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Washoe County Commission Meeting of Mry 24, 2016Page2 of2
National Medical Service (I,{MS) was the chosen provider for Clark County as well asWashoe County as they are a nationally accredited laboratory with an excellent reputationfor workproduct and case tumaround time.NMS provides all of the forensio toxicology testing for the Washoe County MedicalExaminer's Offrce. It should be noted that this office also sends its "Outside Agency"samples to NMS, and that by the end of FY20l6, the office will have receivedapproximately $56,000 payment in kind reimbursements from these agencies.
{ Caseload:o During calendar year 2012 (the first year of contracting with NMS), theMedical Examiner/Coroner (MECO) received 3,066 reported deaths. Ofthose, 789 had autopsies or medical examinations performed.o During calendar year 2015, the MECO received 3818 reported deaths. Ofthose 913 had autopsies or medical examinations.o For the same period last year (llll2015 - 212812015 vs. 11112016 thru2128116) MECO received 34 more reported cases demonstrating continuedupward trending of case numbers for 2016.{ Case Complexity:o Cases have become more complex due to necessary assays for "exotic(and) designer" drugs.o Cases often require more extensive toxicology testing due to increasingnumbers and varieties of prescription drugs.o Laboratory vendors have increased test fees upon contract anniversarydates (i.e., 5.18o/o - 2012, 3% - 2014, 2% - 2015, 3% - 2016).
F'ISCAL IMPACTNo fiscal impact. The Medical Examiner's Office has sufficient budget authority for theexpenditures.
RECOMMENDATIONIt is recommended that the Board approve expenditures in excess of $100,000 to NationalMedical Service (NMS) for toxicology testing in Fiscal Year 2017 (July 1, 2016 throughJune 30, 2017).
POSSIBLE MOTIONMove to approve expenditures in excess of $100,000 to National Medical Service (NMS)for toxicology testing in Fiscal Year20l7 (July 1, 2016 through June 30,2017).
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