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Survey of Eligible Users of the National Practitioner Databank

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Survey of the Eligible Users of the National Practitioner Data Bank


Internet-Based Survey

Conducted by

Cherry Tree Business and Statistical Consulting




Table of Contents


Introduction


New Developments


Respondent Universe


Sampling Methodology


Entity Survey Component


Self-Query Survey Component


Appendices

Sampling design

Weighting

General coding instructions

Previous usage

Supplemental data

Glossary of terms




Introduction


The U.S. Department of Health and Human Services, Division of Practitioner Data Banks (DPDB) of the Bureau of Health Professions/Health Resources and Services Administration (HRSA) conducted the Survey of Eligible Users of the National Practitioner Data Bank (NPDB).


The population of eligible users is hospitals, managed care organizations, physician group practices, state licensing boards, medical malpractice payers, professional societies, other smaller groups of government entities at both the federal and state level, and those who self-query the NPDB. The purpose of the survey is to assess eligible users’ overall satisfaction with NPDB reporting and querying processes, to evaluate the NPDB as a source of information, and to understand the user perception of the usefulness of the NPDB information in hiring, licensing and credentialing decisions. Furthermore, this survey collects information from non-users of the NPDB to understand why they do not use the NPDB.


The survey population consists of three distinct groups: NPDB users, NPDB non-users, and those that self-query the NPDB. For the purpose of this survey, NPDB users include entities that queried the NPDB, reported to the NPDB, or both queried and reported between January 1, 2010 and December 31, 2012. This group includes entities that have completed reporting or querying actions through an authorized agent. The survey collects additional information from users that receive a matched response. A matched response occurs when an eligible user queries the NPDB; and in turn, receives a response that the subject of the query has a report in the NPDB. Collecting feedback regarding matched responses will allow the DPDB to gain a better understanding of how NPDB information is used. Feedback from entities that chose to use authorized agents will inform the DPDB regarding the reasons underlying those choices.


The survey is also administered to non-users that are eligible to use the NPDB. Eligible non-users of the NPDB are those that: (i) never registered in the NPDB; (ii) registered prior to 2010 and were not currently registered during the survey time frame and (iii) were registered but not using the NPDB directly or through an authorized agent. Previous survey response rates in 2001 were actually higher for the non-users than users (83% versus 70%, respectively); indicating that entities that were not utilizing the NPDB were willing to invest staff time to respond to the survey. The intent of the survey was to gain new feedback from non-users through an enhanced data collection instrument designed specifically for this group. Information from the non-users will assist NPDB in understanding why these entities do not use the NPDB.


The third group, those that self-query the NPDB, includes health care practitioners and individuals who are seeking licensure or employment. Self-queriers were not included in previous NPDB surveys. The majority of self-queriers are health care practitioners using the system in their own interest or at the request of a potential employer, licensing or certification authority, or insurance provider. Entities such as practitioner organizations may also self-query to verify their own NPDB status. The NPDB has seen an increase in the number of self-queries in recent years and would like the survey results to provide a better understanding of the Characteristics of these queriers.


Administering this national survey will provide the DPDB with the information necessary to improve NPDB system usability and efficiency for all NPDB users. Comparisons of this survey’s results with results of earlier surveys will inform the DPDB about changes in its user satisfaction over time.


New Developments


The DPDB supports initiatives to monitor the NPDB to ensure they are meeting the intent of the laws and regulations to serve its customers in the best way possible. The DPDB has commissioned a series of surveys to examine the quantity and quality of information provided, user satisfaction with the information received, the process by which users interact with the NPDB, and how the information affects decision making.


These efforts were previously established with contracts between the DPDB and the Institute for Health Services Research and Policy Studies, Northwestern University and the Health Policy Center, Survey Research Laboratory, University of Illinois Chicago, and The Gallup Organization to complete the following surveys:


NPDB-HIPDB User Survey in 2008

NPDB User and Non-User Survey in 2001

NPDB User Survey in 1994


On April 5, 2013, a final rule revised existing regulations under sections 401-432 of the Health Care Quality Improvement Act of 1986 and section 1921 of the Social Security Act, governing the NPDB to incorporate statutory requirements under the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act). The DHHS is also removing regulations which implemented the HIPDB. Section 6403 of the Affordable Care Act, the statutory authority for this regulatory action, was designed to eliminate duplicative data reporting and access requirements between the HIPDB (established under section 1128E of the Social Security Act) and the NPDB. It requires the Secretary to establish a transition period to transfer all data in the HIPDB to the NPDB, and once completed, to cease operations of the HIPDB. Information previously collected and disclosed to eligible parties through the HIPDB will then be collected and disclosed to eligible parties through the NPDB. This regulatory action consolidates the collection and disclosure of information from two data banks into one part of the CFR.


The NPDB, formerly two separate data banks that now have been merged into one data bank, is established and governed by revised laws and regulations as of April 5, 2013.


Since implementation of the previous survey of 2008, there have been numerous enhancements to the NPDB for which it has become necessary for DPDB to measure user satisfaction. More than a decade ago, users who queried the system waited four to six weeks to receive responses. Enhancements were made to reduce the wait time to 2 weeks. A few years later, the duration was reduced to 3 days. Continued improvement in the query and response system allowed for responses to now be received in less than an hour on average. The DPDB must consider this type of improvement along with the following list of enhancements in which to solicit feedback from the data bank users to measure changes in their satisfaction.



Integrated Query and Reporting System (IQRS) 2006

The IQRS query workflow became streamlined in recent years. Enhancements to the query process reduced the response time to less than one hour on average. An improved registration renewal process allowed entities and agents to more easily update their registrations.


Continuous Query, formerly Pro-Active Disclosure Service (PDS) in 2008

Entities were allowed to renew their registration for an automatic and continuous querying of enrolled practitioners (a 97% renewal rate). Continuous Query is for querying on practitioners, not health care organizations.


Querying and Reporting XML Service (QRXS)

The interface control document transfer program phased out for querying and reporting XML Service in 2009. The QRXS used an industry standard XML format that improved the exchange of data between the user and the data banks.


Report forwarding

State boards are able to receive medical malpractice, clinical privilege, and professional society actions that are forwarded electronically by participating reporting entities.


Information Technology Initiatives 2012

The DPDB implemented several IT initiatives to enhance the timeliness and quality of the information provided to reduce duplication, to provide work queues, and to improve service delivery.


HIPDB Merger with the NPDB

In May 2013, the two databanks merged reducing the redundancy of the data bank contents. The merge may effect cost, utilization, and change perceptions of eligible users.



  1. Respondent Universe and Sampling Methods



The survey is administered to eligible users of the National Practitioner Data Bank (NPDB). The respondent universe is comprised of both users and non-users that are eligible to report to the NPDB, query the NPDB, or both between January 1, 2010 and December 31, 2012. Respondents are hospitals, managed care organizations, physician group practices, state licensing boards, medical malpractice payers, professional societies, other smaller groups of government entities at both the federal and state level, and those who self-query the NPDB.

The NPDB receives and discloses reports on medical malpractice payments made on behalf of health care practitioners; as well as certain adverse actions taken against health care practitioners, health care entities, providers and suppliers. Depending on their provisional authority requirements, entities that meet the NPDB's definition of an "eligible entity" may use the NPDB to query, or to submit certain reports on health care practitioners, health care entities, providers, and suppliers. Some entities both report to and query the NPDB.

If an entity uses an authorized agent to perform NPDB reporting or querying activities on their behalf, for the purposes of this survey, both the entity and the agent will be considered registered users of the NPDB. Reporters are required to report certain information related to the professional competence and conduct of physicians, dentists other health care practitioners. Queriers are authorized to receive information on health care practitioners, health care entities, providers, or suppliers to assist in making employment, credentialing, certification, and licensing decisions.

The NPDB administrative data provides a census of currently registered NPDB users as well as previously registered users who were not re-registered for the specified time frame. A stratified sample design is used to capture non-registered non-users and self-queriers.

  1. NPDB Registered Users

The NPDB registered users are defined as eligible users who were registered and queried, reported to, or accessed the NPDB using an authorized agent during the defined time frame. This group of respondents includes entities that submitted reports, performed traditional queries (a one-time query), enrolled in continuous query, and those that utilized an authorized agent to query or report on their behalf (see Exhibit 1). The respondent is defined as the entity. For each respondent in this group, the entity’s most recent registered user will be contacted to represent the entity.

  1. NPDB Non-Users

The NPDB non-users are defined as entities that were eligible to query or report to the NPDB and did not do so during the defined time frame. The non-user group includes previously registered users who were not re-registered to utilize the NPDB, eligible users who never registered to utilize the NPDB, and registered users who did not submit a query or report during the specified time period. Thus, if an entity was a registered user during the time frame and did not query, report, or utilize an authorized agent to query or report on their behalf, the entity is a non-user.

  1. NPDB Self-Queriers

The NPDB self-queriers are health care practitioners and practitioner organizations that submitted a query during the specified time frame to either verify their own status or to provide a copy of the results to a third party. Self-queriers were not included in previous NPDB surveys. While the majority of self-queriers are health care practitioners and individuals who sought licensure or employment, this group of respondents also includes entities known as practitioner organizations. There are two types of practitioner organizations: medical service providers and medical suppliers.



Sampling Methodology

The NPDB administrative data provides the basis for the sampling frame used to implement the sampling methodology for all users identified as having ever registered in the NPDB. Non-users who never registered to utilize the NPDB will not be found in the NPDB administrative data. For this group of non-users, external sources of information will be used to build a stratified sampling frame for each identified subgroup. Self-queriers do not register; but, they are required to provide information to verify their identity when they submit a query. For the self-queriers, NPDB administrative data will provide the basis for the sample.

The NPDB administrative data contains the population of registered entities. Therefore a census survey will be conducted for each type of registered entity. A stratified sample will be applied to the remaining eligible users. For strata where the population size is sufficient, a stratified random sample that allows a +3 percent margin of error with 95% confidence will be employed allowing analysis of user perspectives across disparate groups.

  1. NPDB Registered Users. Administrative data will be used to construct a census of eligible entities that are responsible for meeting specific querying or reporting requirements, sometimes both. Eligible entities that use an authorized agent to fulfill their reporting or querying requirements will be included in this census sample. The entity user survey component is provided in Appendix B.

  • A census of entities nationwide that submitted a report will receive the user survey component by contacting the most recent registered user who completed a NPDB report.

  • A census of entities nationwide that submitted a query will receive the user survey component by contacting the most recent registered user who completed a NPDB query. As described in Part A, queries may result in a “matched response” that can be the result of a one-time query or notification through continuous query.



  1. NPDB Non-Users. Registered non-user sub-groups will be measured using administrative data to develop the census samples. A stratified sample of non-users who never registered to utilize the NPDB will be applied for a maximum sample size of 2,000. The entity non-user survey component is provided in Appendix B.

  • A census sample of registered users that do not utilize an authorized agent to query or report on their behalf, and the entity themselves have not queried or reported in the defined time frame, will be asked to complete the non-user survey component.

  • A stratified sample of previous users, those whose registration expired previous to and were not re-renewed during the defined time frame, will be asked to complete the non-user survey component.

  • A stratified sample of users who never registered to access to NPDB, and who are known to be eligible to report to or query the NPDB will be asked to complete the non-user survey component.



  1. NPDB Self-Queriers. NPDB administrative data will be used to develop a sample, stratified by State, of health care practitioners and practitioner organizations that submitted a query during the specified time frame to either verify their own status or to provide a copy of the results to a third party. The self-querier survey component is provided in Appendix C.

  • A sample of approximately 150 practitioners nationwide that received a matched response will receive the self-query survey component.

  • A sample of approximately 1,350 practitioners nationwide that did not receive a matched response or did not complete the process will receive the self-query survey component.



Based on this sampling methodology, the estimated initial sample size and the expected number of completed questionnaires within the NPDB population of eligible users are provided in Table 1. Based on the 2001 survey and a set of enhancements discussed later, an expected response rate of 80 percent is anticipated.

