9 Individuals - Dispute experience

9 Individuals - Dispute experience .docx

Survey of Eligible Users of the National Practitioner Databank

9 Individuals - Dispute experience

OMB: 0915-0366

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


Self-Queriers Survey: Module 9

Number of questions: 7



Experience with the NPDB Dispute Process


Q 9.1. You have indicated that you had/have been involved in the NPDB’s Dispute Resolution Process (previously known as Secretarial Review). What type(s) of report(s) did you dispute? (Select all that apply.)


Medical Malpractice Payment

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) ____________


Survey Page Break


Q 9.2. Why did you dispute the NPDB report(s)? (Select all that apply.)


Information in the report was incorrect

Report was submitted for reasons other than professional competence or professional conduct

You were treated unfairly by the reporting entity

The action was not reportable to the NPDB

Court advised to go through the NPDB administrative process

Legal counsel advised to dispute

Wrong practitioner reported

Wrong action included in the report (Please Explain) _______

Other (Please Explain) _______


Survey Page Break


Q 9.3. Before you initiated your dispute process with the NPDB, what other actions were taken? (Select all that apply.)


Tried to resolve the issue directly with the entity that submitted the report to the NPDB

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

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

Hired legal counsel to try to resolve the issue with the entity that submitted the report to the NPDB

Filed a legal case in the Federal court system

Other (Please Explain) _______


Survey Page Break


Q 9.4. Please rate your level of satisfaction with the NPDB’s Disputes Resolution Process (as opposed to the decision that was rendered).


Rating Scale

Very Satisfied / Satisfied / Neither Satisfied Nor Dissatisfied / Dissatisfied / Very Dissatisfied


Survey Page Break


Q 9.5. Based on your dispute, what happened to your report?


No change was made to the report.

Some of the details in the report regarding the action were changed.

The report was voided. Skip the next question.

Other (please explain) _________


Q 9.6. Did you file for re-consideration with the NPDB?


Yes

No


Q 9.7. Why did you file for re-consideration with the NPDB? (Select all that apply.)


Had new evidence not submitted previously

Did not agree with the NPDB’s decision

Believed escalating my case would result in a different outcome

Lawyer recommended filing for re-consideration

Court advised to first exhaust all of the NPDB’s administrative processes

Other (Please Explain) ______




Piping logic:


Survey will be directed to Module 10.


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