NPDB Guide to Reporting Clinical Privileges Actions

Infographics provide basic guidance only. Review federal regulations and the NPDB Guidebook for comprehensive instructions.

NPDB guide to Reporting Clinical Privileges Actions

Before Submitting:

Are you a hospital or health care entity that took a professional review action agaisnt a physician or dentist?*

Report the professional review action if both A and B are met:

A: Adversely affects clinical privileges (including privilegdes, medical staff or panel membership, network participation, affiliation and other circumstances) for a period of more than 30 days, including:

  • Reducation, restriction, suspension or revocation of privileges
  • Denial of privileges based on a professional review action (excluding denials based on failure to meet specific threshold criteria or an initial application withdrawal before a final professional review decision)
  • A practitioner's surrender of, or failure to renew, privileges while under or to avoid investigation
  • Summary suspensions that are result of a professional review (in effect for more than 30 days), regardless of whether the action is final

B: Is based on the practitioner's professional compentence or professional conduct that adversely affects or could adversely affect the health or welfare of a patient.

If both A and B are met, Submit an Initial Action Report, within 30 days of when the action was taken.

You must forward a copy of the report to your state licensing board in the NPDB system (or by mail).

Report Modifications (when needed):

The NPDB notifies the subject of a report when a report is submitted and when any of these modifications are made.

  • Did you organization take an action that modifies or relates to a previously reported action (including reinstatements)? If yes, Submit a Revision to Action report.
  • Did your organization determine there is an error or omission in a previously submitted report? If yes, submit a Correction Report.
  • Did your organization determine that an action should not have been reported because:
    • The report was erroneously submitted?
    • The action is not reportable?
    • The action was revered or overturned?

    These are the only reasons for which a report may be voided.

This image is a greyscale version of the NPDB Guide to Reporting Clinical Privilege Actions.