ADOPTED - MARCH 25, 2008
Agenda Item No. 20
Introduced by the Law Enforcement and Finance Committees of the:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION TO AUTHORIZE ENTERING INTO A CONTRACT WITH
ALCOHOL DRUG ADMINITRATIVE MONITORING, INC. (A.D.A.M.)
FOR DRUG TESTING, DNA COLLECTION, AND BREATHYLYZER SERVICES
RESOLUTION #08-088
WHEREAS, Project Sentry, an Ingham County operated clinic that provided laboratory drug testing, DNA collection, and breathalyzer testing services, closed as of January 1, 2008; and
WHEREAS, after distributing and receiving responses to a Request for Proposals (RFP) to replace these services, it was determined that laboratory drug testing as provided by Project Sentry cannot be replaced at a cost that is feasible for the client or Ingham County; and
WHEREAS, it was agreed by the Circuit Court, Pretrial Services and the Circuit Court Probation Department (hereafter referred to as “referral sources”) that, in the absence of Project Sentry, a viable compromise would be to use A.D.A.M., Inc., provided that a location in the City of Lansing is established and that A.D.A.M., Inc. agrees to comply with all Ingham County requirements to include laboratory testing at predetermined frequencies in conjunction with instant testing and approved chain of custody protocols; and
WHEREAS, it was also agreed that, in the absence of any monetary subsidy provided by Ingham County, client fees for services must be maintained at a level that is not overly burdensome to clients referred from the above County referral sources; and
WHEREAS, A.D.A.M., Inc. has established a City of Lansing location at 2518 S. Cedar Street, Lansing, and is willing to comply with required testing protocols for all clients referred from the above referral sources as defined by Ingham County; and
WHEREAS, A.D.A.M., Inc. is willing to provide these services at no cost to Ingham County without a minimum guaranteed number of referrals and has proposed client fees for services that are agreeable to the above referral sources.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes entering into a contract with Alcohol Drug Administrative Monitoring, Inc. (A.D.A.M., Inc.) that will automatically renew each year for the period of January 1, 2008 through December 31, 2013 for drug testing, breathalyzer testing and DNA collection services as set forth in the attached Scope of Services.
BE IT FURTHER RESOLVED, that the Board Chairperson and County Clerk are authorized to sign any necessary contracts\subcontracts consistent with this resolution subject to approval as to form by the County Attorney.
LAW ENFORCEMENT: Yeas: Holman, Copedge, Celentino, Schafer
Nays: None Absent: De Leon, Tennis Approved 3/13/08
FINANCE: Yeas: Grebner, Hertel, Celentino, Dougan
Nays: None Absent: Weatherwax-Grant, Schor Approved 3/19/08
A.D.A.M., Inc.
SCOPE OF SERVICES
Services provided for all clients referred from the 30th Judicial Circuit Court Pretrial Services Department, Circuit Court Pretrial Services and the Ingham County Adult Probation Department must comply with the following requirements.
Services will be available at facility located in the City of Lansing, 365 days per year (including all major holidays and weekends) with testing hours that accommodate a variety of client work and school schedules, including early morning and early evening hours.
DRUG TESTING
All urine drops must be directly observed by a trained A.D.A.M., Inc. employee. Monitoring by electronic devices will not be acceptable under any circumstances.
All urine testing, instant and laboratory must be processed using procedures that maintain the chain of evidence. (Chain of Evidence requirements – Attachment A)
Documentation must withstand court scrutiny and sworn court testimony regarding collection and testing procedures, the selection of the laboratory, the laboratory’s screening and confirmation operations and associated chemical testing.
The laboratory used for testing must be National Institute of Drug Abuse (N.I.D.A.) certified.
With the exception that all collections must be directly observed, all other collection and laboratory procedures must meet the Federal Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMSHA), Federal Workplace Drug Testing (69FR 19673, 49 CFR, part 40) school and job site testing requirements and drug-free workplace.
Gas Chromatograph/Mass Spectrometry (G.C.M.S.) confirmation tests are required.
A variety of random and fixed testing frequency schedules, as well as a client notification system must be available.
Probation agents or agencies requesting a test must be notified the day following a client’s failure to show for testing.
Probation agents or agencies requesting a test must be notified of test results within 48 hours.
