Healthcare Staffing Services Measures (v2022B)
Posted: 2/1/2022
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Release Notes:
Data Element
Version 2022B

Name:Background Check
Collected For: HCSS-6, HCSS-7
Definition:Documentation in the personnel file that a pre-employment background check was done prior to hire/rehire and did not disqualify the individual for employment due to criminal conviction or other reasons.

The employee’s background should be checked at the time of hire / rehire.
Question:Is there a background check documented in the personnel file?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes)      There is a background check documented in the employee personnel file.

N (No)      There is no background check documented in the personnel file, or unable to determine (UTD).

Notes for Abstraction:

  • If there is a background check in the personnel file and the background check is without negative findings, select “Yes.”
  • If a background check is missing from the personnel file or expired, select “No”.
    EXAMPLE:
    • Therapist A was hired on 01-28-20xx. A background check was done on 01-26-20xx and added to the personnel file. Therapist A does not work for the firm for 3 years and the firm removes him/her from the roster. Therapist A returns at a later date seeking employment and rehired. The only background check in the personnel file if 01-26-20xx. The background check was not repeated for the rehire, select “No.”
  • If there is a background check in the personnel file with findings that disqualify the individual for employment, select “No”.
  • If unable to determine from the personnel file that a background check was done (UTD), select “No.”
  • Findings that would disqualify an individual for employment may include but are not limited to:
    • Health care related civil judgments in federal or state court
    • Health care related criminal convictions in federal or state court
    • Injunctions
    • Actions taken by federal or state licensing and certification agencies, including revocations, reprimands, censures, probations, suspensions, any other loss of license, or the right to apply for or renew a license
    • Exclusions from participation in federal or state health care programs

Suggested Data Sources:

  • Personnel file
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Background Check
Healthcare Staffing Services Measures (v2022B)
Discharges 07-01-2022 (3Q22) through 12-31-2022 (4Q22)

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