Ask the Expert: What are hospitals required to report?

Hospitals must report adverse actions taken against the privileges of a physician or dentist to the National Practitioner Data Bank. Hospitals must report any action affecting a physician’s privileges for more than 30 days. The action must have been taken based on conduct or concerns about a physician’s competency that could adversely affect patient welfare. Administrative suspensions, such as a suspension for incomplete medical records, are not reportable.

Reportable actions against clinical privileges include:

  • Reduction
  • Restriction
  • Suspension
  • Revocation
  • Denial
  • Non-renewal of privileges
  • Voluntary surrender of clinical privileges while under investigation
  • Voluntary surrender of privileges in lieu of an investigation

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