Table 1. Estimated Initial Sample Size and Expected Number of Completed Surveys for the Eligible User Survey

**To be replaced with actual figures instead of estimates**


Respondents Type

Respondents Description

Initial Sample Size

Estimated Responses (80%)

Hours per Response

Total Burden (Hours)

NPDB Users

Reporters
Queriers (Non-Matched Responses)

14,790

11,832

.333 (20 min)

3,940

Queriers (Matched Responses)

2,210

1,768

.383 (23 min)

677

Non-Users


Ever registered

1,500

1,200

.133 (8 min)

160

Never-registered

500

400

.10 (6min)

40

NPDB Self Queriers

Non-Matched Responses

1,350

1,080

.10 (6 min)

108

Matched

150

120

.216 (8 min)

26

Total


20,500

16,400

-----------------

4,951





Data Identification Numbers:


Entity Survey Component


Identification numbers and locations are as follows:

N = ________

_______maximum number of columns per respondent



Self-Query Survey Component


Identification numbers and locations are as follows:

N = ________

_______maximum number of columns per respondent





Index to the Data Set: Entity Survey Component


Column Number

Variable Name

Question Number

Type

1

ID

Q1

All


REGION

Q2

All


ORG_TYP

Q3

All


NUM_BEDS

Q4

Hospital


NUM_PATIENTS

Q5

Hospital


PRCTNRS_FT

Q6

Hospital


PRCTNRS_PT

Q7

Hospital


PRCTNRS_LT

Q8

Hospital


HIRE_GRANT

Q9

Hospital


OFTEN_REVIEW

Q10

Hospital


SOURCE_NPDB_IND

Q11A

Hospital


SOURCE_ABMS_IND

Q11B

Hospital


SOURCE_AMA_IND

Q11C

Hospital


SOURCE_CMS_IND

Q11D

Hospital


SOURCE_EH_IND

Q11E

Hospital


SOURCE_ER_IND

Q11F

Hospital


SOURCE_FSMB_IND

Q11G

Hospital


SOURCE_HIPDB_IND

Q11H

Hospital


SOURCE_HSPTL_IND

Q11I

Hospital


SOURCE_LAW_IND

Q11J

Hospital


SOURCE_MMP_IND

Q11K

Hospital


SOURCE_PAHP_IND

Q11L

Hospital


SOURCE_SCHOOL_IND

Q11M

Hospital


SOURCE_SQ_IND

Q11N

Hospital


SOURCE_SLB_IND

Q11O

Hospital


SOURCE_OTHR_IND

Q11P

Hospital


NUM_ACTIONS

Q12

Hospital


ACTION_TERM_IND

Q13A

Hospital


ACTION_RSTRCT_IND

Q13B

Hospital


ACTION_PROB_IND

Q13C

Hospital


ACTION_SUSP_IND

Q13D

Hospital


ACTION_LEGAL_IND

Q13E

Hospital


ACTION_DOC_IND

Q13F

Hospital


ACTION_COUNSEL_IND

Q13G

Hospital


ACTION_OTHR

Q13H

Hospital


RMP

Q14

Hospital


MM_INSURED

Q15

Hospital


ACCREDITED

Q16

Hospital


ACRDT_FED_IND

Q17A

Hospital


ACRDT_ST_IND

Q17B

Hospital


ACRDT_AAAHC_IND

Q17C

Hospital


ACRDT_AADGP_IND

Q17D

Hospital

Column Number

Variable Name

Question Number

Hospital


ACRDT_ACHC_IND

Q17E

Hospital


ACRDT_AAASF_IND

Q17F

Hospital


ACRDT_AOA_IND

Q17G

Hospital


ACRDT_CAP_IND

Q17H

Hospital


ACRDT_CABC_IND

Q17I

Hospital


ACRDT_COLA_IND

Q17J

Hospital


ACRDT_CHAP_IND

Q17K

Hospital


ACRDT_DNVHC_IND

Q17L

Hospital


ACRDT_HQAA_IND

Q17M

Hospital


ACRDT_IAC_IND

Q17N

Hospital


ACRDT_JC_IND

Q17O

Hospital


ACRDT_NAPBC_IND

Q17P

Hospital


ACRDT_NIHAO_IND

Q17Q

Hospital


ACRDT_NCQA_IND

Q17R

Hospital


ACRDT_URAC_IND

Q17S

Hospital


ACRDT_OTHR_IND

Q17T

Hospital


ACRDT_PLAN

Q18

Hospital


NUM_PATIENTS_MCO

Q19

MCO


PRCTNRS_FT_MCO

Q20

MCO


PRCTNRS_PT_MCO

Q21

MCO


PRCTNRS_LT_MCO

Q22

MCO


HIRE_GRANT_MCO

Q23

MCO


OFTEN_REVIEW_MCO

Q24

MCO


SOURCE_NPDB_ MCO_IND

Q25A

MCO


SOURCE_ABMS_ MCO_IND

Q25B

MCO


SOURCE_AMA_ MCO_IND

Q25C

MCO


SOURCE_CMS_ MCO_IND

Q25D

MCO


SOURCE_EH_ MCO_IND

Q25E

MCO


SOURCE_ER_ MCO_IND

Q25F

MCO


SOURCE_FSMB_ MCO_IND

Q25G

MCO


SOURCE_HIPDB_ MCO_IND

Q25H

MCO


SOURCE_HSPTL_ MCO_IND

Q25I

MCO


SOURCE_LAW_ MCO_IND

Q25J

MCO


SOURCE_MMP_ MCO_IND

Q25K

MCO


SOURCE_PAHP_ MCO_IND

Q25L

MCO


SOURCE_SCHOOL_ MCO_IND

Q25M

MCO


SOURCE_SQ_ MCO_IND

Q25N

MCO


SOURCE_SLB_ MCO_IND

Q25O

MCO


SOURCE_OTHR_ MCO_IND

Q25P

MCO


NUM_ACTIONS MCO_

Q26

MCO


ACTION_TERM_MCO_IND

Q27A

MCO


ACTION_RSTRCT_ MCO_IND

Q27B

MCO


ACTION_PROB_ MCO_IND

Q27C

MCO


ACTION_SUSP_ MCO_IND

Q27D

MCO


ACTION_LEGAL_ MCO_IND

Q27E

MCO


ACTION_DOC_ MCO_IND

Q27F

MCO


ACTION_COUNSEL_ MCO_IND

Q27G

MCO


ACTION_OTHR_MCO

Q27H

MCO


RMP_MCO

Q28

MCO


MM_INSURED_MCO

Q29

MCO


ACCREDITED _MCO

Q30

MCO


ACRDT_FED_ MCO_IND

Q31A

MCO


ACRDT_ST_ MCO_IND

Q31B

MCO


ACRDT_AAAHC_ MCO_IND

Q31C

MCO


ACRDT_AADGP_ MCO_IND

Q31D

MCO


ACRDT_ACHC_ MCO_IND

Q31E

MCO


ACRDT_AAASF_ MCO_IND

Q31F

MCO


ACRDT_AOA_ MCO_IND

Q31G

MCO


ACRDT_CAP_ MCO_IND

Q31H

MCO


ACRDT_CABC_ MCO_IND

Q31I

MCO


ACRDT_COLA_ MCO_IND

Q31J

MCO


ACRDT_CHAP_ MCO_IND

Q31K

MCO


ACRDT_DNVHC_ MCO_IND

Q31L

MCO


ACRDT_HQAA_ MCO_IND

Q31M

MCO


ACRDT_IAC_ MCO_IND

Q31N

MCO


ACRDT_JC_ MCO_IND

Q31O

MCO


ACRDT_NAPBC_ MCO_IND

Q31P

MCO


ACRDT_NIHAO_ MCO_IND

Q31Q

MCO


ACRDT_NCQA_ MCO_IND

Q31R

MCO


ACRDT_URAC_ MCO_IND

Q31S

MCO


ACRDT_OTHR_MCO_IND

Q31T

MCO


ACRDT_PLAN_MCO

Q32

MCO






List in development

Q33-129 to be provided in final draft







Entity Survey Component



VAR: ID

Q1. Please enter the code from your invitation letter.

  • Numeric identification number contained in the invitation letter



VAR: REGION

Format: Character

Width: 2


Q2. In what region of the country is your organization located?


Response

Region Description

01

Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont

02

Region 2: New Jersey, New York, Puerto Rico, or Virgin Islands

03

Region 3: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia

04

Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, or Tennessee

05

Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio, or Wisconsin

06

Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, or Texas

07

Region 7: Iowa, Kansas, Missouri, or Nebraska

08

Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, or Wyoming

09

Region 9: Arizona, California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands, or Trust Territory of the Pacific Islands

10

Region 10: Alaska, Idaho, Oregon, or Washington

99

Not Ascertained




VAR: ORG_TYPE

Format: Character

Width: 2


Q3. Which of the following best describes your organization?


Response

Organization Type

01

Federal-Owned Hospital

02

State-Owned Hospital

03

County-Owned Hospital

04

Community Hospital

05

Other Hospital

06

Managed Care Organization

07

Group Practice

08

Clinic or Urgent Care Facility

09

Medical Malpractice Payer

10

Professional Society

11

Board of Medical/Dental Examiners

12

State Healthcare Practitioner Licensing

13

State Certification Authority

14

Federal or State Prosecutor (including Attorney General)

15

Other State Agency

16

Federal Agency

17

Other



APPLIED SKIP LOGIC

  • If Item 3 is any “Hospital” then go to Item 4

  • If Item 3 is “Managed Care Organization” or “Group Practice” or “Clinic or Urgent Care Facility” then go to Item 19

  • If Item 3 is “Medical Malpractice Payer” then go to Item 33

  • If Item 3 is “Professional Society” then go to Item 34

  • If Item 3 is “Board of Medical/Dental Examiners” or “State Healthcare Practitioner Licensing” then go to Item 43

  • If Item 3 is “State Certification Authority” then go to Item 49

  • If Item 3 is “Federal or State Prosecutor” then go to Item 56

  • Otherwise go to Item 60




Skip logic: The following items (Q4-Q18) are related to Hospitals only.


VAR: NUM_BEDS

Format: Numeric

Width: 6


Q4. For the full calendar year of 2012, how many beds were in your hospital?

  • Open Numeric Box


VAR: NUM_PATIENTS

Format: Numeric

Width: 6


Q5. For the full calendar year of 2012, approximately how many patients did your hospital serve?

  • Open Numeric Box



VAR: PRCTNRS_FT

Format: Numeric

Width: 6


Q6. How many full-time health care practitioners does your hospital employ?

  • Open Numeric Box



VAR: PRCTNRS_PT

Format: Numeric

Width: 6


Q7. How many part-time health care practitioners does your hospital employ?

  • Open Numeric Box



VAR: PRCTNRS_LT

Format: Numeric

Width: 6


Q8. How many health care practitioners does your hospital employ specifically as locum tenens?

  • Open Numeric Box



VAR: HIRE_GRANT

Format: Numeric

Width: 6


Q9. How many employees in your hospital are responsible for hiring and granting privileges to practitioners?

  • Open Numeric Box



VAR: OFTEN_REVIEW

Format: Character

Width: 1


Q10. How often does your hospital review the records of practitioners employed on staff or that have privileges at your facility?


Response

Time Between Reviews

0

Once every 6 months

1

Once per year

2

Once every 2 years

3

Once every 3 years

4

Once every 4 or more years

8

Not Applicable

9

Not Ascertained



VAR: SOURCE_NPDB_IND

Format: Numeric Indicator

Width: 1


Q11A. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

  1. Not Selected

  2. National Practitioner Data Bank



VAR: SOURCE_ABMS_IND

Format: Numeric Indicator

Width: 1


Q11B. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 American Board of Medical Specialties



VAR: SOURCE_AMA_IND

Format: Numeric Indicator

Width: 1


Q11C. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 American Medical Association


VAR: SOURCE_CMS_IND

Format: Numeric Indicator

Width: 1


Q11D. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Center for Medicare and Medicaid Services



VAR: SOURCE_EH_IND

Format: Numeric Indicator

Width: 1


Q11E. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Employment History



VAR: SOURCE_ER_IND

Format: Numeric Indicator

Width: 1


Q11F. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Employment References



VAR: SOURCE_FSMB_IND

Format: Numeric Indicator

Width: 1


Q11G. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Federation of State Medical Boards


VAR: SOURCE_HIPDB_IND

Format: Numeric Indicator

Width: 1


Q11H. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Healthcare Integrity and Protection Data Bank



VAR: SOURCE_HSPTL_IND

Format: Numeric Indicator

Width: 1


Q11I. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Hospitals



VAR: SOURCE_LAW_IND

Format: Numeric Indicator

Width: 1


Q11J. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Law Enforcement (including criminal background checks)



VAR: SOURCE_MMP_IND

Format: Numeric Indicator

Width: 1


Q11K. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Medical Malpractice Insurance





VAR: SOURCE_PAHP_IND

Format: Numeric Indicator

Width: 1


Q11L. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Practitioners Affiliated Health Plans



VAR: SOURCE_SCHOOL_IND

Format: Numeric Indicator

Width: 1


Q11M. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Medical/Dental Schools



VAR: SOURCE_SQ_IND

Format: Numeric Indicator

Width: 1


Q11N. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Self-Queries



VAR: SOURCE_SLB_IND

Format: Numeric Indicator

Width: 1


Q11O. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 State Licensing Boards





VAR: SOURCE_OTHR_IND

Format: Numeric Indicator

Width: 1


Q11P. Which of the following sources does your hospital utilize for hiring or granting privileges to a practitioner? (Please select all that apply.)

0 Not Selected

1 Other (Please Explain)



VAR: NUM_ACTIONS

Format: Character

Width: 1


Q12. For the full calendar year of 2012, how many times has your hospital taken reportable disciplinary actions against practitioners for misconduct or incompetence?


Response

Number of Reportable Actions

0

None

1

At least once but less than 5 times

2

At least 5 times but less than 10 times

3

More than 10 times

9

Not Ascertained



VAR: ACTION_TERM_IND

Format: Numeric Indicator

Width: 1


Q13A. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Employment or Contract Termination



VAR: ACTION_RSTRCT_IND

Format: Numeric Indicator

Width: 1


Q13B. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Restriction of Clinical Privileges



VAR: ACTION_PROB_IND

Format: Numeric Indicator

Width: 1


Q13C. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Probation



VAR: ACTION_SUSP_IND

Format: Numeric Indicator

Width: 1


Q13D. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Suspension



VAR: ACTION_LEGAL_IND

Format: Numeric Indicator

Width: 1


Q13E. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Legal Actions



VAR: ACTION_DOC_IND

Format: Numeric Indicator

Width: 1


Q13F. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Document the Incident for further Review





VAR: ACTION_COUNSEL_IND

Format: Numeric Indicator

Width: 1


Q13G. What types of actions does your hospital take against practitioners for misconduct or incompetence?

