Engaging the Private Sector in Tuberculosis Prevention January 25, 2012

Size: px
Start display at page:

Download "Engaging the Private Sector in Tuberculosis Prevention January 25, 2012"

Transcription

1 January 25, 2 Improving LTBI Treatment by Telephone Monitoring: Kaiser Santa Clara s Program Ken Purdy, M.D. Pediatric Infectious Diseases Kaiser Santa Clara, California TB Case Rates by Reporting Jurisdictions in California Counties, 07 00,000 population Rate per Santa Clara County had the third highest TB case rate in the California Reporting Jurisdictions Source: California Department of Health Services, California Department of Public Health, Division of Communicable Diseases, TB Control Branch, 07. California Department of Finance, Demographic Research Unit TB Case Counts in Santa Clara County, 07 A View from the Private Sector of 5

2 TB Case Counts in Santa Clara County, 07

3 January 25, 2 Santa Clara County s Foreign-Born TB Cases by Country of Birth, 07 Ethiopia (2%) Other* (%) N = 27 Peru (2%) China (7%) Vietnam (29%) 62 Mexico (%) 23 India (5%) 32 5 Philippines (2%) Source: SCC Public Health Department, Epidemiology and Data Management, 07 * Other category includes countries with fewer than 5 TB cases POLL: What is the most common barrier parents express in refusing LTBI treatment?. Fears about the toxicity of INH 2. Disbelief that child has LTBI: their X-rays are normal and the child is asymptomatic 3. Perception that the positive PPD is a false positive (the child received BCG n years ago). Parent may lack understanding purpose of INH (to prevent active TB in the future) 5. Other Treating Pre-Adults for LTBI Are children and teens more likely to complete LTBI treatment than adults? Parents may perceive greater benefit to the same intervention if it involves their child Similar phenomenon appears to occur with recommended vaccines and with treatment for chronic diseases like diabetes A breakdown in compliance may occur with socioeconomic, cultural, or teen barriers A View from the Private Sector 2of 5

4 January 25, 2 Our LTBI Treatment Program Run by one MD and one RN Only children with positive PPDs and without exposures to active TB cases are eligible Enrolled when a new positive PPD is read The LVN who reads the positive PPD orders chest x-rays in my name and forwards results to me (MD) I review chest x-rays, then forward chart to primary care provider recommending (a) LTBI treatment, (b) repeating the films, or (c) referring the patient to me The provider orders INH based on a table from Ann Loeffler (a 3-month supply with 2 refills), then forwards chart to our TB nurse, Chris Rodriguez How Patients Are Followed Our nurse, Chris, provides her phone number for parents to call for suspected side effects She calls month after INH is picked up to ask the parents how things are going (perceived barriers, self-reported missed doses) Calls at months (time of first INH refill) Documents if patient has refilled the bottle (can see from electronic pharmacy record) Asks me to call some parents to encourage them Calls at 7 months (second refill) Calls at 0 months (completion) Outcomes Among Enrollees Most patients do not comply with the 9 months of INH preventive therapy Some openly refuse within the first 3 months, but most do not overtly refuse LTBI treatment Some patients move away or otherwise are lost to follow-up (some likely screen their calls) Rarely, some BCG recipients request a Quantiferon TB Gold and are found to be negative (likely have false positive PPDs) Even so, rates of completion have risen since we started the program A View from the Private Sector 3of 5

5 Outcomes of INH Completion Program by Year Year of Program 3 Incomplete Refused False positives Complete Patients (n)

6 January 25, 2 Outcomes of INH Completion Program by Year ients (n) Pati Year of Program 3 Incomplete Refused False positives Complete 22 Outcomes of 3 Patients, 5.% 6.3% 2.8% 75.5% Incomplete False positives Refused Complete Getting Buy-In From Our Doctors We had to teach our physicians that: Most patients with active TB are infected in childhood (especially the foreign-born) Time/costs of treating LTBI are less than time/costs of treating active TB cases and tracking down and treating contacts Time invested in explaining the benefits and risks of INH preventive therapy is well spent Treatment-resistant parents could be referred to me Program doesn t depend on MD referral The chest x-rays are referred to me and I learn about cases who have not been followed up from Chris A View from the Private Sector of 5

7 January 25, 2 Our Interaction with Public Health When I identify an LTBI case linked to an active TB case, I notify our county TB program to find out if we have susceptibilities on the index case Our TB nurse makes sure each LTBI case or exposure is reported (or that the patient s MD has documented reporting the case) Julie and her TB team refer many of the exposed children to us They let us know about drug-resistant TB cases We interact a lot about children who move to new counties or who have drug-resistant source case (or cavitary disease source case) Maintaining the Program What helps sustain our program? Interested physician and nurse Don t have to have an ID specialist or pulmonologist or a nurse with public health experience, but helpful We have attended CME programs on TB (Curry Center, IDSA): few days per year Our management supports our time Both Chris and myself spend relatively little of our work hours doing the initial enrollment and follow-up 50 patients per year (0 to 60 minutes per patient per treatment course) = 2 to 8 work days Having electronic records helps but is not required We want to see fewer active cases of TB A View from the Private Sector 5of 5

