24/7 · No App · Pay Per Patient
Close the chain-of-custody gap between injury management and drug testing.
When screening is handled through separate vendors, documentation breaks down, compliance risks rise, and claims exposure increases. HealthcareLive Drug Screening keeps orders, tracking, and records in one platform. One system. No gap.
SAMHSA-certified labs
DOT 49 CFR Part 40 compliant
MRO services included
Ordered through injury management platform
Chain of custody — end to end
$28K+
2 Hours
1 System
100%
Trusted by leading orthopedic groups across the country
Atlantic Orthopaedic
Campbell Clinic
EmergeOrtho
Proliance Surgeons
Tulsa Bone & Joint
Slocum Orthopedics
Ortho Cincy
Rebound Orthopedics
The Problem Every Safety Attorney Knows About
Your injury management program and your drug testing vendor are two separate systems. That gap is where your liability lives.
The Documentation Gap — What It Looks Like In Practice
A supervisor reports an injury at 7:14 AM. The safety director is in a meeting. The HR manager calls the drug testing vendor hotline at 7:58 AM. Collection is scheduled for 9:30 AM — 2 hours and 16 minutes after the incident.
Without HealthcareLive
- Injury reported to supervisor
- Supervisor finds safety director — delay starts
- Safety director calls separate drug testing vendor
- Vendor schedules collection — employee drives off-site
- Results in a different system from injury report
- Manual documentation linking — gap risk remains
Undocumented gap. Split-system liability.
With HealthcareLive
- Injury reported — HCL platform notified instantly
- Post-accident screen ordered in same platform in minutes
- Collection coordinated — time-stamped in same record
- Chain of custody initiated at order — no handoff gap
- MRO review and results in employer dashboard
- Manual documentation linking — gap risk remains
✓ Zero gap. One system. Defensible documentation.
The HealthcareLive Platform Advantage
When the injury report and the screen order live in the same system, the chain of custody begins the moment the incident is documented — not minutes or hours later.
The documentation trail that protects you in a contested claim, a DOT audit, or a regulatory review is complete, integrated, and defensible — not assembled after the fact from two separate vendor portals.
Complete Coverage
Every type of workplace drug screen
your program requires — ordered and
documented through one platform.
HealthcareLive Drug Screening covers every screen type required for a complete workplace drug and alcohol
testing program — from pre-employment and random pool management to post-accident and DOT-regulated
testing — all ordered through the same platform managing your injury triage and workers’ comp documentation.
Critical · Time-Sensitive
Post-Accident Drug & Alcohol Testing
- Ordered within the same platform managing the injury report — zero handoff gap.
- Time-stamped against the incident record for complete chain-of-custody documentation.
- DOT 2-hour alcohol and 8-hour urine windows tracked and enforced by the platform.
- Collection site network or on-site collection coordination (where available).
- MRO review and results delivered to employer dashboard — linked to incident record.
- Defensible documentation for workers' comp defense and regulatory review.
Must be ordered immediately — platform ensures zero delay from injury report to screen order
Required · Conditional Hire
Pre-Employment Screening
- 5-panel, 10-panel, and expanded panel options based on role and regulatory requirement
- Conditional hire status tracked against screen completion — prevents starts before results
- Collection site network with 20,000+ locations nationally — employee selects nearest site
- MRO review included — positive results reviewed before employer notification
- Results in employer dashboard with hire/do-not-hire guidance based on MRO determination
- DOT pre-employment requirements met for regulated roles (CDL, aviation, pipeline, etc.)
Ordered at conditional offer — results typically returned in 24–48 hours for negative screens
Mandatory · Ongoing
Random Pool Management
- Compliant random selection — scientifically random, documented, defensible
- DOT-required annual percentages maintained and tracked (50% for drugs, 10% for alcohol — FMCSA)
- Employee notification managed through the platform — same-day collection required
- Completion tracking and compliance rate dashboard — no employee falls through the pool
- Multi-location pool management — centralized compliance across all facilities
- Consortium pool participation available for smaller regulated employers
Ongoing — annual compliance rate targets maintained and reported quarterly
Supervisor-Initiated
Post-Accident Drug & Alcohol Testing
- DOT-compliant reasonable suspicion supervisor training — online, tracked, documented
- Observation documentation form built into the platform — supervisor records signs before ordering
- Screen ordered immediately from the documented observation — chain of custody intact
- Both drug and alcohol testing available — 2-hour alcohol window tracked by platform
- MRO review and legal-defensible documentation trail from observation through result
Initiated when impairment observed — supervisor training and platform ordering available 24/7
Return-to-Duty Protocol
Return-to-Duty & Follow-Up Testing
- Substance Abuse Professional (SAP) referral coordination and evaluation documentation
- Return-to-duty screen ordered and documented with SAP authorization in record
- Follow-up testing schedule managed — minimum 6 tests in first 12 months for DOT employees
- MRO review included — positive results reviewed before employer notification
- Compliance tracking — follow-up schedule maintained until SAP releases employee
- All documentation maintained in employer dashboard for regulatory review
Ordered at conditional offer — results typically returned in 24–48 hours for negative screens
Federal · DOT Regulated
DOT-Regulated Testing Programs
- FMCSA (CDL / trucking) — pre-employment, random 50%, post-accident, reasonable suspicion, RTD, follow-up
- FAA (aviation) — safety-sensitive employee testing per 14 CFR Part 120
- Pipeline / gas / hazmat — PHMSA requirements per 49 CFR Part 199
- Maritime — USCG requirements per 46 CFR Part 16
- 49 CFR Part 40 procedural compliance — collector training, lab certification, MRO review
- DOT audit documentation — complete program records available for regulatory review
Federal compliance — penalties up to $28,474 per violation for willful violations
Complete Coverage
From screen order to documented result —
every step in one platform.
