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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. How should a hospital report to the NPDB when an adverse clinical privileges action it took against a practitioner is changed by court order?

    Assuming all reporting prerequisites are met, the hospital should report the initial adverse action; the hospital should then report the judicial decision as either a revision or a void. For example, if a hospital revoked clinical privileges and a judicial appeal resulted in the court modifying the discipline to suspension of clinical privileges for 6 months, the hospital would be required to report both its initial revocation (as an Initial Report) and the court-ordered revision to suspension (as a Revision-to-Action Report). If the court overturned the hospital's decision, the hospital should void the Initial Report.

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