The state of Michigan does not allow the privilege except for limited instances in the hospital context. Tinman v. Blue Cross & Blue Shield of Michigan, 176 F.Supp.2d 743, 746 (E.D. Mich. 2001).The Eighth Circuit has not directly addressed the question of whether a self-critical analysis privilege exists, but voluntary self-audits likely are not protected by the self-critical analysis privilege.