4 Practices for Healthcare Employers When Conducting Background Checks

Hiring the right people in the healthcare sector is crucial for both operational success and patient safety. This has become even more important due to the growing distrust in the U.S. healthcare system. According to Harris Poll data, more than 70% of Americans believe the system falls short in some way, as reported by Time Magazine.
This widespread skepticism places increased pressure on healthcare employers to improve efficiency and restore faith in patient care. Given that healthcare workers often interact with vulnerable populations, their actions can significantly impact lives. 
To ensure they meet the high standards required, conducting thorough background checks is one of the most crucial steps employers can take. By implementing these checks effectively, healthcare employers can help build a trustworthy and competent workforce that ensures better care and outcomes for all. 
Here are four best practices that can guide healthcare employers through a more effective hiring process.

1. Thoroughly Vetting Experience

When hiring in the healthcare sector, it’s not just about verifying credentials. Employers must also carefully examine the candidate’s experience, particularly for those with a history in the field. 
While a relevant degree may suffice for fresh graduates, the track record of experienced healthcare professionals is crucial. 
In an industry where medical malpractice remains a growing concern, reviewing an applicant’s professional history becomes even more critical. According to the National Library of Medicine, medical errors are now recognized as a significant public health issue. Some studies highlight that nearly 400,000 hospitalized patients suffer preventable harm each year. 
For this reason, thoroughly screening a candidate’s past roles and performance is essential. It ensures they have the qualifications, experience, and integrity necessary to provide safe and effective patient care.

2. Implement FCRA-Compliant Background Checks

FCRA-compliant background checks are a must in the healthcare sector. Due to the sensitive nature of healthcare work, conducting background checks that align with the Fair Credit Reporting Act (FCRA) is crucial. Not only do you need to check for criminal history, but also for issues that could affect the safety and well-being of patients.
For example, healthcare employers must be particularly vigilant about criminal convictions related to abuse, fraud, or violent crimes. According to Conn Maciel Carey, FCRA compliance requires that candidates provide written consent for background checks. Employers must also inform candidates if any adverse action, such as denial of employment, is taken based on the check.
This process helps employers make informed decisions without unfairly excluding applicants who may have a criminal history but have since rehabilitated. It also supports the broader goal of creating opportunities for individuals seeking a second chance. 
According to the U.S. Chamber of Commerce, over 93% of formerly incarcerated individuals aged 25 to 44 are in their prime working years. They are either working or looking for employment opportunities. 
By adhering to FCRA standards, healthcare employers can identify candidates who, despite their past, are committed to contributing positively. These candidates can fulfill roles that align with the sector’s mission of serving people and fostering public health. 

3. Check for Previous Healthcare-Related Disciplinary Actions

In addition to criminal background checks, healthcare employers should review any previous disciplinary actions or malpractice claims filed against a candidate. This includes checking with relevant medical boards, the National Practitioner Data Bank (NPDB), and other healthcare-related regulatory bodies.
The importance of this step is underscored by data from the American Medical Association. It reveals that nearly one-third (31.2%) of U.S. physicians reported being sued at some point in 2022. 
While most defendants win these cases, prevailing in nearly 9 out of 10 instances, a single serious malpractice claim can still be risky. It can pose a significant threat to both patients and the healthcare facility.
Candidates with histories of true malpractice or serious professional violations need careful scrutiny to protect patient safety and uphold the organization’s reputation. Employers must assess these findings thoughtfully and align them with the responsibilities of the role before making a final hiring decision.

4. Utilize Continuous Monitoring for Ongoing Compliance

In the healthcare field, ongoing monitoring is just as essential as the initial background checks conducted during the hiring process. After employees are hired, healthcare organizations must establish continuous monitoring systems to ensure that their staff maintain the highest standards throughout their employment. 
This may involve conducting periodic background checks, ensuring timely license renewals, and regularly reviewing any complaints or issues that arise. Such monitoring helps healthcare employers quickly identify emerging concerns, such as new criminal convictions or regulatory violations. It also detects lapses in certifications before they escalate into significant risks.
Proactively addressing these issues safeguards patient safety as well as protects the organization’s reputation and ensures compliance with industry standards.

FAQs

What are common healthcare regulatory breaches?

Common healthcare regulatory breaches include violations of patient privacy, improper billing practices, failure to comply with licensing requirements, and inadequate documentation. These breaches can lead to legal consequences and damage the organization’s reputation. In addition, they can undermine patient trust, which is crucial for the success and integrity of healthcare practices.

What constitutes medical malpractice? 

Medical malpractice happens when a healthcare provider does not meet the accepted level of care in their profession. This failure can lead to harm, injury, or wrongful death to a patient. It can include errors in diagnosis, treatment, aftercare, medication management, or health monitoring.

What is an FCRA background check?

An FCRA background check is a process that employers use to screen potential employees by the Fair Credit Reporting Act (FCRA). It ensures that employers follow specific guidelines when obtaining background information. This includes criminal records, credit history, or employment history, to make hiring decisions.
Overall, in healthcare, the stakes are high when it comes to hiring. The four points mentioned in the article are essential steps in ensuring that new hires meet the rigorous standards necessary for patient care. 
By following these best practices, healthcare employers can build a trustworthy and competent workforce, ultimately safeguarding both their patients and their organization.