Implementation Guidelines - Federal Transit Administration - U.S. ...

MEDICAL REVIEW OFFICER (MRO) QUESTIONNAIRE
Please describe your qualifications to serve as an MRO.
Did you become a MRO before or after August 1, 2001?
If you became a MRO after August 1, 2001, do you have documentation that you have
successfully completed and passed the MRO training
and examination required by Part 40?
Would you describe the continuing education requirement for a MRO and the length of time
for the completion of that requirement?
Do you have a copy of the Part 40 regulations as amended, including the Technical
Amendments published August 8, 2001?
What is your professional relationship with this transit operation?
Do you have any financial interest with the laboratory being utilized?
Do you report drug test results to the consortium or directly to the employer, or do you report
drug test results to the consortium and employer in parallel?
Do you have a method of confirming your identity when you need to talk with the DER?
Do you ensure that drug tests conducted under the FTA regulations by this transit operation
are analyzed by a laboratory on the current DHHS approved list?
As a MRO, are you required to personally review a certain percentage of all Chain of Custody
Forms (CCFs) with negative results? If so, what percentage of CCFs must you review?
At a minimum, what elements must be included in your review of negative CCFs?
Do you have any responsibility if you discover that a previous negative test had a flaw or an
error that would NOT have caused the test result to be cancelled?
Do you report both positive and negative test results to the employer, or only positive test
results?
What do you report to the employer if you conclude that there is a legitimate medical
explanation for a confirmed positive test result that is consistent with legal drug use?
When you report positive test results, do you report the drug (or drugs) found?
Is there anything you are required to inform an employee regarding third-party disclosure
before beginning the verification process?
If an employer requests, do you provide the quantitation of the drugs verified positive?
If a SAP requests, are you allowed to provide any medical information or quantitation of
drugs?
In positive test result cases, do you contact the tested individual confidentially to determine
whether the employee wishes to discuss the test result, or do you first contact the employer?
Do you attempt to speak with the individual directly, or does your staff inquire whether or not
the employee would like the opportunity to speak with you?
Do you always conduct the verification yourself, or do others in your office who are not MROs
conduct the verification interview?
Do you always personally review the employee's medical history and any relevant biomedical
factors provided by the individual?
To whom do you report the verified positive test result?
How soon do you transmit verified positive test results to the DER?
What review of documents do you perform before you verify a positive test result?
As the MRO, can you change your initial verification
of a positive drug test result or refusal to
test?
In your estimation, what is the rough percentage of laboratory confirmed positives you have
verified as negative to the employer after your review of the employee and any information
supplied by the employee?
Appendix K. Substance Abuse Management Oversight Questionnaires
K-25
August 2002