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PL E Margarita Reina, MPH

Chicago Department of Public HealthDecember 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 Last-First-M Site CI No. Qtr Month

Smear Result

Culture Result

Contact Id.

Contact eval

New Active LTBIs

LTBIs start

LTBIs comp

Still on txt complete Notes

Index patient 1 ENG 11-005 4 December Negative Negative 1 1 0 1 1 1 0 Yes

Index patient 2 ENG S10-033 3 August Negative Negative 2 2 0 1 0 0 0 Yes

Index patient 3 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 sheets

Index patient 9 UPT N10-071 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 reason why refused

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 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

margarita.reina@cityofchicago.org