Attachment 11 Self query survey codebook 1-21

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

Self
DataQuerier
frame: dSurvey Codebook
ID

Name

Label

Values Value Labels

1

StartDate

Start Date

2

EndDate

End Date

3

Status

Response Type

4

IPAddress

IP Address

5

Progress

Progress

range: 0-100

6

Duration__in_seconds_

Duration (in seconds)

range: 11-5962176

7

Finished

Finished

0
1

8

RecordedDate

Recorded Date

9

ResponseId

Response ID

10

RecipientLastName

Recipient Last Name

11

RecipientFirstName

Recipient First Name

12

RecipientEmail

Recipient Email

13

ExternalReference

External Data Reference

14

LocationLatitude

Location Latitude

15

LocationLongitude

Location Longitude

16

DistributionChannel

Distribution Channel

17

UserLanguage

User Language

18

Q3

In what capacity did you
self-query the NPDB?

1
2
3

On My Own Behalf as an Individual
Health Care Practitioner
On My Own Behalf as an Individual
Health Care Provider, or Supplier
On Behalf of an Organization (Health
Care Provider, Supplier, or Entity)

19

Q5_1

Which category best

1

Full-time practice

0
1
2
4
8
9
12
16
17
32
40
48

IP Address
Survey Preview
Survey Test
Imported
Spam
Survey Preview Spam
Imported Spam
Offline
Offline Survey Preview
EX
EX Spam
EX Offline

False
True

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

describes your status in
the
health care industry?
Select all that apply.
Full-time practice
20

Q5_2

Which category best
describes your status in
the
health care industry?
Select all that apply.
Part-time practice

1

Part-time practice

21

Q5_3

Which category best
describes your status in
the
health care industry?
Select all that apply.
Locum
tenens

1

Locum tenens

22

Q5_4

Which category best
describes your status in
the
health care industry?
Select all that apply.
Undergoing training to be
a health care
practitioner

1

Undergoing training to be a health care
practitioner

24

Q5_6

Which category best
describes your status in
the
health care industry?
Select all that apply.
Retired and not practicing

1

Retired and not practicing

26

Q6

Please select your current
primary practicing
position held as a health
care practitioner. Selected Choice

1
2
3
4
6
7
8
9
10
11
12
13
14
15
16
<...>

Physician (Doctor of Medicine)
Physician (Doctor of Osteopathy)
Chiropractor
Dental Hygienist
Advanced Practice Registered Nurse
Registered Nurse
Licensed Practical or Vocational Nurse
Nursing Para-Professional
Optometrist
Pharmacist
Physician Assistant
Podiatrist
Psychologist
Social Worker
Other Behavioural Health Provider (e.g.,
Pastoral Counselor, Mental Health
Counselor, etc.)
<... truncated>

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

27

Q6_18_TEXT

Please select your current
primary practicing
position held as a health
care practitioner. Other (Please Explain) Text

28

Q7

Do you currently practice 1
at more than one
2
facility? - Selected Choice 3
4

29

Q7_3_TEXT

Do you currently practice
at more than one
facility? - Other (Please
Explain) - Text

30

Q8

If you currently practice
at more than one
facility, how many?

2
3
4
5
6

2
3
4
5 or more
Not Applicable

92

Q12_2

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Alaska

1

Alaska

94

Q12_4

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Arizona

1

Arizona

97

Q12_7

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Colorado

1

Colorado

100 Q12_10

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
District of Columbia

1

District of Columbia

106 Q12_16

Please select the

1

Illinois

Yes
No
Other (Please Explain)
Not Applicable

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

jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Illinois
110

Q12_20

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Kentucky

1

Kentucky

113

Q12_23

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Maryland

1

Maryland

114

Q12_24

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Massachusetts

1

Massachusetts

115

Q12_25

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Michigan

1

Michigan

119

Q12_29

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Montana

1

Montana

124 Q12_34

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply. New
Mexico

1

New Mexico

131 Q12_41

Please select the

1

Oregon

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

jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Oregon
132 Q12_42

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Pennsylvania

1

Pennsylvania

133 Q12_43

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Puerto Rico

1

Puerto Rico

135 Q12_45

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
South Carolina

1

South Carolina

139 Q12_49

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply. Utah

1

Utah

142 Q12_52

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Virginia

1

Virginia

146 Q12_56

Please select the
jurisdiction(s) in which
you are
currently licensed or
certified to practice.
Select all that apply.
Wyoming

