Patient Information and Privacy

The information below, although not uniquely identifying information, is also covered under the exception to PHI under the HHS HIPAA Privacy rule under section (b) of the Permitted Uses and Disclosures rules including:

“Health care operations are any of the following activities: (a) quality assessment and improvement activities, including case management and care coordination; (b) competency assurance activities, including provider or health plan performance evaluation, credentialing, and accreditation; (c) conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs; (d) specified insurance functions, such as underwriting, risk rating, and reinsuring risk; (e) business planning, development, management, and administration; and (f) business management and general administrative activities of the entity, including but not limited to: de-identifying protected health information, creating a limited data set, and certain fundraising for the benefit of the covered entity.”

Please do not use full names or any specific dates when entering the requested patient information. If you or your practice’s compliance officer(s) feel that the information requested below constitutes a breach of the Privacy Rule, please contact us to discuss alternatives.

instructions

Accreditation is given for an institution or a team within an institution. An institution may include several individual facilities within the same practice, academic affiliation, or organization. The NABPAB does not accredit individual surgeons or therapists.
Download the Case Log Sheet. Microsoft excell or compatible program will be required to open the case log sheet.
Include all patients with the following ICD-10 codes: G54.0, S14.3, P14.0, P14.1, P14.3
Please list 50 consecutive patients from a single institution seen within a 12 month span within the 15 months prior to the filing of this application. These can be established or new patients. If you have concerns or questions about what NABPAB would consider a single entity or institution, please reach out to our office.
Do not provide more information than is requested.
Begin with the most recent case and proceed sequentially until all 50 cases are entered. A minimum of 50 patients are required to be entered to be considered for accreditation.
If the institution has seen more than 50 discrete patients in a 12 month span, list the unique identifier, sex, age at initial presentation, and affected side of all remaining patients up to 200 patients. No additional information is required.
The intra-operative classification is available here.
Leave any sections blank that do not pertain to that patient.

completing the case list

Enter a unique patient identifier that allows you to identify the same patient in the future. Do not enter the initials of the patient or any information that would allow independent identification of the patient.
Select patient sex at birth: Male/Female.
Enter patient’s age at initial visit: patient’s age on the date of the initial visit (telehealth or in person) in months.
Enter affected side(s): Right/Left/Bilateral.
Enter the age at final (most recent) follow-up in months
Enter age at initial surgical treatment, if any: this is the date that the patient began their first intervention, in months.
Enter age at most recent surgical treatment, if any: this is the date that the patient had their last intervention, in months.
Enter birth weight in Kg by category.
Click the box to indicate that shoulder dystocia occurred during delivery.
Click the box to indicate that the child was born via C-section.
Click on the appropriate box to identify the patient’s Modified Narakas classification.
Click on the appropriate box to identify the patient’s intra-operative classification.
Enter intervention type: click on all interventions performed. If no intervention was performed, leave blank.
Enter nerve reconstruction type: click on all surgeries performed. If no surgery was performed, leave blank.
Enter shoulder procedure type: click on all surgeries performed. If no surgery was performed, leave blank.
Enter elbow procedure type: click on all surgeries performed. If no surgery was performed, leave blank.
Enter forearm procedure type: click on all surgeries performed. If no surgery was performed, leave blank.
Enter wrist and hand procedure type: click on all surgeries performed. If no surgery was performed, leave blank.

Editing the Case list

Once the case list is submitted, there is no way to edit the information.
Make sure that all information for each patient is correct before submission.
If there is a substantial error that needs to be corrected, please reach out to our office.

certification of Case List

After the case list is complete, have your medical records department certify that the list is accurate and complete.
Download a letter of certification and then upload the letter to our system.