New Tuberculosis Reports
Melissa Ehman
Epidemiologist
California TB Controllers Association Meeting
October 22, 2010
Topics for Today
What are the new TB indicator reports?
TB Data Summary
National TB Indicators Project (NTIP)
B Notification Reports
Who will receive them?
How can they be used?
What is the TB Data Summary?
 Snapshot report of 9 key TB control measures
 Shows local and CA data + CA targets
 For local programs with ≥15 TB cases/year*
 TBCB assistance is available:
Epidemiologists can help interpret indicators, and
produce line listings and additional analyses
Program liaisons can help initiate or integrate with
existing program improvement efforts
 Pilot in 2010 – we want feedback!
*3-year average, 2007-2009
TB Data Summary Indicators
1.
2.
3.
4.
5.
6.
7.
8.
9.
TB Case Rate
U.S.-Born TB Case Rate
Genotyped Cases
Documented Culture Conversion (≤60 days)
Inappropriate Self-Administered Therapy
Completion of Treatment Ever
Deaths with TB
Contacts Evaluated
B notifications Evaluated
What is the National TB
Indicators Project (NTIP)?
Indicator set and online reports modeled
after California TIP
Framework for monitoring and evaluating
Cooperative Agreement-funded TB
programs (launched 2009)
Set of national TB program objectives,
with national performance targets for 2015
Now available for local programs with ≥15
TB cases/year
Current NTIP Indicators
1.
2.
3.
4.
5.
6.
7.
Sputum Culture Reported
Drug Susceptibility Result
Universal Genotyping
Recommended Initial Therapy
Sputum Culture Conversion
Completion of Treatment
Data Reporting - RVCT
8. Contact Elicitation
9. Contact Evaluation
10. LTBI Treatment Initiation
11. LTBI Treatment Completion
B Notification Report
 Purpose
Understand trends/patters in B note arrivals
Inform activities at local programs
 Report available for the 22 local programs
receiving 95% of California B note arrivers
Arrivals by B classification, country of origin
Domestic evaluation status
Outcome of domestic evaluation
 Feedback/comments are encouraged
Next Steps
All Local Health Departments:
 Stop by registration table to pick up state
epidemiologist assignment list
Local Health Departments with ≥15 cases:
 Pick up your TB Data Summary, NTIP and
B Notification reports
Feedback on all indicator reports:
 We will be requesting structured feedback
 Contact Melissa Ehman re: TB Data Summary
and NTIP reports MEhman@cdph.ca.gov
 Contact Phil Lowenthal re: B Notification Reports
Phil.Lowenthal@cdph.ca.gov
Acknowledgements
Report Development and Production
 James Watt
 Jenny Flood
 Janice Westenhouse
 Darryl Kong
 Phil Lowenthal
 Alex Golden
 Martin Cilnis
 And thank you to CTCA Executive Committee for
early feedback
California LHJs with ≥15 Cases/Year;
TIP LHJs (≥55 Cases/Year)
 Alameda
 Contra Costa
 Fresno
 Kern
 Imperial
 Long Beach
 Los Angeles
 Monterey
 Orange
 Riverside
 Sacramento
 San Bernardino
 San Diego
 San Francisco
 San Joaquin
 San Mateo
 Santa Barbara
 Santa Clara
 Solano
 Stanislaus
 Tulare
 Ventura