Failure of Hospitals to Discipline and Report Doctors Endangers Patients May 27, 2009 Alan Levine Sidney Wolfe, M.D. Executive Summary Lack of detection and widespread under-reporting to the National Practitioner Data Bank raise serious questions about hospital peer review. The National Practitioner Data Bank (NPDB) was established by the Health Care Quality Improvement Act of 1986 to protect patients from questionable physicians. The legislation included a requirement that hospitals report to the NPDB whenever they revoke or restrict a physician’s hospital privileges for more than 30 days for problems involving medical competency or conduct. Motogp 13 Pc Save Game. As the only national repository for the records of doctors disciplined by their peers for unprofessional or incompetent behavior, the usefulness of the data bank has been historically handicapped by the failure of thousands of hospitals to report to the NPDB. As of December 2007, almost 50 percent of the hospitals in the U.S. Had never reported a single privilege sanction to the NPDB.