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HR - Credential Management

Apr-11th, 2025 7:56 1 0


Introduction: Understanding Primary Sourcing of Employee Credentials

In the healthcare industry, verifying the qualifications and professional credentials of employees is essential—not just for operational excellence, but to meet regulatory and accreditation standards. One of the most important processes in this space is Primary Source Verification.

Primary Sourcing refers to the process of validating an individual’s credentials—such as licenses, certifications, and education—directly with the issuing organization. This might include contacting state licensing boards, certification agencies, or academic institutions to confirm the legitimacy, status, and applicability of a credential. It’s a cornerstone practice to ensure that every staff member is both qualified and properly credentialed for their role.

According to The Joint Commission, which sets accreditation standards for healthcare organizations, primary source verification is required for all licensed independent practitioners and other credentialed staff whose roles impact patient care. Specifically, The Joint Commission mandates that:

  • Primary source verification must be completed before the individual begins providing care, treatment, or services.

    • This applies to both new hires and current employees assuming new roles that require verification.   

  • Verification must be conducted by the organization, not the individual practitioner. Accepting a copy of a credential from the practitioner does not meet the intent of the requirement.

  • Verification must include specific details, such as the date the verification was conducted, the person who conducted it, what was verified, and the results of the verification.

  • If a credential expires (e.g., a license or certification), it must be re-verified through the primary source prior to its expiration or before the staff member continues in a role that requires it.

Failing to meet these timing requirements can result in accreditation findings or jeopardize patient safety.


Process: Steps to Perform Primary Sourcing of Employee Credentials

Step 1: Verify What Credential the Employee Holds

Before beginning the primary source verification process, determine which credentials are required for the employee’s position. Typically, this will be outlined in the job description. Ensure that the credential(s) you’re verifying are specifically necessary for the role. Employees are encouraged to obtain additional credentials or certifications that may enhance their qualifications (e.g., advanced certifications, additional licenses), but these do not need to be primary-sourced.

Step 2: Visit the Relevant Credentialing Organization’s Website

Each licensing or certifying body has its own process for verifying credentials. Here’s how to approach it:

  • Locate the credentialing body’s official website (e.g., Alabama Board of Nursing, American Nurses Credentialing Center, etc.)

  • Find the credential verification tool on their site. Most credentialing organizations have an online portal or database where you can verify credentials.

    • Search by Name or License Number: Most sites will allow you to search using the individual’s full name or license number.

    • Other Requirements: Some organizations may ask for additional information such as the Social Security Number (SSN) or Date of Birth to verify credentials. When possible, it is better to search on more details than just name as many credential holders have the same name. 

  • Follow the organization’s specific instructions to ensure the process is completed correctly.

Step 3: Save the Verification Document

Once you’ve completed the search, the credentialing body will typically display a verification result, which might be available as a printable certificate or a screen display.

  • Ensure the document includes all required details, such as:

    • The individual’s name

    • Credential type (e.g., license, certification)

    • Credential number (if applicable)

    • Verification date (critical for compliance)

    • Status of the credential (active, expired, suspended, etc.)

  • Save the verification document as a PDF. Ensure the document is legible and that all relevant details are clearly visible.

Step 4: Enter the Credential Details into Infor on the Employee's Profile

Once the credential verification document is obtained, enter the credential information into Infor. Head to the Employee's Profile -> Talent Profile -> Credentials. If this is a new credential, use the Create button to add a new record. If the credential is being renewed, open the existing record to perform the necessary updates. Ensure the following details are recorded accurately:

    Field Action: Create New Credential Action: Renew Existing Credential
    Credential Select the appropriate credential code.
    Confirm correct code is selected by matching the Credential Description and Source.
    All credentials required per Job Description should be entered using a code. The 'Other' field is only for non-required credentials that don't have built codes. 
    If you can't find the proper code, contact HRIS.
    Credential Number If applicable, input the credential number.
    Original Credential Date Enter the original issue date of the credential.
    Most Recent Renewal Date Enter the most recent renewal date.
    If none stated, use the same date as the Original Credential Date
    Update with the most recent renewal date.
    This should be the date the current record expires + 1 day, unless otherwise specified on the verification document.
    Expiration Date Enter the credential’s expiration date. Update with the new expiration date.
    Primary Source Date Enter the date the document was pulled from the issuing body. Update with the date the credential was re-pulled from the issuing body.
    Validated/Validation Date Mark Credential as validated & populate the Validation Date with today's date. Update validation date with today's date.


