OMB Number: 0915-0366; Expiration date: XX/XX/202X
Entities Survey: Module 20
Number of questions: 2
All participants, including non-users of the NPDB, will receive this module.
Awareness of the NPDB
Q 20.1. Please indicate whether or not you were aware of each of the following items regarding the NPDB. (Only one answer per row.)
Response Options For Each Question Below:
Yes No
The NPDB contains State Licensure Action Reports?
The NPDB contains DEA/Federal Licensure Action Reports?
The NPDB contains Title IV Clinical Privileges Action Reports?
The NPDB contains Health Plan Action Reports?
The NPDB contains Exclusion/Debarment Action Reports?
The NPDB contains Professional Society Action Reports?
The NPDB contains Peer Review Organization Action Reports?
The NPDB contains Accreditation Action Reports?
The NPDB contains Government Administrative Action Reports?
The NPDB contains Criminal Conviction Reports?
The NPDB contains Civil Judgment Reports?
The NPDB contains Medical Malpractice Payment Reports?
The NPDB contains information for all types of licensed heath care practitioners?
Reporting to the NPDB is free?
Your organization must register to query or report to the NPDB?
Survey Page Break
Q 20.2. How can the NPDB be more useful to you?
Text box
Piping Logic:
Survey will be directed to Module 21 next.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Microsoft User |
| File Modified | 0000-00-00 |
| File Created | 2021-02-15 |