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This project aims to improve the effectiveness of contact investigations in tuberculosis (TB) through rigorous evaluation and data accuracy. By assessing barriers to meeting National Tuberculosis Indicator Project (NTIP) objectives, the initiative will refine data collection and establish a systematic approach for ongoing staff communication. Key activities include the comparison of ARPE results, tracking and addressing data discrepancies, and identifying training needs. The focus will be on high-risk contacts, ensuring effective outreach and coordination for better TB management in Chicago.
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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 (1st sheet, 2nd sheet, 3rd sheets) • ARPE spreadsheet • Ongoing communication with staff • Data discrepancies • Feedback
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 • margarita.reina@cityofchicago.org