Step 5: Store the Document in OnBase (Document Retention Application)

Once the credential has been verified and the details have been entered into Infor, store the verification document in OnBase to ensure the document is securely stored, easily retrievable for audits or future verification. When importing the document, be sure to place it into the appropriate Employee's folder with the Document Type of "HR - Credential"

Process: Credential Grace Periods

A grace period is a defined window of time during which an employee may perform the duties of a position without yet possessing a required credential, provided they are actively working toward obtaining it. Grace periods are intended to support operational flexibility while maintaining compliance with credentialing standards. However, for a grace period to be applicable, it must be explicitly defined in the employee’s Position Description. If the Position Description does not specify a grace period, one must not be granted or assumed.

When a grace period is applicable, it must be entered into Infor to ensure proper tracking and compliance. Entering the grace period also allows for automated reminders to be sent to employees and managers as the deadline approaches, helping ensure credentials are obtained within the allowed timeframe.

Step 1: Verify Grace Period Defined on Position Description

Before entering a grace period, confirm that the employee’s Position Description explicitly allows for one. Look for phrasing such as “Credential X required within [timeframe] of hire.” If no grace period is specified, do not proceed with entering one. Credentials must be obtained prior to hire if a grace period is not documented.

Tip: If you’re unsure whether the Position Description includes a grace period or think one is missing, consult with the HR Director. We cannot simply add one due to the request of a Manager or Recruiter. The request must be evaluated against legal, regulatory, and risk considerations. 

Step 2: Add Grace Period To Employee's Profile

Head to the Employee's Profile -> Talent Profile -> Grace Period. Use the Create button to add a new record.

    Field Action: Create Grace Period
    Effective Date Use today's date
    Grace Period Select the Grace Period timeframe defined in Position Description
    If you can't find the proper code, contact HRIS.
    Grace Period End Date The system will auto-calculate the end date based on the Grace Period timeframe chosen
    If you want to set a specific date, you can enter that to use instead
    Credential Select the Credential
    Must match the credential defined in Infor on the Position & must be defined as eligible for a grace period
    Completed

    Leave unchecked

    Comments Enter any comments that may be helpful

Things to Note:

  • Automated Email Notifications will be sent to Employee's with Grace Periods 30 days prior to the expiration

  • Once an Employee obtains the Credential (or an equivalent) for which the Grace Period was defined, the Grace Period needs to be marked a completed. Else the system will keep notifying the employee they are out of compliance. 

Audits: Ensuring Compliance with Joint Commission Standards

Report Expiring Credentials

This report identifies credentials that are essential to an employee's role and are approaching expiration within 60 days. It is designed to keep you ahead of upcoming renewals and to ensure ongoing compliance.

  • Key Features:
    • Only includes credentials required per the Job Description
    • Excludes "Completed" credentials, which are no longer needed (e.g., credentials for previous roles or transferred positions). *see FAQs below for more details on Completed credentials. 
  • Things to Note:
    • A yellow indicator appears next to an employee’s ID if they’ve submitted a renewal request.
    • The employee ID is a clickable link that takes you directly to the employee’s profile to view all their credentials.
    • The Position title is also a clickable link, allowing you to review the required qualifications for that role.
    • You can update credential details directly within the report, saving time by allowing you to work on multiple records at once. 
      • All fields under the Renewal Update Header should be updated with each renewal

Report Non-Compliant Credentials HR

This report highlights essential credentials required for an employee’s role that are missing from their profile. It is primarily intended to support the management of Prehire records, helping to identify which credentials are necessary to primary for employees starting in the future. If a missing credential is flagged for an employee, it indicates a compliance issue that must be addressed immediately.

