National
Practitioner Data Bank (NPDB)
Why the NPDB Was Created
The legislation that led to the
creation of the NPDB was enacted because the U.S. Congress believed
that the increasing occurrence of medical malpractice litigation
and the need to improve the quality of medical care had become nationwide
problems that warranted greater efforts than any individual State
could undertake. The intent is to improve the quality of health
care by encouraging State licensing boards, hospitals and other
health care entities, and professional societies to identify and
discipline those who engage in unprofessional behavior; and to restrict
the ability of incompetent physicians, dentists, and other health
care practitioners to move from State to State without disclosure
or discovery of previous medical malpractice payment and adverse
action history. Adverse actions can involve licensure, clinical
privileges, professional society membership, and exclusions from
Medicare and Medicaid.
The NPDB is primarily an alert or flagging system intended to facilitate
a comprehensive review of health care practitioners' professional
credentials. The information contained in the NPDB is intended to
direct discrete inquiry into, and scrutiny of, specific areas of
a practitioner's licensure, professional society memberships, medical
malpractice payment history, and record of clinical privileges.
The information contained in the NPDB should be considered together
with other relevant data in evaluating a practitioner's credentials;
it is intended to augment, not replace, traditional forms of credentials
review.
Access to Information
Access to information in the NPDB is available to entities that
meet the eligibility requirements defined in the provisions of P.L.
99-660 and the NPDB
regulations. In order to access information, entities must first
register with the Data Bank.
NPDB information is not available to the general
public. However, information in a form that does not identify
any particular entity or practitioner is available.
Confidentiality
Information reported to the NPDB is considered confidential and
shall not be disclosed except as specified in the NPDB regulations.
The Privacy Act of 1974,
protects the contents of Federal systems of records such as those
contained in the NPDB from disclosure, unless the disclosure is
for a routine use of the system of records as published annually
in the Federal Register. The published routine uses of NPDB information
do not allow for disclosure of information to the general public.
The Office of Inspector General (OIG), Health and Human Services
(HHS), has the authority to impose civil money penalties on those
who violate the confidentiality provisions of Title IV. Persons,
organizations, or entities that receive information either directly
or indirectly are subject to the confidentiality provisions and
the imposition of a civil money penalty of up to $11,000 for each
offense if they violate those provisions.
For more information on the NPDB, see the:
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