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Health Care

Employment Screening Resources (ESR) provides background screening services specializing in the hospital, nursing home, and healthcare provider industries. ESR helps hospitals and healthcare providers promote safe and caring environments. ESR protects the safety of patients at risk and vulnerable populations such as children, the elderly, and people with special needs. Along with standard ESR background screening services, solutions include:

ESR is pleased to offer background screening of Physician and health care providers  to physician offices, hospitals, clinics and managed care groups. ESR specializes in background screening of health care providers.  ESR works with health care providers and processional credentialing  organizations in providing the vital background screening information that a health care organization needs. Many organizations make the mistake of either not conducting any background or credentials research, or just limiting the due diligence to medical credentials.  Although credentialing is a critical part of the process, a failure to also conduct a   background check for information such as criminal  records, leaves a health care organization extremely vulnerable to lawsuits and allegations of negligence.  A health care risk management program  requires  both credentialing and background screening.

Why should a medical  organization conduct  both credentialing and a background search?

Just because a medical position is involved does not mean that there is a reduced need for due diligence.

The bottom line is that to adequately screen a physician candidate, a number of different and sometimes overlapping approaches are needed to ensure a reasonable comprehensive inquiry and to prevent any important information from "falling through the cracks."

Joint Commission (formerly JCAHO) Compliance

Effective January 1, 2006, the Joint Commission (formerly the Joint Commission  on Accreditation of Healthcare Organization or JCAHO) required that hospitals and covered health care entities conduct Primary Source Verification (PSV) on all licensed, registered, or certified staff. The rule applies to both employees and contract staff and also applies to the process of tracking license renewals as well. The new standard is contained in HR.1.20.

For hospitals and covered health care organizations, there is a logistical challenge in obtaining, tracking, updating and maintaining an audit trail for all employees who are required to be licensed, registered or certified. Licenses are typically checked when an employee is first hired, but covered entities must now verify the information from the primary source, track expiration and manage the process of updating records from the primary source in order to be in compliance.

To help hospitals and covered entities comply, ESR has created special software that manages and tracks the entire process in accordance with the standards. For example the software generates automatic reports on all employees and contractors with licenses that are expiring. ESR provides tools to conduct license verification for the primary source and to track all current and past licensees. Each department in the hospital can determine if it wants to conduct the Primary Source Verification itself, or have ESR do it. During a JCAHO audit, all necessary information demonstrating compliance with the Primary Source Verification rule is instantly available.

What Type of Screening is Recommended?

To adequately screen for physician job candidates, a medical organization should conduct two levels of due diligence. First, there is a need to confirm medical credentials. Second, there is a need for a general due diligence background check applicable to any professional being considered for a critical position. Third, an organization may wish to obtain an in-depth background, which may also include verified professional references, verification of clinical activity for the past 6-12 months, and lifetime healthcare related employment, and malpractice insurance and ten year history. 

Type/Source of Information:

Reason to obtain

Information Provided

Credentialing Information

Verification of information relating to a physician's credentials

The Physician credentials report is drawn from a number of sources in order to give an overview of the professional status of a medical doctor. (Note:This is a "due diligence" credentials report. It is not meant or intended to be used in a formal "credentialing process."  See additional material below)

The information includes the full name, date of birth, and gender, current location of a physician's practice, educational background, states in which a physician is licensed to practice or has held a license, honors, specialty certificates, if sanctions has even been imposed by the DEA, FDA or Department of Heath and Human Services, and records concerning disciplinary action from 67 State Medical and Osteopathic Boards (covering every state in America).

Background screening information from various public records and telephone verifications

Starting with the premise that candidates for physician positions are no more immune from problems and difficulties then any other professional group, ESR strongly recommends the following standard background screening procedures in order to conduct a due diligence search.

Criminal checks: A criminal check of   state courts for felonies and misdemeanors. Depending  upon the needs of the organization, the check can either be for a specific number of counties (such as last three counties), or for maximum protection, a search of every county where  a candidate has lived, worked or studied for the past ten (10)  years.  For metropolitan areas, the search should also include the immediately surrounding jurisdictions.

Lawsuits: A search of upper level Civil courts, to uncover civil suits or judgements.. (Similar to criminal check described above);

Federal Court: A check of each Federal District Court both criminal and civil where a candidate has lived, worked or studied;

Credit Report: A credit report (critical to confirm past addresses and employment, public records such as judgements, liens or bankruptcies and for other reasons. Please contact ESR for details);

State driving record: A state driving record has a number of valuable uses, including an indication of substance abuse problems;

Additional In-depth Information

Can be used to supplement the credentialing information listed above

Educational verification

Employment verification

Personal and Professional References

Additional information:  Please note that the credentials report provided by ESR may not be used in a formal "credentialing process."  This can be defined as "the process of granting authorization by the user to provide specific patient care and treatment services, within defined limits, based on confirmation through primary source verification data of an individual's license, education, training, experience, competence, health status and judgement."  For credentials for hospitals or health care providers, ESR recommends the services of professional credential organizations that can gather such information directly from primary sources.

To learn more, Contact ESR.

Additional information and resources may be found at:

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