Department of Health
Professions
The Practitioner Information
Project
Costs, Benefits and Politics
Robert A. Nebiker
Deputy Director
Virginia Department of Health Profession
2001 CLEAR Conference
San Antonio,Texas
September 14,2001
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Department of Health Professions
The Practitioner Information Project
Whose idea was this anyway?
Mandated by the 1998 General Assembly.
Support form hospitals (focus group) and
managed care plans.
Best defense is an offense.
Some initial opposition from organized
medicine but, supported the bill.
Based on Massachusetts project.
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Department of Health Professions
The Practitioner Information Project
What it is…
Law mandates:
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Medical and post graduate education
Specialty board
Duration in practice
Practice locations/Translating services
Publications
Medicaid participation
Disciplinary actions by Hospitals,plans,professional organizations,etc
Paid claims
Notices and Orders
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Department of Health Professions
The Practitioner Information Project
What it may be …..
Optional Information:
Telephone number
Days of week at practice location
Maiden name
Email Address
Website Address
Medicare participation
Translation services at secondary practice locations
Foreign languages spoken at secondary practice locations
Continuing Education
Honors and awards
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Department of Health Professions
The Practitioner Information Project
This mandate required several
administrative actions:
An appropriation $330k 1st Year ; $250k each
subsequent year
Actual cash---Fee increase
Hiring of staff
Letting of a contract
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Department of Health Professions
The Practitioner Information Project
Options for Implementation
In house:
Establish a professional level position.
Staff out administrative positions.
Make major systems modifications.
Out source:
Data collection
Call center
Entire range of needed services including systems
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Department of Health Professions
The Practitioner Information Project
Cost Saving- Web Based Entry:
• Cost per 100-Data entry by staff…..$260
• Cost per 100- Web/Client entry….$-0• Number entered on line…..22,897 (80%)
• Cost of Web site development..$23,000
• Estimated Savings………$36,540
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Department of Health Professions
The Practitioner Information Project
Web Advantages….
100,000,000 data entry portals
24/7 availability
Immediate completion resolution
Fixes responsibility on reporting
physician
No paper
No mailing
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Department of Health Professions
The Practitioner Information Project
What are the benefits ?
 On line (and mail/fax back) access to self reported
and limited verified information to 30,000 +
 Ability to search by:
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Name
Specialty
Locality
Hospital
 97,000 Sessions in 6 weeks (3,068,625 page
views)
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Department of Health Professions
The Practitioner Information Project
We are for it !!!
(Sometimes)
 Insurers
 Hospitals
 Consumers
 Elected Officials
 Open Records advocates
 Press
 Medical Society
 Local (County) Medical Societies
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Department of Health Professions
The Practitioner Information Project
Second Thoughts….
1999 medical society:
The whole undertaking
2000 northern Virginia medical groups:
Malpractice on the net
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Department of Health Professions
The Practitioner Information Project
Third Thoughts…
 Senate Bill 10 in the July 2001 Special Session
 Made no mention of the Internet/Web
 Seems to limit kinds of Orders:
Revocation-OK
Reprimand-OK
Fine-No
Violation/No sanction-No
Reinstatement-No
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Department of Health Professions
The Practitioner Information Project
Third thoughts…..
Senate Bill 10
Made no mention of the Internet/Web
Made no mention of Notices
Provided access to “reports or complaints of
misconduct that have not resulted in any
disciplinary action or proceeding”
149 Licensees with Notices/Orders per year
1700 with dismissed cases
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Department of Health Professions
The Practitioner Information Project
Where we are….
Web site is up and the call center is
operational
Notices and Orders are
available10/06/2001
We have denied requests for over 300
unfounded complaints
Press is active…..
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Department of Health Professions
The Practitioner Information Project
Where we heading….
SB 59 Pre-filed for the 2002 General
Assembly will undo SB 10 as an emergency
and makes several technical changes
Less than accurate reporting by physicians .
Five such physicians we the subject of
Washington Post article. Picked up by other
media.
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Department of Health
Professions
Visit us ….
www.vahealthprovider.com
Call: 804-643-4337
Fax:804-643-5375
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The Practitioner Information Project