For each client referred, in conjunction with instant tests, laboratory testing must be provided on the following schedule:
Random 1 time per week – 1 of every 3 tests is to be a laboratory test
Random 1 time per month – 1 of 3 tests is to be a laboratory test
Random 2 times per month – 1 of every 3 tests is to be a laboratory test
2 times weekly – 1 of every 4 tests is to be a laboratory test
3 times weekly – 1 of every 4 tests is to be a laboratory test
One time only – lab or instant test to be determined at the referral source’s discretion
BREATHALYZER TESTING
The equipment used for breathalyzer testing must be evidential breath measurement device(s) on the conforming products list published by the National Highway Traffic Safety Administration (N.H.T.S.A.)
A regular program must be followed to ensure that accurate operating condition and calibration standards are maintained.
All tests must be administered by A.D.A.M., Inc. employees who are trained in the use of the testing equipment being utilized.
In all cases where an initial test is positive, a second test will be taken after 15 minutes. The operator must monitor the client being tested and maintain constant contact with the client until the second test has been administered. The client being tested may not ingest any substance prior to the administration of the second test.
A variety of random and fixed testing frequency schedules must be available.
Probation agents or agencies requesting a test must be notified the day following a client’s failure to show for testing.
Probation agents or agencies requesting a test must be notified of test results the same day or on the Monday following a weekend test.
DNA COLLECTION
Collection, documentation, and operations must comply with all Michigan State Police requirements.
COURT TESTIMONY SERVCIES
Upon request or subpoena, provide sworn witness testimony to the bench regarding laboratory selection, all clinical operations, clerical and chain of evidence records, laboratory documentation, and specimen collection procedures at no charge. Testimony regarding laboratory testing processes, procedures and inquiries such as regarding prescription medications, drug interactions, and testing sensitivity will be facilitated by A.D.A.M, Inc. through the testing laboratory pursuant to the Laboratory’s current Court Fee schedule.
Attachment A
Procedures for Collecting and Processing
Urinalysis Specimens
Procedures will be followed for all laboratory tests. The following procedures will also be followed for onsite instant testing with the exception of COC form requirements. In the event that a confirmation of an instant test is required, the following procedures will be followed.
Drug Monitoring Technician (DMT) verifies identification of client using picture ID.
DMT initials the sign in sheet showing that client has reported for the drop.
Client’s signature is obtained on client agreement and release of information form. Record attendance sheet and other information including prescriptions, test results and client initial acknowledging results, dates of service are placed in the client’s file.
The DMT then writes the client’s name, the panel code, date and the name of the DMT who will be monitoring the drop on a client Chain of Custody (COC) Barcode Sheet.
The COC Barcode Sheet is then given to the client to sign. The client also initials and dates the corresponding label which will be used as a seal on the urinalysis transport bottle. Client is allowed to check the matching specimen ID number on the label and on the COC Barcode Sheet.
DMT takes a single specimen collection kit, the COC Barcode Sheet and the client’s file into the collection room with the client.
Once in the collection room, client removes any clothing obstructing the monitoring process as directed by the DMT. DMT puts on gloves.
The DMT gives the client the collection cup (equipped with a temperature strip) to void into.
The client provides at least 15mls. of urine under the direct supervision of the DMT. The DMT then breaks the seal off the small transport bottle and gives it to the client. The client then transfers the urine from the collection cup into the transport bottle under the supervision of the DMT.
The DMT snaps the transport bottle tight, and then affixes the long white label (located on the corresponding COC Barcode Sheet) with the client’s and the DMT’s initials onto the transport bottle in the presence of the client. DMT then removes the specimen ID number label and places it on the client’s COC Barcode Sheet.
While still in the presence of the client, the DMT places the sealed transport bottle in the small transport bag, along with the corresponding original copy of the COC Barcode Sheet, and seals the specimen and the COC Barcode Sheet in the small transport bag. Both the client and the DMT then leave the collection room.
DMT places the sealed small transport bag into the larger transport bag which is placed in a secured area, not accessible to the clients. DMT then takes the second copy of the COC Barcode Sheet, and files it in the alphabetical file, along with the rest of the COC Barcode Sheets collected for the day.
When the large transport bag is filled, it is sealed and placed in a secured area that is not accessible to clients.
CLIENT FEE SCHEDULE
Client Intake Fee $30.00
PBT/Breathalyzer $ 5.00
Multi-Panel Lab Test (PBT included) $20.00
Instant Test (PBT included) $10.00
Confirmation Test $20.00 per confirmed drug
DNA Collection $15.00