Names Reported Missing from Federal Database
Writing in ProPublica, and the Los Angeles Times, Tracy Weber and Charles Ornstein report that more than two decades ago, Congress set out to stop dangerous or incompetent caregivers from crossing state lines and landing in trouble again.
So, it ordered up a national database allowing hospitals to check for disciplinary actions taken anywhere in the country against licensed health professionals.
But, this database invoked no fear and dread, like the NPDB for physicians.
Ready for Hospital Use
Now On March 1, 2010– 22 years later – the federal government finally plans to let hospitals use it.
Defective Database?
But, the database is missing serious disciplinary actions against what are probably thousands of health providers.
Division of Practitioner Data Banks (DPDB)
For physicians, the Division of Practitioner Data Banks (DPDB) is responsible for the implementation of the National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB). The NPDB and HIPDB are alert or flagging systems intended to facilitate a comprehensive review of the professional credentials of health care practitioners, providers, and suppliers.
One Doctor’s Opinion
“For doctors, the NPDB was always the “elephant in the room” regarding professional liability reporting, according to ME-P Publisher-in-Chief Dr. David Edward Marcinko, MBA. And so, I find this whole care-giver affair most disturbing. To think, this is the same government that wants to socialize medicine, or force implement eMRs. They should “clean their own house”, first.”
Conclusion
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Filed under: "Doctors Only", Professional Liability, Quality Initiatives, Risk Management | Tagged: Charles Ornstein, dangerous healthcare givers, David E. Marcinko, Division of Practitioner Data Banks, National Practitioner Data Bank, ProPublica, Tracy Weber |















For more on nursing oversight:
http://www.propublica.org/series/nurses
Clare
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Caregivers Gone Bad – Not always Nurses
Don’t forget about the Delaware pediatrician Dr. Earl Bradley who is accused of molesting more than 100 young patients. It can be doctors, or anyone, too.
Child sex abuse scandal stuns Delaware town
http://www.msnbc.msn.com/id/35606897/ns/us_news-crime_and_courts
A Concerned Nurse
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Sexy Texts
Sexy texts from a Tampa, Fla [male] doctor:
http://www.wtsp.com/news/local/story.aspx?storyid=125346&catid=8
Clare
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Settlement in Stalking/Murder of Nurse
In the well publicized murder of Nurse Lori Dupont at Hôtel-Dieu Grace Hospital in Canada, the family settled with the employer. Dupont was killed by a doctor who was obessed, erratic and stalked the nurse who requested protection and not to work with the assailant. While the settlement has not been disclosed, family members had been seeking $13.3 million in damages.
Article: http://www.cbc.ca/canada/windsor/story/2010/01/04/windsor-hospital-settlement-100104.html#ixzz0ePzfaHNl
Gene Schmuckler; PhD
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More on the Nurse Reporting Recipe
How You Can Investigate Your State’s Oversight of Its Nurses and Other Licensed Professionals
http://projects.propublica.org/state-boards/subjects/nursing
Barbara
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More on … Bad Doctors
http://www.thehealthcareblog.com/the_health_care_blog/2010/03/database-of-bad-doctors-blocks-public-from-seeing-names-.html#comments
Sibley
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Needle error puts 50 people at risk in N.M.
A group of New Mexico medical school students failed to properly change needles on devices used for blood glucose testing, and now officials say a few dozen people might be at risk for contracting serious diseases.
http://www.msnbc.msn.com/id/37136268/ns/health-more_health_news
Gary
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National Practitioner Data Bank Expands Availability of Infomation
As of March 1, 2010, the National Practitioner Data Bank (NPDB) broadened the availability of information about licensure actions taken against all healthcare practitioners.
This includes information about professional and paraprofessional nurses, chiropractors, podiatrists, pharmacists, physician assistants, optometrists, physical therapists, respiratory therapists, and social workers.
Additional information concerning negative findings and sanctions imposed by state licensing authorities, peer-review organizations, and private accreditation organizations will also now be reported. Limited querying will now be allowed by quality improvement organizations, federal and state healthcare programs, state Medicaid fraud control units and other law enforcement agencies.
In essence, information about disciplinary actions taken again all healthcare providers is now available, and new organizations have been granted permission to file an inquiry.
Source: Michael V. Favia, JD
[May 28, 2010 #3,869]
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On Dangerous Healthcare Givers
The NPDB Guidebook states that the NPDB’s “principal purpose is to facilitate a comprehensive review of professional credentials”.
Unfortunately they fall far short of this goal. The NPDB collects different types of information, but a majority of the data collected consists of medical liability claims data against physicians.
The AMA rightly points out that medical liability claims data is a poor indicator of quality.
http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/business-management-topics/national-practitioner-data-bank.shtml
Despite the lack of a connection between medical liability data and quality, the NPDB claims to provide a flagging or alert mechanism to put parties on notice that the physician may have competence or professional misconduct problems.
How ironic – the government entity charged with reporting on our level of competence uses faulty and unproven methods to evaluate competence!
Brian J. Knabe MD
http://www.SavantCapital.com
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Troubled Nurses Skip from State to State Under Compact
Compact strives to elevate licensing standards across state lines by, among other things, encouraging states to require criminal background checks on nurses.
http://www.propublica.org/article/troubled-nurses-skip-from-state-to-state-under-compact
Ann
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States Fail to Report Disciplined Caregivers to Federal Database
Did you know that hundreds of state agencies nationwide have never told the federal government about health professionals they disciplined, undermining a central database meant to weed out dangerous caregivers?
http://www.propublica.org/article/states-fail-to-report-disciplined-caregivers-to-federal-database
Amy
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Texas Nurses Fired for Alleging Misconduct Settle Their Law Suit
Amy, the New York Times reported that two nurses just agreed to split a $750,000 payment from Winkler County, Texas to settle a lawsuit they filed after being fired and criminally prosecuted for reporting allegations of improper medical treatment by a doctor at the county hospital.
Seems like the opposite philosophy of your post … and very strange indeed!
Sharon
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California County Opens Review into Autopsies by Doctor With Checkered Past
A ProPublica investigation describing the troubled career of forensic pathologist Thomas Gill prompted officials in Northern California to re-examine his work in more than two dozen homicide cases.
http://www.propublica.org/article/california-county-opens-review-into-autopsies-by-doctor-with-checkered-past
And, in “Post Mortem”
Learn about the Real CSI and How America’s Patchwork System of Death Investigations Puts the Living at Risk
http://www.propublica.org/article/the-real-csi-americas-patchwork-system-of-death-investigation
Alexander
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National Doctor Database Removed from Public View
[The NPDB]
The national database that tracks malpractice payments and physician sanctions—but doesn’t publicly list the physicians’ names—has made its data file inaccessible to the public out of concern that the pieces of information being disclosed were being “triangulated” with other publicly accessible data sources to determine the identities of doctors listed.
“The National Practitioner Data Bank was never meant to be a public file,” said Martin Kramer, a spokesman for the U.S. Health Resources & Services Administration. “By statute, it’s not a public file.”
The file, which lists sanctions against physicians by state medical boards, hospitals, medical societies and the Drug Enforcement Administration and has historically been updated four times a year, “is designed to provide data for statistical analysis only,” according to the NPDB section on the HRSA website. The names of physicians identified in the reports are available only to state medical boards and hospital and healthcare organizations to which doctors may apply for employment, a medical staff appointment, or clinical privileges.
Source: Andis Robeznieks, Modern Physician [9/14/11]
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