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Federal Hospitals

If you are a federal hospital or federal government agency administering health care services, you may have additional reporting requirements besides reporting adjudicated actions, exclusions, civil judgments and civil convictions. They may include submitting reports under an MOU on clinical privileges actions and medical malpractice payments to the NPDB.

Memorandums of Understanding and Federal Hospitals

The U.S. Department of Health and Human Services has entered into Memorandums of Understanding (MOU) with the following federal agencies to ensure their participation in the NPDB system.

  • DOD
  • VA

For these agencies, the reporting procedures and requirements for reporting clinical privileges and medical malpractice payments are governed by a Memorandum of Understanding (MOU) as well as by their agency specific policies and procedures.

Do I attest?

If you are a federal hospital, you will be asked to update your user profile and attest during your registration renewal that you have submitted to the NPDB all reports required by law. Entities are notified by email when it is time to renew their registration, update their profile, and complete attestation.

The NPDB will send a 60-day reminder email to the Data Bank administrator prior to the entity's registration renewal due date. If your entity has not received notification, then your renewal is not currently due. Detailed instructions for attestation will be available when you sign in to your account to renew. To find your registration renewal date:

  1. Sign in to the NPDB.
  2. The renewal date will display on the lower left-hand side of the Entity Registration Confirmation page.

Learn more about Attestation.


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Clinical Privileges Actions

Federal hospitals or federal government agencies administering health care services must report to the NPDB certain actions taken against health care practitioners, entities, providers, or suppliers as governed by Memorandums of Understanding or by their agency specific policies and procedures.

Medical Malpractice Payments

Federal hospitals or federal government agencies administering health care services must report to the NPDB medical malpractice payments made for the benefit of health care practitioners as governed by Memorandums of Understanding or by their agency specific policies and procedures.

 

Query Infographic Guides

Querying Infographics

Learn about querying the NPDB through our infographics.

How Many Queries Do I Need to Run?

How Many Queries Do I Need to Run?

An infographic that explains how many queries your organization needs to run.

Each hospital must request information from the NPDB as follows:

  • When a physician, dentist, or other health care practitioner applies for medical staff appointment (courtesy or otherwise) or for clinical privileges at the hospital, including temporary privileges.
  • Every 2 years on all physicians, dentists, and other health care practitioners who are on its medical staff (courtesy or otherwise), or who hold clinical privileges at the hospital.

The confidentiality provisions of Title IV, Section 1921, and Section 1128E allow an eligible entity receiving information from the NPDB to disclose the information to others who are part of an investigation or peer review process, as long as the information is used for the purpose for which it was provided. In those instances, everyone involved in the investigation or peer review process is subject to the confidentiality provisions of the NPDB.

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All hospitals with a formal peer review process should be registered with the NPDB. Even if your hospital uses an agent or Credentials Verification Organization (CVO) to query the NPDB, your hospital must first register with the NPDB. After the registration process is complete, you may designate the agent or CVO to act on behalf of your organization.

Note: If your hospital is not owned and operated by a government agency, you should select "Private Sector Organization" on the Organization Information page, even if your organization receives federal or state funds.

Once your hospital is registered, each individual using the NPDB must have a unique user ID assigned by their administrator in the NPDB system. Users cannot share user IDs and/or passwords.

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NPDB Guidebook Q&As