Table Of Contents

THE TB COHORT REVIEW PROCESS

July 14—15, 2011

Course Location
New York City, NY
Course activities: 80 Centre St
Cohort review: 346 Broadway 8th Floor Conference Room

Provided By
Charles P. Felton National Tuberculosis Center/ICAP,
New York City Department of Health & Mental Hygiene Bureau of Tuberculosis Control, University of Medicine & Dentistry of New Jersey (UMDNJ), and New Jersey Medical School Global Tuberculosis Institute

 

This activity is supported by an educational grant from the Centers for Disease Control and Prevention, Division of Tuberculosis Elimination


The New Jersey Medical School Global Tuberculosis Institute is the Tuberculosis Regional Training and Medical Consultation Center for the Northeastern United States

 
Course Description and Overall Goal
The purpose of this one and one-half-day course is to provide TB program leaders, managers, and clinicians with the necessary knowledge and skills to lead TB cohort reviews in their program areas. The course covers principles of the TB cohort review process, guidance from the Centers for Disease Control and Prevention (CDC) regarding this requirement in the cooperative agreement, impact of cohort reviews, and planning for implementation in local program areas. The format includes lectures, observation of an actual cohort review, group discussions, individual and group exercises using tools for case presentation and data analysis, use of computers to enter, analyze and report cohort data, and a planning guide for adaptation and implementation.

Who Should Attend

This educational experience is designed for teams of TB controllers, program managers, physicians and nurses, and epidemiologists or data analysts.

  • Preference is given to management teams comprising a program manager, clinician, and data analyst or epidemiologist.
  • Registration priority will be given to individuals within the Northeastern Region, including Connecticut, Delaware, District of Columbia, Indiana, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont and West Virginia, and the cities of Baltimore, Detroit, New York City and Philadelphia.

Why Course Is Needed
The Cohort Review Process has long been a "best practice" used by outstanding TB control programs in the US and internationally. Originally designed by Dr. Karel Styblo to systematically analyze treatment outcomes of every documented TB case in a program area, this useful management approach serves several purposes: staff motivation, quality improvement, training needs assessment, and program evaluation. Cooperative agreements with CDC require that programs begin implementing cohort reviews in 2010. This course will provide information and strategies for programs to do so.

Objectives

Upon completion of this course participants will be able to:

  • Apply CDC guidance regarding the TB cohort review process to ensure programmatic implementation.
  • Describe the elements of the cohort review process.
  • Lead a case management team in preparation, presentation, and follow-up.
  • Outline the role TB control staff play in a cohort review in order to conduct key activities with available resources.
  • Organize the details of a complex case into a brief oral presentation so that cohort review meetings will cover the essential information in a time-efficient manner.
  • Assess whether treatment completion rates, and contact investigations have met program standards to ensure successful patient outcomes.
  • Collect data from a cohort review session and calculate outcome statistics to measure progress toward achieving national, state and local objectives.
  • Discuss strategies for addressing clinical and programmatic gaps identified during a cohort review session.
  • Compare cohort review experiences of TB control programs to identify aspects of different models which can be implemented in individual program areas.
  • Apply principles of continual quality improvement (CQI), as facilitated by the cohort review process, to the management of clinical services and contact investigations to prevent TB transmission.

Course Requirements
  • Enrollment is limited to 20 participants.
  • Participants must currently work in TB control.
  • Each program/team should bring at least one laptop with MS PowerPoint and MS Excel available for the hands-on date entry exercises.    
  • In order to meet the course objectives, individuals should attend the entire course, participate in individual and group exercises using their own laptops, complete the pre- and post-tests, complete the program evaluation form at the end of the course, and a post-course follow up evaluation within 6 months of the course.

Agenda

Thursday, July 14, 2011 — 80 Centre Street

12:00 pm Registration and lunch
1:00 pm Overview of RTMCC Activities — B. Hurley, MPH 
1:15 pm Welcome; Introduction; Pre-test; Course objectives  — B. Bower, MPH
1:45 pm CDC instruction guide and video/DVD — B. Bower, MPH
2:15 pm TB control and cohort reviews in NYC — D. Nilsen, MD
3:00 pm Break 
3:15 pm CDC guidance regarding the cohort review process — B. Bower, MPH
3:45 pm Preparing for cohort review and using standard forms for concise case presentation — I. Winter
4:15 pm Impact of cohort reviews in other program areas — Phil Griffin
4:45 pm Guide and exercises for observing cohort review — B. Bower, MPH & Phil Griffin
5:00 pm Adjourn
Evening Free

 

Friday, July 15, 2011 — 346 Broadway 8th Floor Conference Room

Breakfast on your own
9:00 am Review Pre-test results; Q & A — B. Bower, MPH
9:30 am Observe Cohort Review — NYC DOMHM staff
  • Perform four individual exercises; break to discuss
  • Observe summary outcomes presentations
12:30 pm Questions and answers — NYC DOMHM staff
Discuss experience
Analyze program strengths / weaknesses / solutions
Walk 2 blocks to day 1 location — 80 Centre Street, NY, NY
1:00 pm Lunch provided at location
1:30 pm Exercise: Making a concise case presentation — I. Winter
2:15 pm Exercise: Enter cases, analyze data, manipulate spreadsheet, generate reports — I. Winter
3:45 pm Break
4:00 pm Planning how to adapt/implement the cohort review method in your own program area — B. Bower, MPH & Phil Griffin
4:45 pm Post-test; Evaluation
5:00 pm Adjourn

Continuing Education Information
Continuing education credits are not provided for this activity.

Disclosure Policy
disclosure

Registration Information and Fee

Please complete a course application, and return it before July 1st, 2011 to:

NJMS Global Tuberculosis Institute
PO Box 1709
225 Warren Street
Newark, NJ 07101-1709
Attention: Beth Hurley
Fax: 973-972-1064

Applications can also be emailed to hurleybb@umdnj.edu

Notification of acceptance and additional course information will be sent via email. Please be sure to provide a valid email address on the application form.

A $45.00 fee is required prior to the start of the workshop. Acceptable forms of payment are check or money order made payable to NJMS Global Tuberculosis Institute. Participants will not be accepted into the course without payment.


Hotel and Travel Information
This will be provided upon acceptance to the course.

Cancellation Information
UMDNJ reserves the right to modify the activity content, faculty and activities, and reserves the right to cancel this activity, if necessary. Participants who are unable to attend may cancel up to 2 weeks prior to the course.

Faculty

Charles P. Felton National TB Center

  • Bill L. Bower, MPH
    Director of Education and Training

New York City Department of Health & Mental Hygiene

  • Chrispin Kambili, MD
    Assistant Commissioner of Health & Director
  • Diana Nilsen, MD
    Director of Medical Affairs
  • Iris Winter
    Public Health Epidemiologist

Kansas Department of Health and Environment

  • Phil Griffin
    Director, TB Control and Prevention

Planning Committee

NJMS Global TB Institute, Newark, NJ

ACTIVITY DIRECTOR

  • Nisha Ahamed, MPH
    Program Director, Education & Training

MEMBERS

  • Beth Hurley, MPH
    Training & Consultation Specialist

Charles P. Felton National TB Center

  • Bill L. Bower, MPH
    Director of Education and Training
New York City Department of Health & Mental Hygiene
  • Iris Winter
    Public Health Epidemiologist

Content Reviewers
contentreviewers

If you require an accommodation because of a disability, or if you have any additional needs, please contact Bill Bower at (646) 448-0945 or (917) 882-0657, or email at blb3@columbia.edu