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"Are Clinical Privileges Action Reports to the NPDB Linked with Hospital Characteristics?"

National Practitioner Data Bank

Poster Author
Harnam Singh, PhD

Summary
The National Practitioner Data Bank (NPDB) is a nationwide, electronic repository that collects information on medical mal- practice payments and certain adverse actions related to health care practitioners, entities, providers, and suppliers. In this study, we examined if hospital characteristics can account for variance in clinical privileges action reports from hospitals to the NPDB. We examined the following characteristics: hospital ownership (e.g., private, Federal, State, etc.); hospital size based on number of beds; the U.S. Census geographical region of the hospitals; and decentralized vs. centralized hospital systems. Our analyses show that where a hospital is located, how big it is, and how its executive decision-making process is structured, seem to impact whether or not the hospital reports clinical privileges actions against its physicians to the NPDB. Results include:

•Privately-owned hospitals were more likely to report clinical privileges actions regarding physicians than federally-owned hospitals.

•All indicators showed that larger hospitals had higher odds of clinical privileges action reporting than smaller ones.

•Hospitals in the West and Northeast showed greater odds of reporting clinical privileges actions regarding physicians to the NPDB, relative to the hospitals in the Midwest.

•Relative to hospitals in metro areas, hospitals in micro areas were about 40% less likely, and hospitals in rural areas were about 80% less likely to report clinical privileges actions regarding physicians to the NPDB.

•Centralized hospital systems, relative to the decentralized ones, showed greater odds of reporting clinical privileges actions to the NPDB.

Contact
Harnam Singh, PhD
Chief Research and Data Officer
National Practitioner Data Bank
Health Resources and Services Administration (HRSA)
Email: hsingh@hrsa.gov
Phone: 301-710-7800

Additional Information
Visit the NPDB website to learn more. 

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