0 Not Selected

1 Counseling



VAR: ACTION_OTHR

Format: Character

Width: 1


Q13H. What types of actions does your hospital take against practitioners for misconduct or incompetence?


Response

Other Type of Actions

0

No action

1

Unknown

2

Not applicable

3

Other

9

Not Ascertained



VAR: RMP

Format: Character

Width: 1


Q14. Does your hospital have a risk management program aimed at health care practitioners that aids in the prevention of medical malpractice related issues?


Response

Risk Management Program

0

No

1

Yes

2

Other

9

Not Ascertained





VAR: MM_INSURED

Format: Character

Width: 1


Q15. How is your hospital insured for medical malpractice?


Response

Insured

0

Self-Insured

1

Third-Party Insurance

2

Uninsured

3

Other

9

Not Ascertained



VAR: ACCREDITED

Format: Character

Width: 1


Q16. Is your hospital accredited by a national accreditation organization?


Response

Accredited Hospital

0

No

1

Yes

2

Not Applicable

9

Not Ascertained



APPLIED SKIP LOGIC

  • If Item 16 is “Yes” then go to Item 17

  • Otherwise go to Item 18



VAR: ACRDT_FED_IND

Format: Numeric Indicator

Width: 1


Q17A. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Federal Government




VAR: ACRDT_ST_IND

Format: Numeric Indicator

Width: 1


Q17B. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 State Government



VAR: ACRDT_AAAHC_IND

Format: Numeric Indicator

Width: 1


Q17C. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Accreditation Association for Ambulatory Health Care



VAR: ACRDT_AADGP_IND

Format: Numeric Indicator

Width: 1


Q17D. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 American Academy of Dental Group Practice




VAR: ACRDT_ACHC_IND

Format: Numeric Indicator

Width: 1


Q17E. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Accreditation Commission for Health Care, Inc.





VAR: ACRDT_AAASF_IND

Format: Numeric Indicator

Width: 1


Q17F. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 American Association for Accreditation of Ambulatory Surgery Facilities



VAR: ACRDT_AOA_IND

Format: Numeric Indicator

Width: 1


Q17G. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 American Osteopathic Association/Healthcare Facilities Accreditation Program



VAR: ACRDT_CAP_IND

Format: Numeric Indicator

Width: 1


Q17H. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 College of American Pathologists



VAR: ACRDT_CABC_IND

Format: Numeric Indicator

Width: 1


Q17I. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Commission for Accreditation of Birth Centers





VAR: ACRDT_COLA_IND

Format: Numeric Indicator

Width: 1


Q17J. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Commission on Laboratory Accreditation



VAR: ACRDT_CHAP_IND

Format: Numeric Indicator

Width: 1


Q17K. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Community Health Accreditation Program



VAR: ACRDT_DNVHC_IND

Format: Numeric Indicator

Width: 1


Q17L. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 DNV Healthcare



VAR: ACRDT_HQAA_IND

Format: Numeric Indicator

Width: 1


Q17M. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Healthcare Quality Association on Accreditation





VAR: ACRDT_IAC_IND

Format: Numeric Indicator

Width: 1


Q17N. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Intersocietal Accreditation Commission



VAR: ACRDT_JC_IND

Format: Numeric Indicator

Width: 1


Q17O. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Joint Commission




VAR: ACRDT_NAPBC_IND

Format: Numeric Indicator

Width: 1


Q17P. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 National Accreditation Program for Breast Centers / American College of Surgeons



VAR: ACRDT_NIHAO_IND

Format: Numeric Indicator

Width: 1


Q17Q. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 National Integrated Accreditation for Healthcare Organizations





VAR: ACRDT_NCQA_IND

Format: Numeric Indicator

Width: 1


Q17R. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 National Committee for Quality Assurance



VAR: ACRDT_URAC_IND

Format: Numeric Indicator

Width: 1


Q17S. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Utilization Review Accreditation Commission



VAR: ACRDT_OTHR_IND

Format: Numeric Indicator

Width: 1


Q17T. Which of the following national accreditation organizations is your hospital accredited by? (Please select all that apply.)

0 Not Selected

1 Other



APPLIED SKIP LOGIC

  • All responses in Item 17 go to Item 61



VAR: ACRDT_PLAN

Format: Character

Width: 1


Q18. Does your hospital plan to obtain accreditation from a national accreditation organization?


Response

Accreditation

0

No

1

Yes

2

Not Applicable

9

Not Ascertained



APPLIED SKIP LOGIC

  • All responses in Item 18 go to Item 61


Skip logic: The following items (Q19-32) are related to Managed Care Organization, Group Practice, Clinic, and Urgent Care Facility.



VAR: NUM_PATIENTS_MCO

Format: Numeric

Width: 6


Q19. For the full calendar year of 2012, approximately how many patients did your organization serve?

  • Open Numeric Box



VAR: PRCTNRS_FT_MCO

Format: Numeric

Width: 6


Q20. How many full-time health care practitioners does your organization employ?

  • Open Numeric Box



VAR: PRCTNRS_PT_MCO

Format: Numeric

Width: 6


Q21. How many part-time health care practitioners does your organization employ?

  • Open Numeric Box



VAR: PRCTNRS_LT_MCO

Format: Numeric

Width: 6


Q22. How many health care practitioners does your organization employ specifically as locum tenens?

  • Open Numeric Box





VAR: HIRE_GRANT_MCO

Format: Numeric

Width: 6


Q23. How many employees in your organization are responsible for hiring and granting privileges to practitioners?

  • Open Numeric Box



VAR: OFTEN_REVIEW_MCO

Format: Character

Width: 1


Q24. How often does your organization review the records of practitioners employed on staff or that have privileges at your facility?


Response

Time Between Reviews

0

Once every 6 months

1

Once per year

2

Once every 2 years

3

Once every 3 years

4

Once every 4 or more years

8

Not Applicable

9

Not Ascertained



VAR: SOURCE_NPDB_MCO_IND

Format: Numeric Indicator

Width: 1


Q25A. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

  1. Not Selected

  2. National Practitioner Data Bank



VAR: SOURCE_ABMS_MCO_IND

Format: Numeric Indicator

Width: 1


Q25B. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 American Board of Medical Specialties



VAR: SOURCE_AMA_MCO_IND

Format: Numeric Indicator

Width: 1


Q25C. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 American Medical Association


VAR: SOURCE_CMS_MCO_IND

Format: Numeric Indicator

Width: 1


Q25D. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Center for Medicare and Medicaid Services



VAR: SOURCE_EH_MCO_IND

Format: Numeric Indicator

Width: 1


Q25E. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Employment History



VAR: SOURCE_ER_MCO_IND

Format: Numeric Indicator

Width: 1


Q25F. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Employment References


VAR: SOURCE_FSMB_MCO_IND

Format: Numeric Indicator

Width: 1


Q25G. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Federation of State Medical Boards

VAR: SOURCE_HIPDB_MCO_IND

Format: Numeric Indicator

Width: 1


Q25H. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Healthcare Integrity and Protection Data Bank



VAR: SOURCE_HSPTL_MCO_IND

Format: Numeric Indicator

Width: 1


Q25I. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Hospitals



VAR: SOURCE_LAW_MCO_IND

Format: Numeric Indicator

Width: 1


Q25J. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Law Enforcement (including criminal background checks)



VAR: SOURCE_MMP_MCO_IND

Format: Numeric Indicator

Width: 1


Q25K. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Medical Malpractice Insurance





VAR: SOURCE_PAHP_MCO_IND

Format: Numeric Indicator

Width: 1


Q25L. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Practitioners Affiliated Health Plans



VAR: SOURCE_SCHOOL_MCO_IND

Format: Numeric Indicator

Width: 1


Q25M. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Medical/Dental Schools



VAR: SOURCE_SQ_MCO_IND

Format: Numeric Indicator

Width: 1


Q25N. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Self-Queries



VAR: SOURCE_SLB_MCO_IND

Format: Numeric Indicator

Width: 1


Q25O. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 State Licensing Boards





VAR: SOURCE_OTHR_MCO_IND

Format: Numeric Indicator

Width: 1


Q25P. Which of the following sources does your organization utilize for hiring or granting privileges to a practitioner?

0 Not Selected

1 Other (Please Explain)



VAR: NUM_ACTIONS_MCO

Format: Character

Width: 1


Q26. For the full calendar year of 2012, how many times has your organization taken reportable disciplinary actions against practitioners for misconduct or incompetence?


Response

Number of Reportable Actions

0

None

1

At least once but less than 5 times

2

At least 5 times but less than 10 times

3

More than 10 times

9

Not Ascertained



VAR: ACTION_TERM_MCO_IND

Format: Numeric Indicator

Width: 1


Q27A. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Employment or Contract Termination



VAR: ACTION_RSTRCT_MCO_IND

Format: Numeric Indicator

Width: 1


Q27B. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Restriction of Clinical Privileges



VAR: ACTION_PROB_MCO_IND

Format: Numeric Indicator

Width: 1


Q27C. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Probation



VAR: ACTION_SUSP_MCO_IND

Format: Numeric Indicator

Width: 1


Q27D. What types of actions does your organization l take against practitioners for misconduct or incompetence?

0 Not Selected

1 Suspension



VAR: ACTION_LEGAL_MCO_IND

Format: Numeric Indicator

Width: 1


Q27E. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Legal Actions



VAR: ACTION_DOC_MCO_IND

Format: Numeric Indicator

Width: 1


Q27F. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Document the Incident for further Review





VAR: ACTION_COUNSEL_MCO_IND

Format: Numeric Indicator

Width: 1


Q27G. What types of actions does your organization take against practitioners for misconduct or incompetence?

0 Not Selected

1 Counseling



VAR: ACTION_OTHR_MCO

Format: Character

Width: 1


Q27H. What types of actions does your organization take against practitioners for misconduct or incompetence?


Response

Other Types of Actions

0

No action

1

Unknown

2

Not applicable

3

Other

9

Not Ascertained



VAR: RMP_MCO

Format: Character

Width: 1


Q28. Does your organization have a risk management program aimed at health care practitioners that aids in the prevention of medical malpractice related issues?


Response

Risk Management Program

0

No

1

Yes

2

Other

9

Not Ascertained





VAR: MM_INSURED_MCO

Format: Character

Width: 1


Q29. How is your organization insured for medical malpractice?


Response

Insured

0

Self-Insured

1

Third-Party Insurance

2

Uninsured

3

Other

9

Not Ascertained



VAR: ACCREDITED_MCO

Format: Character

Width: 1


Q30. Is your organization accredited by a national accreditation organization?


Response

Accredited Hospital

0

No

1

Yes

2

Not Applicable

9

Not Ascertained



APPLIED SKIP LOGIC

  • If Item 30 is “Yes” then go to Item 31

  • Otherwise go to Item 32



VAR: ACRDT_FED_MCO_IND

Format: Numeric Indicator

Width: 1


Q31A. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Federal Government




VAR: ACRDT_ST_MCO_IND

Format: Numeric Indicator

Width: 1


Q31B. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 State Government



VAR: ACRDT_AAAHC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31C. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Accreditation Association for Ambulatory Health Care



VAR: ACRDT_AADGP_MCO_IND

Format: Numeric Indicator

Width: 1


Q31D. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 American Academy of Dental Group Practice




VAR: ACRDT_ACHC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31E. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Accreditation Commission for Health Care, Inc.





VAR: ACRDT_AAASF_MCO_IND

Format: Numeric Indicator

Width: 1


Q31F. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 American Association for Accreditation of Ambulatory Surgery Facilities



VAR: ACRDT_AOA_MCO_IND

Format: Numeric Indicator

Width: 1


Q31G. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 American Osteopathic Association/Healthcare Facilities Accreditation Program



VAR: ACRDT_CAP_MCO_IND

Format: Numeric Indicator

Width: 1


Q31H. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 College of American Pathologists



VAR: ACRDT_CABC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31I. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Commission for Accreditation of Birth Centers





VAR: ACRDT_COLA_MCO_IND

Format: Numeric Indicator

Width: 1


Q31J. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Commission on Laboratory Accreditation



VAR: ACRDT_CHAP_MCO_IND

Format: Numeric Indicator

Width: 1


Q31K. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Community Health Accreditation Program



VAR: ACRDT_DNVHC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31L. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 DNV Healthcare



VAR: ACRDT_HQAA_MCO_IND

Format: Numeric Indicator

Width: 1


Q31M. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Healthcare Quality Association on Accreditation





VAR: ACRDT_IAC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31N. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Intersocietal Accreditation Commission



VAR: ACRDT_JC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31O. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Joint Commission




VAR: ACRDT_NAPBC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31P. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 National Accreditation Program for Breast Centers / American College of Surgeons



VAR: ACRDT_NIHAO_MCO_IND

Format: Numeric Indicator

Width: 1


Q31Q. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 National Integrated Accreditation for Healthcare Organizations





VAR: ACRDT_NCQA_MCO_IND

Format: Numeric Indicator

Width: 1


Q31R. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 National Committee for Quality Assurance



VAR: ACRDT_URAC_MCO_IND

Format: Numeric Indicator

Width: 1


Q31S. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Utilization Review Accreditation Commission



VAR: ACRDT_OTHR_MCO_IND

Format: Numeric Indicator

Width: 1


Q31T. Which of the following national accreditation organizations is your organization accredited by?

