Self-Queriers Survey: Module 16
Number of questions: 5
Report in the NPDB
Q 16.1. What type of report does the NPDB contain regarding your organization? (Please select all that apply.)
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) ____________
Q 16.2. What is the impact of having a report in the NPDB on your business?
Neutral
Slightly Negative
Somewhat Negative
Moderately Negative
Extremely Negative
Survey Page Break
Q 16.3. Has your organization ever added its own statement (also called a subject statement) to the NPDB report?
Yes
No Skip the next question
Q 16.4. What impact has adding your organization’s own statement made?
Text box
Survey Page Break
Q 16.5. Please explain how having a report in the NPDB impacts your business.
Text box
Piping Logic:
Survey will be directed to Module 17.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Microsoft User |
| File Modified | 0000-00-00 |
| File Created | 2021-04-12 |