Attitudes Toward Managing Latent TB Infection in Primary Care

Attitudes Toward Managing Latent TB Infection in Primary Care Attitudes Toward Managing Latent TB Infection in Primary Care Jonathan Carey Jackson, M.D. Harborview Medical Center, WA Attitudes Toward Managing Latent TB Infection in Primary Care Investigators Carey

More information

CureTB Binational Tuberculosis Referral Training

CureTB Binational Tuberculosis Referral Training CureTB Binational Tuberculosis Referral Training (CureTB Enhancement Project) CureTB Kathleen Moser, MD, MPH Alberto Colorado Carlos Vera Training Objectives By the end of the training, participants will:

More information

Public Health/Primary Care Collaboration: Success Strategies in Denver

Public Health/Primary Care Collaboration: Success Strategies in Denver Public Health/Primary Care Collaboration: Success Strategies in Denver Randall Reves, M.D., M.Sc. Carolyn Bargman, R.N.-C., M.A. Denver Metro Tuberculosis Control Program Denver Public Health Department

More information

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease Tuberculosis (TB) Control and Prevention Program Program Purpose PHD/CHPB Evelyn Poppell, x5600 Rachel Kidanne, x5605 Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease

More information

Overview: TB Case Management and Contact Investigation

Overview: TB Case Management and Contact Investigation Overview: TB Case Management and Contact Investigation Karen A Martinek, RN, MPH Alaska DHSS, DPH, Section of Epidemiology Overview Define tuberculosis (TB) case management Describe the roles and responsibilities

More information

Directly Observed Therapy for Active TB Disease and Latent TB Infection

Directly Observed Therapy for Active TB Disease and Latent TB Infection Directly Observed Therapy for Active TB Disease and Latent TB Infection Policy Number TB-5001 Effective Date (original issue) September 6, 1995 Revision Date (most recent) June 26, 2008 Subject Matter

More information

The Role of Public Health in the Management of Tuberculosis

The Role of Public Health in the Management of Tuberculosis The Role of Public Health in the Management of Tuberculosis Lorna Will, RN, MA TB Nurse Consultant Wisconsin TB Program Ann Steele, RN Public Health Nurse Appleton Health Dept November 2016 2014 MFMER

More information

Tuberculosis Prevention and Control Protocol, 2018

Tuberculosis Prevention and Control Protocol, 2018 Ministry of Health and Long-Term Care Tuberculosis Prevention and Control Protocol, 2018 Population and Public Health Division, Ministry of Health and Long-Term Care Effective: January 1, 2018 or upon

More information

TUBERCULOSIS TABLE OF CONTENTS TUBERCULOSIS CONTROL PLAN...2 ADMISSIONS...3 PROSPECTIVE EMPLOYEES...5

TUBERCULOSIS TABLE OF CONTENTS TUBERCULOSIS CONTROL PLAN...2 ADMISSIONS...3 PROSPECTIVE EMPLOYEES...5 TUBERCULOSIS TABLE OF CONTENTS TUBERCULOSIS CONTROL PLAN...2 ADMISSIONS...3 PROSPECTIVE EMPLOYEES...5 ANNUAL PERSONNEL SCREENING...5 EXPOSURE INCIDENTS...5 DOCUMENTATION OF OCCUPATIONAL EXPOSURE...5 PRE-PLACEMENT

More information

Key elements of the program discussed in the following pages include: Appropriate use of data with community leaders and local politicians

Key elements of the program discussed in the following pages include: Appropriate use of data with community leaders and local politicians CASE STUDY 3 COMMUNITY PARTNERSHIP PROJECT: SAN DIEGO COUNTY Key elements of the program discussed in the following pages include: Co-location of services Decentralization of LTBI therapy Cost and reimbursement

More information

Tricks of the Trade: Strategies for Pediatric TB Case Management

Tricks of the Trade: Strategies for Pediatric TB Case Management Tricks of the Trade: Strategies for Pediatric TB Case Management Lillian Pirog, RN, BSN, PNP Nurse Manager, Global Tuberculosis Institute Suzanne Tortoriello, RN, MSN, APN Advanced Practice Nurse, Global

More information

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease Tuberculosis (TB) Control and Prevention Program Program Purpose Program Information PHD/CHPB Evelyn Poppell, x5600 Nga Nguyen, x5663 Prevent the transmission of tuberculosis (TB) and cure individuals

More information

Education Specialist Credential Program Application Full or Part Time. Student Information. Program Information. Field Placement (EHD 178)

Education Specialist Credential Program Application Full or Part Time. Student Information. Program Information. Field Placement (EHD 178) Item 1 Education Specialist Credential Program Application Full or Part Time Semester of Application Semester/Year Student Information Last Name First Name Former Name (If applicable) Student ID Undergraduate

More information

2/8/2017 TB RISK ASSESSMENT OVERVIEW. To identify adults with infectious tuberculosis (TB) to prevent from spreading TB HISTORY