0 Not Selected

1 Other



APPLIED SKIP LOGIC

  • All responses in Item 31 go to Item 61




VAR: ACRDT_PLAN_MCO

Format: Character

Width: 1


Q32. Does your organization plan to obtain accreditation from a national accreditation organization?


Response

Accreditation

0

No

1

Yes

2

Not applicable

9

Not Ascertained


APPLIED SKIP LOGIC

  • All responses in Item 32 go to Item 61


Skip logic: The following item (Q33) is related to Medical Malpractice Payers.



VAR: NUM_CLIENTS_MMP

Format: Numeric

Width: 6


Q33. For the full calendar year of 2012, approximately how many clients did your organization provide medical malpractice insurance?

  • Open Numeric Box



APPLIED SKIP LOGIC

  • All responses to Item 33 go to Item 111



Skip logic: The following items (Q34-42) are related to Professional Society.


VAR: APPS_RECEIVE_PS

Format: Numeric

Width: 6


Q34. For the full calendar year of 2012, how many applications for membership did your professional society receive?

  • Open Numeric Box



VAR: APPS_APPROVE_PS

Format: Numeric

Width: 6


Q35. For the full calendar year of 2012, how many applications did your professional society approve for membership?

  • Open Numeric Box



VAR: MEMBERS_PS

Format: Numeric

Width: 6


Q36. For the full calendar year of 2012, how many members did your professional society have?

  • Open Numeric Box



VAR: GRANT_MEMBER_PS

Format: Numeric

Width: 6


Q37. How many individuals in your professional society are responsible for granting membership to practitioners?

  • Open Numeric Box



VAR: OFTEN_REVIEW_PS

Format: Character

Width: 1


Q38. How often does your organization review the records of practitioners that have been granted membership into your professional society?


Response

Time Between Reviews

0

Once every 6 months

1

Once per year

2

Once every 2 years

3

Once every 3 years

4

Once every 4 or more years

8

Not Applicable

9

Not Ascertained



VAR: SOURCE_NPDB_PS_IND

Format: Numeric Indicator

Width: 1


Q39A. Which of the following sources does your professional society utilize for granting membership to a practitioner?

  1. Not Selected

  2. National Practitioner Data Bank



VAR: SOURCE_ABMS_ PS_IND

Format: Numeric Indicator

Width: 1


Q39B. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 American Board of Medical Specialties



VAR: SOURCE_AMA_ PS_IND

Format: Numeric Indicator

Width: 1


Q39C. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 American Medical Association



VAR: SOURCE_CMS_ PS_IND

Format: Numeric Indicator

Width: 1


Q39D. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Center for Medicare and Medicaid Services



VAR: SOURCE_EH_ PS_IND

Format: Numeric Indicator

Width: 1


Q39E. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Employment History



VAR: SOURCE_ER_ PS_IND

Format: Numeric Indicator

Width: 1


Q39F. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Employment References





VAR: SOURCE_FSMB_ PS_IND

Format: Numeric Indicator

Width: 1


Q39G. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Federation of State Medical Boards


VAR: SOURCE_HIPDB_ PS_IND

Format: Numeric Indicator

Width: 1


Q39H. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Healthcare Integrity and Protection Data Bank



VAR: SOURCE_HSPTL_ PS_IND

Format: Numeric Indicator

Width: 1


Q39I. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Hospitals



VAR: SOURCE_LAW_ PS_IND

Format: Numeric Indicator

Width: 1


Q39J. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Law Enforcement (including criminal background checks)





VAR: SOURCE_PS _IND

Format: Numeric Indicator

Width: 1


Q39K. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Medical Malpractice Insurance



VAR: SOURCE_PAHP_ PS_IND

Format: Numeric Indicator

Width: 1


Q39L. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Practitioners Affiliated Health Plans



VAR: SOURCE_SCHOOL_ PS_IND

Format: Numeric Indicator

Width: 1


Q39M. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Medical/Dental Schools



VAR: SOURCE_SQ_ PS_IND

Format: Numeric Indicator

Width: 1


Q39N. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Self-Queries





VAR: SOURCE_SLB_ PS_IND

Format: Numeric Indicator

Width: 1


Q39O. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 State Licensing Boards



VAR: SOURCE_OTHR_ PS_IND

Format: Numeric Indicator

Width: 1


Q39P. Which of the following sources does your professional society utilize for granting membership to a practitioner?

0 Not Selected

1 Other (Please Explain)



VAR: NUM_ACTIONS_PS

Format: Character

Width: 1


Q40. For the full calendar year of 2012, how many times has your professional society taken reportable disciplinary actions against practitioners for misconduct or incompetence?


Response

Number of Reportable Actions

0

None

1

At least once but less than 5 times

2

At least 5 times but less than 10 times

3

More than 10 times

9

Not Ascertained



VAR: TYPE_ACTIONS_PS

Format: Character

Width: 250


Q41. What types of actions does your professional society take against any practitioners for misconduct or incompetence?

  • Open Comment Box




VAR: RMP_PS

Format: Character

Width: 1


Q42. Does your professional society have a risk management program aimed at health care practitioners that aids in the prevention of medical malpractice related issues?


Response

Risk Management Program

0

No

1

Yes

2

Other

9

Not Ascertained



APPLIED SKIP LOGIC

  • All responses in Item 42 go to Item 61


Skip logic: The following items (Q43-48) are related to Board of Medical/Dental Examiners or State Healthcare Practitioner Licensing.



VAR: APPS_RECEIVE_BL

Format: Numeric

Width: 6


Q43. For the full calendar year of 2012, how many applications for licensure did your organization receive?

  • Open Numeric Box



VAR: APPS_APPROVE_BL

Format: Numeric

Width: 6


Q44. For the full calendar year of 2012, how many applications did your organization approve for licensure?

  • Open Numeric Box



VAR: MEMBERS_BL

Format: Numeric

Width: 6


Q45. How many total staff members within your organization are responsible for licensing practitioners?

  • Open Numeric Box


VAR: OFTEN_REVIEW_BL

Format: Character

Width: 1


Q46. How often does your organization review the records of practitioners for which your organization has granted licensure?


Response

Time Between Reviews

0

Once every 6 months

1

Once per year

2

Once every 2 years

3

Once every 3 years

4

Once every 4 or more years

8

Not Applicable

9

Not Ascertained



VAR: SOURCE_NPDB_BL_IND

Format: Numeric Indicator

Width: 1


Q47A. Which of the following sources does your organization utilize for granting licensure to a practitioner?

  1. Not Selected

  2. National Practitioner Data Bank



VAR: SOURCE_ABMS_ BL_IND

Format: Numeric Indicator

Width: 1


Q47B. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 American Board of Medical Specialties



VAR: SOURCE_AMA_ BL_IND

Format: Numeric Indicator

Width: 1


Q47C. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 American Medical Association



VAR: SOURCE_CMS_ BL_IND

Format: Numeric Indicator

Width: 1


Q47D. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Center for Medicare and Medicaid Services



VAR: SOURCE_EH_ BL_IND

Format: Numeric Indicator

Width: 1


Q47E. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Employment History



VAR: SOURCE_ER_ BL_IND

Format: Numeric Indicator

Width: 1


Q47F. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Employment References





VAR: SOURCE_FSMB_ BL_IND

Format: Numeric Indicator

Width: 1


Q47G. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Federation of State Medical Boards


VAR: SOURCE_HIPDB_ BL_IND

Format: Numeric Indicator

Width: 1


Q47H. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Healthcare Integrity and Protection Data Bank



VAR: SOURCE_HSPTL_ BL_IND

Format: Numeric Indicator

Width: 1


Q47I. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Hospitals



VAR: SOURCE_LAW_ BL_IND

Format: Numeric Indicator

Width: 1


Q47J. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Law Enforcement (including criminal background checks)





VAR: SOURCE_BL _IND

Format: Numeric Indicator

Width: 1


Q47K. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Medical Malpractice Insurance



VAR: SOURCE_PAHP_ BL_IND

Format: Numeric Indicator

Width: 1


Q47L. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Practitioners Affiliated Health Plans



VAR: SOURCE_SCHOOL_ BL_IND

Format: Numeric Indicator

Width: 1


Q47M. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Medical/Dental Schools



VAR: SOURCE_SQ_ BL_IND

Format: Numeric Indicator

Width: 1


Q47N. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Self-Queries





VAR: SOURCE_SLB_ BL_IND

Format: Numeric Indicator

Width: 1


Q47O. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 State Licensing Boards



VAR: SOURCE_OTHR_ BL_IND

Format: Numeric Indicator

Width: 1


Q47P. Which of the following sources does your organization utilize for granting licensure to a practitioner?

0 Not Selected

1 Other (Please Explain)



VAR: TYPE_ACTIONS_BL

Format: Character

Width: 250


Q48. What types of actions does your organization take against any practitioners for misconduct or incompetence?

  • Open Comment Box


APPLIED SKIP LOGIC

  • All responses in Item 48 go to Item 61


Skip logic: The following items (Q49-55) are related to State Certification Authority.



VAR: APPS_RECEIVE_SCA

Format: Numeric

Width: 6


Q49. For the full calendar year of 2012, how many applications for certification did your organization receive?

  • Open Numeric Box



VAR: APPS_APPROVE_SCA

Format: Numeric

Width: 6


Q50. For the full calendar year of 2012, how many applications did your organization approve for certification?

  • Open Numeric Box



VAR: MEMBERS_SCA

Format: Numeric

Width: 6


Q51. How many total staff members within your organization are responsible for certifying practitioners?

  • Open Numeric Box



VAR: OFTEN_REVIEW_SCA

Format: Character

Width: 1


Q52. How often does your organization review the records of practitioners for which your organization granted certification?


Response

Time Between Reviews

0

Once every 6 months

1

Once per year

2

Once every 2 years

3

Once every 3 years

4

Once every 4 or more years

8

Not Applicable

9

Not Ascertained



VAR: SOURCE_NPDB_SCA_IND

Format: Numeric Indicator

Width: 1


Q53A. Which of the following sources does your organization utilize for granting certification to a practitioner?

  1. Not Selected

  2. National Practitioner Data Bank



VAR: SOURCE_ABMS_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53B. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 American Board of Medical Specialties


VAR: SOURCE_AMA_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53C. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 American Medical Association



VAR: SOURCE_CMS_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53D. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Center for Medicare and Medicaid Services



VAR: SOURCE_EH_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53E. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Employment History



VAR: SOURCE_ER_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53F. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Employment References





VAR: SOURCE_FSMB_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53G. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Federation of State Medical Boards


VAR: SOURCE_HIPDB_ SCA _IND

Format: Numeric Indicator

Width: 1


Q537H. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Healthcare Integrity and Protection Data Bank



VAR: SOURCE_HSPTL_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53I. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Hospitals



VAR: SOURCE_LAW_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53J. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Law Enforcement (including criminal background checks)





VAR: SOURCE_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53K. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Medical Malpractice Insurance



VAR: SOURCE_PAHP_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53L. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Practitioners Affiliated Health Plans



VAR: SOURCE_SCHOOL_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53M. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Medical/Dental Schools



VAR: SOURCE_SQ_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53N. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Self-Queries





VAR: SOURCE_SLB_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53O. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 State Licensing Boards



VAR: SOURCE_OTHR_ SCA _IND

Format: Numeric Indicator

Width: 1


Q53P. Which of the following sources does your organization utilize for granting certification to a practitioner?

0 Not Selected

1 Other (Please Explain)


VAR: NUM_ACTIONS_SCA

Format: Character

Width: 1


Q54. For the full calendar year of 2012, how many times has your organization taken reportable disciplinary actions against practitioners for misconduct or incompetence?


Response

Number of Reportable Actions

0

None

1

At least once but less than 5 times

2

At least 5 times but less than 10 times

3

More than 10 times

9

Not Ascertained



VAR: TYPE_ACTIONS_ SCA

Format: Character

Width: 250


Q55. What types of actions does your organization take against any practitioners for misconduct or incompetence?

  • Open Comment Box






APPLIED SKIP LOGIC

  • All responses in Item 55 go to Item 61


Skip logic: The following items (Q56-59) are related to Federal or State Prosecutor.



VAR: PROSECUTED_NUM

Format: Numeric

Width: 6


Q56. For the full calendar year of 2012, how many cases did you prosecute?

  • Open Numeric Box



VAR: PROSECUTED_HEALTH_NUM

Format: Numeric

Width: 6


Q57. For the full calendar year of 2012, how many health related cases did you prosecute?

  • Open Numeric Box



VAR: CONVICTION_NUM

Format: Numeric

Width: 6


Q58. For the full calendar year of 2012, approximately how many of your health care related cases resulted in a conviction?

  • Open Numeric Box


VAR: CONVICTION_NUM

Format: Numeric

Width: 6


Q59. How many total staff members within your organization support case work?

  • Open Numeric Box




(SKIP LOGIC)

  • All responses in Item 59 go to Item 61


Skip logic: The following item (Q60) is related to all other entity types.







VAR: STAFFMEMBERS_NUM

Format: Numeric

Width: 6


Q60. How many total staff members within your organization are responsible for providing services?

  • Open Numeric Box



Skip logic: All entity types complete the following item (Q61).


VAR: QUERY_IND

Format: Character

Width: 1


Q61. Has your organization queried the Data Bank between January 2010 and December 2012?


Response

Type of Query

0

No

1

Yes, the NPDB (National Practitioner Data Bank)

2

Yes, the HIPDB (Healthcare Integrity and Protection Data Bank)

3

Yes, both the NPDB and the HIPDB

9

Other (Please Explain)




APPLIED SKIP LOGIC

  • If Item 61 is any “Yes” then go to Item 62

  • Otherwise go to Item 111


Skip logic: All entity types that query complete items Q62-Q63.


