National Practitioner Data Bank

The National Practitioner Data Bank is a United States Government program that the collects and discloses, only to authorized users, negative information on health care practitioners, including malpractice awards, loss of license or exclusion from participation in Medicare or Medicaid.

The Data Bank was created by Congress with the primary goals of improving health care quality, protecting the public and reducing health care fraud and abuse. The Data Bank is managed by the Bureau of Health Workforce of the Health Resources and Services Administration in the U.S. Department of Health and Human Services. Before May 6, 2013, the Data Bank comprised the National Practitioner Data Bank and the Healthcare Integrity and Protection Data Bank. The two were consolidated by Section 6403 of the Affordable Care Act of 2010, Public Law 111-148.

Information Collected

Medical malpractice payments ,
Any adverse licensure actions or loss of license
Adverse clinical privileging actions, or Adverse professional society membership actions
Any negative action or finding by a State licensing or certification authority
Private accreditation organization negative actions or findings against a health care practitioner or entity

Any negative action or finding by a Federal or State licensing and certification agency that is publicly available information

Civil judgments or criminal convictions that are health care-related

Exclusions from Federal or State health care programs
Other adjudicated actions or decisions (formal or official actions, involving a due process mechanism and based on acts or omissions that affect or could affect the payment, provision, or delivery of a health care item or service)

Access

Access to the information is limited, and is not available to the general public. It is provided to hospitals, other health care entities, professional societies, state and federal licensing and certification authorities (including Medical and Dental Boards), and agencies or contractors administering Federal or State health care programs.

In addition, individual healthcare providers can obtain access to their own records; this information is also in some cases available to those who may be suing them. Researchers may also obtain statistical data, but not data on individuals.

References

National Practitioner Data Bank

This article incorporates public domain material from websites or documents of the United States Department of Health and Human Services.

Agencies of the United States Department of Health and Human Services

Headquarters: Hubert H. Humphrey Building Sylvia Mathews Burwell, Secretary of Health and Human Services Bill Corr, Deputy Secretary of Health and Human Services

Secretariate staff offices	Office of the Secretary of Health and Human Services Office of the Deputy Secretary of Health and Human Services Office of Inspector General

Organizations under the Assistant Secretary for Health	Office of the Assistant Secretary for Health Public Health Service Public Health Service Commissioned Corps Surgeon General Office of Public Health and Science Administration for Children and Families Administration on Aging Agency for Healthcare Research and Quality Agency for Toxic Substances and Disease Registry Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Food and Drug Administration Health Resources and Services Administration Indian Health Service National Institutes of Health Substance Abuse and Mental Health Services Administration

Programs	Child Welfare Information Gateway National Toxicology Program

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