3. TBI Toxicology Overview Steps taken and progress achieved in reducing the turnaround time for the TBI Toxicology Unit Steps taken and progress achieved in reducing the turnaround time for the TBI Toxicology Unit

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

5. Root Cause: Implied Consent Law Change Mandatory Blood Draw Implied Consent Law Change Mandatory Blood Draw Injury MVA Injury MVA Previous DUI Previous DUI Child in Vehicle Child in Vehicle Went into Effect 1-1-12 Went into Effect 1-1-12

6. Law Change Resulted in: 48% Increase in Toxicology Submissions Statewide from 2011-2012 48% Increase in Toxicology Submissions Statewide from 2011-2012

9. Blood Alcohols Each Sample Analyzed Twice Each Sample Analyzed Twice Forward Order Forward Order Reverse Order Reverse Order Results Must Agree within 5% Results Must Agree within 5% Technical Review & Administrative Review Technical Review & Administrative Review Time required for typical analysis – 1.5 week Time required for typical analysis – 1.5 week

10. Blood Alcohols Advance to Drug Testing when: DUI Case where Blood Alcohol Concentration is below.08 gm% DUI Case where Blood Alcohol Concentration is below.08 gm% MVA or Vehicular Homicide MVA or Vehicular Homicide Medical Examiner Case Medical Examiner Case

11. Percentage of Blood Alcohols that Advance to Drug Testing: Nashville – 36% Nashville – 36% Knoxville – 49% Knoxville – 49% Memphis – 33% Memphis – 33%

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

14. Measures Taken: Overtime Overtime Added Instrumentation Added Instrumentation Added Positions Added Positions Outsourced Drug Screens Outsourced Drug Screens Breath Breath

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

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

17. Outsourcing Drug Screens: TBI still responsible for: TBI still responsible for: Select, Package and Transfer Evidence Select, Package and Transfer Evidence Technical Review Technical Review Administrative Review Administrative Review Report Report For every case outsourced, still have about half of the actual labor involved For every case outsourced, still have about half of the actual labor involved

18. Reported Turnaround Times: Number of weeks from date Submitted to Lab until Report Number of weeks from date Submitted to Lab until Report Time Reported represents the oldest case, not the average time Time Reported represents the oldest case, not the average time