VAR: QUERY_REQUIRE_IND

Format: Character

Width: 1


Q62. Does your organization query the Data Bank due to legal or regulatory requirements either from a governing body or a national accreditation organization?


Response

Query for Legal or Regulatory Requirements

0

No

1

Yes

9

Other (Please Explain)






VAR: QUERY_AGENT_IND

Format: Character

Width: 1


Q63. Does your organization contract with an authorized agent to query the Data Bank?


Response

Contract Authorized Agent

0

No

1

Yes

9

Other (Please Explain)



APPLIED SKIP LOGIC

  • If Item 63 is “Yes” then go to Item 64

  • Otherwise go to Item 65


Skip logic: All entity types that query and contract with an Agent complete items Q64.


VAR: AGENT_ VERIFY_QRY

Format: Numeric Indicator

Width: 1


Q64A. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 Credentialing Verification Organization Does All Primary Source Verification



VAR: AGENT_CENTRALCRED_QRY

Format: Numeric Indicator

Width: 1


Q64B. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 Result of Centralized Credentialing




VAR: AGENT_VOLUME_QRY

Format: Numeric Indicator

Width: 1


Q64C. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 High Volume Processing Efficiency



VAR: AGENT_RESOURCES_QRY

Format: Numeric Indicator

Width: 1


Q64D. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 Not Enough Resources



VAR: AGENT_COST_QRY

Format: Numeric Indicator

Width: 1


Q64E. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 Cost Effective



VAR: AGENT_OTHER_QRY

Format: Numeric Indicator

Width: 1


Q64F. What are the reasons that your organization uses an authorized agent to query the Data Bank?

0 Not Selected

1 Other (Please Explain)



APPLIED SKIP LOGIC

  • All responses in Item 64 go to Item 72


Skip logic: All entity types that query, and do not contract with an Agent, complete items Q65-Q81.



VAR: QUERY_TIME_NUM

Format: Character

Width: 1


Q65. How long has your work responsibilities included having to query the Data Bank?


Response

Length of Time

0

Less than 1 year

1

At least 1 year but less than 2 years

2

At least 2 years but less than 3 years

3

At least 3 years but less than 4 years

4

At least 4 years but less than 5 years

5

5 years or more




VAR: QUERY_EASY_RANK

Format: Character

Width: 1


Q66A. Please rate your level of agreement with the following statements concerning querying the Data Bank?


The first time that I queried the Data Bank; I found it easy to do.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: QUERY_INTUITIVE_RANK

Format: Character

Width: 1


Q66B. Please rate your level of agreement with the following statements concerning querying the Data Bank?


Querying the Data Bank is very intuitive; I was able to do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_CONFIDENT_RANK

Format: Character

Width: 1


Q66C. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I feel confident that I can teach a fellow co-worker how to query the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: QUERY_TIMELY_RANK

Format: Character

Width: 1


Q66D. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I am able to complete all of the tasks of querying the Data Bank in a timely manner.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_COMPLEX_RANK

Format: Character

Width: 1


Q66E. Please rate your level of agreement with the following statements concerning querying the Data Bank?


Querying the Data Bank is too complex; it can be simplified for users.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree






VAR: QUERY_INSTRUCTION_RANK

Format: Character

Width: 1


Q66F. Please rate your level of agreement with the following statements concerning querying the Data Bank?


Whenever I query the Data Bank, I can do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_TASK_RANK

Format: Character

Width: 1


Q66G. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I find it hard to remember all of the tasks required to query the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: QUERY_DFCLT_RANK

Format: Character

Width: 1


Q66H. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I have difficulties in completing all of the tasks of querying the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_HELP_RANK

Format: Character

Width: 1


Q66I. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I usually have to ask for help when I query the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: QUERY_LEARN_RANK

Format: Character

Width: 1


Q66J. Please rate your level of agreement with the following statements concerning querying the Data Bank?


I needed to learn a lot of things before I could get going with querying the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_PASSWORD

Format: Numeric Indicator

Width: 1


Q67A. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Recalling the password



VAR: QUERY_WEBSITE

Format: Numeric Indicator

Width: 1


Q67B. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Locating the website





VAR: QUERY_NAVIGATE

Format: Numeric Indicator

Width: 1


Q67C. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Navigating the website



VAR: QUERY_INPUT

Format: Numeric Indicator

Width: 1


Q67D. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Collecting all the required input



VAR: QUERY_DBASE

Format: Numeric Indicator

Width: 1


Q67E. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing a Practitioner (Subject) Database




VAR: QUERY_ACCNTS

Format: Numeric Indicator

Width: 1


Q67F. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing User Accounts





VAR: QUERY_PMTS

Format: Numeric Indicator

Width: 1


Q67G. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Making payments



VAR: QUERY_OTHER

Format: Numeric Indicator

Width: 1


Q67H. What aspects of querying the Data Bank do you consider the most difficult?


0 Not Selected

1 Other (Please Explain)



VAR: QUERY_HOW

Format: Character

Width: 1


Q68. How does your organization obtain Data Bank information about health care practitioner applicants?


Response

Obtain Data Bank Information

1

Utilize One-Time Query

2

Applicant Provides Copy of Self-Query

3

Continuous Query

9

Other (Please Explain)





VAR: QUERY_COPIES

Format: Character

Width: 1


Q69. Does your organization accept copies of self-query provided directly from applicants or are they required to have copies sent directly from the Data Bank?


Response

Obtain Data Bank Information

1

Directly from Applicant

2

Sent from Data Bank

9

Other (Please Explain)



VAR: QUERY_CONFIRM

Format: Character

Width: 1


Q70. Does your organization use information from the Data Bank as confirmation that applicants submitted complete and accurate information?


Response

Confirmation

0

No

1

Yes

9

Other (Please Explain)



VAR: QUERY_STAFF

Format: Character

Width: 1


Q71. What type of query does your organization utilize for health care practitioners who are already members of staff?


Response

Query Staff

1

One-Time Query

2

Continuous Query

3

Both Types of Query

9

Other (Please Explain)




VAR: QUERY_ACCURATE

Format: Character

Width: 1


Q72. I feel that the information that we received from the Data Bank is accurate.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_COMPLETE

Format: Character

Width: 1


Q73. I feel that the information that we received from the Data Bank is complete.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_TIMELY

Format: Character

Width: 1


Q74. I feel that we have received information from the Data Bank in a timely manner.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: QUERY_COST_RATE

Format: Character

Width: 1


Q75. How would you rate the cost to query the Data Bank?


Ranking

Level of Agreement

1

Very Inexpensive

2

Inexpensive

3

Fair Cost

4

Expensive

5

Very Expensive



VAR: QUERY_ONE_TIME

Format: Character

Width: 1


Q76A. Please rate your organization’s level of satisfaction for each of the following items: One-Time Query


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_CONT

Format: Character

Width: 1


Q76B. Please rate your organization’s level of satisfaction for each of the following items: Continuous Query


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: QUERY_SUBJECTDBS

Format: Character

Width: 1


Q76C. Please rate your organization’s level of satisfaction for each of the following items: Practitioner (Subject) Database


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_REQUERY

Format: Character

Width: 1


Q76D. Please rate your organization’s level of satisfaction for each of the following items: Re-Query of Previously Saved Practitioners


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: QUERY_RENEWAL

Format: Character

Width: 1


Q76E. Please rate your organization’s level of satisfaction for each of the following items: Registration Renewal Process


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree






VAR: PRCPTN_ADVERSE

Format: Character

Width: 1


Q77. What is your organization’s perception of health care practitioners with adverse action reports in the Data Bank?


Ranking

Level of Agreement

1

Very Negative

2

Negative

3

Neutral

4

Positive

5

Very Positive



VAR: PRCPTN_CONVCT

Format: Character

Width: 1


Q78. What is your organization’s perception of health care practitioners with judgment or conviction reports in the Data Bank?


Ranking

Level of Agreement

1

Very Negative

2

Negative

3

Neutral

4

Positive

5

Very Positive



VAR: PRCPTN_MMP

Format: Character

Width: 1


Q79. What is your organization’s perception of health care practitioners with medical malpractice payment reports in the Data Bank?


Ranking

Level of Agreement

1

Very Negative

2

Negative

3

Neutral

4

Positive

5

Very Positive





VAR: REJECT

Format: Character

Width: 1


Q80. Has your organization ever rejected an applicant because the applicant had a report in the Data Bank?


Ranking

Rejected Applicant

0

No

1

Yes

9

Other (Please Explain)



VAR: MATCHED_RESPONSE

Format: Character

Width: 1


Q81. Has your organization received a query response including an adverse action report, a judgment or conviction report, or a medical malpractice payment report from the Data Bank for a member of staff or someone with clinical privileges between January 2010 and December 2012??


Ranking

Rejected Applicant

0

No

1

Yes

5

Other (Please Explain)



APPLIED SKIP LOGIC

  • If Item 81 is “Yes” then go to Item 82

  • Otherwise go to Item 94




VAR: RSPNS_SLAR

Format: Numeric Indicator

Width: 1


Q82A. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 State Licensure Action Report



VAR: RSPNS_DFLAR

Format: Numeric Indicator

Width: 1


Q82B. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 DEA/Federal Licensure Action Report


VAR: RSPNS_CPAR

Format: Numeric Indicator

Width: 1


Q82C. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Title IV Clinical Privileges Action Report



VAR: RSPNS_HPAR

Format: Numeric Indicator

Width: 1


Q82D. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Health Plan Action Report





VAR: RSPNS_EDAR

Format: Numeric Indicator

Width: 1


Q82E. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Exclusion/Debarment Action Report



VAR: RSPNS_PSAR

Format: Numeric Indicator

Width: 1


Q82F. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Professional Society Action Report



VAR: RSPNS_PROAR

Format: Numeric Indicator

Width: 1


Q82G. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Peer Review Organization Action Report






VAR: RSPNS_AAR

Format: Numeric Indicator

Width: 1


Q82H. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Accreditation Action Report



VAR: RSPNS_GAAR

Format: Numeric Indicator

Width: 1


Q82I. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Government Administrative Action Report



VAR: RSPNS_RR

Format: Numeric Indicator

Width: 1


Q82J. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Reinstatement Report


VAR: RSPNS_CCR

Format: Numeric Indicator

Width: 1


Q82K. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Criminal Conviction Report



VAR: RSPNS_DCPTDR

Format: Numeric Indicator

Width: 1


Q82L. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Deferred Conviction or Pre-Trial Diversion Report



VAR: RSPNS_NCPR

Format: Numeric Indicator

Width: 1


Q82M. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Nolo Contendere (No Contest) Plea Report



VAR: RSPNS_CJR

Format: Numeric Indicator

Width: 1


Q82N. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Civil Judgment Report



VAR: RSPNS_IR

Format: Numeric Indicator

Width: 1


Q82O. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Injunction Report



VAR: RSPNS_MMP

Format: Numeric Indicator

Width: 1


Q82P. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Medical Malpractice Payment Report



VAR: QUERY_OTHER

Format: Numeric Indicator

Width: 1


Q82Q. What type of information did your organization receive as a result of conducting a Data Bank query from January 2010 and December 2012?


0 Not Selected

1 Other (Please Explain)



VAR: RESPONSE_ACTION

Format: Character

Width: 1


Q83. What types of actions does your organization take when a query response shows adverse action reports, judgment or conviction reports, or medical malpractice payment reports on practitioners at your facility?


Ranking

Actions to a Matched Response

0

Take Action Against the Practitioner

1

Seek Additional Information

2

Conduct a Formal Peer Review

3

File Information for Scheduled Review

4

No Action Is Taken

5

Unknown

9

Other (Please Explain)






VAR: DCSN_AFFCT_HIREFIRE

Format: Numeric Indicator

Width: 1


Q84A. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Hiring and Firing of Staff



VAR: DCSN_AFFCT_CREDNTL

Format: Numeric Indicator

Width: 1


Q84B. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Credentialing



VAR: DCSN_AFFCT_PRVLG

Format: Numeric Indicator

Width: 1


Q84C. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Granting Clinical Privileges



VAR: DCSN_AFFCT_DISCPLN

Format: Numeric Indicator

Width: 1


Q84D. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Disciplinary Actions



VAR: DCSN_AFFCT_NA

Format: Numeric Indicator

Width: 1


Q84E. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Not Applicable



VAR: DCSN_AFFCT_OTHER

Format: Numeric Indicator

Width: 1


Q84F. Which of the following decisions are affected by the information provided by the Data Bank?


0 Not Selected

1 Other (Please Explain)



VAR: DCSN_DIFFER

Format: Character

Width: 1


Q85. Would your decisions regarding practitioner have been different if you had not received the Data Bank response?


