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Medical Peer Review in Massachusetts

The state of Massachusetts has provisions that detail actions to be taken against a health care provider who acts inappropriately or whose actions are acts of misconduct.  All licensed hospitals and health care facilities are required to have reporting requirements for such conduct, and have a peer review process for investigation, review and resolutions of such reports.1  In addition, proceedings and reports of a medical peer review committee must remain confidential and are not subject to public disclosure.2

Footnotes

  • 1. M.G.L.A. 111 §203
  • 2. M.G.L.A. 111 §204

 

Medical Peer Review in Massachusetts

Subtopic Statute/Regulation Description
Mandatory reporting and disclosure of information obtained through a peer review process (grievances, disciplinary actions) 105. Mass. Code Regs. 155.011. - Penalty for Patient or Resident Abuse, Neglect, Mistreatment or Misappropriation of Patient or Resident Property by a Registered or Licensed Professional “Penalty for Patient or Resident Abuse, Neglect, Mistreatment or Misappropriation of Patient or Resident Property by a Registered or Licensed...
Mass. Gen. Laws. Ann. ch. 111, §205 - Information and records necessary to comply with risk management and quality assurance programs “Information and records necessary to comply with risk management and quality assurance programs; confidentiality; definitions”  ...
Mass. Gen. Laws. Ann. ch. 112, §5 - Investigation of complaints; remediation program; individual profiles; hearing; disciplinary action “Investigation of complaints; remediation program; individual profiles; hearing; disciplinary action; immunity; confidentiality; notice;...
Mass. Gen. Laws. Ann. ch. 112, §5B - Reports of disciplinary action by professional medical organizations “Reports of disciplinary action by professional medical organizations”   Any disciplinary action taken against any of the board's...
Mass. Gen. Laws. Ann. ch. 112, §5C - Reports by insurers of malpractice claims or actions “Reports by insurers of malpractice claims or actions; liability”   Every insurer or risk management organization must report to the...
Mass. Gen. Laws. Ann. ch. 112, §5E - Reports by physicians of settlements or arbitration awards “Reports by physicians of settlements or arbitration awards; filing; penalty”   Any registered physician who does not possess...
Mandatory reporting to and disclosure of information held by a medical board 105. Mass. Code Regs. 155.011. - Penalty for Patient or Resident Abuse, Neglect, Mistreatment or Misappropriation of Patient or Resident Property by a Registered or Licensed Professional “Penalty for Patient or Resident Abuse, Neglect, Mistreatment or Misappropriation of Patient or Resident Property by a Registered or Licensed...
Mass. Gen. Laws. Ann. ch. 111, §205 - Information and records necessary to comply with risk management and quality assurance programs “Information and records necessary to comply with risk management and quality assurance programs; confidentiality; definitions”  ...
Mass. Gen. Laws. Ann. ch. 112, §5 - Investigation of complaints; remediation program; individual profiles; hearing; disciplinary action “Investigation of complaints; remediation program; individual profiles; hearing; disciplinary action; immunity; confidentiality; notice;...
Mass. Gen. Laws. Ann. ch. 112, §5B - Reports of disciplinary action by professional medical organizations “Reports of disciplinary action by professional medical organizations”   Any disciplinary action taken against any of the board's...
Mass. Gen. Laws. Ann. ch. 112, §5C - Reports by insurers of malpractice claims or actions “Reports by insurers of malpractice claims or actions; liability”   Every insurer or risk management organization must report to the...
Mass. Gen. Laws. Ann. ch. 112, §5E - Reports by physicians of settlements or arbitration awards “Reports by physicians of settlements or arbitration awards; filing; penalty”   Any registered physician who does not possess...
Medical Peer Review Mass. Gen. Laws. Ann. ch. 111, § 203 - Provider misconduct; medical peer review Every licensed or public hospital shall contain provisions for reporting conduct by a health care provider that indicates incompetency in his...
Mass. Gen. Laws. Ann. ch. 111, § 204 - Confidentiality of proceedings, reports and records All proceedings and reports of a medical peer review committee are confidential and not subject to public disclosure.  Documents or reports...