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Case Studies

Meet the Client: A Northeast Based Healthcare System

September 25, 2025

SUMMARY.


When a routine audit revealed that a staff member with an undisclosed conviction had slipped through their "comprehensive" background screening, this major healthcare provider discovered an unfortunate truth about New York criminal checks.

Operating 18 locations across central New York with over 3,000 employees, this healthcare system thought they were doing everything right. They were following industry-standard practices, running county criminal searches through a reputable provider, and checking all the compliance boxes that healthcare regulations demand. But when that audit uncovered a missed conviction - from an employee with direct patient contact, no less - leadership demanded answers that their previous provider couldn't give.

The stakes couldn't be higher for a healthcare organization processing 3,000+ background checks annually. Patient safety, regulatory compliance, and organizational reputation all hang in the balance with every hire. Yet their screening process had a massive blind spot that put vulnerable patients, staff members, and the entire organization at risk - and they had no idea until it was almost too late.

Blind Spots That Kill Reputations.


New York's unique court structure was creating a compliance nightmare that most healthcare providers don't even know exists.

County Court Con Game!

Unlike most states, New York's county courts only handle felony cases. Misdemeanors - including drug offenses, theft, and harassment charges critical to healthcare screening - get processed through town and village courts. Traditional county criminal searches miss these entirely, creating massive gaps in supposedly "comprehensive" screening.

Database Delusion!

Most background check providers rely on the same flawed approach, running county-only searches and calling it thorough. For healthcare organizations dealing with medication access, financial responsibilities, and vulnerable patient populations, these missed misdemeanors represent catastrophic risk exposure that could trigger regulatory scrutiny or worse.

Audit Anxiety!

With healthcare compliance audits becoming increasingly aggressive, missing convictions aren't just operational problems - they're existential threats. One overlooked conviction in the wrong position could unravel years of reputation building and put the entire organization under a regulatory microscope.

The Missing Piece Solution.


CI's NY Checked™ Technology Revolutionizes Healthcare Risk Management


When other providers saw New York's court complexity as an acceptable limitation, we saw it as an engineering challenge that demanded a proprietary solution.

NY Checked™ Supremacy

CI’s proprietary NY criminal search, NY Checked™, taps into data from all court levels - county, town, and village courts - providing the complete picture that county-only searches inevitably miss. We're not just running deeper searches; we're accessing entirely different data sources that reveal convictions sitting in plain sight.

Cyber Investigation Layer

Our comprehensive approach combines NY Checked™ with advanced cyber investigations, creating a screening process that uncovers details other providers routinely overlook. We're talking about records that were publicly available but invisible to traditional searches.

HRIS Integration Magic

Seamless integration with their existing HRIS system eliminated administrative chaos while maintaining complete audit trails. No more manual tracking, no more compliance scrambling - everything flows automatically from application to clearance.

Eye-Opening Results.


The Numbers That Expose Industry-Wide Screening Failures


The discovery phase revealed just how much their previous provider had been missing - and the implications were staggering.

Massive Cost Savings

By utilizing NY Checked™, we saved our client $85,000 compared to New York State OCA fees. That means real budget relief for member services, competitive salaries, or facility improvements. That's money staying in healthcare delivery instead of disappearing into government bureaucracy.

Critical Risk Categories

The missed convictions included drug-related offenses in employees with medication access, which represented a compliance violation and patient safety risk.

Lightning Speed Processing

Average turnaround time plummeted to just 1.04 days, enabling swift hiring decisions without sacrificing thoroughness. In competitive healthcare talent markets, speed kills - and slow background checks no longer cost them their first-choice candidates.

Operational Excellence

Processing 3,000+ background checks annually while maintaining unprecedented thoroughness. The efficiency gains freed up HR resources for strategic initiatives instead of screening logistics.

The Healthcare Revolution.


Beyond the missed convictions and cost savings, the real transformation happened in operational confidence, where compliance anxiety became a competitive advantage and screening gaps became investigative superiority.

The ripple effects extend throughout the entire healthcare ecosystem, creating a virtuous cycle of safety and efficiency. Faster clearances mean positions get filled when needed, which means patient care levels stay consistent, which means regulatory confidence improves, and growth targets get hit without compromising safety standards.

For a healthcare organization navigating increasingly complex compliance requirements, investigative predictability matters more than ever. The system's reputation for maintaining robust screening standards while controlling costs has enhanced its competitive position in attracting top medical talent. Perhaps most importantly, the transformation freed up administrative resources for patient-focused activities.

Instead of wrestling with screening blind spots and audit anxiety, HR teams now have bandwidth for strategic workforce planning, employee development initiatives, and patient care enhancement. The mental capital that was previously consumed by screening logistics is now available for innovation, relationship building, and community health impact - activities that directly support their mission of delivering exceptional patient care while maintaining the highest safety standards.