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Section 1921 changes unite NPDB and HIPDB: All licensed professionals now reportable

Medical Staff Briefing, April 1, 2010

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Medical Staff Briefing.

Since the Health Resources and Services Administration (HRSA), a division of the U.S. Department of Health and Human Services (HHS), issued changes to Section 1921 of the Social Security Act in January, the credentialing world has been in a flurry. The changes require state licensing agencies to report nonphysician and nondentist practitioners to National Practitioner Data Bank (NPDB) for any adverse licensure actions.
MSPs and medical staff leaders want to know how these changes affect medical staff functions. The good news is that the changes don’t affect medical staff functions much, says Mary Hoppa, MD, MBA, CMSL, senior consultant at The Greeley Company, a division of HCPro, Inc. in Marblehead, MA. "States, peer review organizations, and accreditation organizations have extra mandatory reporting requirements. It doesn't affect the medical staff in any way other than it increases the robustness of information coming out of the data bank."
However, just because these changes don’t directly affect the medical staff, it is still important for MSPs and medical staff leaders to understand the nuances of the changes, because these individuals may help facilitate hospital reporting and querying processes.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Medical Staff Briefing.

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