State Medical Board Reporting Requirements Failure to comply with reporting requirements may result in disciplinary sanctions. You may submit your required report by one of the following methods: Email your explanation or reporting form (attach any required documents) to firstname.lastname@example.org and include your name and license number in the subject line or your email and specifically reference the type of mandatory report you are submitting; —OR— Fax your explanation or reporting form (along with any required documents) to (907) 269-8196, using a fax cover sheet addressed to the State Medical Board and specifically reference the type of mandatory report you are submitting; —OR— Mail explanation or reporting form (along with any required documents) to: Alaska State Medical Board 550 W. Seventh Ave., Suite 1500 Anchorage, AK 99501 Reporting when a physician closes a practice or retires from practice: A physician is required by law to notify the board of the location of patient records within 30 days after retiring or closing a practice. Alaska law that mandates reporting: 12 AAC 40.967 Unprofessional conduct – section (30) Reporting malpractice settlements: A report of a malpractice settlement is required by law to be submitted within 30 days of the date of settlement; the report must be submitted by the physician or physician assistant. The required form for malpractice reporting is available on the Applications & Forms web page. Alaska laws that mandate reporting: AS 08.64.345 Reports relating to malpractice actions and claims 12 AAC 40.930 Requirements for reporting the outcome of malpractice claims or actions Reporting incompetence, negligence, or other unprofessional or illegal conduct: A licensee must report to the Board facts known to the licensee regarding incompetent or repeated negligent conduct, gross negligence, unprofessional conduct, sexual misconduct, or other illegal conduct by another licensee under AS 08.64.326; Alaska law that mandates reporting: 12 AAC 40.967(20) Unprofessional Conduct Reporting impaired professionals: A physician who professionally treats another physician for alcoholism or drug addiction, or for mental, emotional, or personality disorders, must report it to the Board if there is probable cause that the person may constitute a danger to the health and welfare of that person’s patients or the public if that person continues in practice. The report must state the name and address of the person and the condition found. Alaska law that mandates reporting: AS 08.64.336 Duty of physicians and hospitals to report Reporting of hospital privileges actions: Duty of licensee to report: A licensee must report to the Board if the licensee’s hospital privileges have been denied, revoked, suspended, or limited by a hospital or other health care facility for disciplinary reasons. This does not apply to a temporary suspension pending completion of medical records. Alaska law that mandates reporting: 12 AAC 40.967 Unprofessional Conduct - section (20) Duty of hospital to report: A hospital that revokes, suspends, conditions, restricts, or refuses to grant hospital privileges to, or imposes a consultation requirement on, a physician must report it to the Board within seven working days after the action is taken. A hospital must also report to the Board if a physician resigns hospital staff privileges while under investigation by the hospital or a committee of the hospital and the investigation could result in the revocation, suspension, conditioning, or restricting of, or the refusal to grant, hospital privileges, or in the imposition of a consultation requirement. A report is required regardless of whether the person voluntarily agrees to the action taken by the hospital. A report is not required if the sole reason for the action is the person’s failure to complete hospital records in a timely manner or to attend staff or committee meetings. Alaska law that mandates reporting: AS 08.64.336 Duty of physicians and hospitals to report Reporting disciplinary actions, licensing actions, criminal actions: A licensee must report to the Board within 30 days of any disciplinary action against the licensee taken by another licensing jurisdiction, health care entity, or law enforcement agency. A licensee must report to the Board within 30 days of any conviction of a crime referred to in AS 08.64.326(a)(4). Alaska law that mandates reporting: 12 AAC 40.967 Unprofessional Conduct - section (26) Reporting of Abuse and Neglect: As a health care professional in Alaska, you are required by law to formally report confirmed and suspected child abuse and neglect, abuse of vulnerable adults, domestic violence or sexual assault. Alaska laws that mandates reporting: AS 47.17.020 Child abuse or neglect must be immediately reported to a police officer. AS 47.24.010 Abuse of vulnerable adults must be reported to the Dept. of Health and Social Services. AS 18.05 and 7 AAC 27.005 Suspicion of or diagnosis of infectious diseases must be reported the Department of Public Health, Epidemiology section. AS 18.66 Council on Domestic Violence and Sexual Assault. Additional Resources: The Alaska Family Violence Prevention Project This site provides information on screening and identifying domestic violence victims Council on Domestic Violence and Sexual Assault This site provides information on victim service programs funded by the council, and batterer intervention programs. Reporting of infectious diseases: As a health care professional in Alaska, you are required by law to report suspicion or diagnosis of infectious diseases. Alaska laws that mandates reporting: AS 18.05 and 7 AAC 27.005 Suspicion of or diagnosis of infectious diseases must be reported the Department of Public Health, Epidemiology section. Additional Resources: State Department of Public Health – Epidemiology This site provides information to help health care providers comply with public health reporting requirements. To report Public Health Emergencies call (907) 269-8000 or after hours (800) 478-0084.