2/8/2017 TB RISK ASSESSMENT OVERVIEW. To identify adults with infectious tuberculosis (TB) to prevent from spreading TB HISTORY RISK ASSESSMENT PURPOSE TB RISK ASSESSMENT OVERVIEW Tuberculosis Control and Refugee Health County of San Diego Health and Human Services Agency To identify adults with infectious tuberculosis (TB) to

More information

Administrative Without, TB control fails. TB Infection Control What s New? Early disease prevention Modern cough etiquette

Administrative Without, TB control fails. TB Infection Control What s New? Early disease prevention Modern cough etiquette Early disease prevention Modern cough etiquette TB Infection Control What s New? Mark Lobato, MD Division of TB Elimination CDC TB Intensive Workshop Global TB Institute, Newark, NJ September 16, 2010

More information

SESSION 1: INTRODUCTION TO DOT

SESSION 1: INTRODUCTION TO DOT FRANCIS J. CURRY NATIONAL TUBERCULOSIS CENTER SESSION 1: INTRODUCTION TO DOT INTRODUCTION In this 2-hour session, participants will learn the current scope of TB in the United States and in their own states

More information

Student Health Form Howard Community College Health Science Division

Student Health Form Howard Community College Health Science Division Name: HCC ID#: Student Health Form Howard Community College Health Science Division Student- Check program: Nursing: Fall: PN RN Day E/W Spring Accelerated Pathways (NURS-103) CVT: Dental Hygiene: MLT:

More information

CDPH - CTCA Joint Guidelines Guidelines for the Follow-Up and Assessment of Persons with Class A/B Tuberculosis

CDPH - CTCA Joint Guidelines Guidelines for the Follow-Up and Assessment of Persons with Class A/B Tuberculosis CDPH - CTCA Joint Guidelines Guidelines for the Follow-Up and Assessment of Persons with Class A/B Tuberculosis These guidelines are intended to be used as an educational aid to help clinicians make informed

More information

Shadow-a-Professional Program 2016 Application

Shadow-a-Professional Program 2016 Application Thank you for your interest in The Shadow-A-Professional program that allows high school junior and senior students interested in the hospital industry to explore career options and/or gain experience

More information

Middle Tennessee State University School of Nursing Undergraduate Program Clinical Policy

Middle Tennessee State University School of Nursing Undergraduate Program Clinical Policy Middle Tennessee State University School of Nursing Undergraduate Program Clinical Policy The Middle Tennessee State University School of Nursing has one undergraduate degree seeking program. Tracks in

More information

TB Elimination. Respiratory Protection in Health-Care Settings

TB Elimination. Respiratory Protection in Health-Care Settings TB Elimination Respiratory Protection in Health-Care Settings Introduction All health-care settings need an infection-control program designed to ensure prompt detection, airborne precautions, and treatment

More information

This session will: At the end of this presentation, participants will be able to: The Federally Qualified Health Center s Mission

This session will: At the end of this presentation, participants will be able to: The Federally Qualified Health Center s Mission Expanded Role of Federally Qualified Health Centers TB Intensive Workshop October 5, 2012 Ed Zuroweste, MD, CMO Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome

More information

Required Local Public Health Activities

Required Local Public Health Activities Required Local Public Health Activities This document is intended to respond to requests for clarity about the mandated activities that community health boards must undertake in order to meet statutory

More information

New Jersey Administrative Code Department of Health and Senior Services Title 8, Chapter 57, Communicable Disease

New Jersey Administrative Code Department of Health and Senior Services Title 8, Chapter 57, Communicable Disease New Jersey Administrative Code Department of Health and Senior Services Title 8, Chapter 57, Communicable Disease SUBCHAPTER 5: MANAGEMENT OF TUBERCULOSIS 8:57-5.1: Purpose and Scope The principle purpose

More information

Practical Aspects of TB Infection Control

Practical Aspects of TB Infection Control Practical Aspects of TB Infection Control Sundari Mase, MD Division of TB Elimination, CDC TB Intensive Workshop October 1, 2014 National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division

More information

NURSING STUDENT HEALTH & IMMUNIZATION RECORDS

NURSING STUDENT HEALTH & IMMUNIZATION RECORDS NURSING STUDENT HEALTH & IMMUNIZATION RECORDS *********************************** COMPLETE THE ATTACHED HEALTH PACKET AND SUBMIT TO THE NURSING DEPARTMENT NO LATER THAN THE ASN ORIENTATION. **************************************

More information

Responding to a TB Event Bismarck, North Dakota June 24-25, 2008

Responding to a TB Event Bismarck, North Dakota June 24-25, 2008 Responding to a TB Event Bismarck, North Dakota June 24-25, 2008 TB & Outbreak Management Douglas B. Hornick, MD June 25, 2008 TB & Outbreak Management Douglas B. Hornick, MD Professor University of Iowa

More information

PRE-CLINICAL HEALTH REQUIREMENTS (PCHR) GRADUATE NURSING

PRE-CLINICAL HEALTH REQUIREMENTS (PCHR) GRADUATE NURSING PRE-CLINICAL HEALTH REQUIREMENTS (PCHR) GRADUATE NURSING PCHR Guidelines and General Information Academic Programs with PCHR: Duquesne University School of Pharmacy Duquesne School of Nursing Undergraduate

