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ExpectMore.govExpectMore.gov home pageEXPECT FEDERAL PROGRAMS TO PERFORM WELL, AND BETTER EVERY YEAR.
 
Program Assessment

Program

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National Practitioner and Health Care Integrity/Protection Data Banks

The purpose of the Data Banks is to prevent questionably competent or miscreant practitioners from harming patients and help reduce fraud and abuse by making information available on providers/entities' past performance. A contractor provides for day-to-day computer operations for querying and reporting.

Rating

What This Rating Means

PERFORMING
Moderately Effective

In general, a program rated Moderately Effective has set ambitious goals and is well-managed. Moderately Effective programs likely need to improve their efficiency or address other problems in the programs' design or management in order to achieve better results.
  • The program purpose is clear and the program is designed to have a unique and significant impact. By providing a single source of information regarding all malpractice payments, clinical privileges, health plan action or professional society membership information, the Data Banks can assist entities in making critical staffing decisions regarding health care professionals.
  • The program is well managed. It ensures that entities submitting inquires to the Data Banks are served promptly and uses performance information to improve both operations and customer service.
  • The program has some limitation on its ability to maximize its efficiency and effectiveness. According to the law, the Data Banks have some restrictions on organizations that are able to make inquiries about health care practitioners.

Improvement Plan

About Improvement Plans

We are taking the following actions to improve the performance of the program:

  • Implementing a new national survey to evaluate program effectiveness.
  • Adopting regulations and making systems changes implementing Section 1921 of the Social Security Act to minimize the program's identified limitations and to operate at maximum efficiency.

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