QUESTION: The Chief of Staff recently implemented a precautionary suspension after a Medical Staff member engaged in some seriously unprofessional behavior that was thought to compromise patient safety. The MEC met to review the matter and lifted the precautionary suspension after four days. A formal investigation was commenced and that process is now complete and the MEC is considering suspending the practitioner for 30 days. For purposes of reporting to the National Practitioner Data Bank (NPDB), will that suspension be added to the four-day suspension he already served — meaning that it will constitute a 34-day suspension and will, in turn, become reportable to the NPDB as a suspension lasting more than 30 days?
ANSWER: Even though the precautionary suspension and the “regular” suspension are related to the same factual matter, they are separate professional review actions and, in turn, they do not “add up” for the sake of reporting. Therefore, the four-day precautionary suspension was not reportable to the NPDB. The same will be true of a 30-day suspension, if that action is finalized by the Board. Be sure to check the applicable requirements of state law, however, as some states require hospitals to report all suspensions of clinical privileges, no matter how long they last.