More information

DEPN AND GRADUATE NURSING MANDATORIES INFORMATION

DEPN AND GRADUATE NURSING MANDATORIES INFORMATION DEPN AND GRADUATE NURSING MANDATORIES INFORMATION INITIAL MANDATORIES DUE AUGUST 15, 2018 Pre Clinical Mandatories Form If you have a first time positive PPD, include a radiology report If you have a history

More information

ATHLETIC TRAINING MANDATORIES INFORMATION

ATHLETIC TRAINING MANDATORIES INFORMATION ATHLETIC TRAINING MANDATORIES INFORMATION FIRST YEAR MANDATORIES (DUE DATE WILL BE ANNOUNCED IN CLASS) HIPAA/OSHA Training You will complete your training through the Evolve e-learning Solutions website.

More information

Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network

Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome

More information

California TB Controller Association Conference. 4/21/15 Time

California TB Controller Association Conference. 4/21/15 Time California TB Controller Association Conference 4/21/15 Time HISTORIC LESSONS LEARNED IN SANTA CLARA COUNTY SANTA CLARA COUNTY TB STATUS 1996 Tuberculosis epidemiology TB Status in Santa Clara County 1996

More information

Wabash Student Health Center

Wabash Student Health Center Wabash Student Health Center Information and Instructions for Completing the Student Health Record Dear Incoming Wabash Student: Welcome to Wabash College! In order to make your experience at Wabash a

More information

TUBERCULOSIS INFECTION CONTROL PROGRAM

TUBERCULOSIS INFECTION CONTROL PROGRAM TUBERCULOSIS INFECTION CONTROL PROGRAM TB Infection Control Program for (Health Department Name) I. Assignment of Responsibility. A. (PersonIPosition) has overall responsibility for TB infection control

More information

Fundamentals of Nursing Case Management

Fundamentals of Nursing Case Management Fundamentals of Nursing Case Management Shea Rabley, RN, MN TB Nurse Educator Mayo Clinic Center for Tuberculosis 2014 MFMER slide-1 Disclosures No relevant financial relationships No off-label investigational

More information

BINGHAMTON UNIVERSITY DECKER SCHOOL OF NURSING Student Health Requirements

BINGHAMTON UNIVERSITY DECKER SCHOOL OF NURSING Student Health Requirements BINGHAMTON UNIVERSITY DECKER SCHOOL OF NURSING Student Health Requirements This document includes information regarding: Student health evaluation form Documentation of immunity to communicable diseases

More information

TB in Alameda County & Zika Update

TB in Alameda County & Zika Update Alameda County BOS Health Committee TB in Alameda County & Zika Update Monday, January 9, 2017 Erica Pan, MD MPH FAAP Deputy Health Officer Director, Division of Communicable Disease Control & Prevention

More information

TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS

TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS CASE MANAGEMENT AND CONTACT INVESTIGATION INTENSIVE TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS OBJECTIVES Upon completion of this session, participants will be able to: 1. Explain the responsibilities

More information

CRITICAL REQUIREMENTS FAQs Press control and click on the question to follow the link to the answer.

CRITICAL REQUIREMENTS FAQs Press control and click on the question to follow the link to the answer. CRITICAL REQUIREMENTS FAQs Press control and click on the question to follow the link to the answer. Table of Contents 1) What are the changes to the critical requirements?... 3 2) What cohorts are affected?...

More information

MEDICAL LABORATORY SCIENCE MANDATORIES INFORMATION

MEDICAL LABORATORY SCIENCE MANDATORIES INFORMATION MEDICAL LABORATORY SCIENCE MANDATORIES INFORMATION FIRST YEAR MANDATORIES HIPAA/OSHA Training You will complete your training through the Evolve e Learning Solutions website. You will receive an email

More information

TEENAGE VOLUNTEER (TAV) APPLICATION FORM

TEENAGE VOLUNTEER (TAV) APPLICATION FORM Leesburg Regional Medical Center, 600 East Dixie Avenue, Leesburg, FL 34748 (Phone: 352.323.5060) Please return completed application to the hospital or email to: jwoods@centflhealth.org TEENAGE VOLUNTEER

More information

IMPORTANT: Mandatories must be completed by July 14, 2017.

