (hosp, medical org, hmo, extend care etc; or one created on ad hoc basis to investigate or est. rules); very broad
ii.  records not discoverable nor subject to subpoena; records of the public hops. committee are not subj. to open records act (161.032)
c. exception:  records made or maintained in regular course of bsns (this does not incl. patient records, so you can’t refuse to disclose patient records b/c reviewed as part of committees general bsns)
d.  this one is weaker b/c it’s broader
i.  can be waived by partial or even unintentional discl.
ii.  BOP on hospital (entity) to show discl. not a waiver (difference btwn this & other one on BOP)
(2)    Peer Review privielge
a.  Tex. Occ. Code 160.001-014 (used to be Medical Practice Act)
b.  credentialing (give staff privileges);
c.  negligent credentialing:
i.  initial credentialing is privileged per Woodlands
ii. therefore you can never win on this coa
i.  160.007 b.  privilege’s only exceptions are…
A. if communication relevant to anti-trust or
B. to a civil rts proceeding
ii.  160.010 privilege if you report info to the peer review committee
A. exception; no cao against a member against or eee or entity for any act, stmt, recommendation, without malice in the course of peer review
B.  meaning:  there is no coa unless there was malice
C. and even if there is malice, you can’t discover the peer review info
D.  malice means 41.007
–    act or omission
–    extreme degree of risk
–    actual subjective awareness
–    but proceeds w/ conscious indifference
d.  investigatory committee
i.  records are privileged b/c it is “peer review”
ii.  privileged not “waived” somehow–the waiver would have to be in writing
iii. burden to show waiver on him seeking docs (discovering party)