Started TB Treatment. Diagnosed. # of patient record for TB. with RR/ DR-TB. (Date & Registration Number)

Transcription

1 Routine Standard Operating Procedures (SOP) to review IPT Registers and Patient Care Booklets Screening (TX_TB) and Initiation and Completion for PLHIV (TB_Prev). Routine Patient Care Booklet (PCBs) Review (TX_TB and TB_Prev). Assign a focal person to randomly select Patient Care Booklets for review.. Use the table below to the following information: a. b. Investigated c. Bacteriologically confirmed (MTB+/SS+/C+) d. with RR/DR-TB e. Started on TB Treatment (Date and Registration Number) f. g. h. History of /. Summarise data collected in Table: below and develop a cascade to show information graphically.. Table : TX_TB: Patient Care Booklet Reviews: Period of review (e.g. - May 0). Focal Person/Sister in Charge at time of data collection: Investigated Specimen sent with RR/ DR-TB Treatment (Date & Registration Number) Date History/ Screen. Share cascade with facility staff/colleagues and discuss gaps and opportunities for improvement. Illustrative TX-TB and TB_Prev Cascade: Summary Table and Graph of s reviewed completed eligible for Positive for TB investigated with DR-TB treatment 0 0 Number of Patients Positive Investigated with DR-TB Treatment

2 . Determine time of action and person responsible.. Follow up weekly/monthly randomly selected files. Mark files with a sticker to indicate review.. Show improvements quarterly. Display graphs in appropriate places within the facility, share them in management/staff meetings, include them in monthly reports. Routine IPT Register Review(TB_Prev). Assign responsibility to a focal person to review the register by using the table below to determine the month(s) for review according to the reporting month.. Review for, and months retrospectively by using the table below for guidance. Month of Initiation (counted as the first month of treatment) Month of report for months completion Month of report for months completion May Jan April Oct June Feb May Nov July March June Dec Aug April July Jan Sept May Aug Feb Oct June Sept March Nov July Oct April Dec Aug Nov May Jan Sept Dec June Feb Oct Jan July March Nov Feb Aug April Dec March Sept. Determine the number of initiations who: Month of Report for months completion at least months, determine % Number % months, determine % Number % in months, determine % Number %. Use the table below to the findings. Focal Person/Sister in Charge at time of data collection: months months in months Comments

3 . Summarise data collected and develop a cascade to show information graphically.. Share cascade and a pie chart with facility staff/colleagues and discuss gaps to address and opportunities for improvement.. Determine time of action and person responsible.. Follow up weekly or monthly. Randomly select files. Mark files with a sticker to indicate review.. Show improvements quarterly. Summarize data collected and develop a cascade to show information graphically as illustrated below. 0 0% % # 0% % 0 Months Months Months Didn t Complete 0%. Share cascade and a pie chart with facility staff/colleagues and discuss gaps to address any opportunities for improvement. Example of a pie chart: 0% 0% 0% months months months Didn t complete. Determine time of action and person responsible. Follow-up weekly or monthly. Randomly select files. Mark files with a sticker to indicate review.. Show improvements quarterly. Display graphs in appropriate places within the facility, share them in management/staff meetings, include them in monthly reports

4 Rapid Assessment Tool to Update IPT Registers and Patient Care Booklets for Initiation and Completion for PLHIV (TB_Prev) Tools required: IPT Register(s) Patient Care Booklets Data Collection Forms EPMS Information/ electronic system information. Rapid Assessment Register Review(TB_Prev). Determine the period to update. (For example Oct 0 Sept 0) Do the updating by quarters to align with previous reports.. Assign a team of at least people, including a leader to manage the process.. Conduct a review on the current status of the register, using the routine SOP guidance and provide a summary. Use the summary to compare with the rapid assessment review. This will help the purpose of keeping.. Prepare to review the register by listing the names of s/registration numbers to assist in getting booklets from storage. Get a printout from EPMs/the system.. Determine a safe place for review and the process of getting booklets and returning booklets to storage.. Review booklets and update the IPT register accordingly. Booklets with names identified Booklets from within the time frame (e.g. Oct 0- Sept 0) not ed in the IPT register. Keep a list of all booklets/s updated and all those ed for the first time.. Correlate information with EPMs/the system and update accordingly.. Summarise data collected and develop a cascade to show information graphically.. Share cascade and a pie chart with facility staff and discuss gaps and opportunities for improvement.. Determine time for any further action and person responsible.. Revert back to the routine SOP on a weekly/ monthly basis to review initiations for the week/ month.. Use the table below to the findings for.. Period to update (e.g. Oct 0-Sept 0) Patient / Recorded/ NEVER updated / NEVER Recorded / Updated Booklets for further review/indicate reason briefly Comments. Determine solutions and date for implementation. Use the findings to implement a Quality Improvement Project/Quality Collaborative for.. Revert back to routine SOP on a weekly basis.

5 . Rapid Assessment: Patient Care Booklet (PCBs) Review- (TX_TB and TB_PREV). Review booklets and update the IPT register accordingly. Booklets from within the time frame(october 0- September 0) not ed in the IPT register Booklets of s who started TB treatment. Use the table below to the following information: a. b. + and - c. Investigated d. e. Bacteriologically confirmed (MTB+/SS+/C+) f. with RR/DR-TB g. Started on TB Treatment (Date and Registration Number) h. I. j. History of /. Keep a list of all booklets of s started on TB Treatment and update the line list below. TX_TB: Patient Care Booklet Review: RAPID Assessment: Period (e.g. Oct 0-Sept 0) Investigated specimen sent with RR/ DR-TB Treatment (Date & registration number) date History/ negative. Illustrative TX-TB and TB_Prev Cascade: Summary Table and Graph of s reviewed completed eligible for Positive for TB investigated with DR-TB treatment 0 0 Number of Patients Positive Investigated with DR-TB Treatment

6 . Determine time of action and person responsible History/ Date IPT Positive for TB Investigated Specimen sent DR-TB Treatment. Summarise data collected in the table of your choice above and develop a cascade to show information graphically. (Same table as for routine review). Share cascade with facility staff/colleagues and discuss gaps and opportunities for improvement.. Determine time of action and person responsible. Use the findings to implement a QIP.. Revert back to routine SOP.

7 Line List Diagnostics (Presumptive cases in PLHIV) (TX_TB and TB_Prev). Enter data in list as s are investigated and on a monthly basis.. Keep list in secure file in unit for reference and follow up Unit.. Use data form the list to develop a graphic presentation of TB Diagnostics in PLHIV.. Report on this quarterly and manage process. Name of ART Facility: Reporting Month & Year: Month Year Name of Patient Unique # Date of Birth Intervention Xpert, FNA, Biopsy, DM Results Previous Y/N Date Action: TB Treatment Initiation Enter date and # in TB/ Register Signature 0