A hospital suspended a physician's clinical privileges for 45 days for failing to complete medical records. Should this action be reported to the NPDB?
A hospital must report the suspension if the suspension is a result of a professional review action and the hospital determines that the failure to complete medical records is related to the physician's professional competence or conduct and adversely affects or could adversely affect a patient's health or welfare. If the suspension of the practitioner's clinical privileges is the result of an automatic or administrative action, and not the result of a professional review action, the suspension should not be reported.
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Including a detailed narrative provides depth and nuance to reports to assist organizations in making critical hiring and credentialing decisions. The narrative of events helps contextualize the situation and gives organizations a more complete picture of what occurred. Your narrative should include official findings of the action taken, descriptions of the circumstances leading up to the action, and the facts of the case.
Compare the following narrative examples for a clinical privileges action:
|Scenario #1||Scenario #2|
|The practitioner was suspended.||The practitioner's clinical privileges were suspended on March 12th based on concerns about the practitioner's professional conduct, clinical competency, and judgment. The practitioner chronically failed to complete medical records and patient charts, and a medical error occurred due to the practitioner not completing medical records on time. The hearing committee upheld the decision to suspend the practitioner. The executive committee accepted the recommendation and finalized the decision to suspend the practitioner. It came to the conclusion that the practitioner's conduct did adversely impact patient care.|
Based on the first narrative, organizations wouldn't know why the hospital suspended the practitioner other than the affiliated basis for action. In the second example, the reporter informs organizations of multiple concerns about the practitioner. The report also clearly states the procedures followed and the facts of the case.
When a practitioner leaves your organization, you are required to cancel their continuous query enrollment. By promptly cancelling the practitioner's enrollment, you avoid receiving information to which you are not entitled and incurring possible penalties.
When you initially enroll a subject, you have the option to set an enrollment end date. This is a great option for temporary employees. If you didn't take advantage of that option, you can still do so by following the steps below and selecting Schedule Cancellation For A Future Date on the Submitter Certification page.
Follow the steps below to cancel continuous queries for practitioners who are no longer with your organization:
Remember, once a practitioner leaves your organization you must cancel that practitioner's enrollment immediately. For more continuous query information, visit the Help Center.
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