Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Information Collection Request Title: National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners-OMB No. 0915-0126-Revision

Federal RegisterJan 19, 2018

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Information Collection Request Title: National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners—OMB No. 0915-0126—Revision

AGENCY:

Health Resources and Services Administration (HRSA), Department of Health and Human Services.

ACTION:

Notice.

SUMMARY:

In compliance with the Paperwork Reduction Act of 1995, HRSA has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.

DATES:

Comments on this ICR should be received no later than February 20, 2018.

ADDRESSES:

Submit your comments, including the ICR Title, to the desk officer for HRSA, either by email to

OIRA_submission@omb.eop.gov

or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT:

To request a copy of the clearance requests submitted to OMB for review, email Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer, at

paperwork@hrsa.gov

or call (301) 443-1984.

SUPPLEMENTARY INFORMATION:

When submitting comments or requesting information, please include the information request collection title for reference, in compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995.

Information Collection Request Title:

National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners—45 CFR part 60 Regulations and Forms, OMB No. 0915-0126—Revision.

Abstract:

This is a request for a revision of OMB approval of the information collection contained in regulations found at 45 CFR part 60 governing the National Practitioner Data Bank (NPDB) and the forms to be used in registering with, reporting information to, and requesting information from the NPDB. Administrative forms are also included to aid in monitoring compliance with Federal reporting and querying requirements. Responsibility for NPDB implementation and operation resides in HRSA's Bureau of Health Workforce.

The intent of the NPDB is to improve the quality of health care by encouraging hospitals, State licensing boards, professional societies, and other entities providing health care services to identify and discipline those who engage in unprofessional behavior, and to restrict the ability of incompetent health care practitioners, providers, or suppliers to move from State to State without disclosure of previous damaging or incompetent performance. It also serves as a fraud and abuse clearinghouse for the reporting and disclosing of certain final adverse actions (excluding settlements in which no findings of liability have been made) taken against health care practitioners, providers, or suppliers by health plans, Federal agencies, and State agencies.

The reporting forms, request for information forms (query forms), and administrative forms (used to monitor compliance) are accessed, completed, and submitted to the NPDB electronically through the NPDB website at

https://www.npdb.hrsa.gov/.

All reporting and querying is performed through the secure portal of this website. This revision proposes changes to eliminate redundant and unnecessary forms, improve user error recovery, and improve overall data integrity. There is no change to the average burden per response. The total estimated number of respondents has increased from 5 million in 2015 to over 6 million in 2017, primarily attributable to increases in use of the “One-Time Query for an Individual” and “Continuous Query” forms. The increase in total respondents resulted in an estimated increase of approximately 47,000 total burden hours.

Need and Proposed Use of the Information:

The NPDB acts primarily as a flagging system; its principal purpose is to facilitate comprehensive review of practitioners' professional credentials and background. Information is collected from, and disseminated to, eligible entities (entities that are entitled to query and/or report to the NPDB as authorized in Title 45 CFR part 60) on the following: (1) Medical malpractice payments, (2) licensure actions taken by Boards of Medical Examiners, (3) State licensure and certification actions, (4) Federal licensure and certification actions, (5) negative actions or findings taken by peer review organizations or private accreditation entities, (6) adverse actions taken against clinical privileges, (7) Federal or State criminal convictions related to the delivery of a health care item or service, (8) civil judgments related to the delivery of a health care item or service, (9) exclusions from participation in Federal or State health care programs, and (10) other adjudicated actions or decisions. It is intended that NPDB information should be considered with other relevant information in evaluating credentials of health care practitioners, providers, and suppliers.

Likely Respondents:

Eligible entities or individuals that are entitled to query and/or report to the NPDB as authorized in regulations found at 45 CFR part 60.

Burden Statement:

Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below.