1

Wyoming

149 Q12_57

Please select the
jurisdiction(s) in which

1

Not Applicable

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

you are
currently licensed or
certified to practice.
Select all that apply. Not
Applicable
150 Q65_1

For how long have you
been working as a health
care practitioner? (Select
the numbers of months
and years from the
dropdown options.) Years

1
15
29
43
57
71
85
99
113
127
141
155
169
183
197
<...>

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
<... truncated>

152 Q14

Do you intend to continue
to work as a health care
practitioner in the
foreseeable future?

1
2

Yes
No

153 Q16

When do you intend to
stop working as a health
care practitioner?

154 Q168

What are your reasons for
wanting to stop working
as a health care
practitioner?

155 Q19

Have you ever selfqueried the NPDB? Selected
Choice

1
2
3

Yes
No
Other (Please Explain)

156 Q19_3_TEXT

Have you ever selfqueried the NPDB? Other
(Please Explain) - Text

158 Q66_3_TEXT

How did you access the
self-query interface on the
NPDB website? - Other
(please specify) - Text

171 Q71_11_TEXT

In the past 5 years,
whenever you have
self-queried, what
was/were your reason(s)?

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

(Please select all that
apply.) - Other (Please
Explain) - Text
173 Q72_3_TEXT

Have you ever requested
multiple copies of the
results from a self-query?
- Other (Please
Explain) - Text

183 Q73_10_TEXT

For each of the following
items, please select the
reasons that you requested
multiple copies of the
self-query results. - Other
- Text

186 Q75_1_TEXT

Were there any difficulties
in receiving a mailed
response? - Yes (Please
Explain) - Text

187 Q75_3_TEXT

Were there any difficulties
in receiving a mailed
response? - Other (Please
Explain) - Text

189 Q76_4_TEXT

What were your reasons
for requesting a copy to
be
mailed? - Other (Please
Explain) - Text

191 Q77_2_TEXT

Would a digitally signed
PDF copy of the report be
sufficient instead of a
mailed hard copy? - No
(Please Explain) - Text

192 Q77_4_TEXT

Would a digitally signed
PDF copy of the report be
sufficient instead of a
mailed hard copy? - Other
(Please Explain) - Text

194 Q78_4_TEXT

Have you ever left the
process of self-query
unfinished? - Other
(Please Explain) - Text

201 Q79_6_TEXT

What were your reasons
for not finishing
self-query? (Please select
all that apply.) Other reason (please
explain) - Text

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

213 Q88

Please share any
comments regarding your
experiences with selfquerying the NPDB.

214 Q23

Have you ever been the
subject of a report in the
NPDB? - Selected Choice

215 Q23_3_TEXT

Have you ever been the
subject of a report in the
NPDB? - Other (Please
Explain) - Text

227 Q89_13_TEXT

What types of reports
does the NPDB contain in
which you are a subject?
(Please select all that
apply.) - Other (Please
Explain) - Text

230 Q91_5_TEXT

Have you suffered loss of
certification,
licensing, credentialing,
clinical privileges, or
employment due to
having a NPDB report? Other
(Please Explain) - Text

232 Q92_3_TEXT

Have you been able to
return to the same
position?
- Other (Please Explain) Text

234 Q93_5_TEXT

Have you been able or
will you be able to obtain
a
similar position in the
health care industry? Other (Please Explain) Text

236 Q94_5_TEXT

Were your career
opportunities affected by
having
a report in the NPDB? Other (Please Explain) Text

238 Q95_5_TEXT

When you were first
notified of being a subject
of
a report in the NPDB, did
you work at or have

1
2
3

Yes
No
Other (Please Explain)

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

clinical privileges at two
or more facilities
simultaneously? - Other
(Please Explain) - Text
240 Q97_11_TEXT

If you held positions in
more than one facility at
the same time, how long
did it take the second
employer to contact you
regarding a report in the
NPDB that was
previously known by the
first
employer? - Other (Please
Explain) - Text

251 Q98_11_TEXT

If you held positions in
more than one facility at
the same time, what type
of actions were taken by
the second employer as a
result of you having a
report in the NPDB?
(Please select all that
apply.) - Other (Please
Explain) - Text

253 Q99_5_TEXT

Have you provided a copy
of a report containing
adverse action
information from a selfquery that
ultimately resulted in an
organization denying
licensure, certification,
credentialing, clinical
privileges, or
employment? - Other
(Please
Explain) - Text

255 Q100_5_TEXT

Have you provided a copy
of a report containing
medical malpractice
payment information from
a
self-query that ultimately
resulted in an
organization denying
licensure, certification,
credentialing, clinical
privileges, or
employment?

