Notice2023-17987
Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners
Primary source
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Published
August 22, 2023
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.
Full Text
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<title>Federal Register, Volume 88 Issue 161 (Tuesday, August 22, 2023)</title>
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[Federal Register Volume 88, Number 161 (Tuesday, August 22, 2023)]
[Notices]
[Pages 57118-57120]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-17987]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request Information Collection Request Title: National
Practitioner Data Bank for Adverse Information on Physicians and Other
Health Care Practitioners
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of the Paperwork Reduction
Act of 1995, HRSA announces plans to submit an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR.
DATES: Comments on this ICR should be received no later than October
23, 2023.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#2a5a4b5a4f585d4558416a4258594b044d455c"><span class="__cf_email__" data-cfemail="afdfcedfcaddd8c0ddc4efc7dddcce81c8c0d9">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email <a href="/cdn-cgi/l/email-protection#96e6f7e6f3e4e1f9e4fdd6fee4e5f7b8f1f9e0"><span class="__cf_email__" data-cfemail="c0b0a1b0a5b2b7afb2ab80a8b2b3a1eea7afb6">[email protected]</span></a> or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: National Practitioner Data
Bank for Adverse Information on Physicians and Other Health Care
Practitioners--45 CFR Part 60 Regulations and Forms, OMB No. 0915-
0126--Revision.
Abstract: This is a request for a revision of OMB approval of the
information collection contained in regulations found in 45 CFR part 60
governing the National Practitioner Data Bank (NPDB) and the forms to
be used in registering with, reporting information to, and requesting
information from the NPDB. Administrative forms are also included to
aid in monitoring compliance with federal reporting and querying
requirements. Responsibility for NPDB implementation and operation
resides in HRSA's Bureau of Health Workforce.
The intent of the NPDB is to improve the quality of health care by
encouraging entities such as hospitals, state licensing boards,
professional societies, and other eligible entities \1\ providing
health care services to identify and discipline those who engage in
unprofessional behavior, and to restrict the ability of incompetent
health care practitioners, providers, or suppliers to move from state
to state without disclosure or discovery of previous damaging or
incompetent performance. It also serves as a fraud and abuse
clearinghouse for the reporting and disclosing of certain final adverse
actions taken against health care practitioners, providers, or
suppliers by health plans, federal agencies, and state agencies
(excluding settlements in which no findings of liability have been
made). Users of the NPDB include reporters (entities that are required
to submit reports) and queriers (entities and individuals that are
authorized to request information).
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\1\ ``Other eligible entities'' that participate in the NPDB are
defined in the provisions of Title IV, Section 1921, Section 1128E,
and implementing regulations. In addition, a few federal agencies
also participate with the NPDB through federal memorandums of
understanding. Eligible entities are responsible for complying with
all reporting and/or querying requirements that apply; some entities
may qualify as more than one type of eligible entity. Each eligible
entity must certify its eligibility in order to report to the NPDB,
query the NPDB, or both. Information from the NPDB is available only
to those entities specified as eligible in the statutes and
regulations. Not all entities have the same reporting requirements
or level of query access.
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The reporting forms, request for information forms (query forms),
and administrative forms (used to monitor compliance) are accessed,
completed, and submitted to the NPDB electronically through the NPDB
website at <a href="https://www.npdb.hrsa.gov/">https://www.npdb.hrsa.gov/</a>. All reporting and querying is
performed through the secure portal of this website. This revision
proposes changes to improve navigation through the secure portal.
Need and Proposed Use of the Information: The NPDB acts primarily
as a flagging system; its principal purpose is to facilitate
comprehensive review of practitioners' professional credentials and
background. Information is collected from, and disseminated to,
eligible entities (entities that are entitled to query and/or report to
the NPDB as authorized in Title 45 CFR part 60 of the Code of Federal
Regulations) on the following: (1) medical malpractice payments, (2)
licensure actions taken by Boards of Medical Examiners, (3) state
licensure and certification actions, (4) federal licensure and
certification actions, (5) negative actions or findings taken by peer
review organizations or private accreditation entities, (6) adverse
actions taken against clinical privileges, (7) federal or state
criminal convictions related to the delivery of a health care item or
service, (8) civil judgments related to the delivery of a health care
item or service, (9) exclusions from participation in federal or state
health care programs, and (10) other adjudicated actions or decisions.
It is intended for NPDB information to be considered with other
relevant information in evaluating credentials of health care
practitioners, providers, and suppliers.
Likely Respondents: Eligible entities or individuals that are
entitled to query and/or report to the NPDB as authorized in
regulations found at 45 CFR part 60.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden Hours:
[[Page 57119]]
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Average
Number of Number of Total burden per Total burden
Regulation citation Form name respondents responses per responses response hours
respondent (in hours) (rounded up)
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Sec. 60.6: Reporting errors, omissions, Correction, Revision-to-Action, 8,897 1 8,897 .2500 2,225
revisions or whether an action is on appeal. Void, Notice of Appeal
(manual).
Correction, Revision-to-Action, 14,982 1 14,982 .0003 5
Void, Notice of Appeal
(automated).
