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Cover Page

Executive Summary

Chapter 1: National Practitioner Data Bank Description

Purpose of the National Practitioner Data Bank Annual Reporting

Chapter 2: National Practitioner Data Bank Statutes and Regulations

Health Care Quality Improvement Act Section 1921 of the Social Security Act Reports Queries Confidentiality of NPDB Information Civil Liability Protection

Chapter 3: Administering the National Practitioner Data Bank

Administering the National Practitioner Data Bank Health Resources and Services Administration Bureau of Health Professions Division of Practitioner Data Banks Contractor Executive Committee Branch Highlights and Activities

Chapter 4: Reporting and Querying

Reporting to the NPDB Querying the NPDB

Chapter 5: Who and What is Reported

Chapter 6: Future Endeavors and Projects

Appendices

Appendix A: Milestones Appendix B: Queries and Reports by Entity Type and Year Appendix C: Practitioner Reports by Type, State, and Year Appendix D: Medical Malpractice Payment Adjustments by State, Amount, and Delay Appendix E: Summary Tables

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Appendix E: Summary Tables

Table 27: Adverse Action and Medical Malpractice Payment Reports in Dispute Resolution, 2003 - 2012

Number

Report Type	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Adverse Action Reports	56	56	61	58	39	49	41	59	65	53
State Licensure Actions	18	14	20	17	8	13	10	23	32	26
Clinical Privileges Actions	36	41	39	40	30	36	30	35	33	25
Professional Society Actions	1	0	0	1	1	0	1	0	0	1
Medicare/Medicaid exclusions	1	1	2	0	0	0	0	1	0	1
Medical Malpractice Payment Reports	5	16	12	14	11	11	9	5	9	12
Total	61	72	73	72	50	60	50	64	74	65

Percent

Report Type	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Adverse Action Reports	91.8	77.8	83.6	80.6	78.0	81.7	82.0	92.2	87.8	81.5
State Licensure Actions	32.1	25.0	35.7	30.4	14.3	23.2	17.9	41.1	57.1	46.4
Clinical Privileges Actions	64.3	73.2	69.6	71.4	53.6	64.3	53.6	62.5	58.9	44.6
Professional Society Actions	1.8	0.0	0.0	1.8	1.8	0.0	1.8	0.0	0.0	1.8
Medicare/Medicaid exclusions	1.8	1.8	3.6	0.0	0.0	0.0	0.0	1.8	0.0	1.8
Medical malpractice payment reports	8.2	22.2	16.4	19.4	22.0	18.3	18.0	7.8	12.2	18.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0

Note: Includes disclosable reports in the NPDB as of December 31, 2012.

Table 28: Outcomes of Dispute Resolution Adverse Action and Medical Malpractice Payment Reports, 2003 - 2012

Number

Outcome	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Total	61	72	73	72	50	60	50	64	74	65
Beyond Scope of Secretary	39	46	49	42	33	45	40	33	53	27
Voided by Secretary	1	2	3	3	0	0	0	3	1	0
Closed by Intervening Action	17	23	20	27	5	13	7	19	10	14
Closed by Practitioner	4	1	1	0	12	1	2	4	1	1
Unresolved as of December 31, 2012	0	0	0	0	0	1	1	5	9	23

Note: Includes disclosable reports in the NPDB as of December 31, 2012.