{"ref":"PA-HSP-QA-02","title":"Professional Misconduct Reporting and Practitioner Oversight","category":"Quality","summary":"Sets out when and how the Agency reports a physician to the State Board of Medicine or State Board of Osteopathic Medicine under the Health Care Facilities Act, how it notifies the Department of Health of unlicensed practice, how it keeps every professional's license current, and how concerns about any licensed professional are reviewed and reported.","inShort":["Keep your license current. Tell the Administrator at once if your license lapses, is restricted or is under investigation.","No one may work with patients on a lapsed or suspended license. The Agency removes them from patient care and reports unlicensed practice to the Department of Health.","If you are worried that a colleague's practice is unsafe or impaired, tell your supervisor or the Administrator. Suspected abuse is reported right away under the abuse policy.","The Agency must report certain physician misconduct, resignations to avoid discipline and felony convictions to the physician's licensing board within 60 days.","Know the reporting rules of your own licensing board."],"primaryCitation":"35 P.S. §448.806a","citations":["35 P.S. §448.806a","28 Pa. Code §51.3(g)(13)","35 P.S. §448.806(g)(2)","23 Pa.C.S. §6383(b)(3)"],"federalCitations":["42 CFR §418.62","42 CFR §418.114(a)","42 CFR §418.58"],"surveyorAsks":["If you ended a contracted physician's association because of suspected misconduct, who would you report it to and by when?","How do you know every nurse's license is current today?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (35 P.S. §448.806a)","5. Reporting Physicians to the Licensing Board","5.1 Contents of the report","5.2 Confidentiality and immunity","6. Unlicensed Practice and License Currency","7. Concerns About Other Licensed Professionals","8. Procedure","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"pa-hospice","state":"Pennsylvania","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}