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. They may choose to report actions against the privileges of other healthcare providers, but reporting is not required.

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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