March Grand Rounds – The Ins and Outs of Reporting: National Practitioner Data Bank and State Law

March 1, 2022 - 1:00 pm to 2:00 pm (ET)

Nowadays, with so much going on in the day-to-day operations of a hospital, reporting a physician is the last thing anyone wants to do.  However, when a physician provides clearly egregious care, or engages in dangerous conduct, hospital and medical staff leaders have a tricky path to navigate in determining whether there is a reportable event.

The laws on reporting vary.  Reporting to the National Practitioner Data Bank is triggered by one set of events.  There are also state reporting laws that vary for different health care professionals.  (Reporting requirements for an advanced practice nurse are not always the same as for a physician or physician assistant, or a dentist, or a podiatrist.)  The content of the report and how the report is filed also varies.  And, to make matters worse, the level of protection that is available for reporting varies too.

Join Susan Lapenta and Hala Mouzaffar as they discuss the ins and outs of reporting.  Susan and Hala will focus on the reporting requirements for the National Practitioner Data Bank.  They will also provide guidance on the codes to use for reporting and the level of detail to provide in the report.

Susan and Hala will also discuss general principles pertaining to state law reporting, including alternatives when reporting is not required.  They will address:

  • What is reportable?
  • Who has a duty to report?
  • To whom do you report?
  • How much detail should you include in a report?
  • Who gets a copy of the report?
  • What are the consequences if you fail to file a report?

Learning Objectives

  • Learn the rules of reporting to the National Practitioner Data Bank
  • Be able to identify basic state reporting guidelines
  • Discuss items to consider when drafting a report

Education Credit

Instructions on how to obtain your Continuing Education certificate for audio conferences will be e-mailed to the contact person for your organization at the conclusion of this audio conference.

Category 1 CME

Joint Provider Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Pittsburgh School of Medicine and HortySpringer Seminars.  The University of Pittsburgh is an affirmative action, equal opportunity institution.  The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

NAMSS Continuing Education Credit

This course has been approved for National Association of Medical Staff Services (NAMSS) continuing education credit and NAMSS hereby awards 1.0 NAMSS continuing education credits for participation in this activity.  Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.

HortySpringer Audio Conference Disclaimer

The information presented during an audio conference and any supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances.

No one should act or refrain from acting on the basis of any information presented during an audio conference without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for an audio conference or the use of the supplementary materials.

About Grand Rounds

Designed for even the busiest hospital and medical staff leaders, registration for the year-long series is a quick and inexpensive way for Medical Staff Officers, members of the Medical Executive Committee, Department Chairs, Chairs of the Credentials and Peer Review Committees, and the Chairs of other key Medical Staff committees to have access to the most up-to-date health care information at their fingertips while obtaining valuable CME credits as well.

  • The audio conference series consists of twelve audio conferences spread over the course of the year (one AC/month)
  • Each audio conference is offered the first Tuesday of each month from 1:00 – 2:00 p.m. (Eastern Time).
  • Registration includes an MP3 containing the audio conference at no additional charge following each conference.
  • CME credit issued for live conference participation only.


To help your staff and medical professionals adhere to social distancing guidelines, we will waive the extra line fee for up to 3 additional lines so others in your organization are able to safely listen from their home or office.

Audio Conferences/Grand Rounds Registration: $250 and includes:

      • 1 AMA PRA Category 1 Credit*
      • 1.0 NAMSS continuing education credit*
      • One MP3 recording to share with your staff throughout the year.
      • Three phones lines. You may purchase additional lines for $50/line, per audio conference.

Can’t make the live audio conference? No problem! We offer single MP3 recordings for $250/each (Separate MP3 purchase does not qualify for CME credits. CMEs will only be given for live participation the day of the AC).

*Not all audio conferences will be approved for continuing medical education credits.

Register Online