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Oral Fluid Testing Webinar

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  • 1. DrugUsers NeedNotApply 10Ways Oral FluidTesting Benefits Employers EmployerWebinar
  • 2. Quest Diagnostics Agenda •  Overview •  History of Oral Fluid Drug Testing •  Future of Oral Fluid Drug Testing •  10 Benefits of Oral Fluid testing for Employers •  Summary •  Questions | 2Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 3. Quest Diagnostics | 3 Oral Fluid Testing Overview •  The oral fluid drug testing market is worth about $45MM annually. •  Quest Diagnostics introduced Oral-Eze® to the market in 2011. •  In oral fluid drug testing, the oral fluid is typically collected on a cotton pad. The pad is then placed in a transport tube containing a buffer preservative solution. A chain of custody process is completed and then the specimen is transported to a laboratory for screening and confirmation (if required). •  Oral fluid testing is popular in retail, grocery, staffing, manufacturing and other industries. Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 4. Quest Diagnostics History of Oral Fluid Drug Testing •  Started in the early 1990s •  Began in the retail space •  Retail, Staffing, Manufacturing | 4Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 5. Quest Diagnostics Future of Oral Fluid Drug Testing September 2011, DTAB unanimously recommends –  Adding oral fluid as a permitted specimen type in Federal drug testing programs –  HHS consider adding prescription Schedule II Drugs (e.g. oxycodone) to Federal drug testing programs January 2012 –  SAMHSA administrator accepts DTAB’s recommendations –  DOT endorses the opportunity to improve transportation safety by addressing illicit use and abuse of the prescription drugs –  Start of Process – Neither HHS nor DOT have changed their requirements. State Regulations •  For workplace drug testing, there are only two states and one territory that prohibit the use of oral fluid testing – Hawaii, Maine, Vermont and Puerto Rico. •  Some voluntary worker’s compensation programs only permit urine testing – Check your state! | 5Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 6. Quest Diagnostics 10 Ways that Oral Fluid Testing Benefits Employers
  • 7. Quest Diagnostics | 7 1. Detects Recent Drug Use •  Oral fluid testing –  Detects recent use (previous 24-48 hours) –  Suited for pre-employment, random, post-accident, reasonable suspicion testing and return-to-duty drug testing •  Urine testing –  Detects recent use (previous 24-72 hours) •  Hair testing –  Detects a pattern of repetitive use (up to 90 days, based on testing proximal 1.5” head hair) Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 8. Quest Diagnostics | 8 2. Excellent Drug Detection (Especially for Marijuana) •  Oral fluid collections are observed –  Curbs evasive donor behavior •  New Oral-Eze® collection and testing technology –  Sample adequacy window tells you when the correct amount of oral fluid has been collected •  Oral fluid detecting more marijuana positives –  Oral fluid positives increased 26% in the first-half of 2012 –  70% more positives in oral fluid than in urine in the first-half of 2012 Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 9. Quest Diagnostics | 9 Positivity Rates By Testing Category Oral Fluid Drug Tests for U.S. General Workforce 0% 1% 2% 3% 4% 5% 6% 2008 2009 2010 2011 Jan-Jun 2012 Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers Source: 03/13 Quest Diagnostics Drug Testing Index™
  • 10. Quest Diagnostics | 10 Overall Positivity Rates (U.S. General Workforce) 0% 1% 2% 3% 4% 5% 6% 2003 2004 2005 2006 2007 2008 2009 2010 2011 Jan-Jun 2012 Urine Oral fluid Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers Source: 03/13 Quest Diagnostics Drug Testing Index™
  • 11. Quest Diagnostics | 11 Marijuana Positivity Rates (U.S. General Workforce) 0% 1% 2% 3% 4% 5% 2003 2004 2005 2006 2007 2008 2009 2010 2011 Jan-Jun 2012 Urine Oral fluid Source: 03/13 Quest Diagnostics Drug Testing Index™ Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 12. Quest Diagnostics | 12 3. Difficult Test to Cheat “Can an oral fluid drug test be beaten?” Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers •  We have not found any adulterants that can beat the test •  Observed collections curb evasive donor behavior making oral fluid testing virtually adulteration proof •  Nothing in the donor’s mouth (gum, tobacco, food, drink) for a minimum of ten minutes before collecting the specimen •  Quest Diagnostics performs specimen validity testing on every oral fluid specimen, yielding the added assurance that the specimen is appropriate for testing.
