IHA now offers a peer review program for hospitals wishing to avail themselves of this service. This program has been found to be particularly helpful to hospitals with small medical staffs and may not feel confident that their internal peer review process is an effective one. Through this program, similarly sized hospitals are able to exchange, with absolute confidentiality, medical records which may need particular scrutiny. Peer review findings are sent back to the originating hospital with comments and recommendations for improved care. This program has added a much needed element of professionalism and objectivity to the peer review process in rural Idaho.