Which entities report to NPDB?

Which entities report to NPDB?

• A. Medical malpractice payments, adverse licensure actions, dismissal or closure of proceedings by surrendering the license or leaving the state or jurisdiction, loss of licensure, adverse privileging actions, adverse professional society membership actions, actions by state licensing or certification authority, peer review organization negative actions or findings, private organization negative actions or findings, adverse actions against DEA certification, Medicare exclusions
• B. Hospitals and HMO's only
• C. Medical malpractice payments and Medicare exclusions only
• D. Peer review actions only

Answer: (A)

National Practitioner Data Bank collects information on adverse actions and malpractice payments to support credentialing decisions. The reporting entities come from a broad set of sources, not just hospitals. Malpractice payments or settlements are reported, along with licensure actions and other disciplinary measures by state boards; adverse privileging actions; professional-society membership actions; actions by state licensing or certification authorities; findings from peer-review processes and private organizations; adverse actions against a practitioner’s DEA certificate; and Medicare or Medicaid exclusions. This wide range of reporters—hospitals, HMOs and other health plans, licensing boards, professional associations, and private organizations—ensures credentialing bodies have a complete, credible view of a practitioner’s professional history.

National Practitioner Data Bank collects information on adverse actions and malpractice payments to support credentialing decisions. The reporting entities come from a broad set of sources, not just hospitals. Malpractice payments or settlements are reported, along with licensure actions and other disciplinary measures by state boards; adverse privileging actions; professional-society membership actions; actions by state licensing or certification authorities; findings from peer-review processes and private organizations; adverse actions against a practitioner’s DEA certificate; and Medicare or Medicaid exclusions. This wide range of reporters—hospitals, HMOs and other health plans, licensing boards, professional associations, and private organizations—ensures credentialing bodies have a complete, credible view of a practitioner’s professional history.