Transcript Margarita Reina, MPH Chicago Department of Public Health December 7, 2011 PURPOSE Rationale Improve progress toward meeting NTIP objectives Goal Evaluate data accuracy (ARPE) Identify barriers to.

Margarita Reina, MPH
Chicago Department of Public Health
December 7, 2011
PURPOSE
Rationale
Improve progress toward meeting NTIP objectives
Goal
Evaluate data accuracy (ARPE)
Identify barriers to contact investigation
OBJECTIVES
Compare ARPE results
ARPE forms and documentation
INEDSS TB registry
ACTIVITIES
Develop a data collection system
Folders for each CI (1st sheet, 2nd sheet, 3rd sheets)
ARPE spreadsheet
Ongoing communication with staff
Data discrepancies
Feedback
CONTACT
INVESTIGATION
1ST SHEET
CONTACT
INVESTIGATION
2ND SHEET
CONTACT
INVESTIGATION
3RD SHEET
CONTACT INVESTIGATION SUMMARY DATABASE
Current LastFirst-M
Site
Month
Smear
Result
Culture
Result
Contact Contact New
Id.
eval Active
Index patient 1
ENG 11-005
Index patient 2
ENG S10-033
4
December
Negative
Negative
1
1
0
1
1
1
0
Yes
3
August
Negative
Negative
2
2
0
1
0
0
0
Index patient 3
Yes
STR CC10-005
1
March
Negative
Negative
1
1
0
0
0
0
0
Yes
Index patient 4
ENG S10-012
1
March
Negative
Positive
12
12
0
2
2
2
0
No
#3 no 3rd sheet
Index patient 5
WTN N10-083
4
December
Negative
Positive
8
8
0
2
2
0
2
No
#1, #8 still on tx
Index patient 6
WTN N10-061
3
September Negative
Positive
17
17
0
3
3
1
2
No
#10, #14 still on tx
Index patient 7
ENG 11-003
4
December
Negative
Positive
8
4
0
2
1
1
0
No
missing 4 3rd sheets:#1-#4
Index patient 8
WTN N10-066
3
September Negative
Positive
3
2
0
0
0
0
0
No
#6, #7 not in INEDSS, No 3rd she
Index patient 9
UPT N10-071
CI No.
Qtr
LTBIs
LTBIs
start
LTBIs Still on
comp txt
complete Notes
4
October
Negative
Positive
2
0
0
0
0
0
0
Yes
Index patient 10 STR CC10-018
3
July
Negative
Positive
6
3
0
0
0
0
0
Yes
Index patient 11 ENG S10-017
2
May
Negative
Positive
4
4
0
0
0
0
0
Yes
Index patient 12 WTN N10-013
1
March
Negative
Positive
4
0
0
0
0
0
0
Yes
Index patient 13 STR CC10-010
2
April
Negative
Positive
3
3
0
3
3
3
0
Yes
Index patient 14 ENG S10-005
1
February
Negative
Positive
5
5
0
1
1
1
0
Yes
Index patient 15 WTN N10-045
2
June
Negative
Positive
7
7
0
2
2
1
0
Yes
reason why refused
1 chose to stop
CASE CONFERENCE ROSTER
SAMPLE
ARPE
TRACKING
SHEET
OUTCOMES/IMPACTS
Reveal training needs
Distinguish between newly diagnosed LTBI and previous LTBI
Focus on medium and high risk contacts only
Identify barriers and opportunities
Out of jurisdiction communication
More attempts for contact refusals
CHALLENGES AND OPPORTUNITIES
Training and Feedback
Review of ARPE
Incorporate results in Cohort Review
Regular evaluation of CI
Monthly Case Conferences
Cohort Reviews
RESULTS
Use
Training needs- INEDSS
Disseminate
Monthly case conferences
Cohort reviews
QUESTIONS
Contact information:
Margarita Reina, MPH
Chicago Department of Public Health
Tuberculosis Control Program
312-746-6225
[email protected]