Ranking

Different Actions If No Matched Response

0

No

1

Yes

9

Other (Please Explain)





VAR: EFFECT_SLAR

Format: Character

Width: 1


Q86A. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: State Licensure Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_DFLAR

Format: Character

Width: 1


Q86B. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: DEA/Federal Licensure Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very strong






VAR: EFFECT_CPAR

Format: Character

Width: 1


Q86C. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Title IV Clinical Privileges Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_HPAR

Format: Character

Width: 1


Q86D. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Health Plan Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong




VAR: EFFECT_EDAR

Format: Character

Width: 1


Q86E. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Exclusion/Debarment Action Report


Ranking

Effect on decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_PSAR

Format: Character

Width: 1


Q86F. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Professional Society Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong





VAR: EFFECT_PROAR

Format: Character

Width: 1


Q86G. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Peer Review Organization Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_AAR

Format: Character

Width: 1


Q86H. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Accreditation Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong





VAR: EFFECT_GAAR

Format: Character

Width: 1


Q86I. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Government Administrative Action Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_RR

Format: Character

Width: 1


Q86J. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Reinstatement Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong




VAR: EFFECT_CCR

Format: Character

Width: 1


Q86K. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Criminal Conviction Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_DCPTDR

Format: Character

Width: 1


Q86L. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Deferred Conviction or Pre-Trial Diversion Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong




VAR: EFFECT_NCPR

Format: Character

Width: 1


Q86M. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Nolo Contendere (No Contest) Plea Report

Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_CJR

Format: Character

Width: 1


Q86N. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Civil Judgment Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong






VAR: EFFECT_IR

Format: Character

Width: 1


Q86O. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Injunction Report


Ranking

Effect on Decision

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong



VAR: EFFECT_MMPR

Format: Character

Width: 1


Q86P. For each type of report listed below, please rate its effect on your organization’s decision to offer employment or clinical privileges to a practitioner, if the practitioner had such a report in the Data Bank: Medical Malpractice Payment Report


Ranking

Effect on Decisions

0

Not Applicable

1

No Effect at All

2

Very Weak

3

Weak

4

Moderate

5

Strong

6

Very Strong





VAR: OFTEN_IMPACT

Format: Character

Width: 1


Q87. How often does a query response from the Data Bank impact the credentialing decisions of your organization for a practitioner?


Ranking

How Often

0

All the Time

1

Most of the Time

2

More than Half the Time

3

About Half the Time

4

Less than Half the Time

5

Most of the Time

6

Rarely

7

Never

9

Other (Please Explain)



VAR: OFTEN_CONTACT

Format: Character

Width: 1


Q88. When your organization receives query responses from the Data Bank, how often does your organization contact the original reporters for additional information?


Ranking

How Often

0

All the Time

1

Most of the Time

2

More than Half the Time

3

About Half the Time

4

Less than Half the Time

5

Most of the Time

6

Rarely

7

Never

9

Other (Please Explain)






VAR: OFTEN_INVSTGT

Format: Character

Width: 1


Q89. How often does information from the Data Bank lead to further investigation into additional sources of information?


Ranking

How Often

0

All the Time

1

Most of the Time

2

More than Half the Time

3

About Half the Time

4

Less than Half the Time

5

Most of the Time

6

Rarely

7

Never

9

Other (Please Explain)



VAR: CONFDNT_DCSNS

Format: Character

Width: 1


Q90. Information received from the Data Bank makes my organization confident about the decisions it makes concerning its practitioners.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree







VAR: NEW_INFO

Format: Character

Width: 1


Q91. How often does your query from the Data Bank provide you with new information about practitioners that you did not receive from other sources?


Ranking

How Often

0

All the Time

1

Most of the Time

2

More than Half the Time

3

About Half the Time

4

Less than Half the Time

5

Most of the Time

6

Rarely

7

Never

9

Other (Please explain)



VAR: QUERY_CONFIRM2

Format: Character

Width: 1


Q92. Does your organization use information from the Data Bank as confirmation of the information that you receive from other sources?


Ranking

Confirmation

0

No

1

Yes

9

Other (Please Explain)


Similar to Q70. QUERY_CONFIRM





VAR: RELATED_QUERY

Format: Character

Width: 1


Q93. Related query response is an enhancement that groups together an initial report and any subsequent revision reports related to the same event submitted by a reporter. How would you rate your level of overall satisfaction with related query response?


Ranking

Level of Agreement

0

Not Applicable

1

Very Dissatisfied

2

Dissatisfied

3

Neither Satisfied nor Dissatisfied

4

Satisfied

5

Very Satisfied




VAR: PRDCT_SRVCE_WEBINAR

Format: Numeric Indicator

Width: 1


Q94A. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Webinars



VAR: PRDCT_SRVCE_SEMINAR

Format: Numeric Indicator

Width: 1


Q94B. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Seminars







VAR: PRDCT_SRVCE_FS

Format: Numeric Indicator

Width: 1


Q94C. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Fact Sheets



VAR: PRDCT_SRVCE_HG

Format: Numeric Indicator

Width: 1


Q94D. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Help Guides



VAR: PRDCT_SRVCE_BRCHR

Format: Numeric Indicator

Width: 1


Q94E. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Brochures



VAR: PRDCT_SRVCE_TUTORIAL

Format: Numeric Indicator

Width: 1


Q94F. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Tutorials



VAR: PRDCT_SRVCE_NEWSLTR

Format: Numeric Indicator

Width: 1


Q94G. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Newsletter Articles




VAR: PRDCT_SRVCE_OTHR

Format: Numeric Indicator

Width: 1


Q94H. Are there any products or services that the Data Bank could offer that would enable your organization to make decisions with greater confidence?


0 Not Selected

1 Other (Please Explain)



VAR: QUERY_CMNT

Format: Character

Width: 250


Q95. Please share any other comments that you have about your experience with querying the Data Bank.

  • Open Comment Box



VAR: REPORT_IND

Format: Character

Width: 1


Q96. Has your organization reported to the Data Bank between January 2010 and December 2012?


Response

Type of Query

0

No

1

Yes, the NPDB (National Practitioner Data Bank)

2

Yes, the HIPDB (Healthcare Integrity and Protection Data Bank)

3

Yes, both the NPDB and the HIPDB

9

Other (Please Explain)





APPLIED SKIP LOGIC

  • If Item 96 is any “Yes” then go to Item 97

  • Otherwise go to Item 130



VAR: REPORT_REQUIRE_IND

Format: Character

Width: 1


Q97. Does your organization report to the Data Bank due to legal or regulatory requirements either from a governing body or a national accreditation organization?


Response

Query for Legal or Regulatory Requirements

0

No

1

Yes

9

Other (Please Explain)



VAR: REPORT_AGENT_IND

Format: Character

Width: 1


Q98. Does your organization contract with an authorized agent to report to the Data Bank?


Response

Contract Authorized Agent

0

No

1

Yes

9

Other (Please Explain)




APPLIED SKIP LOGIC

  • If Item 98 is “Yes” then go to Item 99

  • Otherwise go to Item 100



VAR: AGENT_ VERIFY_RPT

Format: Numeric Indicator

Width: 1


Q99A. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Credentialing Verification Organization Does All Primary Source Verification



VAR: AGENT_CENTRALCRED_RPT

Format: Numeric Indicator

Width: 1


Q99B. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Result of Centralized Credentialing




VAR: AGENT_VOLUME_RPT

Format: Numeric Indicator

Width: 1


Q99C. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 High Volume Processing Efficiency





VAR: AGENT_RESOURCES_RPT

Format: Numeric Indicator

Width: 1


Q99D. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Not Enough Resources



VAR: AGENT_COST_RPT

Format: Numeric Indicator

Width: 1


Q99E. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Cost Effective



VAR: AGENT_OTHER_RPT

Format: Numeric Indicator

Width: 1


Q99F. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Other (Please Explain)



APPLIED SKIP LOGIC

  • All responses in Item 99 go to Item 102




VAR: REPORT_TIME_NUM

Format: Character

Width: 1


Q100. How long has your work responsibilities included having to report to the Data Bank?


Response

Length of Time

0

Less than 1 year

1

At least 1 year but less than 2 years

2

At least 2 years but less than 3 years

3

At least 3 years but less than 4 years

4

At least 4 years but less than 5 years

5

5 years or more



VAR: REPORT_EASY_RANK

Format: Character

Width: 1


Q101A. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


The first time that I reported to the Data Bank; I found it easy to do.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree






VAR: REPORT_INTUITIVE_RANK

Format: Character

Width: 1


Q101B. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Reporting to the Data Bank is very intuitive; I was able to do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_CONFIDENT_RANK

Format: Character

Width: 1


Q101C. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I feel confident that I can teach a fellow co-worker how to report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_TIMELY_RANK

Format: Character

Width: 1


Q101D. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I am able to complete all of the tasks of reporting to the Data Bank in a timely manner.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree


VAR: REPORT_COMPLEX_RANK

Format: Character

Width: 1


Q101E. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Reporting to the Data Bank is too complex; it can be simplified for users.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_INSTRUCTION_RANK

Format: Character

Width: 1


Q101F. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Whenever I report to the Data Bank, I can do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_TASK_RANK2

Format: Character

Width: 1


Q101G. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I find it hard to remember all of the tasks required to report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_DFCLT_RANK

Format: Character

Width: 1


Q101H. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I have difficulties in completing all of the tasks of reporting to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_HELP_RANK

Format: Character

Width: 1


Q101I. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I usually have to ask for help when I report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_LEARN_RANK

Format: Character

Width: 1


Q101J. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I needed to learn a lot of things before I could get going with reporting to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_PASSWORD

Format: Numeric Indicator

Width: 1


Q102A. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Recalling the password



VAR: REPORT_WEBSITE

Format: Numeric Indicator

Width: 1


Q102B. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Locating the website





VAR: REPORT_NAVIGATE

Format: Numeric Indicator

Width: 1


Q102C. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Navigating the website



VAR: REPORT_INPUT

Format: Numeric Indicator

Width: 1


Q102D. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Collecting all the required input



VAR: REPORT_DBASE

Format: Numeric Indicator

Width: 1


Q102E. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing a Practitioner (Subject) Database



VAR: REPORT_ACCNTS

Format: Numeric Indicator

Width: 1


Q102F. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing User Accounts





VAR: REPORT_PMTS

Format: Numeric Indicator

Width: 1


Q102G. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Making payments



VAR: REPORT_OTHER

Format: Numeric Indicator

Width: 1


Q102H. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Other (Please Explain)




VAR: REPORT_FORWARDING

Format: Character

Width: 1


Q103. When making a report to the Data Bank, does your organization utilize report forwarding in order to send an electronic report to the appropriate state authority?


Response

Report Forwarding

0

No

1

Yes

8

Not Applicable

9

Other (Please Explain)



APPLIED SKIP LOGIC

  • If Item 103 is “Yes” then go to Item 104

  • Otherwise go to Item 105




VAR: REPORT_FORWARD_SATISFY

Format: Character

Width: 1


Q104. How would you rate your level of overall satisfaction with report forwarding?


Ranking

Level of Agreement

0

Not Applicable

1

Very Dissatisfied

2

Dissatisfied

3

Neither Satisfied nor Dissatisfied

4

Satisfied

5

Very Satisfied



VAR: REPORT_UNDERSTANDING

Format: Character

Width: 1


Q105. My organization understands all of the circumstances in which a report must be sent to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_IMPACT

Format: Character

Width: 1


Q106. Do the reporting requirements to the Data Bank have an impact on how your organization takes action on practitioners??


Response

Report Forwarding

0

No

1

Yes

8

Not Applicable

9

Other (Please Explain)





APPLIED SKIP LOGIC

  • If Item 106 is “Yes” then go to Item 107

  • Otherwise go to Item 108



VAR: REPORT_REQRMNT_CMNT

Format: Character

Width: 250


Q107. Please explain how the reporting requirements to the Data Bank impact how your organization takes action on practitioners.

  • Open Comment Box



VAR: REPORT_ALLACTIONS

Format: Character

Width: 1


Q108. During the past calendar year, my organization has reported all reportable actions to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: CIVIL_LAWSUIT

Format: Character

Width: 1


Q109. Has your organization ever been named in a civil lawsuit action by a practitioner due to reporting the practitioner to the Data Bank?


Response

Report Forwarding

0

No

1

Yes

9

Other (Please Explain)







VAR: REPORT_CMNT

Format: Character

Width: 250


Q110. Please share any other comments that you have considering your experiences with reporting to the Data Bank.

  • Open Comment Box



APPLIED SKIP LOGIC

  • All responses in Item 110 go to Item 130



VAR: REPORT_IND2

Format: Character

Width: 1


Q111. Has your organization reported to the Data Bank between January 2010 and December 2012?


Response

Type of Query

0

No

1

Yes, the NPDB (National Practitioner Data Bank)

2

Yes, the HIPDB (Healthcare Integrity and Protection Data Bank)

3

Yes, both the NPDB and the HIPDB

9

Other (Please Explain)



Similar to Q96. REPORT_IND



APPLIED SKIP LOGIC

  • If Item 111 is any “Yes” then go to Item 112

  • Otherwise go to Item 126





VAR: REPORT_REQUIRE_IND2

Format: Character

Width: 1


Q112. Does your organization report to the Data Bank due to legal or regulatory requirements either from a governing body or a national accreditation organization?


Response

Query for Legal or Regulatory Requirements

0

No

1

Yes

9

Other (Please Explain)



VAR: REPORT_AGENT_IND2

Format: Character

Width: 1


Q113. Does your organization contract with an authorized agent to report to the Data Bank?


