TB by chrstphr

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									MPHSP 2010-2013
Tuberculosis Prevention and Control
All questions must be answered. Comment Required if Answer is “No”

County: ___STEUBEN____

ES #2

Questions 1. Does the LHD have a program plan designed to minimize the incidence of tuberculosis? (40-2.90) 2. Does the LHD have a timely disease surveillance system for TB? (40-2.91a) 3. Does the LHD have a timely disease reporting system for TB? (40-2.91a) 4. Does the LHD have a program plan for the treatment of diagnosed TB cases? (40-2.91b) 5. Does the LHD have a program plan for the follow up of diagnosed TB cases? (40-2.91b) 6. Does the LHD have a program plan for the detection and follow-up of individuals identified as infected with tuberculosis? (40-2.91c) 7. Does the LHD have a program plan for educational efforts to be taken? (40-2.91d) 8. Does the LHD have a mechanism to bill third party payers, including Medicaid? (40-1.63a)

Yes X

No

#2

X

#2

X

#7

X

#7

X

#7

X

#3

X

#6

X

Disease Control - Tuberculosis Prevention and Control page 1

MPHSP 2010-2013
Tuberculosis Prevention and Control County: ___STEUBEN____
All questions must be answered, but these questions provide information and do not require an explanation of a “No” response.

ES #2

#8

#8

Questions 9. Does the LHD initiate contact investigations around suspect and confirmed pulmonary/laryngeal tuberculosis cases within a week? 10. Does the LHD have TB policies documenting: a) training procedures for tuberculin skin testing? b) standing orders for tuberculin skin testing? c) Testing by tuberculin skin test (TST) or other approved test (e.g. QuantiFERON-TB) and respiratory protection plan for LHD workers? d) procedures for conducting initial diagnostic evaluations of suspect cases? e) procedures for conducting contact investigations? f) exposure control plan? g) procedures for pursuing court-ordered determinations for non-adherent patients? h) treatment protocols including drug regimens and treatment monitoring plan? i) procedures for obtaining required patient information from other providers? 11. Is there a system in place to periodically inform existing and new physicians in the county of disease reporting requirements and current treatment guidelines?

Yes X

No

Comment Not Required

a.X b.X c.X

a. b. c.

d.X e.X f.X gX hX iX

d. e. f. g h i

X

Disease Control - Tuberculosis Prevention and Control page 2

MPHSP 2010-2013
Tuberculosis Prevention and Control
#7 12. Does the LHD conduct TB testing of high risk populations? Specify which, including a. homeless b. foreign-born/refugees/immigrants c. county jails d. individuals at risk for, or living with HIV e. Others, specify: 13. Does the LHD have an active surveillance system for TB, including followup of all preliminary test results and education to providers about state requirements, following any delay in notification of any person with positive tests or on medications for suspect/confirmed TB disease? 14. Is the LHD receiving reports of suspect or confirmed active TB in a timely manner? 15. Are reports promptly forwarded to the NYSDOH Bureau of TB Control Central Office? 16. Does the LHD provide annual TB case counts to the BTBC by the end of January of the following year? 17.Does the LHD provide responses to the Morbidity Report updates requested periodically throughout the year? 18. Does the LHD forward to NYS the standard DOH BTBC Aggregate Reports for Program Evaluation (ARPE) worksheets on each contact investigation and targeted testing program, according to specified timeframes? 19. Does the LHD have a designated TB medical consultant to:

County: ___STEUBEN____

a. b.X c. d.X e.

a.X b. c.X d. e.

No homeless shelters in county. Performed by jail medical staff. Others, specif

#2

X

#6 #6 #1

X X X

#1

X

#6

X

#7

Disease Control - Tuberculosis Prevention and Control page 3

MPHSP 2010-2013
Tuberculosis Prevention and Control
a) provide direct services to TB patients, and b) ensure appropriate case management for all TB patients including those followed by private providers? c) Is this person _____ on staff? _____ a contractor? #7 20. In what settings does the LHD provide directly observed therapy? a) home visits? b) clinics? c) cther sites? – please list _____________________ _____________________ . 21. Does the LHD follow-up patients identified as infected to ensure they are placed on treatment for latent infection, if appropriate, and monitored until therapy is completed? 22. Does the LHD have a system to follow-up on missed appointments? 23. Does the LHD have a system to follow-up on noncompliant patients? 24. Does the LHD obtain drug susceptibility results on all initial isolates of M. tb complex? a. b.X a.X b.

County: ___STEUBEN____
Direct medical services provided by contract pulmonologists.

c.X

c.

Staff provide case management. Contract pulmonologists provide medical services.

a.X b.X c

a. b. c

Most DOT done through home visits.

#7

X

#7

X

#7

X

#7

X

Disease Control - Tuberculosis Prevention and Control page 4

MPHSP 2010-2013
Tuberculosis Prevention and Control
#7 25. Does the LHD perform monthly evaluations for drug toxicity, adherence to treatment, and treatment response for patients on TB therapy? 26. What is the LHD mechanism to provide TB screening and treatment? a) LHD TB clinic b) contracts with a provider c) refer out for care 27. Where does the LHD provide HIV counseling and testing for TB patients? a) LHD clinic b) Contracts with provider c) By referral 28. Does the LHD have public education about tuberculosis available for county residents? 29. Does the LHD provide targeted education and information to high risk populations? 30. Does the LHD provide on-going TB education to health care workers and other occupations at risk for TB exposure such as homeless shelter staff? X

County: ___STEUBEN____

#7

a. b.X c.

a.X b. c.X

Provide only PPD’s at LHD.

#7

a.X b. c.X X X X

a. b.X c.

If requested by patient.

#3 #3 #3

Disease Control - Tuberculosis Prevention and Control page 5


								
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