Determining NPDB reportable actions

The National Practitioner Data Bank (NPDB) is a national register of physicians, dentists, and other healthcare practitioners established pursuant to the HCQIA. Its stated objective is “to improve the quality of healthcare by encouraging hospitals … to identify and discipline those who engage in unprofessional behavior; and to restrict the ability of incompetent physicians … to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history.”

Hospitals must know what events are reportable to the NPDB. Sometimes the answer is clear cut; sometimes it is not. Recent changes to the NPDB Guidebook have also effected when hospitals must report actions taken against a physician.  

This figure provides some examples of what types of action must be reported.