Response

Contract Authorized Agent

0

No

1

Yes

9

Other (Please Explain)


APPLIED SKIP LOGIC

  • If Item 113 is “Yes” then go to Item 114

  • Otherwise go to Item 115


VAR: AGENT_ VERIFY_RPT2

Format: Numeric Indicator

Width: 1


Q114A. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Credentialing Verification Organization Does All Primary Source Verification





VAR: AGENT_CENTRALCRED_RPT2

Format: Numeric Indicator

Width: 1


Q114B. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Result of Centralized Credentialing




VAR: AGENT_VOLUME_RPT2

Format: Numeric Indicator

Width: 1


Q114C. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 High Volume Processing Efficiency



VAR: AGENT_RESOURCES_RPT2

Format: Numeric Indicator

Width: 1


Q114D. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Not Enough Resources



VAR: AGENT_COST_RPT2

Format: Numeric Indicator

Width: 1


Q114E. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Cost Effective





VAR: AGENT_OTHER_RPT2

Format: Numeric Indicator

Width: 1


Q114F. What are the reasons that your organization uses an authorized agent to report to the Data Bank?

0 Not Selected

1 Other (Please Explain)



APPLIED SKIP LOGIC

  • All responses in Item 114 go to Item 117



VAR: REPORT_TIME_NUM

Format: Character

Width: 1


Q115. How long has your work responsibilities included having to report to the Data Bank?


Response

Length of Time

0

Less than 1 year

1

At least 1 year but less than 2 years

2

At least 2 years but less than 3 years

3

At least 3 years but less than 4 years

4

At least 4 years but less than 5 years

5

5 years or more



VAR: REPORT_EASY_RANK2

Format: Character

Width: 1


Q116A. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


The first time that I reported to the Data Bank; I found it easy to do.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree

VAR: REPORT_INTUITIVE_RANK2

Format: Character

Width: 1


Q116B. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Reporting to the Data Bank is very intuitive; I was able to do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_CONFIDENT_RANK2

Format: Character

Width: 1


Q116C. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I feel confident that I can teach a fellow co-worker how to report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_TIMELY_RANK2

Format: Character

Width: 1


Q116D. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I am able to complete all of the tasks of reporting to the Data Bank in a timely manner.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: REPORT_COMPLEX_RANK2

Format: Character

Width: 1


Q116E. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Reporting to the Data Bank is too complex; it can be simplified for users.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_INSTRUCTION_RANK2

Format: Character

Width: 1


Q116F. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


Whenever I report to the Data Bank, I can do it with little to no instruction.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: REPORT_TASK_RANK2

Format: Character

Width: 1


Q116G. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I find it hard to remember all of the tasks required to report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_DFCLT_RANK2

Format: Character

Width: 1


Q116H. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I have difficulties in completing all of the tasks of reporting to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_HELP_RANK2

Format: Character

Width: 1


Q116I. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I usually have to ask for help when I report to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_LEARN_RANK2

Format: Character

Width: 1


Q116J. Please rate your level of agreement with the following statements concerning reporting to the Data Bank?


I needed to learn a lot of things before I could get going with reporting to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree



VAR: REPORT_PASSWORD2

Format: Numeric Indicator

Width: 1


Q117A. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Recalling the password



VAR: REPORT_WEBSITE2

Format: Numeric Indicator

Width: 1


Q117B. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Locating the website





VAR: REPORT_NAVIGATE2

Format: Numeric Indicator

Width: 1


Q117C. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Navigating the website



VAR: REPORT_INPUT2

Format: Numeric Indicator

Width: 1


Q117D. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Collecting all the required input



VAR: REPORT_DBASE2

Format: Numeric Indicator

Width: 1


Q117E. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing a Practitioner (Subject) Database




VAR: REPORT_ACCNTS2

Format: Numeric Indicator

Width: 1


Q117F. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Managing User Accounts





VAR: REPORT_PMTS2

Format: Numeric Indicator

Width: 1


Q117G. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Making payments



VAR: REPORT_OTHER2

Format: Numeric Indicator

Width: 1


Q117H. What aspects of reporting to the Data Bank do you consider the most difficult?


0 Not Selected

1 Other (Please Explain)



VAR: REPORT_FORWARDING2

Format: Character

Width: 1


Q118. When making a report to the Data Bank, does your organization utilize report forwarding in order to send an electronic report to the appropriate state authority?


Response

Report Forwarding

0

No

1

Yes

8

Not Applicable

9

Other (Please Explain)





APPLIED SKIP LOGIC

  • If Item 118 is “Yes” then go to Item 119

Otherwise go to Item 120





VAR: REPORT_FORWARD_SATISFY2

Format: Character

Width: 1


Q119. How would you rate your level of overall satisfaction with report forwarding?


Ranking

Level of Agreement

0

Not Applicable

1

Very Dissatisfied

2

Dissatisfied

3

Neither Satisfied nor Dissatisfied

4

Satisfied

5

Very Satisfied



VAR: REPORT_UNDERSTANDING2

Format: Character

Width: 1


Q120. My organization understands all of the circumstances in which a report must be sent to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree





VAR: REPORT_IMPACT2

Format: Character

Width: 1


Q121. Do the reporting requirements to the Data Bank have an impact on how your organization takes action on practitioners??


Response

Report Forwarding

0

No

1

Yes

8

Not Applicable

9

Other (Please Explain)



APPLIED SKIP LOGIC

  • If Item 121 is “Yes” then go to Item 122

  • Otherwise go to Item 123



VAR: REPORT_REQRMNT_CMNT2

Format: Character

Width: 250


Q122. Please explain how the reporting requirements to the Data Bank impact how your organization takes action on practitioners.

  • Open Comment Box


Similar to Q107 REPORT_REQRMNT_CMNT






VAR: REPORT_ALLACTIONS2

Format: Character

Width: 1


Q123. During the past calendar year, my organization has reported all reportable actions to the Data Bank.


Ranking

Level of Agreement

1

Completely Disagree

2

Disagree

3

Neither Agree Nor Disagree

4

Agree

5

Completely Agree




VAR: CIVIL_LAWSUIT2

Format: Character

Width: 1


Q124. Has your organization ever been named in a civil lawsuit action by a practitioner due to reporting the practitioner to the Data Bank?


Response

Report Forwarding

0

No

1

Yes

9

Other (Please Explain)



VAR: REPORT_CMNT2

Format: Character

Width: 250


Q125. Please share any other comments that you have considering your experiences with reporting to the Data Bank.

  • Open Comment Box




APPLIED SKIP LOGIC

  • All responses in Item 125 go to Item 130






VAR: HEARD_OF_NPDB

Format: Character

Width: 1



Q126. Prior to this survey, has your organization ever heard of the National Practitioner Data Bank or the NPDB?


Response

Heard of the NPDB

0

No

1

Yes

9

Other (Please Explain)



VAR: AWARENESS_SERVICES

Format: Character

Width: 1



Q127. Is your organization aware of the services that the Health Resources and Services Administration (HRSA) provide organizations related to issues in the health care industry?


Response

Awareness of HRSA Services

0

No

1

Yes

9

Other (Please Explain)



VAR: SOUGHT_DHHS_SERVICES

Format: Character

Width: 1



Q128. Has your organization ever sought services from the Department of Health and Human Services (DHHS) of the United States of America?


Response

Sought DHHS Services

0

No

1

Yes

9

Other (Please Explain)







VAR: USEFUL_CMNT

Format: Character

Width: 250


Q129. How can the Data Bank be more useful to you?

  • Open Comment Box



APPLIED SKIP LOGIC

  • All responses in Item 129 go to END



Item 130. Please rate your level of satisfaction with each of the following resources. (Only one answer per row.)


Resource

Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

Data Bank Newsletters







Fact Sheets







Informational Brochures







NPDB Guidebook







Customer Service Center (800-767-6732)







Health Resources and Services Administration








Item 131. Every time I contact the Customer Service Center, they are effective in resolving all of my issues and concerns.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree

  • Not Applicable


Item 132. If you have had any experiences where the Customer Service Center has failed in meeting your needs, please list the issues you sought assistance for and failed to receive.

  • Open Comment Box


Item 133. Customer service hours are: Monday – Thursday 8:30am – 6:00pm, Friday 8:30am – 5:30pm. Are the customer service hours sufficient?

  • Yes

  • No

  • Other (Please Explain)


Item 134. Has the Guidebook, the hard copy or the web version, been a helpful resource in reporting to the Data Bank?

  • Yes

  • No

  • Not Applicable

  • Other (Please Explain)




APPLIED SKIP LOGIC

  • If Item 134 is “No” then go to Item 135

  • Otherwise go to Item 136



VAR: GUIDEBOOK_CMNT

Format: Character

Width: 250


Q135. Concerning the Guidebook, what was not helpful?

  • Open Comment Box





Item 136. Please rate your organization’s level of overall satisfaction with the Data Bank.

  • Very Satisfied

  • Satisfied

  • Neither Satisfied Nor Dissatisfied

  • Dissatisfied

  • Very Dissatisfied




VAR: COMMENT_SHARE

Format: Character

Width: 250


Q137. Please share any other comments that you have regarding your experiences with the Data Bank.?

  • Open Comment Box





END


Thank you for your participation with the Eligible Users of the National Practitioner Data Bank Survey!


If you have time for just three more optional items, your participation would be greatly appreciated.


Optional Survey Items:



VAR: SPECIAL_ITEM1

Format: Character

Width: 1


SI1. Prior to taking this survey, were you aware of the merge of the National Practitioner Data Bank (NPDB) and the Health Integrity and Protection Data Bank (HIPDB)?


Ranking

Different Actions If No Matched Response

0

No

1

Yes

9

Other (Please Explain)




VAR: SPECIAL_ITEM2

Format: Character

Width: 250


SI2. Have you experienced any benefits by the merge of the NPDB and the HIPDB?

  • Open Comment Box






VAR: SPECIAL_ITEM3

Format: Character

Width: 250


SI3. Have you experienced any drawbacks due to the merge of the NPDB and the HIPDB?

  • Open Comment Box





Thank you for your participation in the optional survey concerning the NPDB and HIPDB!


** Under development**


Index to the Data Set: Self-Query Survey Component


Column Number

Variable Name

Question Number


ID

Q1






























































Survey of the Eligible Users of the National Practitioner Data Bank


Self-Query Component


Internet-Based Survey Conducted by Cherry Tree BSC


Directions: For each of the following items, please select the response that best represents your experiences. Please note that the National Practitioner Data Bank will be referred to as the “Data Bank” in items throughout the survey.


** Under Development**


Item 1. Which category best describes the work you perform?

  • Health Care Practitioner (Individual)

  • Medical Service Provider Organization

  • Medical Supplier Organization


(SKIP LOGIC)

  • If Item 1 is “Health Care Practitioner” then go to Item 2

  • If Item 1 is “Medical Service Provider” then go to Item 48

  • Otherwise go to Item 49


Item 2. Have you self-queried the Data Bank?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 2 is “Yes” then go to Item 3

  • Otherwise go to END


Item 3. Are you involved in a dispute process with the Data Bank? (Also known as Secretarial Review)

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 3 is “No” then go to Item 4

  • Otherwise go to END


Item 4. Which category best describes your work status in the health care industry?

  • Full-time position for at least one health care organization

  • Not full-time but part-time at one or more health care organizations

  • Retired but working part-time for one or more health care organizations

  • Retired and not working for any health care organization

  • Currently not employed at any health care organization


(SKIP LOGIC)

  • If Item 4 is “Full-time position…” then go to Item 5

  • If Item 4 is “Not full-time but part-time…” then go to Item 5

  • If Item 4 is “Retired but working part-time…” then go to Item 5

  • Otherwise go to Item 10




Item 5. Please select your current primary practicing position held as a health care practitioner.

  • Physician (Doctor of Medicine)

  • Physician (Doctor of Osteopathy)

  • Physician Assistant

  • Dentist

  • Dental Hygienist

  • Advance Practice Nurse

  • Licensed Practice Nurse

  • Para-Professional Nurse

  • Chiropractor

  • Pharmacist

  • Other (Please Explain)


Item 6. Do you currently practice at more than one facility?

  • Yes

  • No

  • Other (Please Explain)


Item 7. Do you work for any health care organization as locum tenens?

  • Yes

  • No

  • Other (Please Explain)


Item 8. Please select the jurisdiction(s) in which you practice the majority of the time. You may select up to five.


List of States & Territories


Item 9. Please select the jurisdiction(s) in which you are currently licensed or certified to practice. You may select up to five.

List of States & Territories


(SKIP LOGIC)

  • All responses in Item 9 go to Item 16


Item 10. Have you ever held a position as a health care practitioner?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 10 is “Yes” then go to Item 11

  • Otherwise go to Item 16




Item 11. Please select your last primary practicing position held as a health care practitioner.

  • Physician (Doctor of Medicine)

  • Physician (Doctor of Osteopathy)

  • Physician Assistant

  • Dentist

  • Dental Hygienist

  • Advance Practice Nurse

  • Licensed Practical Nurse

  • Para-Professional Nurse

  • Chiropractor

  • Pharmacist

  • Other (Please Explain)


Item 12. Did you practice at more than one facility simultaneously while you held your last primary practicing position?

  • Yes

  • No

  • Other (Please Explain)


Item 13. Did you work as locum tenens at any facility while you held your last primary practicing position?

  • Yes

  • No

  • Other (Please Explain)


Item 14. Please select the jurisdiction(s) in which you practiced the majority of the time. You may select up to five.


List of States & Territories


Item 15. Please select the jurisdiction(s) in which you were licensed or certified to practice while you held your last primary practicing position. You may select up to five.


List of States & Territories


Item 16. Are you currently seeking employment?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 16 is “Yes” then go to Item 17

  • Otherwise go to Item 20


Item 17. In what field are you seeking employment?