IMPORTANT: Mandatories must be completed by July 14, 2017. 2 nd Year DPT MANDATORIES: IMPORTANT: Mandatories must be completed by July 14, 2017. Students will not be able to participate in Clinical Correlation Experiences if they are not in compliance. During

More information

Tuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody

Tuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody Background Tuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody Federal Bureau of Prisons (Department of Justice) United States Marshals Service (Department of Justice)

More information

Catalina Navarro, RN, BSN March 17, TB Nurse Case Management March 17 19, 2015 San Antonio, Texas

Catalina Navarro, RN, BSN March 17, TB Nurse Case Management March 17 19, 2015 San Antonio, Texas Principles of TB Nurse Case Management: Why are We Here? Catalina Navarro, RN, BSN March 17, 2015 TB Nurse Case Management March 17 19, 2015 San Antonio, Texas EXCELLENCE EXPERTISE INNOVATION Catalina

More information

Tuberculosis Indicators Project (TIP) Overview

Tuberculosis Indicators Project (TIP) Overview Tuberculosis Indicators Project (TIP) Overview Anne Cass, MPH TIP Coordinator Melissa Ehman, MPH Lead TIP Epidemiologist California Department of Public Health Tuberculosis Control Branch (TBCB) Careful

More information

Applicant Name (Please print) Last First MI. Northeast State Community College assigned Student ID Number: City: State: Zip Code:

Applicant Name (Please print) Last First MI. Northeast State Community College assigned Student ID Number: City: State: Zip Code: Applicant Information (Please note application must be completed in ink.) Applicant Name (Please print) Last First MI Northeast State Community College assigned Student ID Number: Street Address: PO Box:

More information

Student Health Form Howard Community College Health Science Division

Student Health Form Howard Community College Health Science Division Name: HCC ID#: Student Health Form Howard Community College Health Science Division HEALTH FORM DEADLINES Completed Health Form must be submitted prior to the following dates. Late submissions may result

More information

ATHLETIC TRAINING MANDATORIES INFORMATION

ATHLETIC TRAINING MANDATORIES INFORMATION ATHLETIC TRAINING MANDATORIES INFORMATION FIRST YEAR MANDATORIES (DUE DATE WILL BE ANNOUNCED IN CLASS) HIPAA/OSHA Training You will complete your training through the Evolve e-learning Solutions website.

More information

DMACC INSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORD

DMACC INSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORD DMACC DES MOINES AREA COMMUNITY COLLEGE INSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORD Health and Public Service Department Students need to complete and submit the Student Health and

More information

MOLLOY COLLEGE THE BARBARA H. HAGAN SCHOOL OF NURSING. CHECKLIST Everything must be completed

MOLLOY COLLEGE THE BARBARA H. HAGAN SCHOOL OF NURSING. CHECKLIST Everything must be completed : MOLLOY COLLEGE CHECKLIST Everything must be completed 1. PHYSICAL EXAMINATION, completed on a School of Nursing Physical Form. Must be signed, stamped and dated by a Health Care Provider and include:

More information

Correctional Tuberculosis Screening Plan Instructions

Correctional Tuberculosis Screening Plan Instructions Correctional Tuberculosis Screening Plan Instructions The Correctional Tuberculosis (TB) Screening Plan (Publication # TB-805) is designed for jails and community corrections facilities which meet Texas

More information

Communicable Disease Control Manual Chapter 4: Tuberculosis

Communicable Disease Control Manual Chapter 4: Tuberculosis Provincial TB Services 655 West 12th Avenue Vancouver, BC V5Z 4R4 www.bccdc.ca Communicable Disease Control Manual July, 2018 Page 1 TABLE OF CONTENTS APPENDIX B: INFECTION PREVENTION AND CONTROL... 2

More information

CodoniXnotes Orientation CodoniXnotes Tracker Board

CodoniXnotes Orientation CodoniXnotes Tracker Board CodoniXnotes Orientation CodoniXnotes Tracker Board The EMR that works the way you do This document will provide orientation to the CodoniXnotes Tracker Board. The Tracker Board provides sophisticated

More information

Commercial Risk Adjustment (CRA) Enrollee Health Assessment Program. Provider User Guide. Table of Contents

Commercial Risk Adjustment (CRA) Enrollee Health Assessment Program. Provider User Guide. Table of Contents Commercial Risk Adjustment (CRA) Enrollee Health Assessment Program Provider User Guide Table of Contents 1. Commercial Risk Adjustment (CRA)... 2 2. Enrollee Health Assessment (EHA) Program... 2 3. Program

More information

MOLLOY COLLEGE Barbara H. Hagan School of Nursing

MOLLOY COLLEGE Barbara H. Hagan School of Nursing New Clinical Student Checklist MOLLOY COLLEGE Barbara H. Hagan School of Nursing The following is a checklist of requirements for attending clinical practice Hospitals and Community Agencies. Each item

More information

Tuberculosis: Surveillance and the Health Care Worker

Tuberculosis: Surveillance and the Health Care Worker Tuberculosis: Surveillance and the Health Care Jo Fagan Director Public Health PHAC Delivering a Healthy WA Overview 1. Pre-employment assessment 2. Post-exposure follow-up 3. Routine follow up testing

More information

Please note all documents must be uploaded to Castlebranch.com by the August 29, 2016 deadline.