There is no vendor switch, no new login, and no separate documentation system. The screen is ordered where the injury lives, and
the result is returned to the same record.
Trigger event
documented
T+0 min
Screen ordered in
platform
T+0 min
Collection
coordinated
T+0 min
SAMHSA lab analysis +
MRO review
T+0 min
Trigger event
documented
T+0 min
Platform Integration
The same dashboard your safety director uses for injury triage is where your drug screening program lives.
One record — injury report + screen + result
The chain-of-custody documentation that protects you starts at injury documentation, not at screen order
Real-time status notifications
Safety director, HR, and legal contacts notified at each stage — collection confirmed, preliminary result, MRO final
Multi-location program management
Random pool, pre-employment, and post-accident screening managed across all locations in one centralized compliance dashboard
Audit-ready documentation, always
Every screen record is maintained with full chain-of-custody documentation — accessible for DOT audits, workers' comp proceedings, and internal review
Compliance Infrastructure
The certifications, processes, and professional
oversight behind every screen.
audit, workers’ comp litigation, and legal discovery — from the SAMHSA-certified lab network to the
licensed MRO review process to DOT-specific procedural requirements.
Federal Compliance
DOT 49 CFR Part 40 — Compliant Across Every Modal Administration
FMCSA
Federal Motor Carrier Safety Administration
49 CFR Part 382
Federal Aviation Administration
14 CFR Part 120
Pipeline & Hazardous Materials Safety Administration
49 CFR Part 199
United States Coast Guard
46 CFR Part 16
Federal Transit Administration
49 CFR Part 655
Lab Certification
SAMHSA-Certified Laboratory Network
- SAMHSA/HHS certification required for all DOT-regulated testing — and best practice for all workplace testing
- Rigorous split-specimen procedures — donor has the right to have the "B" specimen tested at a separate certified lab
- 5-panel (SAMHSA standard), 10-panel, and expanded panels available
- Point-of-collection test (POCT) rapid options available for non-DOT testing
- Lab QA/QC documentation maintained and available for audit review
Medical Review Officer
Licensed MRO Review — Included on Every Screen
- MRO review included on all screens — no additional cost for the review step
- Rigorous split-specimen procedures — donor has the right to have the "B" specimen tested at a separate certified lab
- Donor interview process for all non-negative results — protecting employee due process
- MRO can determine "negative" if there is a legitimate medical explanation (e.g., prescribed opioids with valid documentation)
- MRO determination documented in employer record — legally defensible
Chain of Custody
End-to-End Chain of Custody Documentation
- Federal Custody and Control Form (CCF) used for all DOT testing — 5-part form tracked through every handoff
- Electronic chain of custody (eCCF) available for participating collection sites — reduces documentation errors
- Specimen ID tracked from collection through lab receipt through MRO review
- All chain-of-custody documents stored in employer dashboard — accessible for 5 years per DOT requirements
- Complete audit trail available for regulatory review, workers' comp proceedings, and legal discovery
Supervisor Training
DOT Reasonable Suspicion Supervisor Training
DOT regulations require supervisors of regulated employees to receive 60 minutes of drug awareness training and 60 minutes of alcohol awareness training — before they can make a reasonable suspicion determination. HealthcareLive delivers this training online through the employer platform — with completion tracked and documented.
- DOT-compliant 60+60 minute reasonable suspicion training — online, self-paced, tracked
- Completion documented in employer dashboard — training records available for DOT audit
- Covers specific behavioral and physical indicators of impairment — what qualifies vs. what doesn't
- Documentation guidance for the observation record that must precede a reasonable suspicion screen order
- Available for non-DOT employers as best-practice supervisor training
Platform Integration — The Differentiator
What a post-accident screen looks like when it's in the same system as your injury triage — vs. when it isn't.