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

- Other (Please Explain) Text
257 Q101_5_TEXT

Have you provided a copy
of a report containing
medical malpractice
payment information from
a
self-query to an insurance
provider? - Other
(Please Explain) - Text

259 Q102_7_TEXT

What did the insurance
provider do? - Other
(Please Explain) - Text

261 Q104

What impact has adding
your own statement
made?

262 Q105

Please share any other
thoughts about your
experience of being the
subject of a report in the
NPDB.

263 Q28

Were you ever involved in 1
the NPDB’s Dispute
2
Resolution Process?
3
(Previously known as
Secretarial Review) Selected Choice

264 Q28_3_TEXT

Were you ever involved in
the NPDB’s Dispute
Resolution Process?
(Previously known as
Secretarial Review) Other (Please Explain) Text

276 Q106_13_TEXT

You have indicated that
you had/have been
involved
in the NPDB’s Dispute
Resolution Process
(previously known as
Secretarial Review). What
type of report(s) did you
dispute? (Select all
that apply.) - Other
(Please Explain) - Text

286 Q107_9_TEXT

Why did you dispute the
NPDB report(s)? (Select
all that apply.) - Wrong

Yes
No
Other (Please Explain)

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

action included in the
report (Please Explain) Text
287 Q107_10_TEXT

Why did you dispute the
NPDB report(s)? (Select
all that apply.) - Other
(Please Explain) - Text

294 Q108_5_TEXT

Before you initiated your
dispute process with the
NPDB, what other actions
were taken? (Select all
that apply.) - Other
(Please Explain) - Text

297 Q110_6_TEXT

Based on your dispute,
what happened to your
report? - Other (please
explain) - Text

305 Q112_7_TEXT

Why did you file for reconsideration with
NPDB?
(Select all that apply.) Other (Please Explain)
- Text

317 Q113_11_TEXT

What do you think are
health care organizations’
perceptions of health care
practitioners with any
of the following reports in
the NPDB? (Please
select from the rating
scale for each of the
items.) - Other Report
(Please Specify) - Text

329 Q114_11_TEXT

How often does receiving
the following kinds of
reports from the NPDB
impact a health care
practitioner's ability to
obtain certification,
licensing, credentialing,
clinical privileges, or
employment? (Please
select from the rating
scale
for each of the items.) Other Report (Please
Explain) - Text

337 Q117_1

Please rate the impact on
a health care

1
2

Neutral
Slightly Negative

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

practitioner's ability to
obtain certification,
licensing, credentialing,
clinical privileges, or
employment, if they have
1 or more medical
malpractice payment
reports in the NPDB.
(Please
select from the rating
scale for each of the
items.) - 1 report

3
4
5

Somewhat Negative
Moderately Negative
Extremely Negative

338 Q117_2

Please rate the impact on
a health care
practitioner's ability to
obtain certification,
licensing, credentialing,
clinical privileges, or
employment, if they have
1 or more medical
malpractice payment
reports in the NPDB.
(Please
select from the rating
scale for each of the
items.) - 2 reports

1
2
3
4
5

Neutral
Slightly Negative
Somewhat Negative
Moderately Negative
Extremely Negative

354 Q118_11_TEXT

How likely is it that
health care organizations
will reject an application
with any of the
following reports in the
NPDB? - Other Report
(Please Specify) - Text

366 Q119_11_TEXT

How does having the
following kinds of reports
in
the NPDB impact on
health care practitioners’
ability to obtain
certification, licensing,
credentialing, clinical
privileges, or employment
above and beyond the
impact of the original
action
that resulted in the report?
That is, what kind of
an impact an NPDB
report has, not the action
itself? - Other Report
(Please Specify) - Text

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

378 Q120_11_TEXT

Please rate your level of
satisfaction with each
of the following
resources. (Only one
answer per
row.) - Other Resource
(Please Specify) - Text

379 Q121

Customer Service Center
hours are: Monday –
Thursday 8:30am –
6:00pm EST, Friday
8:30am –
5:30pm EST. Are the
customer service hours
sufficient? - Selected
Choice

380 Q121_3_TEXT

Customer Service Center
hours are: Monday –
Thursday 8:30am –
6:00pm EST, Friday
8:30am –
5:30pm EST. Are the
customer service hours
sufficient? - Other (Please
Explain) - Text

381 Q122

What NPDB customer
service hours would be
sufficient for you? (Please
indicate your response
in EST.)

