[Federal Register Volume 78, Number 5 (Tuesday, January 8, 2013)]
[Notices]
[Pages 1214-1216]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-00031]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Comment Request
ACTION: Notice.
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SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
Title 44, United States Code, as amended by the Paperwork Reduction Act
of 1995, Pub. L. 104-13), the Health Resources and Services
Administration (HRSA) publishes periodic summaries of proposed projects
being developed for submission to the Office of Management and Budget
(OMB) under the Paperwork Reduction Act of 1995. To request more
information on the proposed project or to obtain a copy of the data
collection plans and draft instruments, email paperwork@hrsa.gov or
call the HRSA Reports Clearance Officer at (301) 443-1984.
HRSA especially 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.
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 collections 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. Section 6403 of the Patient
Protection and Affordable Care Act of 2010 (Affordable Care Act) Public
Law 111-148 requires the transfer of all data in the Healthcare
Integrity and Protection Data Bank (HIPDB) to the NPDB. Data collection
will not change; however, the merger will consolidate forms from OMB
No. 0915-0239 for HIPDB under OMB No. 0915-0126 for NPDB.
Responsibility for NPDB implementation and operation resides in the
Bureau of Health Professions, Health Resources and Services
Administration (HRSA), Department of Health and Human Services (HHS).
Operation of the HIPDB was delegated by the HHS Office of the Inspector
General to HRSA. This rule
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eliminates duplicative data reporting and access requirements between
the HIPDB [established through the Health Insurance Portability and
Accountability Act of 1996 (HIPPA) under Section 1128(b)(5) of the
Social Security Act (42 U.S.C. 1320a-7e)] and the NPDB [established
through the Health Care Quality Improvement Act of 1986 under Title IV
(42 U.S.C. 11101 et seq.) and expanded by Section 1921 of the Social
Security Act (42 U.S.C. 1396r-2)]. Information previously collected and
disclosed through the HIPDB will be collected and disclosed through the
NPDB. Section 6403 of the Affordable Care Act consolidates the
collection and disclosure of information from both data banks under
Title 45 part 60 of the Code of Federal Regulations (CFR). The
Department of Health and Human Services (HHS) will subsequently remove
Title 45 part 61, which implemented the HIPDB.
The intent of 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 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 under the three aforementioned statutory
authorities) 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.
The reporting forms and the request for information forms (query
forms) are accessed, completed, and submitted to the NPDB
electronically through the NPDB Web site at http://www.npdb-hipdb.hrsa.gov/. All reporting and querying is performed through this
secure Web site.
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 Information Collection Request are summarized in the table below.
The annual estimate of burden is as follows:
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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Entity Registration (initial)... 856 1 856 1 856
Entity Registration (renewal)... 12,748 1 12,748 1 12,748
Individual Subject Query........ 4,460,926 1 4,460,926 0.1 446,093
Individual Self Query........... 64,187 1 64,187 0.4 25,675
Title IV Clinical Privileges 862 1 862 0.75 647
Action.........................
Professional Society Membership 67 1 67 0.75 50
Action.........................
State Licensure Action.......... 62,178 1 62,178 0.75 46,634
DEA/Federal Licensure Action.... 497 1 497 0.75 373
Exclusion/Debarment............. 16,243 1 16,243 0.75 12,182
Government and Administrative 2,592 1 2,592 0.75 1,944
Action.........................
Health Plan Action.............. 515 1 515 0.75 386
Civil Judgment.................. 10 1 10 0.75 8
Criminal Conviction............. 1,253 1 1,253 0.75 940
Medical Malpractice Payment..... 13,326 1 13,326 0.75 9,995
Private Accreditation Entity and 10 1 10 0.75 8
Peer Review Organization.......
Authorized Agent Designation 2055 1 2055 0.25 514
Form (Add & Edit)..............
Account Discrepancy Report...... 20 1 20 0.25 5
Report Review Request Form...... 83 1 83 .25 21
Electronic Transfer Funds 276 1 276 0.25 69
Authorization..................
Subject Statement and Dispute 100 1 100 1 100
Initiation Form (Individual &
Organization)..................
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TOTAL....................... 4,641,704 .............. 4,641,704 .............. 561,395
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ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA
Reports Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers
Lane, Rockville, MD 20857.
Deadline: Comments on this Information Collection Request must be
received within 60 days of this notice.
[[Page 1216]]
Dated: December 21, 2012.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-00031 Filed 1-7-13; 8:45 am]
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