  • 13. Quest Diagnostics | 13 4. Reduces Collection Fees and Downtime •  Collecting onsite eliminates the fees associated with urine and hair testing collections •  Not having to travel to a collection site reduces lost productivity •  Simple and fast to collect •  We provide complimentary oral fluid collector training on our website http://questdiagnostics.com/home/companies/employer/drug-screening/knowledge-center/online-training/specimen-collections.html Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 14. Quest Diagnostics | 14 5. Enables Remote Collections •  No access to a collection site? No problem! •  Flexibility of being able to test anytime, anywhere •  Remote geographies •  Off-hours collections •  Well-suited for retail, grocery, staffing and construction workers Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 15. Quest Diagnostics | 15 6. Simplest Sample Type to Provide •  Easy on donors when compared with urine or hair •  Less invasive collection leads to reduced donor anxiety and enhanced donor dignity •  No shy bladder issues •  No taste on the collector pad •  4 out of 5 collections are completed in five minutes or less Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 16. Quest Diagnostics | 16 7. Assurance of Valid Sample Collections •  Indicator window reduces repeat collections - the leading cause of employer dissatisfaction •  Built-in indicator window turns blue when 1 mL of oral fluid has been collected, reducing the likelihood of the sample being rejected as “quantity not sufficient” and thereby eliminating the time and expense associated with a second collection •  Sample adequacy indicator likely required on oral fluid collection devices –  Minimum volume collected –  Dilution assurance through known quantity collected •  Cutoffs expressed as original (“neat”) oral fluid –  Standardization across various devices •  Oral-Eze currently meets these requirements Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 17. Quest Diagnostics | 17 8. Lab-based Test Helps to Ensure Quality •  Screening and confirmation performed at a certified laboratory provides the assurance of quality, consistency and results dependability •  Our oral fluid testing is performed at our Lenexa, Kansas laboratory •  This centralized laboratory and the logistics that support our specimen transportation provides excellent test result turnaround time •  Negative results are typically reported within 24 hours •  Positive results typically report in 36-96 hours Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 18. Quest Diagnostics | 18 Oral Fluid THC Concentrations •  Data from nearly 30,000 Oral-Eze Oral Fluid THC Confirmations •  Lab-based (Oral-Eze) cutoff = 1.5 ng/mL •  >50% <15 ng/mL •  >75% <40 ng/mL •  POCT cutoff = 40-50 ng/mL •  Lab-based testing makes a difference! or less Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 19. Quest Diagnostics | 19 9. Test for Common Drugs of Abuse Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers •  Amphetamines •  Methamphetamines (including MDMA and its metabolite) •  Opiates (Codeine, Morphine, Hydrocodone, Hydromorphone, 6-monoacetylmorphine) •  Cocaine (metabolite) •  Marijuana (THC) •  Phencyclidine (PCP) •  Working to add additional drugs to the Oral-Eze panel
  • 20. Quest Diagnostics | 20 Oral-Eze Cutoffs (expressed as “neat” oral fluid) Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 21. Quest Diagnostics Positivity Rates by Drug Category Oral Fluid Drug Tests - For U.S. General Workforce, as a Percentage of All Such Tests | 21Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers Source: 03/13 Quest Diagnostics Drug Testing Index™
  • 22. Quest Diagnostics | 22 10. Widely Accepted Testing Modality •  Widely accepted testing modality – we performed nearly 700,000 oral fluid drug screens from hundreds of clients in 2012 •  Stand behind the accuracy and reliability of our test results •  Assurance that lab-based oral fluid testing with Oral-Eze will yield dependable results, helping to create a drug-free workplace Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 23. Quest Diagnostics Summary
  • 24. Quest Diagnostics Recap of Benefits 1.  Detects recent drug use 2.  Excellent drug detection 3.  Difficult test to cheat 4.  Reduces collection fees and downtime 5.  Enables remote collections 6.  Simplest sample type to provide 7.  Assurance of valid sample collections 8.  Lab-based test helps to ensure quality 9.  Test for common drugs 10. Widely accepted testing modality | 24Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 25. Quest Diagnostics Questions R. H. Barry Sample, Ph.D., D-FTCB Director of Science and Technology barry.x.sample@QuestDiagnostics.com QuestDiagnostics.com/Oral-Eze | 25 Aaron Atkinson, MBA Product Manager aaron.j.atkinson@QuestDiagnostics.com Drug Users Need Not Apply: 10 Ways that Oral Fluid Testing Benefits Employers
  • 26. Quest Diagnostics Upcoming Webinars Hair Testing with Randy Clouette & Jared Rowland, Quest Diagnostics May 2013 Instant Drug Testing with Bill Current June 5, 2013

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