382 Q123

Have you ever contacted
the Customer Service
Center?

383 Q124

What is the typical wait
time when you call the
Customer Service Center?
If you have never called
the Customer Service
Center, type NA in the
textbox.

384 Q125

When you contact the
Customer Service Center,
how
often are the customer
service personnel able to
answer your questions? Selected Choice

1
2
3

Yes
No
Other (Please Explain)

1
2

Yes
No

1
4
5
6
7
8
9
10
11

All the time
Most of the time
More than half the time
About half the time
Less than half the time
Rarely
Never
Not Applicable
Other (Please Explain)

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

385 Q125_11_TEXT

When you contact the
Customer Service Center,
how
often are the customer
service personnel able to
answer your questions? Other (Please Explain) Text

386 Q126

The NPDB is considering
introducing a new feature
that will allow health care
practitioners to sign
up to receive an electronic
notification whenever
a new report regarding
them is sent to the NPDB.
How likely is it that you
will sign up for such a
feature to monitor reports
regarding you?

1
4
5
6
7

Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely

387 Q127

The NPDB is also
considering a similar
feature for
queries that will allow
health care practitioners
to sign up to receive an
electronic notification
whenever a new query is
performed regarding
them.
How likely is it that you
will sign up for such a
feature to monitor
entities’ queries regarding
you?

1
4
5
6
7

Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely

388 Q128_1

How much would you be
willing to pay annually
for
the following subscription
features? Please enter
numbers (dollar values) in
all three boxes below.
- Report monitoring
alone:

range: 50-50

389 Q128_4

How much would you be
willing to pay annually
for
the following subscription
features? Please enter
numbers (dollar values) in

range: 50-50

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

all three boxes below.
- Query monitoring alone:
390 Q128_5

How much would you be
willing to pay annually
for
the following subscription
features? Please enter
numbers (dollar values) in
all three boxes below.
- Both report and query
monitoring:

range: 50-50

391 Q129_1

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - The NPDB
website is
easy to navigate.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

392 Q129_2

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - The NPDB
website is
well organized.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

393 Q129_3

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - I am able to
quickly
find what I need on the
NPDB website.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

394 Q129_4

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - The NPDB
website
content is easy to
understand.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

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

395 Q129_5

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - It is easy to find
information about selfquery on the NPDB
website.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

396 Q129_6

Please rate your level of
agreement with the
following statements
concerning the NPDB
website.
(Only one answer per
row.) - It is hard to find
the link to complete a
self-query on the NPDB
website.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

397 Q130

Please let us know if you
would like to see any
other features, products,
or services from the
NPDB in the future.

398 Q48

What types of medical
services does your
organization provide (if
applicable)?

399 Q50

What types of health care
products does your
organization produce or
distribute (if
applicable)?

400 Q51

In which jurisdiction is
your organization
located? (If your
organization is located in
more
than one state, please list
the state in which
your organization's
headquarters is located.) Selected Choice

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
<...>

Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
<... truncated>

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

401 Q51_57_TEXT

In which jurisdiction is
your organization
located? (If your
organization is located in
more
than one state, please list
the state in which
your organization's
headquarters is located.) Other (Please Specify) Text

402 Q53

Has your organization
ever self-queried the
NPDB?
- Selected Choice

403 Q53_3_TEXT

Has your organization
ever self-queried the
NPDB?
- Other (Please Explain) Text

405 Q131_5_TEXT

Which of the following
links did you use to
access
the self-query interface on
the NPDB? - Other
(please specify) - Text

414 Q134_8_TEXT

What was the purpose of
your organization’s
self-query? (Please select
all that apply.) Other (Please Explain) Text

415 Q135

If your organization has
requested a response to
be mailed, were there any
difficulties?

