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The National Practitioner Data Bank: the first 4 years

R E Oshel1, T Croft, J Rodak

  • 1Bureau of Health Professions, Health Resources and Services Administration, Rockville, MD 20857, USA.

Public Health Reports (Washington, D.C. : 1974)
|July 1, 1995
PubMed
Summary
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The National Practitioner Data Bank (NPDB) has processed millions of queries since 1990, with increasing voluntary use. Most reports involve malpractice payments, primarily concerning physicians, and data shows significant state-level variations in reporting rates.

Area of Science:

  • Health Policy
  • Medical Informatics
  • Public Health

Background:

  • The National Practitioner Data Bank (NPDB) was established in 1990 as a crucial flagging system.
  • Its primary function is to identify healthcare practitioners involved in incidents related to medical incompetence.
  • The system has experienced substantial growth in query volumes since its inception.

Purpose of the Study:

  • To analyze the operational growth and data trends of the NPDB over its initial four years.
  • To examine the types of reports processed and the characteristics of practitioners included.
  • To investigate correlations between state-level malpractice and adverse action rates.

Main Methods:

  • Analysis of query volumes and report data processed by the NPDB from 1990 to 1994.

Related Experiment Videos

  • Categorization of reports by type (malpractice payments, licensure actions) and practitioner (physicians, dentists, others).
  • Statistical examination of state-specific malpractice payment rates and adverse action rates.

    • Main Results:

    • By the end of 1994, the NPDB processed over 4.5 million requests, with 1.5 million in 1994 alone.
    • Physicians accounted for over 76% of reports, followed by dentists (16%), mainly due to mandatory reporting requirements.
    • Malpractice payments constituted over 82% of all reports, with significant and stable state-level variations in rates.

    Conclusions:

    • The NPDB has become a vital resource for tracking practitioner information, with a significant increase in voluntary queries.
    • Reporting disparities exist due to differential mandatory reporting laws for physicians and dentists.
    • State-level malpractice and adverse action rates exhibit distinct patterns and correlations, with a tendency for higher licensure actions in states with smaller physician populations.