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NPDB Eligible Users Survey Results FEDCASIC Conference May 3,
2016
Harnam Singh and Anne Stahl
Research
Bureau of Health Workforce (BHW)
Health Resources and Services Administration (HRSA)
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• 1994 – Walcoff & Associates • Title: NPDB Users Survey
• 2001 – Combined Effort • Title: NPDB User and Non-user Survey
• The Institute for Health Services Research & Policy Studies –
Northwestern
University • The Health Policy Center, Survey Research
Laboratory – University of Illinois
at Chicago
• 2008 – Gallup • Title: NPDB – HIPDB User Survey
• 2014 – Cherry Tree BSC • Title: Survey of Eligible Users of
the NPDB
(Eligible Users include potential NPDB users who are not
currently utilizing the Data Bank)
Background History of NPDB Survey Work
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• Census Survey of Data Bank Entities
• Internet Based Survey Administration
• Link to Administrative Data Bank Information
• Data Bank Survey included Self-Queriers
Background Current Survey Accomplishments
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• Start Date: January 21, 2014 (Staggered implementation)
• End Date: May 17, 2014
Each group received an initial invitation to the survey via
IQRS
• Each group received Invitation, 4 follow-up emails, follow-up
calls
Census based on time frame
• Registered entities querying and/or reporting to Data Bank
between 01/01/2010 and 12/31/2012
• Entity Response Rate = 68.13%
Survey Administration Timeline & Response Rate
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• OMB clearance
• Respondent Burden
• Subject matter expertise
• Small Business burden
• Number of questions
• Purpose of the questions
• Merge issues
• Response Bias
• Comparison between groups
• Comparison between previous surveys
Survey Issues/Survey Methodology
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NPDB NPDB Survey Regions
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Regional Distribution Regional Distribution Comparison In what
region of the country is your organization located?
Total Distribution of Entities by Region
718
187
1,000
277
1,222
357 2,328
665
1,910
565
1598
480
832
278
617
216
1,617
440
619
191
P
E
R
C
E
N
T
← Data Bank Users (N)
← Survey Respondents (N)
Note: 18 entities exist outside of the regions presented in the
survey
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Entity Profile: Which of the following best represents your
organization?
P
E
R
C
E
N
T
1,310
1,119
291 238
138 138
133
57 56 50 49 38 21 13 5
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Overall Satisfaction Please rate your organization’s level of
overall satisfaction with the Data Bank.
1,871 All Hospitals
1,505 All Other Entities
381
523
458
828
P
E
R
C
E
N
T
30
132
2 19
0 3
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Assess User’s Overall Satisfaction with Querying and Reporting
Systems
96.6 93.8
91.4 91.0
67.1
94.8
89.5 87.3 88.6
62.6
0
10
20
30
40
50
60
70
80
90
100
One-Time Query Continuous Query Subject Database Re-Query
Registration Renewal
Pe
rce
nt
Hospital [N = 1,216] All Other [N = 1,933]
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Organization Total Sample Size
Percent Selecting
NPDB
Teaching Hospitals 130 99.2
Other Hospitals 1,231 99.0
Managed Care Organizations 112 91.1
Group Practices 271 94.5
Clinics or Urgent Care Facilities 265 97.7
Health Care Plans 36 86.1
State Licensing Boards* 151 39.7
*Included Board of Medical/Dental Examiners, State Licensing
Boards, State Healthcare Practitioner Licensing, and
State Certification Authorities.
Evaluate the Data Bank as Information Source
NPDB Selected as Source of Information by Organization Type
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Evaluate the Data Bank Information
95.4 92.7
98.7 95.0
92.8
97.4
0
10
20
30
40
50
60
70
80
90
100
Accurate Complete Timely
Pe
rce
nt
Hospitals [N = 1,295] All Others [N = 2,087]
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• New Information Provided by Data Bank
• How often does your query from the Data Bank provide you with
new information that you did not receive from other sources?
• 31.46% of all entities selected “All of the Time,” “Most of
the Time,” or “More than Half the Time”
• Medical Malpractice Reports was the type selected most
frequently by the entities (53.0%)
Evaluate the Data Bank as Information Source
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Has your organization ever rejected an applicant because the
applicant had a report in the Data Bank?
P
E
R
C
E
N
T
220 295
662
979
129
368
1,011 All Hospitals
1,642 All Other Entities
Results
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What types of actions does your organization take when receiving
a report on practitioners?
556
554
159 249
205
162 118
147
36 53 30 39 7 27
60 84
1,007 All Hospitals
1,639 All Other Entities
P
E
R
C
E
N
T
ReResultss
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Results Would your decisions regarding practitioner have been
different if you had not received the Data Bank response?
727 All Hospitals
799 All Other Entities
P
E
R
C
E
N
T
340 359
200
289
187
151
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Self Query
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Which category best describes the work you perform?
P
E
R
C
E
N
T
1,648 Total Respondents
1,554
83 11
General Demographics
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Please select your current primary practicing position held as a
health care practitioner.
P
E
R
C
E
N
T
706
89 132
1,168 Health Care Practitioners
85 63 57
17 12 5 1 1
Health Care Practitioner Profile
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Please rate your level of overall satisfaction with
self-query.
P
E
R
C
E
N
T
877 Doctor Types
275 Other HCP
443
336
67
14 13
4
140
102
30
2 1 0
Overall Satisfaction
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• Self-Querier Reasons for Self-Query (N = 1,323) • Provide to
State Licensing Board 59.33%
• Provide to Potential Employer – Hospital 21.01%
• Voluntary – Resume Purposes 7.86%
• Provide to Potential Employer – Group Practice 7.41%
• Voluntary – Personal Status Check 4.01%
Self-Querier Percent Favorable Regarding NPDB Information (N =
1,308) • Accurate: 92.13%
• Complete: 90.83%
• Timely: 95.72%
Evaluate the Data Bank as Information Source
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Perception Comparison
Entity vs. Healthcare Practitioner
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User’s Perceptions of the Impact of Data
Bank Information on Health Care Practitioners
Disparity in Negative Perceptions of Data Dank Reports
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Users’perceptions versus reality of the impact of the Data Bank
information on health care practitioners
Percent Indicating Effects of Having Report in Data Bank
47.4
90.6 90.7
52.6
9.4 9.3
0
10
20
30
40
50
60
70
80
90
100
Career Opportunity Affected
[N = 116]
AA Report
[N = 96]
MMP Report
[N = 97]
PE
RC
EN
T
No Yes
Perception Reality
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Connect With Us
Harnam Singh, Ph.D. ([email protected])
Anne L. Stahl, Ph.D. ([email protected])
Research
Bureau of Health Workforce
Health Resources and Services Administration Phone: (301)
443-5256
Web: bhw.hrsa.gov
Workforce Connections newsletter: www.hrsa.gov/subscribe
LinkedIn:
www.linkedin.com/company/national-health-service-corps
www.linkedin.com/company/nurse-corps
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twitter.com/NHSCorps
Facebook: facebook.com/HHS.HRSA
facebook.com/nationalhealthservicecorps
facebook.com/HRSANURSECorps
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