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Termination of physician employment: Is it reportable?

Following a fair and thorough investigation, the medical staff in your hospital has determined a physician has clinical performance issues and has recommended a limitation in clinical privileges. Per the medical staff bylaws, a fair hearing process commences. If the hearing/appeal processes do not change the limitation of privileges, this is considered an “adverse action” and therefore must be reported to the National Practitioner Data Bank (NPDB), in accordance with the Health Care Quality Improvement Act of 1986 (HCQIA). It’s a no-brainer, right? But in today’s hospital environment, not all scenarios are so clear-cut.

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