Which of the following types of actions are likely to be reviewed under the Health Care Quality Improvement Act?

The Health Care Quality Improvement Act (HCQIA) was enacted to promote the improvement of health care quality and to protect the public from incompetent practitioners by encouraging hospitals and other health care institutions to engage in peer review activities. The Act is designed to facilitate the sharing of information among healthcare providers to enhance the quality of medical care.

Peer review actions involving quality care evaluations are the primary focus of the HCQIA because they directly relate to a healthcare provider's competency and performance. These evaluations assess the quality of care provided by physicians and other healthcare professionals and are critical for maintaining standards and preventing substandard care in medical facilities. The HCQIA protects those who participate in peer review processes from legal liability as long as the review is conducted in good faith and in a reasonable manner, encouraging open discussions regarding care quality without fear of retaliation.

In contrast, disciplinary actions for non-compliance, insurance claims for medical negligence, and patient complaints about service quality do not fall under the purview of the HCQIA in the same way. Disciplinary actions are typically handled by state licensing boards; insurance claims focus on malpractice and legal liability; and patient complaints are generally addressed through customer service or regulatory oversight mechanisms. Thus, the nature of peer review actions aligns closely with