416 Q136

Please explain the
difficulties that your
organization experienced.

417 Q137

Has your organization
ever left the process of a
self-query unfinished? Selected Choice

418 Q137_5_TEXT

Has your organization
ever left the process of a
self-query unfinished? Other (Please Explain) Text

1
2
3

Yes
No
Other (Please Explain)

1
2
3

Yes
No
Unknown

1
2
4
5

Yes
No
Unknown
Other (Please Explain)

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

424 Q138_7_TEXT

What were the reasons for
your organization for
not finishing self-query?
(Please select all that
apply.) - Other reason
(please explain) - Text

432 Q144

Please share any
comments regarding your
experiences with selfquerying the NPDB.

433 Q57

Has your organization
ever been the subject of a
report in the NPDB? Selected Choice

434 Q57_3_TEXT

Has your organization
ever been the subject of a
report in the NPDB? Other (Please Explain) Text

445 Q145_12_TEXT

What type of report does
the NPDB contain
regarding your
organization? (Please
select all
that apply.) - Other
(Please Explain) - Text

447 Q147

Has your organization
ever added its own
statement
(also called a subject
statement) to the NPDB
report?

448 Q148

What impact has adding
your organization’s own
statement made?

449 Q149

Please explain how
having a report in the
NPDB
impacts your business.

450 Q61

Has your organization
1
ever been involved in the 2
NPDB Dispute Resolution 3
Process? (Previously
known
as Secretarial Review) Selected Choice

1
2
3

Yes
No
Other (Please Explain)

1
2

Yes
No

Yes
No
Other (Please Explain)

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

451 Q61_3_TEXT

Has your organization
ever been involved in the
NPDB Dispute Resolution
Process? (Previously
known
as Secretarial Review) Other (Please Explain) Text

453 Q150_4

You have indicated that
your organization has/had
been involved in the
NPDB’s Dispute
Resolution
Process (previously
known as Secretarial
Review).
What kind of report(s) did
your organization
dispute? (Select all that
apply.) - Selected
Choice Clinical Privileges
/ Panel Membership
Action

1

Clinical Privileges / Panel Membership
Action

455 Q150_6

You have indicated that
your organization has/had
been involved in the
NPDB’s Dispute
Resolution
Process (previously
known as Secretarial
Review).
What kind of report(s) did
your organization
dispute? (Select all that
apply.) - Selected
Choice Professional
Society Membership
Action

1

Professional Society Membership
Action

462 Q150_12_TEXT

You have indicated that
your organization has/had
been involved in the
NPDB’s Dispute
Resolution
Process (previously
known as Secretarial
Review).
What kind of report(s) did
your organization
dispute? (Select all that
apply.) - Other (Please
Explain) - Text

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

465 Q151_11

Why did your
organization dispute the
NPDB
report(s)? (Select all that
apply.) - Selected
Choice My organization
was treated unfairly by
reporter

1

My organization was treated unfairly by
reporter

466 Q151_6

Why did your
organization dispute the
NPDB
report(s)? (Select all that
apply.) - Selected
Choice The action was
not reportable to the
NPDB

1

The action was not reportable to the
NPDB

472 Q151_9_TEXT

Why did your
organization dispute the
NPDB
report(s)? (Select all that
apply.) - Wrong action
included in the report
(Please Explain) - Text

473 Q151_10_TEXT

Why did your
organization dispute the
NPDB
report(s)? (Select all that
apply.) - Other
(Please Explain) - Text

475 Q152_6

Before your organization
initiated a dispute
process with the NPDB,
what other actions were
taken? (Select all that
apply.) - Selected Choice
Tried to contact the entity
but the entity did not
respond or refused further
communication

1

Tried to contact the entity but the entity
did not respond or refused further
communication

476 Q152_2

Before your organization
initiated a dispute
process with the NPDB,
what other actions were
taken? (Select all that
apply.) - Selected Choice
Could not engage with the
entity that submitted
the report because it no
longer exists

1

Could not engage with the entity that
submitted the report because it no
longer exists

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

480 Q152_5_TEXT

Before your organization
initiated a dispute
process with the NPDB,
what other actions were
taken? (Select all that
apply.) - Other (Please
Explain) - Text

482 Q154

Based on your
organization’s dispute,
what
happened to the report? Selected Choice

