The QIO's specific recommendation must be based on documentation provided to the OIG showing its consideration of—

1. (a) The type of offense involved;
2. (b) The severity of the offense;
3. (c) The deterrent value;
4. (d) The practitioner's or other person's previous sanction record;
5. (e) The availability of alternative sources of services in the community; and
6. (f) Any other factors that the QIO considers relevant, such as the duration of the problem.