Sec. 60.7: Reporting medical malpractice Medical Malpractice Payment 11,080 1 11,080 .7500 8,310
payments. (manual). 447 1 447 .0003 1
Medical Malpractice Payment
(automated).
Sec. 60.8: Reporting licensure actions State Licensure or 13,996 1 13,996 .7500 10,497
taken by Boards of Medical Examiners. Certification (manual).
Sec. 60.9: Reporting licensure and State Licensure or 14,636 1 14,636 .0003 5
certification actions taken by States. Certification (automated).
Sec. 60.10: Reporting Federal licensure and DEA/Federal Licensure.......... 555 1 555 .7500 417
certification actions.
Sec. 60.11: Reporting negative actions or Peer Review Organization....... 10 1 10 .7500 8
findings taken by peer review organizations Accreditation.................. 10 1 10 .7500 8
or private accreditation entities.
Sec. 60.12: Reporting adverse actions taken Title IV Clinical Privileges 782 1 782 .7500 587
against clinical privileges. Actions. 27 1 27 .7500 21
Professional Society...........
Sec. 60.13: Reporting Federal or State Criminal Conviction (Guilty 979 1 979 .7500 735
criminal convictions related to the delivery Plea or Trial) (manual).
of a health care item or service.
Sec. 60.13: Reporting Federal or State Criminal Conviction (Guilty 406 1 406 .0003 1
criminal convictions related to the delivery Plea or Trial) (automated).
of a health care item or service.
Deferred Conviction or Pre- 60 1 60 .7500 45
Trial Diversion.
Nolo Contendere (no contest 75 1 75 .7500 57
plea).
Injunction..................... 10 1 10 .7500 8
Sec. 60.14: Reporting civil judgments Civil Judgment................. 6 1 6 .7500 5
related to the delivery of a health care
item or service.
Sec. 60.15: Reporting exclusions from Exclusion or Debarment (manual) 1,287 1 1,287 .7500 966
participation in Federal or State health Exclusion or Debarment 2,610 1 2,610 .0003 1
care programs. (automated).
Sec. 60.16: Reporting other adjudicated Government Administrative 1,367 1 1,367 .7500 1,026
actions or decisions. (manual).
Government Administrative 632 1 632 .0003 1
(automated).
Health Plan Action............. 391 1 391 .7500 294
Sec. 60.17: Information which hospitals One-Time Query for an 1,790,355 1 1,790,355 .0800 143,229
must request from the National Practitioner Individual (manual). 3,945,360 1 3,945,360 .0003 1,184
Data Bank. One-Time Query for an
Individual (automated).
Sec. 60.18: Requesting Information from the One-Time Query for an 77,095 1 77,095 .0800 6,168
NPDB. Organization (manual).
One-Time Query for an 33,993 1 33,993 .0003 11
Organization (automated).
Self-Query on an Individual.... 223,589 1 223,589 .4200 93,908
Self-Query on an Organization.. 879 1 879 .4200 370
Continuous Query (manual)...... 1,030,917 1 1,030,917 .0800 82,474
Continuous Query (automated)... 900,661 1 900,661 .0003 271
Sec. 60.21: How to dispute the accuracy of Subject Statement and Dispute.. 4,015 1 4,015 .7500 3,012
NPDB information.
Request for Dispute Resolution. 83 1 83 8.0000 664
Administrative............................... Entity Registration (Initial).. 3,252 1 3,252 1.0000 3,252
Entity Registration (Renewal & 12,990 1 12,990 .2500 3,248
Update).
State Licensing Board Data 87 1 87 10.5000 914
Request.
State Licensing Board 360 1 360 1.0000 360
Attestation.
Authorized Agent Attestation... 171 1 171 1.0000 171
Health Center Attestation...... 724 1 724 1.0000 724
Hospital Attestation........... 3,238 1 3,238 1.0000 3,238
Medical Malpractice Payer, Peer 267 1 267 1.0000 267
Review Organization, or
Private Accreditation
Organization Attestation.
Other Eligible Entity 4,790 1 4,790 1.0000 4,790
Attestation.
Corrective Action Plan (Entity) 10 1 10 .0800 1
Reconciling Missing Actions.... 1,371 1 1,371 .0800 110
Agent Registration (Initial)... 78 1 78 1.0000 78
Agent Registration (Renewal & 318 1 318 .0800 26
Update).
Electronic Funds Transfer 734 1 734 .0800 59
Authorization.
Authorized Agent Designation... 183 1 183 .2500 46
Account Discrepancy............ 4 1 4 .2500 1
New Administrator Request...... 215 1 215 .0800 18
Purchase Query Credits......... 5,590 1 5,590 .0800 448
Education Request.............. 10 1 10 .0800 1
Account Balance Transfer....... 10 1 10 .0800 1
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Missing Report From Query Form. 10 1 10 .0800 1
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Total....................... 8,114,604 .............. 8,114,604 ........... 374,268
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HRSA specifically requests comments on: (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions; (2) the accuracy of the
estimated burden; (3) ways to enhance the quality, utility, and clarity
of the information to be collected; and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-17987 Filed 8-21-23; 8:45 am]
BILLING CODE 4165-15-P
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