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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 Private Accreditation Organizations
Negative Actions or Findings

  1. A private accreditation organization awarded a hospital seeking accreditation the status of "accreditation with a follow-up survey." The hospital was required to address deficiencies identified during the accreditation survey within 90 days. Should this action be reported to the NPDB?

    No. A private accreditation organization must report to the NPDB only final determinations of denial or termination of an accreditation status that indicates a risk to the safety of a patient, or patients, or quality of health care services. This was neither a final denial nor termination.

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