OMB Number: 0915-0366; Expiration date: XX/XX/202X
Entities Survey: Module 30
Number of questions: 9
Only the Authorized Agents will receive this module.
Attestation Initiative
Beginning with some entities in August 2017, the NPDB has introduced a new attestation initiative, which involves an explicit attestation from eligible organizations that they are compliant with all NPDB requirements. Authorized agents are subject to the same NPDB regulations as other eligible organizations regarding attestation on behalf of the organizations they represent. The questions in this section pertain to your views about the attestation initiative as an authorized agent.
Q 30.1. Has your organization been asked to attest?
No
Yes
Q 30.2. Are there any benefits of the attestation process to your organization?
No
Yes (Please explain) _______
Q 30.3. Are there any disadvantages of the attestation process to your organization?
No
Yes (Please explain) ________
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Q 30.4. Have you received email reminders from the NPDB about attestation?
No Skip to Q 30.6.
Yes
Q 30.5. To what extent were the email reminders helpful?
Rating Scale
Not at all / To a small extent / To some extent / To a moderate extent / To a great extent / To a very great extent
Q 30.6. Please rate the extent to which the attestation initiative has led to the education/training of your organization’s staff regarding NPDB regulations.
Rating Scale
Not at all / To a small extent / To some extent / To a moderate extent / To a great extent / To a very great extent
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Q 30.7. Did your organization have to make any significant changes in its standard operations to comply with the new attestation process?
No
Yes (Please explain) _________
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Q 30.8. Please rate your level of satisfaction with the following NPDB services: (Only one answer per row.)
Rating Scale
Very Satisfied / Satisfied / Neither Satisfied Nor Dissatisfied / Dissatisfied / Very Dissatisfied / Not Applicable
Registration
Renewal
Attestation
Survey Page Break
Q 30.9. If there has been any other impact of the NPDB attestation process on you as an authorized agent or on the organizations you represent, please explain.
Text box
Piping Logic:
Survey will be directed to Module 34 (COVID-19).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Microsoft User |
| File Modified | 0000-00-00 |
| File Created | 2021-04-12 |