The state of Michigan allows individuals or organizations to disclose information regarding a physician’s performance and quality of care provided to a review entity, which may include a peer review organization, patient safety association, or professional review organizations.  However, such disclosures or reports are not subject to civil liability as long as they are made within the scope of the individual or organization’s job duties.  Health plans are also required to report to the Department of Community Health all instances of when a health care professional has been disciplined, terminated, or has resigned.1  The review entity is also authorized to publish reports based on the reported data in order to maintain health care professional standards, providing evidence of a health care professional’s discipline, or reviewing the competence of a health care provider.2  However, the law requires the review entity to maintain the confidentiality of the individual health care provider’s identity.  The individual’s name may not appear in any of the published reports or findings.3  Hospital peer review organizations must also maintain the confidentiality of all records and findings, and may not provide the information to the public or be used in legal proceedings.4