1. Program Evaluation Plan & Assessment: Completion of Treatment 1 September 20-22, 2011 April King-Todd, RN, BSN, MPH Nurse Manager, LAC TB Control Program

2. Evaluation Plan Development 2

3. Completion of Treatment (COT) Los Angeles County (LAC) 2009 11/15/2010 3

4. COT Outcomes TB Cases LAC 2009 4

5. COT by Provider Type LAC 2009 5

6. TB Cases by SPA LAC, 2009 (N=701)* * #5- TBC Admin % of Total Cases Number of Cases SPA 1 : ANTELOPE VALLEY SPA 2 : SAN FERNANDO SPA 3 : SAN GABRIEL SPA 4 : METRO SPA 5 : WEST SPA 6 : SOUTH SPA 7 : EAST SPA 8 : SOUTH BAY Data Excludes Long Beach and Pasadena TB Cases LAC DPH/ TB Control Program Epidemiology Unit

7. LAC Evaluation Plan 2010-2011 Infrastructure Reorganization –Defined objectives & Action plans –Accountable managers to facilitate progress 7

8. Organizational Infrastructure Evaluation Team –How do we close the gap between actual performance and desired performance? TBC Program –Functional Units aligned with NTIP objectives –Capacity building –Accountability shift 8

9. Program Evaluation Activities TRIMS Access- 2010 TBCP Infrastructure TBCP Website TB Coalition- –WSTB Community Forum –IGRA- AHF –WTBD- CBOs Cohort Pilot-South HC –Cohort Training Development –Electronic Case Presentation Form 9

10. LAC Program EvaluationProgram Evaluation Process 10

11. 11 SPA 6 - South Health Center Approx. 1 million residents

12. Challenges / Opportunities Budget constraints Resources Communication of PI outcomes to LAC DPH leadership Focused interventions New technologies New partnerships 12

13. Effective Evaluation Plan Were the outcomes of our interventions successful in meeting the objectives? Have we addressed LAC & Private Sector educational needs related to completion of treatment? What additional resources are needed to reach our objectives? 13

14. Acknowledgements Terese Brookins, Epidemiologist Josephine Yumul, Epidemiologist Sharelle Carr, RN Karen Y. Cho, RN South Health Center (SPA 6) staff Frank Alvarez, MD, MPH Jenny Rodriguez, Admin. Assistant Zvart Shahverdian, Student Worker Lakshmy Menon, PET Andy Heetdirks, PET 14