HealthCenterAttestationSideBySideComparison_Nov2017

Health Center Attestation Revisions
Current Content: Intro page

Revised content: Intro page

Health centers, hospitals, and other authorized health care
organizations access NPDB report information by querying. The
query response is used as part of the professional review process
when making decisions regarding the licensing, credentialing,
privileging, or employment of health care practitioners. Additionally
these organizations are required to report to the NPDB certain
actions they take against those practitioners. Adding this
information to the NPDB repository benefits all querying
organizations and supports the NPDB's mission to improve health
care quality in the United States.

Health centers, hospitals, and other authorized health care
organizations access NPDB information by querying. The query
response is used as part of the professional review process when
making decisions regarding the licensing, credentialing, privileging,
or employment of health care practitioners. These organizations
must also report certain adverse actions they take and payments
they make for the benefit of a health care practitioner in settlement
of a malpractice claim or judgment. These reports are added to the
NPDB repository to benefit all querying organizations and to support
the NPDB's mission to improve health care quality in the United
States.

Why is reporting required?
Federal law requires health centers to report report to the NPDB
certain adverse actions, such as clinical privileges actions. If your
health center has taken any clinical privileges actions that meet the
NPDB reporting requirements, you must submit a report to the
NPDB within 30 days of the date the action was taken.
What is attestation?
Your organization should confirm that all reportable clinical privileges
actions taken from (Month dd, yyyy) to (Month dd, yyyy) have been
submitted to the NPDB, as required by law.

Your organization's legal requirements for reporting to the
NPDB
Federal law requires health centers report to the NPDB, certain
adverse actions, such as clinical privileges actions. If your health
center has taken any clinical privileges actions that meet the NPDB
reporting requirements, you must submit a report these within 30
days of the date the action was taken.
Organizations that fail to submit their required NPDB reports may be
subject to the sanctions outlined in 45 CFR 60.
What is attestation?

What reports have been submitted to the NPDB?
Your organization has added a total of "n" reports to the NPDB
repository.
Of these, "n" reports were submitted for clinical privileges actions
taken from (Month dd, yyyy) to (Month dd, yyyy).
What is the deadline for attestation?
An organization's attestation should be submitted to the NPDB no
later than (Month dd, yyyy). If your organization does not complete
the attestation it may be subject to sanctions outlined in 45 CFR
60.12.

When you attest you confirm that your health center has reported all
clinical privileges actions taken from (Month dd, yyyy) to (Month dd,
yyyy) to the NPDB, as required by law.
Your organization added a total of "n" report(s) to the NPDB for
clinical privileges actions taken from (Month dd, yyyy) to (Month dd,
yyyy). Before you attest, please review all clinical privileges
actions taken by your organization and be sure you submitted
required reports to the NPDB. If you have reported all clinical
privileges actions, then you are ready to attest.
Your attestation is due by (Month dd, yyyy). Are you ready to
attest now?

Are you ready to attest now?
No, I will attest later
No, I will submit later

Yes, I am ready to start now

Yes, I am ready to start now

Current Content: Attesting Official

Revised Content: Attesting Official

Identify the person with the authority to attest to compliance
with NPDB reporting requirements on behalf of your
organization.

Section is removed. Content is incorporated into the certification
section similar to state board attestation.

The Data Bank administrator may have the authority to attest. If not,
the Data Bank administrator must identify the attesting official,
advise that person of his or her responsibilities, and submit the form
on behalf of the attesting official.
The attesting official must:
Have access to all reports submitted to the NPDB by your
organization.
Attest as to whether or not all required reports have been submitted
to the NPDB from (Month dd, yyyy) to (Month dd, yyyy).
Who is authorized to attest regarding compliance for NPDB
reporting?
I am authorized

Name
Title
Phone
Email
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Current Content: Locations

Revised Content: Locations

These service delivery sites were included in your scope of project.
Is your organization responsible for making privileging and/or
credentialing decisions regarding healthcare practitioners at these
sites?

Your organization is responsible for making privileging and/or
credentialing decisions regarding health care practitioners for all
service delivery sites in your scope of project. According to our
records, these sites are in your scope of project. Please review the
list to be sure it is accurate. Select “No” if the site is not in your
scope of project.