Please note all documents must be uploaded to Castlebranch.com by the August 29, 2016 deadline. MAY 5, 2016: IMPORTANT DPT MANDATORIES UPDATE The University of Vermont, College of Nursing and Health Sciences, has partnered with CastleBranch, a web based compliance tracking company, to manage DPT

More information

Partnerships for Success: Laboratories and Programs Meeting the Challenge. Partnerships During a TB Outbreak

Partnerships for Success: Laboratories and Programs Meeting the Challenge. Partnerships During a TB Outbreak Partnerships for Success: Laboratories and Programs Meeting the Challenge Partnerships During a TB Outbreak 2015 National TB Conference Atlanta, GA David Warshauer, PhD., D(ABMM), Deputy Director, Communicable

More information

NTNC: TB Program Core Competencies for PH Nurses 2008 and Future Challenges

NTNC: TB Program Core Competencies for PH Nurses 2008 and Future Challenges NTNC: TB Program Core Competencies for PH Nurses 2008 and Future Challenges Kathleen Hursen, RN, MS MPD Division of TB Prevention and Control TB Control Priorities by 2015 1. 93% complete treatment

More information

Case Study of a Non-compliant TB Patient

Case Study of a Non-compliant TB Patient Case Study of a Non-compliant TB Patient DENEEN GALLAGHER RN, BSN INGHAM COUNTY HEALTH DEPARTMENT MDCH TB NURSE CERTIFICATION COURSE JULY 24, 2014 Case History 21 year old male from Honduras Known exposure

More information

Data Management Benita Cook, RN, BS

Data Management Benita Cook, RN, BS TB Contact Investigation Albuquerque, New Mexico April 22-23, 23 2010 Data Management Benita Cook, RN, BS April 23, 2010 Contact Investigation Data Management Benita Cook, RN, BS Region 5 TB Nurse Coordinator

More information

Allan Hancock College 2019 Licensed Vocational Nursing Program Application Period: April 1 st June 30 th, 2018

Allan Hancock College 2019 Licensed Vocational Nursing Program Application Period: April 1 st June 30 th, 2018 *This application is for applicants who currently have an LVN waitlist number* It is the responsibility of the student to complete this application packet and turn it into the Health Sciences Department

More information

NICU CI. Tools For TB Elimination April 22, 2015 Curry International Tuberculosis Center. CI in Healthcare Facilities 1. Case Summary.

NICU CI. Tools For TB Elimination April 22, 2015 Curry International Tuberculosis Center. CI in Healthcare Facilities 1. Case Summary. NICU CI Michael Stacey MD, MPH CMO/Dep Health Officer/TB Controller Solano County Public Health Case Summary Index Case: Pregnant 34 yo Filipino descent sent to Sacramento County hospital from a Solano

More information

902 KAR 20:205. Tuberculosis (TB) testing for health care workers.

902 KAR 20:205. Tuberculosis (TB) testing for health care workers. 0 KAR :. Tuberculosis (TB) testing for health care workers. The final version was copied on April, from the Kentucky Legislative Commission Website, http://www.lrc.ky.gov/kar/0/0/.htm. 0 0 0 KAR :. Tuberculosis

More information

Provider Newsletter July 2011

Provider Newsletter July 2011 Provider Newsletter July 2011 NEW 2011 Tdap Immunization Requirement 7th-12th GRADE A new school immunization law requires all students entering 7th through 12th grades in the 2011-2012 school year in

More information

66 th Annual TUBERCULOSIS/RESPIRATORY DISEASE INSTITUTE. September 26-27, 2017 Raleigh Marriott Crabtree Valley 4500 Marriott Drive Raleigh, NC 27612

66 th Annual TUBERCULOSIS/RESPIRATORY DISEASE INSTITUTE. September 26-27, 2017 Raleigh Marriott Crabtree Valley 4500 Marriott Drive Raleigh, NC 27612 66 th Annual TUBERCULOSIS/RESPIRATORY DISEASE INSTITUTE Presented by September 26-27, 2017 Raleigh Marriott Crabtree Valley 4500 Marriott Drive Raleigh, NC 27612 Purpose: To provide continuing tuberculosis

More information

Department of State Academic Exchanges Participant Medical History and Examination Form

Department of State Academic Exchanges Participant Medical History and Examination Form Department of State Academic Exchanges Participant Medical History and Examination Form Having been selected to participate in a U.S. Department of State educational exchange program, you are required

More information

SOCIAL AND BEHAVIORAL SCIENCES EXERCISE 1: Explaining Health Behavior with the Health Belief Model- Screening for Latent Tuberculosis Infection

SOCIAL AND BEHAVIORAL SCIENCES EXERCISE 1: Explaining Health Behavior with the Health Belief Model- Screening for Latent Tuberculosis Infection SBS Exercise 1: Explaining Health Behavior with the Health Belief Model (HBM) Estimated time to complete this exercise: 35 minutes LEARNING OBJECTIVES At the completion of this exercise, participants should

More information

902 KAR 20:200. Tuberculosis (TB) testing for residents in long-term care settings.

902 KAR 20:200. Tuberculosis (TB) testing for residents in long-term care settings. 0 KAR :0. Tuberculosis (TB) testing for residents in long-term care settings. The final version was copied on April, from the Kentucky Legislative Commission Website, http://www.lrc.ky.gov/kar/0/0/0.htm.

