273 CMR 8.03
Reporting Certain Diseases
(1)
Diseases Designated as Reportable by the Department of Public Health. A naturopathic
doctor who has diagnosed a patient as having, or suspects that a patient has, one or more of the
diseases listed at 105 CMR 300.100: Diseases Reportable to Local Boards of Health shall notify
the board of health in the community where the case is diagnosed or suspect case is identified.
The report shall be made by telephone, in writing, by facsimile or other electronic means as
deemed acceptable by the Department, immediately, but in no case more than 24 hours after
diagnosis or identification. When available, name, date of birth, age, sex, address, place of
employment, school and disease must be included for each report.
(Mass. Register #1468 4/29/22)
(2) Diseases of the Eyes of Infants. A naturopathic doctor who in the course of his or her
practice observes that the eye(s) of an infant becomes inflamed, swollen and red, or shows an
unnatural discharge within two weeks after birth shall submit a report in writing, within six hours
thereafter, to the board of health of the town where the infant is located.
(3) Reyes Syndrome. A naturopathic doctor who professionally examines or treats a child with
Reye's syndrome shall report such examination or treatment to the Department of Public Health
in accordance with the rules and regulations of the Department. Such report shall be made on
forms prescribed by the Commissioner and shall be submitted as soon as possible after such
examination or treatment.
(4) Lead Poisoning. A naturopathic doctor shall report to the Director of the Childhood Lead
Poisoning Prevention Program in the Department of Public Health the existence and
circumstances of each case of lead poisoning known to the naturopathic doctor and not
previously reported. Such reports shall be submitted not later than three days after said person
or agency first diagnoses or is informed of such case.
(1) Reporting Birth. A naturopathic doctor attending a birth shall report the birth as follows:
(a) If a birth occurs in a hospital, or if a birth occurs elsewhere and the mother and child are
taken to a hospital for postnatal care immediately after birth, the naturopathic doctor, within
24 hours after such birth, shall file with the administrator, or other person in charge of the
hospital or similar institution in which the birth occurs, a report on forms furnished by the
Commissioner, stating the facts required by M.G.L. c. 46, § 1 to be shown on the record of
such birth.
(b) If the mother and child are not admitted to a hospital for postnatal care immediately after
birth, within ten days after such birth, shall file with the clerk of the city or town wherein
such birth occurred, a report on forms prepared and furnished by the Commissioner, stating
the facts required to be shown on the record of such birth.
(2) Reporting Death. A naturopathic doctor after the death of a person whom he has attended
during such person's last illness, or a naturopathic doctor declaring such person dead shall
immediately furnish for registration a standard certificate of death to an undertaker or other
authorized person or a member of the family of the deceased, stating to the best of his or her
knowledge and belief the name of the deceased, the disease of which he or she died, defined as
required by M.G.L. c. 46, § 1, where the same was contracted, the duration of the illness from
which he died, and the date of death. The naturopathic doctor shall print or type on every
certificate furnished by him or her under 273 CMR 8.04 the cause, or causes, of death and,
directly below his or her signature, his or her name and the date the certificate was signed. The
foregoing provisions shall apply in the same manner in the event of a child dying immediately
after birth. Both the birth and death of such child shall be recorded.
(3) Certain Deaths Reported to the Office of the Chief Medical Examiner. A naturopathic
doctor who has knowledge of a death which occurs under the circumstances enumerated in
M.G.L. c. 38, § 3 shall immediately notify the office of the chief medical examiner, or the
medical examiner designated to the location where the death has occurred, of the known facts
concerning the time, place, manner, circumstances and cause of such death.
(1) Action against Health Care Facility Privileges. A naturopathic doctor shall report to the
Board any restriction, termination, revocation, suspension or resignation of his or her health care
facility privileges within 30 days of the health care facility's action, notwithstanding any appeal
that may be pending.
(2) Report of Adverse Events. A naturopathic doctor shall report to the Board the following
events, if precipitated by a treatment administered or a procedure performed by the naturopathic
doctor:
(a) An unplanned patient transfer to a hospital; or
(b) A patient's death, when this death was unexpected and not related to the natural course
of the patient's illness or underlying condition.
The report shall be filed by the licensee as soon as possible, but in no event later than
30 days following the event.
(3) Dissolution or Disassociation from a Professional Association for Reasons of Competence.
A naturopathic doctor shall report a dissolution of, or disassociation from, a professional
corporation, partnership or other professional practice group, however legally organized, when
the dissolution is related, directly or indirectly, to:
(a) A naturopathic doctor's competence to practice, or
(b) A complaint or allegation regarding any violation of law or regulation, or bylaws of a
health care facility, group practice, or professional association whether or not the complaint
or allegation specifically cites violation of a specific law, regulation or bylaw.
(4) Settlement for Professional Liability. A naturopathic doctor shall report to the Board any
settlement or award for damages for death or personal injury arising from or related to the
naturopathic doctor's professional practice. The report shall be submitted to the Board within
30 days of the settlement or award and irrespective of whether the naturopathic doctor had
professional liability insurance applicable to the event.
(5) Criminal Conviction. A naturopathic doctor shall report to the Board when he or she has
been convicted of a crime, or filed a plea of nolo contendere or admitted to sufficient facts to a
crime. The report shall be made within one week of the date of conviction, plea or admission.