1. (1)       Reporting to the Board is required within five (5) business days of the occurrence and will include all surgical related deaths that occur within thirty (30) days of the procedure, anesthetic or surgical events requiring CPR, wrong site surgery, wrong patient surgery, and unplanned reoperation related to a prior office-based surgical procedure occurring within thirty (30) days of the procedure. However, (1) planned reoperations, (2) reoperations for minor complications, and (3) the transfer of a patient to a more acute setting or a hospital as a result of the physician’s findings during the diagnostic portion of a procedure do not need to be reported.
2. (2)       Each physician office shall execute agreements with its accrediting or certifying entities requiring the entity to report any suspension, restriction, termination, or adverse accreditation action, the findings of any surveys and complaint or incident investigations, and any data requested by the Board. The registered physician shall be responsible for submitting or causing the accrediting entity to submit annual outcome data to the Board for all procedures performed at a physician office on or before January 31 following renewal of the physician’s registration.
3. (3)       Each registered physician shall report to the Board annually in writing a comprehensive list of all procedures performed at each location; provided, the registered physician shall report the performance of any new Level III procedure within thirty (30) days of performing the procedure at a physician office.
4. (4)       A physician office where more than one registered physician performs office-based surgery may make reports on behalf of the registered physicians.

Author: Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975 § 34-24-53.

History: New Rule: Published January 30, 2026; effective March 16, 2026.