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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 Organizations Negative Actions or Findings Reporting Exclusions from Participation in Federal and 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 Peer Review Organization
Negative Actions or Findings

  1. As part of an evaluation of a hospital's maternity services, a peer review organization found the quality of care provided by one of the hospital's physicians poor enough that it formally recommended that the hospital place the physician on probation and assign him a proctor for all procedures. Should the peer review organization report this recommendation, even if the organization does not know whether the hospital subsequently took the recommended action?

    Yes. Peer review organizations must report any recommendation to sanction a health care practitioner, as long as the recommendation was a result of a formal proceeding and otherwise meets NPDB reporting requirements. A recommendation to place the physician on probation and assign him a proctor would meet this reporting requirement, regardless of the hospital's actions.

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