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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Q&A: Reporting Clinical Privileges Actions

  1. Is the requirement that a surgeon operate only with a qualified first assistant a restriction of privileges?

    It depends. If all new surgeons are required to operate with a qualified first assistant, such as when the surgeons first receive privileges at a hospital, imposition of this requirement would not be a restriction of privileges that is reportable. However, if the requirement is imposed on one specific surgeon, is a professional review action about professional competence and conduct, and runs more than 30 days, the action would be reportable as a restriction of clinical privileges.

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