Self-Queriers Survey: Module 18
Number of questions: 7
Experience with the NPDB Dispute Process
Q 18.1. 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.)
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 18.2. Why did your organization dispute the NPDB report(s)? (Select all that apply.)
Information in the report was incorrect
Report was submitted for reasons other than health care related professional competence or professional conduct of the organization
My organization was treated unfairly by reporter
The action was not reportable to the NPDB
Court advised to go through the NPDB administrative process
Legal counsel advised to dispute
Wrong organization reported
Wrong action included in the report (Please Explain) _______
Other (Please Explain) _______
Survey Page Break
Q 18.3. Before your organization initiated a 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 18.4. 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 18.5. Based on your organization’s dispute, what happened to the 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 18.6. Did your organization file for re-consideration with the NPDB?
Yes
No
Q 18.7. Why did your organization file for re-consideration with the NPDB? (Select all that apply.)
Had new evidence not submitted previously
Did not agree with NPDB’s decision
Believed other dispute resolution manager would decide differently
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 19.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Microsoft User |
| File Modified | 0000-00-00 |
| File Created | 2021-04-12 |