TBI VIOLENT CRIME RESPONSE TEAM PROGRAM

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TBI Toxicology Overview

• Steps taken and progress achieved in reducing the
  turnaround time for the TBI Toxicology Unit

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Toxicology Overview

• Past and Present Turnaround Times in Toxicology
• What Caused the Increase
• Steps we have Taken to Reduce Times
• Where we are Currently

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Root Cause

• Implied Consent Law Change Mandatory Blood Draw
• Injury MVA
• Previous DUI
• Child in Vehicle
• Went into Effect 1-1-12

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Law Change Resulted in

• 48 Increase in Toxicology Submissions Statewide
  from 2011-2012

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Blood Alcohols

• Each Sample Analyzed Twice
• Forward Order
• Reverse Order
• Results Must Agree within 5
• Technical Review Administrative Review
• Time required for typical analysis 1.5 week

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Blood Alcohols Advance to Drug Testing when

• DUI Case where Blood Alcohol Concentration is
  below .08 gm
• MVA or Vehicular Homicide
• Medical Examiner Case

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Percentage of Blood Alcohols that Advance to Drug
Testing

• Nashville 36
• Knoxville 49
• Memphis 33

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Drug Screen

• Much more Labor Intensive than BA
• Immunoassay Screen
• Extractions (Basic, WAN, Benzodiazepines, THC,
  etc.)
• Analysis
• Quantitations
• Technical Review Administrative Review
• Time required for typical analysis 2.5 week
• 70 DS per month vs 360 BA per month

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Measures Taken

• Overtime
• Added Instrumentation
• Added Positions
• Outsourced Drug Screens
• Breath

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Toxicology Manpower

• Added 4 Toxicology Positions in 2013
• Added 1 Toxicology Position in 2014
• Expansion, Hiring Process, Background
• 1.5 years required to fully train each
• 23 Toxicology Positions Statewide
• 8 are in various stages of Training

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Outsourcing Drug Screens

• Competitive Bid Process
• Began June 2014
• 500 Drug Screens per Month
• Approximately 3500 outsourced to date
• (Contract specifies Criminal Testimony at no
  Charge)

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Outsourcing Drug Screens

• TBI still responsible for
• Select, Package and Transfer Evidence
• Technical Review
• Administrative Review
• Report
• For every case outsourced, still have about half
  of the actual labor involved

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Reported Turnaround Times

• Number of weeks from date Submitted to Lab until
  Report
• Time Reported represents the oldest case, not the
  average time

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