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DOI: 10.1177/1062860605283644 The Role of the National Practitioner Data Bank in the Credentialing ProcessDepartment of Preventive Medicine and Office of Community Affairs, University of Tennessee Health Science Center, Memphis; Center for Health Services Research, The University of Tennessee Health Science Center, 66 North Pauline, Suite 463, Memphis, TN 38163 twaters{at}utmem.edu
Program in Cancer Control and Population Science, University of Illinois at Chicago Cancer Center
Survey Research Laboratory, University of Illinois at Chicago
Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Evanston, Illinois
Department of Health Administration and Policy, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City Federal law requires hospitals and permits other entities to seek information from the National Practitioner Data Bank (NPDB) but places no requirements on how that information should be used. Our survey of NPDB users demonstrates that although the NPDB has generated substantial controversy and its information is nominally available from other sources, it still plays an important role in the credentialing process. Most institutions make timely NPDB inquiries that facilitate widespread use of the information in credentialing activities (4-5 individuals or committees). However, in 3% to 7% of cases, a decision was reached before the institution had the NPDB report. Between 5% and 30% of privileging and licensure applications involving an NPDB report were not granted "as requested," suggesting the NPDB data are important to the process. Unfortunately, underreporting was also evident: 60% to 75% of reportable actions were not reported, limiting the information to which health care entities have access.
Key Words: National Practitioner Data Bank NPDB hospital reporting quality improvement credentialing
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