Are there other sites in the approved scope of project for your health
center that are not listed above?

Are there other sites in the approved scope of project for your health
center that are not listed above?

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Current Content: Attestation

Revised Content: Attestation

NPDB Attestation for Reporting Clinical Privileges Actions

Your organization's legal requirements for reporting clinical
privileges actions to the NPDB

Summary of your organization's reports.
A clinical privileges action must be reported to the NPDB for:
Your organization has added a total of "n" reports to the
NPDB to benefit other querying organizations.
Of these, "n" reports were submitted for clinical privileges
actions taken from (Month dd, yyyy) to (Month dd, yyyy).
Your organization's legal requirements for reporting to the
NPDB
Your organization must report all clinical privileges actions resulting
from:
Any professional review action that adversely affects the
clinical privileges of a physician or dentist for a period of
more than 30 days, or
The acceptance of the surrender of clinical privileges, or
any restriction of such privileges by a physician or dentist
while the physician or dentist is under investigation by a
health care entity for possible incompetence or improper
professional conduct, or in return for not conducting such an
investigation or proceeding.
Attest to your organization's compliance with NPDB reporting
requirements, including all sites for which your organization
makes privileging and/or credentialing decisions.

Has your organization reported to the NPDB all adverse actions,
affecting the clinical privileges of a physician or dentist, taken from
(Month dd, yyyy) to (Month dd, yyyy)?

Any professional review action that adversely affects the
clinical privileges of a physician or dentist for a period of
more than 30 days, or
The surrender of clinical privileges, or any restriction of such
privileges by a physician or dentist while the physician or
dentist is under investigation for possible incompetence or
improper professional conduct, or in return for not
conducting such an investigation or proceeding.
Your organization submitted "n" report(s) for clinical privileges
actions taken from (Month dd, yyyy) to (Month dd, yyyy).
Has your organization submitted all NPDB reports required by
law for clinical privileges actions taken from (Month dd, yyyy)
to (Month dd, yyyy)?
This includes all sites in your scope of project for which your
organization makes privileging and/or credentialing decisions.

Why didn't your organization submit these required reports to
the NPDB?
You stated that your organization is not responsible for making
credentialing and/or privileging decisions regarding health care
practitioners at these sites in your scope of project:
Please Explain:

Why didn't your organization submit these required reports to
the NPDB?
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You stated that your organization is not responsible for making
credentialing and/or privileging decisions regarding health care
practitioners at these sites in your scope of project:
Please Explain:

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Review and Submit: Current Content

Certify and Submit: Revised Content

Review your attestation. If is is correct, submit your attestation to
the NPDB. If it is not correct, edit the section you need to change.

Please review your attestation and submit it. If it is not correct,
select a section to edit.

Attestation for for reported clinical privileges
actions taken from (Month dd, yyyy) to (Month dd, yyyy).

Attestation for for reports submitted to the
NPDB of clinical privileges actions taken from (Month dd, yyyy) to
(Month dd, yyyy).

My organization has not fulfilled our NPDB requirements for
reporting clinical privileges actions regarding physicians and
dentists.

My organization has not yet fulfilled our NPDB reporting
requirements for reporting clinical privileges actions regarding
physicians and dentists.

The reason why these required reports were not submitted:
The reason why all required reports were not submitted:

Certify Attestation
I certify that the attestation regarding clinical privileges reporting is
true and correct to the best of my knowledge. I certify that my
organization will continue to submit all reportable clinical privileges
actions within 30 days of the date an action was taken. I further
certify that I am authorized to submit these statements on behalf of
our organization.

Certify Attestation
I certify that I have access to all reports submitted to the NPDB by
my organization as well as all clinical privileges actions taken by my
organization from (Month dd, yyyy) to (Month dd, yyyy). I certify that
I am authorized to submit these statements on behalf of my
organization and that the statements are true and correct to the best
of my knowledge.

Attested by:
I further certify that my organization will continue to submit all
required reports of clinical privileges actions to the NPDB within 30
days of the date the action is taken.

Title:
Phone:

I am authorized to certify this attestation

Email Address:
I am authorized to submit the attestation on behalf of the
attesting official.

Certifier's Name
Title

Submitted By: (Name)
Title: (Title)
Date: (mm/dd/yyyy)

Phone
Email

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