483 Q154_6_TEXT

Based on your
organization’s dispute,
what
happened to the report? Other (please explain) Text

491 Q156_7_TEXT

Why did your
organization file for
re-consideration with
NPDB? (Select all that
apply.) - Other (Please
Explain) - Text

502 Q157_10_TEXT

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.) Other Report (Please
Specify) - Text

517 Q160_12_TEXT

Please rate your
organization’s level of
satisfaction with each of
the following resources.
(Only one answer per
row.) - Other Resource
(Please Specify) - Text

518 Q161

Customer Service Center
hours are: Monday –
Thursday 8:30am –
6:00pm EST, Friday
8:30am –
5:30pm EST. Are these
NPDB customer service
hours

1
4
5
6

No change was made to the report.
Some of the details in the report
regarding the action were changed.
The report was voided.
Other (please explain)

1
4
5

Yes
No
Other (Please Explain)

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

sufficient? - Selected
Choice
519 Q161_5_TEXT

Customer Service Center
hours are: Monday –
Thursday 8:30am –
6:00pm EST, Friday
8:30am –
5:30pm EST. Are these
NPDB customer service
hours
sufficient? - Other (Please
Explain) - Text

520 Q162

What NPDB customer
service hours would be
sufficient for you? (Please
indicate your response
in EST.)

521 Q163

Has your organization
ever contacted the NPDB
Customer Service Center?

522 Q164

What is the typical wait
time when you call the
Customer Service Center?
If you have never called
the Customer Service
Center, type NA in the
textbox.

524 Q165_11_TEXT

When your organization
contacts the NPDB
Customer
Service Center, how often
are the customer service
personnel able to answer
your questions? - Other
(Please Explain) - Text

526 Q166_2

529 Q166_5

1
2

Yes
No

Please rate your
organization’s level of
agreement
with the following
statements concerning the
NPDB
website. (Only one
answer per row.) - The
NPDB
website is well organized.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

Please rate your
organization’s level of
agreement
with the following

1
2
3

Completely Agree
Agree
Neither Agree or Disagree

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

statements concerning the
NPDB
website. (Only one
answer per row.) - It is
easy
to find information about
self-query on the NPDB
website.

4
5

Disagree
Completely Disagree

530 Q166_6

Please rate your
organization’s level of
agreement
with the following
statements concerning the
NPDB
website. (Only one
answer per row.) - It is
hard
to find the link to
complete a self-query on
the
NPDB website.

1
2
3
4
5

Completely Agree
Agree
Neither Agree or Disagree
Disagree
Completely Disagree

531 Q167

Please let us know if your
organization would like
to see any other features,
products or services
from the NPDB in the
future.

532 Q36

Prior to taking this survey, 1
were you aware of the
2
merger of the National
Practitioner Data Bank
(NPDB) and the Health
Integrity and Protection
Data Bank (HIPDB) that
occurred in 2013?

Yes
No

533 Q38

Have you experienced
1
any benefits by the merger 2
of
the NPDB and the
HIPDB? - Selected
Choice

Yes (please explain)
No

534 Q38_1_TEXT

Have you experienced
any benefits by the merger
of
the NPDB and the
HIPDB? - Yes (please
explain) Text

535 Q39

Have you experienced

1

Yes (please explain)

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

any drawbacks due to the
merger of the NPDB and
the HIPDB? - Selected
Choice
536 Q39_1_TEXT

Have you experienced
any drawbacks due to the
merger of the NPDB and
the HIPDB? - Yes (please
explain) - Text

537 Q40

After the merger, are you
receiving all of the
reports you expect to see?
- Selected Choice

538 Q40_2_TEXT

After the merger, are you
receiving all of the
reports you expect to see?
- No (clarify the
issues you experienced) Text

539 Q40_3_TEXT

After the merger, are you
receiving all of the
reports you expect to see?
- Not applicable
(explain) - Text

540 Q41

Please share any
comments that you have
regarding
your experiences with the
merger of the NPDB and
the HIPDB.

541 Q46

If you have any comments
about the NPDB or this
survey, please feel free to
enter them here. For
instance, you might
mention aspects of your
experiences with the
NPDB or your views
about the
NPDB that you feel that
this survey did not
capture.

2

No

1
2
3

Yes
No (clarify the issues you experienced)
Not applicable (explain)