More information

KEY ACTIVITIES IN TB CONTROL. Using Epidemiology for Data-Driven Decision-Making in Tuberculosis Programs February 24, 2016

KEY ACTIVITIES IN TB CONTROL. Using Epidemiology for Data-Driven Decision-Making in Tuberculosis Programs February 24, 2016 BROADENING THE APPLICATION OF EPIDEMIOLOGY IN TUBERCULOSIS CONTROL Shama Desai Ahuja, PhD, MPH Director, Office of Sur veillance and Epidemiology Bureau of Tuberculosis Control New York City Depar tment

More information

Health & Safety Packet for Incoming Students

Health & Safety Packet for Incoming Students Health Occupations Division 707-256-7600 Health & Safety Packet for Incoming Students This packet has been designed to help Health Occupations students comply with CPR and health/physical documentation

More information

How to Add an Annual Facility Survey

How to Add an Annual Facility Survey Add an Annual Facility Survey https://nhsn.cdc.gov/nhsndemo/help/patient_safety_component/how_to/add_an_annual... Page 1 of 1 10/9/2017 Show Patient Safety Component > How To > Facility > Add an Annual

More information

Separate instructions on how to open an account with American Databank and upload the documents are on pg. 2

Separate instructions on how to open an account with American Databank and upload the documents are on pg. 2 Dear Acute Care Nurse Practitioner Student: If are registering for NURS 662B: Introduction to Adult Acute Care Advanced, for spring you must submit specific health requirements listed below to be eligible

More information

Leaving on a jet plane: My patient is leaving. What do I do?

Leaving on a jet plane: My patient is leaving. What do I do? Leaving on a jet plane: My patient is leaving. What do I do? Kim Vuong PHN Case Study 1 81 year old Asian male, retired physician Smear positive (4+) pulmonary TB Fully sensitive to IREZ CT showed cavitation

More information

PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS TUBERCULOSIS CONTROL PROGRAMS

PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS TUBERCULOSIS CONTROL PROGRAMS APRIL 2011 93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL State Project/Program: PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL Federal Authorization: U.

More information

Chicago Department of Public Health

Chicago Department of Public Health Annual Report 2010 Message from the Mayor Throughout Chicago s history, public health challenges have been faced and met- starting in 1835, when leaders of the Town of Chicago formed a Board of Health

More information

TUBERCULOSIS INFECTION CONTROL

TUBERCULOSIS INFECTION CONTROL OBJECTIVES TUBERCULOSIS INFECTION CONTROL At the end of this presentation, you will be able to: List infection control approaches to TB prevention and control Describe the type of protective equipment

More information

Prescriber/Patient Enrollment Form MS Completion of all pages is required.

Prescriber/Patient Enrollment Form MS Completion of all pages is required. Date of birth: Patient name: Street address: / / (MM/DD/YYYY) City State ZIP Work telephone - - Home telephone - - Patient SSN - - Please attach copies of both sides of patient's insurance and pharmacy

More information

BASIC C.N.A Registration Process Check Sheet

BASIC C.N.A Registration Process Check Sheet BASIC C.N.A Registration Process Check Sheet DATE COMPLETED 1. Complete an online DMACC application and select one of the following: (1) Nurse Aide as your major if you only plan on taking C.N.A classes

More information

The local health department shall maintain annually reviewed policies and procedures.

The local health department shall maintain annually reviewed policies and procedures. MPR 1 The local health department must have a system in place that allows for the referral of disease incidence and reporting information from physicians, laboratories, and other reporting entities to

More information

Successful treatment of MDR-TB in Baja California

Successful treatment of MDR-TB in Baja California Conflicts of interest Successful treatment of MDR-TB in Baja California None to declare Rafael Laniado-Laborín MD, MPH, FCCP ISESALUD de Baja California, México Multi-drug resistant tuberculosis (MDR-TB)

More information

From the Chief Medical Officer, the Chief Nursing Officer and the Chief Pharmaceutical Officer

From the Chief Medical Officer, the Chief Nursing Officer and the Chief Pharmaceutical Officer 6 th July 2005 CHANGES TO THE BCG VACCINATION PROGRAMME Dear Colleague This letter describes changes being introduced to the BCG vaccination programme. In summary: An improved targeted neonatal and other

More information

STUDENT VOLUNTEER APPLICATION *Minimum Age for volunteers is 16*

STUDENT VOLUNTEER APPLICATION *Minimum Age for volunteers is 16* STUDENT VOLUNTEER APPLICATION *Minimum Age for volunteers is 16* CONTACT INFORMATION Name: Date: Address: Home Phone: Cell Phone: Email: Over 16? Over 18? EMERGENCY CONTACT INFORMATION Emergency Contact:

More information

Checklists for screening for active tuberculosis in high-risk groups

Checklists for screening for active tuberculosis in high-risk groups Checklists for screening for active tuberculosis in high-risk groups General screening program considerations The following are aspects of design and implementation that should be considered before planning

More information

Activities, Accomplishments, and Impact. Report on the Implementation of the School Based Health Center Quality Improvement Initiative

