The National Practitioner Data Bank: Information for and About Midwifery

Authors

  • Cecilia Jevitt CNM, PhD,

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      Cecilia Jevitt, CNM, PhD, College of Nursing, University of South Florida, MDC Box 22, 12901 Bruce B. Downs Boulevard, Tampa, FL 33612. E-mail: cjevitt@hsc.usf.edu
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    • Cecilia Jevitt, CNM, PhD, is Assistant Professor of Midwifery and Nursing with the University of South Florida Colleges of Nursing and Medicine. She is the Chair of ACNM's Professional Liability Section.

  • Kerri Durnell Schuiling CNM, PhD,

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    • Kerri Durnell Schuiling, CNM, PhD, FACNM, is Professor and Associate Dean for Nursing Education at Northern Michigan University School of Nursing, Marquette, Michigan. She is a senior staff researcher for the American College of Nurse-Midwives.

    • Dr. Schuiling and Dr. Summers are both staff members of American College of Nurse-Midwives. The views expressed in this manuscript do not necessarily reflect the opinions or official policies of their employer.

  • Lisa Summers CNM, DrPH

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    • Lisa Summers, CNM, DrPH, is Senior Technical Advisor in the Department of Professional Services at the American College of Nurse-Midwives.

    • Dr. Schuiling and Dr. Summers are both staff members of American College of Nurse-Midwives. The views expressed in this manuscript do not necessarily reflect the opinions or official policies of their employer.


Cecilia Jevitt, CNM, PhD, College of Nursing, University of South Florida, MDC Box 22, 12901 Bruce B. Downs Boulevard, Tampa, FL 33612. E-mail: cjevitt@hsc.usf.edu

Abstract

The National Practitioner Data Bank (NPDB), mandated by federal legislation in 1986, serves as a mechanism to protect the public from unsafe practitioners who attempt to avoid discovery of prior negligent behavior or malpractice record(s) by moving from state to state. Reporting to the NPDB about malpractice payments on behalf of nurse-midwives began in 1990. Reporting of providers excluded from Medicare and Medicaid program participation began in September 1999. Practitioners who were already in an excluded status at that time were reported. Reports of adverse action against a nurse-midwife can be submitted to the NPDB by a state licensure board, a governmental agency, hospitals, health maintenance organizations, or other health care organizations. Reporting of licensing actions and clinical privilege actions are not required, although these may be voluntarily reported. The NPDB received 484 reports about nurse-midwives from September 1, 1999, to March 31, 2005. Of the 484 reports, 375 have an obstetric malpractice code. The median claim payment made on behalf of nurse-midwives during this period is $225,000. Although limited, the NPDB is the only systematic national source of nurse-midwifery malpractice data collection.

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