Split-Vendor vs. HealthcareLive
The 10 ways a split-vendor drug testing program creates gaps a single platform closes.
Compliance Outcomes
The compliance numbers and platform
performance your Safety Director, HR
team, and legal counsel need to see.
of HealthcareLive employer clients running integrated drug screening
and injury management programs, 2022–2025.
Chain-of-custody documentation completeness target
Every screen ordered through HCL has a complete audit trail from incident documentation through MRO-reviewed result — in one employer record
<10 Min
Post-accident screen order from injury documentation
Negative result turnaround time
Collection sites nationally
Every screen ordered through HCL has a complete audit trail from incident documentation through MRO-reviewed result — in one employer record
Platform performance data reflects HealthcareLive employer accounts with active integrated drug screening and injury management programs, 2022–2025. DOT compliance rates based on programs with designated employer representative training completed and active random pool management. Chain-of-custody completeness reflects screen orders placed through the HCL platform — not screens ordered through separate vendor integrations.
Every Question, Answered
The objections safety directors, HR teams, and CFOs raise before approving Remote Injury Care.
"We already have a drug testing vendor. Why would we switch?"
"Our existing vendor already has a portal. Isn't that good enough?"
"We only have a few DOT-regulated employees. Is this overkill?"
"How do we handle employees in remote locations far from a collection site?"
"What happens if an employee tests positive? What's the process?"
HealthcareLive’s MRO review process protects both the employer and the employee when a non-negative result is returned. The MRO contacts the donor before reporting a positive result to the employer — giving the employee the opportunity to provide a legitimate medical explanation (e.g., a valid opioid prescription). If the MRO determines the result is a confirmed positive with no legitimate explanation, the result is reported to the employer dashboard with the MRO determination documentation. For DOT-regulated employees, the Substance Abuse Professional (SAP) referral process is initiated from within the same platform — managing the return-to-duty protocol through completion. For all employees, the employer’s defined consequence policy is applied — HealthcareLive does not make employment decisions.
"How long does it take to set up a program and migrate from our current vendor?"
The Complete Platform
Drug Screening is the compliance layer.
Every other part of the HealthcareLive
platform connects to it — in one record.
incidents and drug testing obligations aren’t separate events — they happen in the same
moment, on the same form, for the same employee. The integration is the product.
Post-accident screen ordered from injury record
Remote Injury Care · 24/7 Triage
On-site incident response + immediate screen
On-Site Programs
Pre-shift prevention · early symptom detection ·no screen required
Stretch & Flex · Digital Prevention
RTW protocol + follow-up testing managed
Virtual MSK & Return-to-Work
Learn about Virtual MSK →
NEW
HealthcareLive Benefits Bundle
Drug Screening is available as part of the full HealthcareLive Benefits bundle alongside health, dental, vision, MSK care, wellness coaching, and Virtual Urgent Care — one platform, one enrollment, one renewal.
Employee health — separate from compliance
Virtual Urgent Care · 24/7
SOC2 Type II
HIPAA Compliant
OSHA 300 / 300A
SAMHSA-Certified Labs
300+ Languages
86.6 NPS Score
Set Up a Program
Get your drug screening program set up in the same platform as your injury management — with your DOT compliance review and chain-of-custody audit done before the call.
Chain-of-custody gap audit — pre-call
Review your current post-accident documentation flow and identify where the handoff between injury report and screen order creates an undocumented gap. Built before the call.
DOT obligation review for your workforce
Review of your regulated employee population by modal administration — FMCSA, FAA, PHMSA, USCG, FTA — and confirmation of your required testing types, random percentages, and documentation requirements.
Platform integration demo — live ordering walkthrough
See a post-accident screen ordered from an injury record in the HCL platform — the 2-click workflow, the collection routing, and the chain-of-custody documentation in real time.
Workplace Drug Testing Compliance Guide
DOT testing requirements by modal administration, chain-of-custody best practices, and MRO process overview — sent after the call to support your internal stakeholder conversation.
Set Up a Drug Screening Program
The gap between your injury report and your screen order is where your liability lives.
Close the Chain-of-Custody Gap
Before the Next Post-Accident
Screen Becomes a Contested Claim.
plaintiff’s counsel or a DOT auditor finds it. HealthcareLive Drug Screening closes
that gap by putting the screen order in the same platform as the injury report
— chain-of-custody starts the moment the incident is documented, and the
complete audit trail is in one record when you need it most. The program setup
call is 30 minutes. The DOT compliance review and chain-of-custody audit are
ready before you walk in.