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MedDirect provides professional services from its MRO Center in conjunction with a licensed physician (M.D. or D.O.) for receiving laboratory test results. A MRO is one knowledgeable in substance abuse disorders and has appropriate medical training to interpret and evaluate an individual's positive test result with his or her medical history or other relevant biomedical information. MedDirect MROs have been certified through the Medical Review Officer Training. The MedDirect MRO of record is Gary Griffin, DO. The primary responsibility of the MRO is to review, evaluate and interpret drug test results from the laboratory. Positive test results must be carefully evaluated to determine any alternative medical explanation. Proper research is conducted before producing conclusions. Federal guidelines are strictly followed. We provide immediate MRO response on positive test results. The MedDirect / MRO Center follows the guidelines established in Part 40 - Procedures for Transportation Workplace Drug and Alcohol Testing Programs; Subpart G Medical Review Officers and the Verification Process. We have two staff MROs, Gary Griffin, DO and Aaron White, MD. Each MRO is currently credentialed in their medical discipline and have been certified by the American Association of Medical Review Officers (AAMRO). The MRO Administrator is Sherri Brand, who is a qualified liaison for MRO matters. She has received her MRO training and education from AAMRO and completes various related continuing education programs annually. The MRO Center Staff are trained in Substance Abuse Professional Administration. Laboratory test results come to the MRO Center via computer-to-computer communications. All new data downloads to the MRO Center are in custom format to adapt to our information management system. The system is fully automated with quality assurance review by designated MedDirect staff. Upon quality assurance completion, results are immediately reported to your company Designated Employee Representative (DER). Negative test results will be compared against its respective Custody and Control Form (CCF), of which, we should already be in receipt via fax from the collection site. Upon completion, typically before 10:00 a.m. the negative test results are immediately released to your company's DER. Positive
test results will be handled by a qualified staff member for the MRO in regards
to review of the CCF, locating the donor for the MRO interview, verification of
any medicines and prescriptions revealed by the employee, DER contact as
needed, and other MRO interaction as required. Positive test reports may be the result of identified drug(s) of abuse, metabolite or the result of validity testing. In either case, the protocol for handling a positive result is the same - to include the employee's right to split specimen testing under federally regulated programs. The
MRO may determine from interviewing the employee that additional testing of the
same specimen may be required before verification is conclusive, such as a 6 MAM
for cocaine and a d and l isomer for amphetamine/methamphetamine. Once
the MRO's verification is complete and documented, the result is immediately
transmitted to your DER. Split
Specimen
request from the employee of federally regulated programs will be honored.
The employee/prospective employee must submit the request in writing with
his/her signature. The employee will have
72 hours to submit the request after the MRO interview. Reporting may be
provided to your company DER via fax or internet. Internet retrieval
is available around the clock at this website. At the MedDirect
website, your drug testing information is in a secured location, accessible
only with the combination of two different login codes. Additionally,
MRO verified statistical information stays up to date and is immediately
available for a printed hard copy. To review MedDirect
website drug test reporting and an example of company statistical
reports, CLICK HERE.
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