Disclosure, Apology and Offer
Course Overview
When a patient files a claim against a physician, the toll it can take on a physician and their practice is profound. On average, it takes about five and a half years for a medical malpractice case to come to a complete resolution in Massachusetts. In 2012, Governor Deval Patrick signed into law groundbreaking legislation that implemented a brand new proactive model of disclosure, apology and offer (“DA&O”) (Massachusetts General Laws Chapter 233 §79L) and a “cooling off” period before a patient can file a claim (Massachusetts General Laws Chapter 231 §60L). This course discusses how the inclusion of the DA&O provision was meant to strip away the long standing “deny and defend” culture, and encourage honesty and transparency between health care providers and patients.
This content is based on a quarterly newsletter issued by the Massachusetts Medical Society and Adler, Cohen, Harvey, Wakeman & Guekguezian, LLP, as an information source for Legal Advisory Plan members. Nothing herein should be construed as legal advice or legal opinions regarding specific situations. Consult legal counsel for application of laws and regulations in any individual case before taking any action or making any decisions.
Faculty
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Megan Grew Pimentel, Esq.
Megan Grew Pimentel is a partner at Adler, Cohen, Harvey, Wakeman and Guekguezian, LLP. Megan is licensed to practice in Massachusetts and New Hampshire. She focuses her practice on the representation of healthcare
professionals and institutions in medical malpractice actions and before the various Boards of Registration that govern these professionals. Her practice also includes the defense of individuals and businesses in civil actions involving general liability,
product liability and other personal injury matters.

Daniel Wu, Esq.
Daniel Wu is an attorney at Adler, Cohen, Harvey, Wakeman, and Guekguezian, LLP. His practice is devoted to the defense of physicians, hospitals, and other medical professionals in medical malpractice actions and
professional liability matters. In addition, his practice also includes general civil litigation matters.
Intended Audience
health care leaders, physicians, residents, other health care professionals and students in all health care professions.
Course Objectives
- Examine the requirements of health care providers under the Disclosure, Apology & Offer law in Massachusetts
- Recall the exceptions under Massachusetts General Law c. 233 §79L.
- Explain the protections for healthcare providers under the Disclosure, Apology and Offer law in Massachusetts.
- Describe the purpose of the Act Improving the Quality of Health Care and Reducing Costs through Increased Transparency, Efficiency and Innovation.
Course Fees
Massachusetts Medical Society (MMS) Physician Member: $40.00
MMS Resident/Student Member: Free
Non-Member Physician: $90.00
Non-Members Resident/Student: $20.00
Allied Health Professional/Other: $32.00
Format & Estimated Time to Complete: Text,
1 hour
Accreditation Statement
Accreditation and Credit Information
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education
for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this internet enduring material for a maximum of 1.00 AMA PRA Category 1
Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.
MOC Approval Statement
Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, this activity has met the requirements as a MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:
Allergy and Immunology
Anesthesiology
Family Medicine
Medical Genetics and Genomics
Nuclear Medicine
Physical Medicine and Rehabilitation
Preventive Medicine
Psychiatry and Neurology
Radiology
Thoracic Surgery
Urology
National Commission on Certification of Physicians Assistant
(NCCPA)
Physician Assistants may claim a maximum of 1.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.
Exam/Assessment: A score of 70% or higher is required to receive AMA PRA Category 1 Credit™.
Activity Term
Original Release Date: March 4, 2021
Review Date (s): N/A
Termination Date: March 4, 2024
Course Developers, Reviewers & Web Producer:
Megan Grew Pimentel, Esq., partner at Adler, Cohen, Harvey, Wakeman and Guekguezian, LLP
Daniel W. Wu, Esq., attorney at Adler, Cohen, Harvey, Wakeman, and Guekguezian, LLP
Danna
G. Muir, MBA, Director, Accreditation & Recognition, NEJM Group Education
Jane E. Gagne, Manager, Accreditation and Education Compliance, NEJM Group Education
Jessica Vautour, Product Manager, MMS Education Programs, NEJM Group Education
Thelma J. Tatten, Web Content Production Specialist, NEJM Group Education
System Requirements
Desktops/Laptops
Windows 10
Mac OSX 10.6 higher
Most modern browsers including:
IE 11+
Firefox 18.0+
Chrome latest version
Safari 12+
Mobile/Tablet
iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)