I know the look. The person who walks into a collection site already knowing what their result will say. They are thinking about their job, their family, their mortgage. What they rarely consider — and what a physician colleague reminded me of at NDASA — is that for some people, that result isn't an ending. It's the wake-up call they've been waiting for.

Getting a tip about an employee and sending them for a random test feels like action. But the moment you target a specific person, you've left random territory — and entered territory that can seriously expose your organization. Here's what the right process actually looks like.

TPAs expanding into background screening may already be acting as CRAs. Know where the line is before you cross it.

I've spent more than 20 years in the background screening and drug testing industry. The conversation that makes safety managers most uncomfortable isn't about injury rates or OSHA audits — it's what to do when they think an employee came in impaired. Here's what reasonable suspicion really means, and what's at stake when the process breaks down.