Total Estimated Annualized Burden—Hours

Regulation citation

Form name

Number of

respondents

Responses per

respondent

Total

responses

Average

burden per

response

(in hours)

Total burden hours

§ 60.6: Reporting errors, omissions, revisions or whether an action is on appeal

Correction, Revision to Action, Correction of Revision to Action, Void, Notice of Appeal (manual)

11,114

.25

2,779

Correction, Revision to Action, Correction of Revision to Action, Void, Notice of Appeal (automated)

17,966

.0003

§ 60.7: Reporting medical malpractice payments

Medical Malpractice Payment (manual)

11,993

.75

8,995

Medical Malpractice Payment (automated)

242

.0003

§ 60.8: Reporting licensure actions taken by Boards of Medical Examiners

§ 60.9: Reporting licensure and certification actions taken by States.

State Licensure (manual)

State Licensure (automated)

19,160

25,980

19,160

25,980

.75

.0003

14,370

§ 60.10: Reporting Federal licensure and certification actions

DEA/Federal Licensure

698

.75

524

§ 60.11: Reporting negative actions or findings taken by peer review organizations or private accreditation entities

Peer Review Organization

Accreditation

.75

§ 60.12: Reporting adverse actions taken against clinical privileges

Title IV Clinical Privileges Actions

Professional Society

698

.75

524

§ 60.13: Reporting Federal or State criminal convictions related to the delivery of a health care item or service

Criminal Conviction (Guilty Plea or Trial) (manual)

Criminal Conviction (Guilty Plea or Trial) (automated)

Deferred Conviction or Pre-Trial Diversion

1,140

688

1,140

688

.75

.0003

.75

855

Nolo Contendere (No Contest) Plea

.75

Injunction

.75

§ 60.14: Reporting civil judgments related to the delivery of a health care item or service

Civil Judgment

.75

§ 60.15: Reporting exclusions from participation in Federal or State health care programs

Exclusion/Debarment (manual)

Exclusion/Debarment (automated)

1,624

3,180

1,624

3,180

.75

.0003

1,218

§ 60.16: Reporting other adjudicated actions or decisions

Government Administrative

Health Plan Action

2,062

335

2,062

335

.75

1,547

252

§ 60.18 Requesting Information from the NPDB

One-Time Query for an Individual (manual)

2,054,381

.08

164,351

One-Time Query for an Individual (automated)

2,813,341

.0003

844

One-Time Query for an Organization (manual)

39,695

.08

3,176

One-Time Query for an Organization (automated)

10,201

.0003

Self-Query on an Individual

131,481

.42

55,223

Self-Query on an Organization

1,545

.42

649

Continuous Query (manual)

643,860

.08

51,509

Continuous Query (automated)

226,838

.0003

§ 60.21: How to dispute the accuracy of NPDB information

Subject Statement and Dispute

Request for Dispute Resolution

3,547

.75

2,661

792

Administrative

Entity Registration (Initial)

1,073

Entity Registration (Renewal & Update)

14,060

.25

3,515

Entity Profile

9,000

.25

2,250

Licensing Board Data Request

146

10.5

1,533

Licensing Board Attestation

301

Corrective Action Plan

.08

Reconciling Missing Actions

7,981

0.8

6,385

Agent Registration (Initial)

Agent Registration (Renewal)

278

.08

Electronic Transfer of Funds (EFT) Authorization

654

.08

Authorized Agent Designation

213

.25

Account Discrepancy

.25

New Administrator Request

3,016

.08

242

Query Credit Purchase

789

.08

Educational Request

.08

Account Balance Transfer

.08

Missing Report Form

.08

Total

6,059,761

326,120

HRSA specifically requests comments on (1) the necessity and utility of the proposed information collection for the proper performance of the agency's functions, (2) the accuracy of the estimated burden, (3) ways to enhance the quality, utility, and clarity of the information to be collected, and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Amy McNulty,

Acting Director, Division of the Executive Secretariat.

[FR Doc. 2018-00825 Filed 1-18-18; 8:45 am]

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