Activities, Accomplishments, and Impact. Report on the Implementation of the School Based Health Center Quality Improvement Initiative Activities, Accomplishments, and Impact Report on the Implementation of the 2008 2009 School Based Health Center Quality Improvement Initiative The Department of Pediatrics at the University of New Mexico

More information

August 2005 GPC. General Practitioners Committee. Hepatitis B immunisation for employees at risk. Guidance for GPs

August 2005 GPC. General Practitioners Committee. Hepatitis B immunisation for employees at risk. Guidance for GPs August 2005 GPC General Practitioners Committee Hepatitis B immunisation for employees at risk Guidance for GPs Hepatitis B immunisation for employees at risk The GPC receives many enquiries about administering

More information

National Survey on Consumers Experiences With Patient Safety and Quality Information

National Survey on Consumers Experiences With Patient Safety and Quality Information Summary and Chartpack The Kaiser Family Foundation/Agency for Healthcare Research and Quality/Harvard School of Public Health National Survey on Consumers Experiences With Patient Safety and Quality Information

More information

Responsibilities of Public Health Departments to Control Tuberculosis

Responsibilities of Public Health Departments to Control Tuberculosis Responsibilities of Public Health Departments to Control Tuberculosis Purpose: Tuberculosis (TB) is an airborne infectious disease that endangers communities. This document articulates the activities that

More information

Nurse Aide, Nursing Refresher (RN), and Dental Assistant Pre-Admission Application

Nurse Aide, Nursing Refresher (RN), and Dental Assistant Pre-Admission Application Student, Thank you for your interest in our continuing education healthcare courses. Below you will find pre-admission information relevant to our Nurse Aide, Nursing Refresher (RN), training. This application

More information

Antimicrobial Stewardship Program in the Nursing Home

Antimicrobial Stewardship Program in the Nursing Home Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing

More information

RUTGERS SCHOOL OF NURSING - CAMDEN STUDENT HEALTH RECORDS PACKET

RUTGERS SCHOOL OF NURSING - CAMDEN STUDENT HEALTH RECORDS PACKET School of Nursing-Camden Rutgers, The State University of New Jersey Residence Hall 215 North 3 rd Street Camden, NJ 08102-1405 nursing.camden.rutgers.edu nursecam@camden.rutgers.edu Phone: 856-225-6226

More information

Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2

Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2 GUIDANCE AND RECOMMENDATIONS Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2 This document provides

More information

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting

More information

Kentucky TB Prevention & Control Program. Special Edition

Kentucky TB Prevention & Control Program. Special Edition Kentucky TB Prevention & Control Program Welcome... To our Special Edition 2016. - Kentucky TB Program staff Special Edition In this issue TB Regulations: Highlights p.1 Fact Sheet: LTC Regulation p.2-4

More information

VILLANOVA UNIVERSITY COLLEGE OF NURSING GRADUATE PROGRAM DIRECTIONS TO COMPLETING PRACTICUM APPLICATION

VILLANOVA UNIVERSITY COLLEGE OF NURSING GRADUATE PROGRAM DIRECTIONS TO COMPLETING PRACTICUM APPLICATION VILLANOVA UNIVERSITY GRADUATE PROGRAM DIRECTIONS TO COMPLETING PRACTICUM APPLICATION DUE DATE Dates for submission of Practicum applications vary depending on the semester in which you plan to enroll in

More information

TB: non-adherence, why it s a problem, and what to do about it. Elizabeth Rea, MD, MSc, FRCPC AMOH, TB program Toronto Public Health

TB: non-adherence, why it s a problem, and what to do about it. Elizabeth Rea, MD, MSc, FRCPC AMOH, TB program Toronto Public Health TB: non-adherence, why it s a problem, and what to do about it Elizabeth Rea, MD, MSc, FRCPC AMOH, TB program Toronto Public Health March 24 th World TB Day Every TB patient counts Slow-growing bacteria

More information

The Persian Gulf Veterans Coordinating Board Fact Sheet

The Persian Gulf Veterans Coordinating Board Fact Sheet The Persian Gulf Veterans Coordinating Board Fact Sheet Persian Gulf Veterans' Health Problems An interagency board - the Persian Gulf Veterans Coordinating Board - was established in January 1994 to work

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Pediatrics-Hem/Onc-Module F Date Originated: 03/6/2012 Date Reviewed: 6/14, 9/12/17 Date Approved: 6/5/12 Page 1 of 8 Approved by: Department

More information

Monday, July 23, 2018*

Monday, July 23, 2018* The Department of Nursing and Health Sciences requires that students registered in the BN program complete the following by: Monday, July 23, 2018* To be completed by First Year students: Register for

More information

TB Outbreak Experience in British Columbia. Shelley Dean TB Control BC Centre for Disease Control

TB Outbreak Experience in British Columbia. Shelley Dean TB Control BC Centre for Disease Control TB Outbreak Experience in British Columbia Shelley Dean TB Control BC Centre for Disease Control CVI TB Outbreak Introduction Early Cases Challenges Contact Tracing TB Incidence in BC by Origin and Year

More information