    • Key Features:
      • Displays credentials that are missing from the employee's record, based on the job requirements. However, keep in mind that it does not list all of the valid equivalencies. For Example, if the report shows that an Employee is missing an RN License, that could be an AL-RN or AL-RN-NLC or US-RN-NLC. 
      • Includes the comment box from the Position/Job Credential where notes such as "must obtain in x years" were placed. 
      • The "Months in Job" column allows you to compare the grace period in the above comment box to see if the employee is reaching the deadline to obtain their required certification.
      • There are two Sub-Lists that you can utilize to assess the situation. The Employee Credential sub-list will show you all the Credentials the selected Employee holds. The Credential Equivalencies sub-list will show which credentials, if any, are acceptable equivalencies to that credential in the report. 
    • Things to Note:
      • The report is scheduled to refresh every Weekday in the early a.m. It should be checked regularly but especially the Friday morning before NEO to address gaps in verifications.
      • The  employee ID and Position title are also a clickable link, similar to the report above. 
      • As you resolve non-compliance issues, you can delete the trigger from the report, helping to track which issues have been resolved, especially when working with multiple team members.
      • The report only shows the primary credential listed on the position/job record. It does not show that valid equivalencies. You can view the equivalencies by looking at the Position through the clickable link. 

    Report Credentials Needing Validation

    Employees who are working on advancing their careers, such as those seeking promotions or transitioning into new roles within the organization, may update their profiles with newly obtained credentials. At the time they obtain these credentials, they may not be immediately required for their current role. However, as they transition into new positions or roles that require these credentials, we must ensure compliance with Joint Commission standards by completing Primary Source Verification. This audit report will show these required credentials that have been entered into Infor but not marked Primary Sourced and/or Validated. 

    • Key Features:
      • The employee ID and Position title are also a clickable link, similar to the previous reports.
      • Excludes "Completed" credentials. If you determine the Employee no longer needs the credential due to meeting the requirement through an equivalency, you can mark the credential as completed to remove it from the report. 
    • Things to Note:
      • Credential may have been Primary Sourced but entered incorrectly. To verify this, check the User column to see who entered the Credential. If the credential was entered by an HR user, you may want to check OnBase to see if the Primary Source Verification is present. If so, updated the Primary Source Date/Validation Date fields appropriately. If the credential was entered by the employee themselves, it is likely the credential is not primary sourced and you will need to complete the verification.

    General FAQs

    What does "Completed" mean for credentials?

    The "Completed" status indicates that a credential is no longer required for the employee’s current role and prevents the Employee from getting notified by the system to renew the no longer needed credential. There are several situations in which a credential can be marked as completed:

    • Switching License Types: If an employee changes their license type but the old and new credentials are essentially equivalent (e.g., RN SSL to RN MSL), the previous credential should be marked as completed.

    • Changing Job Roles: When an employee moves to a position that no longer requires a particular credential, such as a Medical Laboratory Technician (MLT) transitioning to a Medical Laboratory Scientist (MLS), the former credential should be marked completed.

    If a credential has been marked as "Completed", but the employee later returns to a role that requires it, the status should be unmarked so it appears in the reports as a required credential going forward.

    Should we ever delete a credential from the system?

    • No. Never delete a credential from the system. Deleting credentials can cause inconsistencies in record-keeping and reporting, making it difficult to maintain a clear audit trail. If a credential is no longer relevant or required, it should be marked as "Completed" instead of deleted.

    Can the credential type be changed?

    • No, unless correcting an error. The credential type should never be changed unless there is a mistake that needs to be corrected. For example, if a credential was entered incorrectly (e.g., a typing error), you can make a correction. However, if an employee changes or updates their credential (e.g., from an RN with one certification to an RN with a different certification), create a new record for the new credential type rather than altering the existing one.

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