TB CASE MANAGEMENT CONFERENCE Title of Presentation Presenter’s name Organization represented Location of organization Date of presentation BACKGROUND ( 1 ) Age, race, gender, country of origin, comorbidity status (e.g., HIV status, substance abuse, mental illness) Significant lifestyle characteristics (e.g., employment status, homelessness, drug abuse, etc.) Date patient was last seen at health care facility and symptom history (if applicable) (insert additional slide if more space is needed) BACKGROUND ( 2 ) Medical testing results including: – Tuberculin skin test Radiographic findings (Chest x-ray, MRI, CT) Bacteriology Pathology or biopsy Drug susceptibility Date of suspected/verified diagnosis and site of disease Treatment type and start date – Directly Observed Therapy (DOT) or selfadministered BACKGROUND ( 3 ) Date and location of TB interview Infectious Period Number of close contacts and their relationship to index patient NOTE: For more details on what information should be included in this slide, please refer to Section III, pp. 26-27 in the manual PROBLEM INDICATORS < Indicator 1> <Indicator 2> <Indicator 3> (insert additional slide if more space is needed) NOTE: For more details on what information should be included in this slide, please refer to Section III, pp. 26-27 in the manual ATTEMPTED PROBLEM RESOLUTION <Action 1> <Action 2> <Action 3> (eliminate or add items as necessary) NOTE: For more details on what information should be included in this slide, please refer to Section III, pp. 26-27 in the manual OUTCOMES TO DATE <Outcome 1> <Outcome 2> <Outcome 3> (eliminate or add items as necessary) NOTE: For more details on what information should be included in this slide, please refer to Section III, pp. 26-27 in the manual CONCERNS & CHALLENGES <Concern/Challenge 1> <Concern/Challenge 2> <Concern/Challenge 3> (eliminate or add items as necessary) NOTE: For more details on what information should be included in this slide, please refer to Section III, pp. 26-27 in the manual LESSONS LEARNED <Lesson 1> <Lesson 2> <Lesson 3> (eliminate or add items as necessary)