Preparing for Cohort Review& Standard Forms for Cohort Presentation June 16, 2010Kieran Hartsough

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Preparing for Cohort Review Cohort preparation begins when cases are first reported

Preparation continues with regular case management

Case managers complete the demographic information on cohort forms

The remaining information is added as case information becomes known:

• During patient interview

• Through home assessment

• Chart review

• Clinic visits

• Contact elicitation and investigation

• Laboratory reports

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Standard Forms

Assist case management

Ensure concise case presentation

Collect essential patient and contact information

Assist in evaluation of key indicators

New York City cohort presentation forms include:

• Pulmonary or Laryngeal TB Case

• Clinically Confirmed or Extrapulmonary TB Case

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NYC Presentation Form I : Pulmonary or Laryngeal TB

To document cases that requirea contact investigation:

2a) sputum smear+, pulmonary 2b) sputum smear -, sputum culture + 2c) pediatric; other resp smear and/or culture+; cavitary, culture -

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NYC Presentation Form II : Clinically confirmed orExtrapulmonary TB

To document cases that do not require a contact investigation

2a) sputum smear+, pulmonary 2b) sputum smear -, sputum culture + 2c) pediatric; other resp smear and/or culture+; cavitary, culture -

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• Information that captures essential information on TB cases and permits analysis of key indicators

• Key demographics• Clinical characteristics• Treatment regimen/duration/completion• DOT/pharmacy checks• Results of contact investigations• Information on congregate site exposures• Timeliness measures• Laboratory results

Standard Forms – what to include