Importance of the national practitioner data

Who can access or query the NPDB? A jackknife procedure was used to estimate the confidence intervals around the aggregate privileges action rates and to determine the statistical significance of differences in rates between hospital groups. Harvan, Esq. The Data Bank collects and compiles specific and important information e.

npdb dataset

Methods Sample Hospitals listed as open by the AHA for 1 or more years between and were hand linked to hospitals registered with the NPDB from its inception through In addition, payment is not reportable for claims against an organization, such as a hospital, where the practitioner is not named in both the written complaint or claim and the settlement release.

State and Federal Licensure Actions: Federal and state licensing and certification authorities must report certain actions taken against health care practitioners, providers, or suppliers.

The National Practitioner Data Bank NPDB is a government repository that collects, stores, and discloses certain information concerning health care practitioners. The National Practitioner Data Bank NPDB serves as a central repository of information about health care providers' malpractice payments, adverse licensure actions, professional membership restrictions, and adverse hospital privileging actions.

Medical practitioner database

Although many physicians may be aware of the NPDB, some of its intricate details may be of particular interest. Here are a few answers to common questions about the NPDB and how the Data Bank can serve as a useful tool to safeguard your patients and staff alike. In this study, we used 5 years of data from the NPDB linked to information from the American Hospital Association AHA to further examine 1 reporting of hospital privileges actions to the NPDB, 2 associations between hospital characteristics and reporting, and 3 changes in reporting over time. However, if a practitioner is excluded from the settlement as a condition of the payment being made, the payment is reportable. The NPDB serves its mission to promote quality healthcare and protect patient safety by operating as a reliable workforce tool for users engaged in credentialing, licensing and hiring decisions. Why is the NPDB important? What information is collected? Who can access or query the NPDB? Organizations that must report adverse information about healthcare practitioners to the Data Bank include hospitals, state licensing boards, medical malpractice payers, peer review organizations and private accreditation organizations. If the demand for payment is only made verbally, it is not reportable.

For example, if a hospital contracts with a staffing firm for services provided by an excluded practitioner and paid by federal healthcare programs, the hospital will be subjected to repayment and civil monetary penalties CMPs.

More than just a background screening company, we are an educator for the healthcare industry. A Office of Inspector General report raised concern that there may be underreporting by hospitals of physicians with performance problems to the NPDB.

Health Care-Related Civil Judgments: Federal and state attorneys as well as health plans are required to report civil judgments related to the delivery of health care items or service regardless of pending appeals against health care practitioners, providers, or suppliers.

Exclusions from Participation in Federal or State Health Care Programs: Federal agencies, state law enforcement agencies, state fraud control units, and state agencies that administer or supervise state health care programs must report health care practitioners, providers, or suppliers excluded from participating in federal or state health care programs.

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The role of the national practitioner data bank in the credentialing process.