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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

Table of Tables

Table A-1: Significant Laws Governing the NPDB

Table B-1: Eligible Entities that Report to and Query the NPDB

Table B-2: Examples of Entities that may Qualify as Hospitals and Other Health Care Entities

Table B-3: Examples of Entities that May Qualify as Multiple Entity Types

Table C-1: Example of Health Care Practitioners

Table C-2: Examples of Health Care Entities, Providers, and Suppliers

Table C-3: Summary of Reporting Requirements and Query Access

Table D-1: Information Available to Queriers as Authorized by Law

Table E-1: Summary of Reporting Requirements

Table E-2: Time Frame for Reporting

Table E-3: Authority for Reporting Medical Malpractice Payments

Table E-4: Determining if Medical Malpractice Payments Must be Reported

Table E-5: Authority for Reporting Adverse Clinical Privileges Actions

Table E-6: Determining if Clinical Privileges Must be Reported

Table E-7: Authority for Reporting Professional Society Membership Actions

Table E-8: Determining if Professional Society Membership Actions Must be Reported

Table E-9: Authority for Reporting State Licensure and Certification Actions

Table E-10: Determining if State Licensure and Certification Actions Must be Reported

Table E-11: Selecting the Appropriate NPDB Reporting Format for State Licensure and Certification Actions

Table E-12: Authority for Reporting Federal Licensure and Certifications Actions

Table E-13: Determining if Federal Licensure or Certification Actions Must be Reported

Table E-14: Selecting the Appropriate NPDB Reporting Format for Federal Licensure and Certification Actions

Table E-15: Authority for Reporting Peer Review Organization Negative Actions or Findings

Table E-16: Determining if Peer Review Organization Negative Actions or Findings Must be Reported

Table E-17: Authority for Reporting Private Accreditation Organization Negative Actions or Findings

Table E-18: Determining if Private Accreditation Organization Negative Actions or Findings Must be Reported

Table E-19: Authority for Reporting Exclusions from Participation in Federal or State Health Care Programs

Table E-20: Determining if Exclusions from Federal or State Health Care Programs Must be Reported

Table E-21: Authority for Reporting Criminal Convictions

Table E-22: Determining if Federal or State Health Care-Related Criminal Convictions Must be Reported

Table E-23: Authority for Reporting Civil Judgments

Table E-24: Determining if Health Care-Related Civil Judgments Must be Reported

Table E-25: Authority for Reporting Other Adjudicated Actions or Decisions

Table E-26: Determining if Other Adjudicated Actions or Decisions Must be Reported

Table E-27: Selecting the Appropriate Reporting Format for Other Adjudicated Actions or Decisions

Table F-1: Pertinent and Unrelated Documentation

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