contact investigation
DESCRIPTION
Contact investigation. Evaluating ntip objectives: a chicago example. Margarita Reina, MPH Chicago Department of Public Health December 7, 2011. purpose. Rationale Improve progress toward meeting NTIP objectives Goal Evaluate data a ccuracy (ARPE) - PowerPoint PPT PresentationTRANSCRIPT
CONTACT
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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