Case Studies

What 21,000 Healthcare Screens Taught Us About Speed vs. Accuracy

Written by Alex Skaine | Feb 12, 2026 3:15:00 PM

How one New York health system processes candidates in under a day - without cutting corners on compliance.


The Situation


A major New York health system faced the math that keeps every healthcare HR leader awake: clinical departments short-staffed, patients waiting, regulatory requirements expanding, and a screening process that needed to move faster without cutting corners.

They were processing over 20,000 candidates annually across multiple facilities. Every hire required federal and state criminal searches, sanctions verification, credential confirmation, and employment history validation. The compliance checklist wasn't optional - it was the cost of operating in healthcare.

But their previous screening provider treated speed and thoroughness as a trade-off. Want it fast? Accept gaps. Want it complete? Accept delays. The health system refused to accept either.

The Stakes


In healthcare, a screening failure doesn't just create liability. It creates harm.

An aide with an undisclosed abuse finding is working with vulnerable patients. A nurse whose license suspension in another state never surfaced. A clinical employee is excluded from federal healthcare programs, meaning every claim they process becomes a potential source of fraud. A credential that looked valid but wasn't.

Any one of these represents patient safety risk, regulatory exposure, and the kind of headline that no amount of crisis communication can contain.

Beyond compliance, there's the operational reality: every day a position sits empty is a day existing staff absorb the load. Burnout compounds. Quality suffers. The hiring manager who waited three weeks for a background check doesn't celebrate thoroughness - they remember the pain.

This health system understood something their peers often learn too late: screening programs should protect patients and keep the organization running.

The CIChecked Approach


CIChecked deployed a comprehensive healthcare screening program built for both depth and velocity. Rather than choosing between automated database pings and thorough investigation, our licensed investigators built workflows that deliver both.

Criminal Intelligence

Federal criminal searches across all relevant jurisdictions. Our proprietary New York State criminal search, NY Checked™, goes beyond the standard OCA repository. County criminal court retrieval. National sex offender registry verification. Because databases have gaps, and in healthcare, those gaps have consequences.

Healthcare Sanctions Coverage

When you're vetting staff who'll have access to patients and federal healthcare dollars, surface-level exclusion checks aren't sufficient. Our screening covered FACIS Level 2 (OIG/GSA/state Medicaid exclusions), nurse aide registry verification, home care registry searches, and Provider Claims History investigation - direct verification of malpractice coverage and claims with insurance carriers.

This isn't a checklist exercise. It's the difference between hoping your candidates are eligible and knowing they are - before CMS asks the question.

Credential Verification

Healthcare credentials require more than database lookups that echo whatever the candidate originally reported. Our investigation included primary source license verification, education confirmation directly with institutions, employment history validation through direct outreach, and professional reference checks.

The Difference


Most background screening providers would approach 21,000 annual screens as a volume play. Automate everything. Accept the accuracy trade-offs. Let the client sort out the gaps.

CIChecked approached it as investigators who understand healthcare.

Every search was designed for both speed and substance. When verifications required human outreach, dedicated specialists - not offshore call centers - made the contacts. When databases returned incomplete information, our team dug deeper rather than marking it complete.

The result: 60,616 individual research elements processed with an average turnaround of 0.73 days.

Metric Performance
Average turnaround (all subjects) 0.73 days
Same-day subject completion 81.9%
Same-day element completion 90.8%
Total individual elements completed 60,616

 

The Outcome


The health system now processes candidates in under a day with comprehensive compliance coverage. No trade-offs between speed and thoroughness. No gaps that create downstream liability. No delays that compound staffing shortages.

More importantly, they moved forward with confidence - knowing that every candidate was vetted to a standard that matched the gravity of healthcare hiring.

The Lesson


"We’ve been extremely satisfied with the customer service provided by CIChecked. The CI team is always available for us, particularly in urgent situations. We truly appreciate the team's willingness to work within our processes and adapt to our unique needs. The positive impact on our hiring process has been undeniable - with the assistance of CIChecked, we’ve reduced our pre-boarding time by 44%!"

— Director of Talent Acquisition, Hospital Client

Why This Matters for You


Whether you're a health system processing thousands of candidates, a home care agency navigating complex registry requirements, or a clinical practice elevating your screening standards, the questions are the same:

Do you know who you're really bringing into patient care?

Not who they say they are. Not who their resume claims they are. Not who a basic background check suggests they might be. Who they actually are.

CIChecked's healthcare screening program examines criminal history, sanctions eligibility, credentials, and employment history with the depth of a licensed investigation and the speed your operations require. We don't automate. We investigate. Because when patient safety and regulatory compliance are on the line, "good enough" isn't good enough.

Ready to see what your screening data looks like?

We offer complimentary compliance assessments for healthcare organizations ready to evaluate their current program. We'll show you where your current provider is leaving gaps and where you're overpaying.

Schedule a confidential consultation: (518) 271-7546 | info@cichecked.com | Contact Us

CIChecked is a certified woman-owned, licensed private investigative agency specializing in thorough pre-employment background investigations. Recognized on HRO Today's Baker's Dozen Customer Satisfaction list for excellence in background screening.