19 Organizations - Perceptions

19 Organizations - Perceptions.docx

Survey of Eligible Users of the National Practitioner Databank

19 Organizations - Perceptions

OMB: 0915-0366

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OMB Number: 0915-0366; Expiration date: XX/XX/202X


Self-Queriers Survey: Module 19

Number of questions: 3



Report in the NPDB


Q 19.1. Please rate the impact on organizations’ ability to obtain licensing or new business, if they have any of the following reports in the NPDB. (Only one answer per row.)

Rating Scale For Each Item

Neutral / Slightly Negative / Somewhat Negative / Moderately Negative / Extremely Negative

State Licensure Action

Clinical Privileges / Panel Membership Action

Health Plan Other Adjudicated Action (e.g., contract termination)

Professional Society Membership Action

Federal Licensure (including DEA)

Government Administrative Action

Federal or State Exclusion or Debarment

Private Accreditation / Peer Review Organization Action

Judgment or Conviction

Other (Please Explain) ____________


Q 19.2. What do you think are regulatory organizations’ perceptions of organizations with adverse action reports in the NPDB?


Neutral

Slightly Negative

Somewhat Negative

Moderately Negative

Extremely Negative


Survey Page Break


Q 19.3. What do you think is the impact of having a report in the NPDB on an organization’s business?


Neutral

Slightly Negative

Somewhat Negative

Moderately Negative

Extremely Negative


Piping Logic:


Survey will be directed to Module 20.


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