  • Seeking Employment as a Health Care Practitioner

  • Seeking Employment in Another Field (Please Explain)


(SKIP LOGIC)

  • If Item 17 is “Seeking Employment as a Health Care Practitioner” then go to Item 18

  • Otherwise go to Item 20




Item 18. Please select that health care practitioner position that you are seeking to obtain.

  • Physician (Doctor of Medicine)

  • Physician (Doctor of Osteopathy)

  • Physician Assistant

  • Dentist

  • Dental Hygienist

  • Advance Practice Nurse

  • Licensed Practical Nurse

  • Para-Professional Nurse

  • Chiropractor

  • Pharmacist

  • Other (Please Explain)


Item 19. Please select the jurisdiction(s) in which you are seeking licensure, certification, and/or employment. You may select up to five.


List of States & Territories


Item 20. Please rate your level of overall satisfaction with self-query.

  • Very Satisfied

  • Satisfied

  • Neither Satisfied Nor Dissatisfied

  • Dissatisfied

  • Very Dissatisfied


Item 21. How many times have you performed a self-query?

  • 1

  • 2

  • 3 or more


Item 22. What was the purpose of your self-query? (Please select all that apply.)

  • I was notified that I was the subject of a report in the Data Bank

  • I voluntarily self-queried for resume purposes

  • I voluntarily self-queried for personal status check

  • Required by potential employer – Hospital

  • Required by potential employer – Managed Care Organization

  • Required by potential employer – Group Practice

  • Required by potential employer – Clinic or Urgent Care Facility

  • Required by the State Licensing Board

  • Required by Insurance Agency

  • Required by Professional Society

  • Required by Other State Agency

  • Required by Federal Agency

  • Other (Please Explain)


Item 23. Have you requested multiple copies of the results of the self-query?

  • I have never requested multiple copies

  • I requested the Data Bank to provide a report to someone other than myself

  • I requested multiple copies to provide with my resume

  • I requested multiple copies for the State Licensing Board

  • I requested multiple copies for another entity (Please Provide Entity)

  • Other reasons for requesting multiple copies (Please Explain)

  • Not Applicable


Item 24. If you requested a response to be mailed, were there any difficulties?

  • Yes

  • No

  • Unknown

  • Not Applicable

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 24 is “Yes” then go to Item 25

  • Otherwise go to Item 26


Item 25. Please explain the difficulties that you experienced.

  • Open Comment


Item 26. Have you ever not finished the process of self-query?

  • Yes

  • No

  • Unknown

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 26 is “Yes” then go to Item 27

  • Otherwise go to Item 28


Item 27. Please select the reasons for not completing the self-query process. (Please select all that apply.)

  • Process Complexity

  • The Notary Process

  • Paper Copy Requirement

  • Other (Please Explain)


Item 28. I feel that the information I received from the Data Bank is accurate.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree


Item 29. I feel that the information that I received from the Data Bank is complete.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree


Item 30. I feel that I have received information from the self-query in a timely manner.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree




Item 31. How would you rate the cost of self-query?

  • Very Expensive

  • Expensive

  • Fair Cost

  • Inexpensive

  • Very Inexpensive


Item 32. Have you ever been the subject of a report in the Data Bank?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 32 is “Yes” then go to Item 33

  • Otherwise go to Item 43


Item 33. What types of reports does the Data Bank contain in which you are a subject? (Please select all that apply.)

  • State Licensure Action Report

  • DEA/Federal Licensure Action Report

  • Title IV Clinical Privileges Action Report

  • Health Plan Action Report

  • Exclusion/Debarment Action Report

  • Professional Society Action Report

  • Peer Review Organization Action Report

  • Accreditation Action Report

  • Government Administrative Action Report

  • Reinstatement Report

  • Criminal Conviction Report

  • Deferred Conviction or Pre-Trial Diversion Report

  • Nolo Contendere (No Contest) Plea Report

  • Civil Judgment Report

  • Injunction Report

  • Medical Malpractice Payment Report

  • Other (Please Explain)


Item 34. If you have suffered loss of employment or loss of clinical privileges due to having a Data Bank report, have you been able to remain or return to the same position?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 34 is “No” then go to Item 35

  • Otherwise go to Item 36


Item 35. Have you been able or will you be able to obtain a similar position in the health care industry?

  • Yes

  • No

  • Other (Please Explain)




Item 36. Do you feel that your career opportunities are affected by having a report in the Data Bank?

  • Yes

  • No

  • Other (Please Explain)


Item 37. When you were first notified of being a subject of a report in the Data Bank, did you work at or have clinical privileges at two or more facilities simultaneously?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 37 is “Yes” then go to Item 38

  • Otherwise go to Item 40


Directions: For Item 38 and Item 39, we are interested in gathering your experiences in the case you have held several positions simultaneously. In order to aid in your understanding of the items, several definitions must be made prior to your selection of responses.


Item 38 and Item 39 are not limited to your primary or secondary employer.


The first employer is defined as the employer that was first to have knowledge of the report in the Data Bank. This may or may not be your primary employer.


The second employer is defined as the subsequent employer who may or may not have gained knowledge from the Data Bank.


Item 38. If you held positions in more than one facility at the same time, how long did it take the second employer to contact you regarding a report in the Data Bank that was previously known by the first employer?

  • Less than 1 year

  • At least 1 year but less than 2 years

  • At least 2 years but less than 3 years

  • 3 or more years

  • Never

  • Unknown

  • Not Applicable

  • Other (Please Explain)


Item 39. If you held positions in more than one facility at the same time, what type of actions were taken by the second employer as a result of you having a report in the Data Bank? (Please select all that apply.)

  • No Action Taken

  • Declined as a Candidate

  • Restricted Clinical Privileges

  • Probation

  • Suspension

  • License Revocation

  • Membership Revocation

  • Membership Restrictions

  • Employment or Contract Termination

  • Legal Actions

  • Not Applicable

  • Unknown

  • Other (Please Explain)


Item 40. Have you provided a copy of a report containing adverse action information from a self-query which ultimately resulted in an organization denying licensure, certification, clinical privileges, or some other action?

  • Yes

  • No

  • Not Applicable

  • Other (Please Explain)


Item 41. Have you provided a copy of a report containing medical malpractice payment information from a self-query which ultimately resulted in an organization denying licensure, certification, clinical privileges, or some other action?

  • Yes

  • No

  • Not Applicable

  • Other (Please Explain)


Item 42. Please explain how you feel about being the subject of a report in the Data Bank.

  • Open Comment


Directions: Consider the Data Bank reports listed below. Please rate the effect of having such a report in the Data Bank on your ability to find employment or acquire clinical privileges if you were to have such a report in the Data Bank.


Item 43. Consideration: Please rate the effect on your ability to find employment or acquire clinical privileges if you were to have such a report in the Data Bank. (Only one answer per row.)


Action Report Type

Very Strong

Strong

Moderate

Weak

Very Weak

None

N/A

State Licensure








DEA/Federal Licensure








Title IV Clinical Privileges








Health Plan








Exclusion/Debarment








Professional Society








Peer Review Organization








Accreditation








Government Administrative








Reinstatement








Criminal Conviction








Deferred Conviction or Pre-Trial Diversion








Nolo Contendere (No Contest) Plea








Civil Judgment








Injunction








Medical Malpractice Payment









Item 44. Please rate your level of satisfaction with each of the following resources. (Only one answer per row.)


Resource

Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

Data Bank Newsletters







Fact Sheets







Informational Brochures







NPDB Guidebook







Customer Service Center (800-767-6732)







Health Resources and Services Administration










Item 45. The Customer Service Center has been effective in resolving my issues and concerns.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree

  • Not Applicable


Item 46. Please list the issues involved where you sought assistance and the Customer Service Center failed meeting your needs.

  • Open Comment


Item 47. Please rate your level of agreement with the following statements concerning the NPDB website. (Only one answer per row.)


Statement

Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree

The NPDB website is easy to navigate.






The NPDB website is well organized.






I am able to quickly find what I need on the NPDB website.






The NPDB website content is easy to understand.







(SKIP LOGIC)

  • All responses in Item 47 go to Item 72


Item 48. What types of health care services does your organization provide?

  • Open Comment


(SKIP LOGIC)

  • All responses in Item 48 go to Item 50


Item 49. What types of health care products does your organization produce or distribute?

  • Open Comment


Item 50. Has your organization self-queried the Data Bank?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 50 is “Yes” then go to Item 51

  • Otherwise go to END


Item 51. Is your organization involved in a dispute process with the Data Bank? (Also known as Secretarial Review)

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 51 is “Yes” then go to END

  • Otherwise go to Item 52


Item 52. In which jurisdiction is your organization located?

  • List of States & Territories


Item 53. Please rate your organization’s level of overall satisfaction with self-query.

  • Very Satisfied

  • Satisfied

  • Neither Satisfied Nor Dissatisfied

  • Dissatisfied

  • Very Dissatisfied


Item 54. How many times has your organization performed a self-query?

  • 1

  • 2

  • 3 or more


Item 55. What was the purpose of your organization’s self-query? (Please select all that apply.)

  • Required by a State Agency

  • Required by a Federal Agency

  • My organization was notified of being the subject of a Data Bank report

  • My organization voluntarily performed self-query as a status check

  • Required by Insurance Agency

  • Other (Please Explain)


Item 56. If your organization has requested a response to be mailed, were there any difficulties?

  • Yes

  • No

  • Unknown

  • Not Applicable

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 56 is “Yes” then go to Item 57

  • Otherwise go to Item 58


Item 57. Please explain the difficulties that your organization experienced.

  • Open Comment


Item 58. Has your organization ever not finished the process of a self-query?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 58 is “Yes” then go to Item 59

  • Otherwise go to Item 60


Item 59. Please select the reasons for not completing the self-query process. (Select all that apply.)

  • Process Complexity

  • The Notary Process

  • Paper Copy Requirement

  • Other (Please Explain)




Item 60. My organization feels that the information we received from the Data Bank is accurate.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree


Item 61. My organization feels that the information that we received from the Data Bank is complete.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree


Item 62. My organization feels that we have received information from the self-query in a timely manner.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree


Item 63. How would your organization rate the cost of the self-query?

  • Very Expensive

  • Expensive

  • Fair Cost

  • Inexpensive

  • Very Inexpensive


Item 64. Has your organization ever been the subject of a report in the Data Bank?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 64 is “Yes” then go to Item 65

  • Otherwise go to Item 68




Item 65. What type of report does the Data Bank contain regarding your organization? (Please select all that apply.)

  • State Licensure Action Report

  • DEA/Federal Licensure Action Report

  • Title IV Clinical Privileges Action Report

  • Health Plan Action Report

  • Exclusion/Debarment Action Report

  • Professional Society Action Report

  • Peer Review Organization Action Report

  • Accreditation Action Report

  • Government Administrative Action Report

  • Reinstatement Report

  • Criminal Conviction Report

  • Deferred Conviction or Pre-Trial Diversion Report

  • Nolo Contendere (No Contest) Plea Report

  • Civil Judgment Report

  • Injunction Report

  • Medical Malpractice Payment Report

  • Other (Please Explain)


Item 66. Does having a report in the Data Bank have an impact on your business?

  • Yes

  • No

  • Other (Please Explain)


(SKIP LOGIC)

  • If Item 66 is “Yes” then go to Item 67

  • Otherwise go to Item 68


Item 67. Please explain how having a Data Bank report impacts your business.

  • Open Comment


Item 68. Please rate your organization’s level of satisfaction with the following resources. (Only one answer per row.)

Resource

Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable

Data Bank Newsletters







Fact Sheets







Informational Brochures







NPDB Guidebook







Customer Service Center (800-767-6732)







Health Resources and Services Administration








Item 69. The Customer Service Center has been effective in resolving our organization’s issues and concerns.

  • Completely Agree

  • Agree

  • Neither Agree Nor Disagree

  • Disagree

  • Completely Disagree

  • Not Applicable


Item 70. Please list issues involved where you sought assistance and the Customer Service Center failed in meeting your organization’s needs.

  • Open Comment


Item 71. Please rate your organization’s level of agreement with the following statements concerning the Data Bank website. (Only one answer per row.)

Statement

Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree

The NPDB website is easy to navigate.






The NPDB website is well organized.






I am able to quickly find what I need on the NPDB website.






The NPDB website content is easy to understand.







Item 72. Please share any comments regarding experiences with self-querying the Data Bank.

  • Open Comment




END


Thank you for your participation with the Eligible Users of the National Practitioner Data Bank Survey!


If you have time for just three more optional items, your participation would be greatly appreciated.


Optional Survey Items:



VAR: SPECIAL_ITEM1

Format: Character

Width: 1


SI1. Prior to taking this survey, were you aware of the merge of the National Practitioner Data Bank (NPDB) and the Health Integrity and Protection Data Bank (HIPDB)?


Ranking

Different Actions if no matched response

0

No

1

Yes

9

Other (Please Explain)




VAR: SPECIAL_ITEM2

Format: Character

Width: 250


SI2. Have you experienced any benefits by the merge of the NPDB and the HIPDB?

  • Open Comment Box






VAR: SPECIAL_ITEM3

Format: Character

Width: 250


SI3. Have you experienced any drawbacks due to the merge of the NPDB and the HIPDB?

  • Open Comment Box





Thank you for your participation in the optional survey concerning the NPDB and HIPDB!



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAnne Stahl
File Modified0000-00-00
File Created2021-01-29

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