Examiner Network Services

Examiner Network Services

CHR utilizes over 16,000 occupational health clinics and physicians nationwide for the purposes of scheduling examinations. CHR does not own or operate any of the collections sites or clinics utilized. It is important to note that these 16,000 clinics and collection sites include what CHR refers to as “the good, the bad and the ugly,” or the ones we want to use frequently and the ones we would prefer not to do business with again.

Quality and service issues are addressed continuously. Issues encountered are discussed with the client as soon as we find out about them. Service standards for providers in CHR’s Examiner Network are assessed in three ways:

  • Vendor Qualification – We have created a very extensive document entitled, “How to Qualify an Occupational Health Clinic.” This qualification process includes information ranging from the credentials of the physician(s) and staff, type and calibration requirements of all equipment, geographic location and physical appearance. We assure that a facility can perform all required testing, and we negotiate prices to contain costs. We also visit clinics whenever traveling to that particular area. Qualifying a new vendor is a laborious process, for both CHR and the clinic, but it is imperative in order to avoid using an inadequate vendor and to guarantee high quality services and records to our customers.
  • Medical Record Audit – Once testing and exams are performed, medical records are returned to CHR. The records are audited quantitatively (Did the clinic perform all required testing, and was it performed properly?) and qualitatively (Is there anything out of range that must be reviewed by a board certified occupational health physician before a person can be medically cleared for hire?). Immediate follow up action is taken if any exam components are missing or incomplete, or if additional testing is required before a medical qualification decision can be made.
  • Quality Control Follow-Up – CHR makes either a Quality Control Call (“QC Call”) or sends a personalized QC Email to each and every candidate after the examination. This way, feedback is received directly from the person who experienced the services provided by the clinic. CHR staff has visited approximately 40% of the clinics, but with over 12,000 clinics in the network, that leaves many we have not yet visited. If there was a significant deficiency noted, the examinee will receive a “QC Note” and the requestor will be notified of the poor experience (and our corrective action plan). Clinics are tracked by the number and type of deficiency, and rated in order to prioritize their use (or avoidance) by CHR’s schedulers.