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 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 (1 st sheet, 2 nd sheet, 3 rd sheets) ARPE spreadsheet Ongoing communication with staff Data discrepancies Feedback
CONTACT INVESTIGATION 1 ST SHEET
CONTACT INVESTIGATION 2 ND SHEET
CONTACT INVESTIGATION 3 RD SHEET
CONTACT INVESTIGATION SUMMARY DATABASE
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