Rap Backs: Continuous Workforce Monitoring to Improve Patient Safety in Long-Term Care

摘要

The Michigan Workforce Background Check (MWBC) system is a Web-based application that centralizes the screening process for job applicants at long-term care facilities by integrating the checking of registries and databases, and by providing secure communication between the system and state agencies. A key feature of the system is the rap back, which is a process whereby fingerprint images submitted by healthcare workers are maintained in a database and compared against arrest fingerprints to track subsequent criminal activity. Rap backs eliminate the need for subsequent fingerprinting to update criminal record information. A user-centered design process was used to create the interaction design during the development process, resulting in very few post-release adjustments and saved time and financial resources. Patient safety is improved due to this rap back process because unfit workers are immediately identified and removed from long-term care facilities.