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Notice

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-45 CFR Part 60 Regulations and Forms, OMB No. 0915-0126-Revision

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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 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. OMB may act on HRSA's ICR only after the 30 day comment period for this notice has closed.

DATES:

Comments on this ICR should be received no later than February 18, 2021.

ADDRESSES:

Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/​public/​do/​PRAMain. Find this particular information collection by selecting “Currently under Review—Open for Public Comments” or by using the search function.

Start Further Info

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.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

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 OMB's approval for a revision to 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 entities such as hospitals, State licensing boards, professional societies, and other eligible entities [1] 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 or discovery 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. Users of the NPDB include reporters (entities that are required to Start Printed Page 5221submit reports) and queriers (entities and individuals that are authorized to request for information).

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 improve overall data integrity. In addition, this revision contains the five NPDB forms that were originally approved in: “NPDB Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, and Certain Other Health Care Entities, OMB No. 0906-0028” which will be discontinued upon approval of this ICR.

A 60-day notice published in the Federal Register on October 16, 2020, vol. 85, No. 201; pp. 65834-65837. There were two public comments that addressed ways to enhance the quality, utility, and clarity of the information to be collected by the NPDB.

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 of the Code of Federal Regulations) 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 citationForm nameNumber of respondentsNumber of responses per respondentTotal responsesAverage burden per response (in hours)Total burden hours (rounded up)
§ 60.6: Reporting errors, omissions, revisions or whether an action is on appealCorrection, Revision-to-Action, Void, Notice of Appeal (manual)11,918111,918.252,980
Correction, Revision-to-Action, Void, Notice of Appeal (automated)18,301118,301.00035
§ 60.7: Reporting medical malpractice paymentsMedical Malpractice Payment (manual)11,481111,481.758,611
Medical Malpractice Payment (automated)2961296.00031
§ 60.8: Reporting licensure actions taken by Boards of Medical ExaminersState Licensure or Certification (manual)19,749119,749.7514,812
§ 60.9: Reporting licensure and certification actions taken by StatesState Licensure or Certification (automated)17,189117,189.00035
§ 60.10: Reporting Federal licensure and certification actionsDEA/Federal Licensure6001600.75450
§ 60.11: Reporting negative actions or findings taken by peer review organizations or private accreditation entitiesPeer Review Organization10110.758
Accreditation10110.758
§ 60.12: Reporting adverse actions taken against clinical privilegesTitle IV Clinical Privileges Actions9781978.75734
Professional Society41141.7531
§ 60.13: Reporting Federal or State criminal convictions related to the delivery of a health care item or serviceCriminal Conviction (Guilty Plea or Trial) (manual)1,17411,174.75881
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Criminal Conviction (Guilty Plea or Trial) (automated)6831683.00031
Deferred Conviction or Pre-Trial Diversion70170.7553
Nolo Contendere (no contest plea)1271127.7595
Injunction10110.758
§ 60.14: Reporting civil judgments related to the delivery of a health care item or serviceCivil Judgment919.757
§ 60.15: Reporting exclusions from participation in Federal or State health care programsExclusion or Debarment (manual)1,70711,707.751,280
Exclusion or Debarment (automated)2,50612,506.00031
§ 60.16: Reporting other adjudicated actions or decisionsGovernment Administrative (manual)1,75011,750.751,313
Government Administrative (automated)39139.00031
Health Plan Action4881488.75366
§ 60.17 Information which hospitals must request from the National Practitioner Data BankOne-Time Query for an Individual (manual)1,958,17611,958,176.08156,654
One-Time Query for an Individual (automated)3,349,77813,349,778.00031,005
One-Time Query for an Organization (manual)50,681150,681.084,054
One-Time Query for an Organization (automated)25,610125,610.00038
§ 60.18 Requesting Information from the NPDBSelf-Query on an Individual168,5571168,557.4270,794
Self-Query on an Organization1,05911,059.42445
Continuous Query (manual)806,9711806,971.0864,558
Continuous Query (automated)619,0011619,001.0003186
§ 60.21: How to dispute the accuracy of NPDB informationSubject Statement and Dispute3,26413,264.752,448
Request for Dispute Resolution741748592
AdministrativeEntity Registration (Initial)3,48413,48413,484
Entity Registration (Renewal & Update)13,245113,245.253,311
State Licensing Board Data Request6016010.5630
State Licensing Board Attestation32513251325
Authorized Agent Attestation35013501350
Health Center Attestation72217221722
Hospital Attestation3,41613,41613,416
Medical Malpractice Payer, Peer Review Organization, or Private Accreditation Organization Attestation27412741274
Other Eligible Entity Attestation1,88411,88411,884
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Corrective Action Plan (Entity)10110.081
Reconciling Missing Actions1,49111,491.08119
Agent Registration (Initial)44144144
Agent Registration (Renewal & Update)3041304.0824
Electronic Funds Transfer (EFT) Authorization6441644.0852
Authorized Agent Designation1831183.2546
Account Discrepancy85185.2521
New Administrator Request6001600.0848
Purchase Query Credits1,78611786.08143
Education Request40140.083
Account Balance Transfer10110.081
Missing Report From Query Form10110.081
Total7,101,2747,101,274347,294

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.

Start Signature

Maria G. Button,

Director, Executive Secretariat.

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Footnotes

1.  “Other eligible entities” that participate in the NPDB are defined in the provisions of Title IV, Section 1921, Section 1128E, and implementing regulations. In addition, a few federal agencies also participate with the NPDB through federal memorandums of understanding. Eligible entities are responsible for complying with all reporting and/or querying requirements that apply; some entities may qualify as more than one type of eligible entity. Each eligible entity must certify its eligibility in order to report to the NPDB, query the NPDB, or both. Information from the NPDB is available only to those entities specified as eligible in the statutes and regulations. Not all entities have the same reporting requirements or level of query access.

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[FR Doc. 2021-00989 Filed 1-15-21; 8:45 am]

BILLING CODE 4165-15-P