1. 1 Revised Report of Verified Case of Tuberculosis (RVCT) Self-Study Modules Course Overview Course Developed by Division of Tuberculosis Elimination Centers for Disease Control and Prevention (CDC) CDC Tuberculosis Surveillance Data Training

2. 2 19932008 RVCT revision work group conducts compre- hensive review of RVCT RVCT implemen- tion 20012009 Last major RVCT revision Continued collabor- ation with experts on specific variables 2005 2007 Request for review and comments from TB partners CDC and OMB clearance RVCT Revision Timeline Software developed RVCT Training materials developed

3. 3 Revised Report of a Verified Case of Tuberculosis (RVCT) RVCT Page 1 (Items 1 – 16)Page 2 (Items 17 – 25) Page 3 (Items 26 – 37) Initial Drug Susceptibility Report (Follow-Up Report – 1) (Items 38 – 40) Case Completion Report (Follow-Up Report - 2) (Items 41 – 49)

4. 4 Tuberculosis Surveillance Data Some jurisdictions use their own formSome jurisdictions use their own form –Use variables from RVCT –May include additional variables This training is not about softwareThis training is not about software RVCT data is collected for surveillance purposes (not research)RVCT data is collected for surveillance purposes (not research)

5. 5 How Do You Use RVCT Data?

6. 6 Benefits of RVCT Data Increased ability to assess program performance, completeness of data collection, and accuracy of reportingIncreased ability to assess program performance, completeness of data collection, and accuracy of reporting Improved data for program planning and performance developmentImproved data for program planning and performance development Facilitate patient services Facilitate patient services

7. 7 Consequences of Inaccurate, Incomplete, or Unknown RVCT Data Inaccurate follow-up of services to patientsInaccurate follow-up of services to patients Inadequate resources (e.g., funding, staff, facilities, drugs, and supplies)Inadequate resources (e.g., funding, staff, facilities, drugs, and supplies) Inaccurate evaluation and policy developmentInaccurate evaluation and policy development Misrepresentation of the public health burden of TBMisrepresentation of the public health burden of TB Inability to measure TB program indicators that are based on surveillance dataInability to measure TB program indicators that are based on surveillance data

8. 8 RVCT Data Collection Collect information from patients Enter RVCT data into system Review patient information and RVCT data for accuracy Analyze and disseminate data Use data for program management, evaluation, and policy Transmit, validate and manage data

9. 9 Importance of Training Staff on How to Use the RVCT If staff do not learn how to accurately complete the RVCT… Garbage in If you use RVCT data how will this impact you? Garbage out =

10. 10 What is the Status of the Software? TIMS has retired (some sites may continue to use until cases are closed) States have 4 software options 1.CDC developed NEDSS Base System (NBS) 2.CDC developed eRVCT Software 3.Commercial system (Atlas PH, Consilience, CIMS, or STC) 4.State developed system

11. 11 New York City WA Transition Option Status eRVCT Option - 10 OR CA AK HI AZNM TX OK KS CO UT NV ID MT WY NE SD ND MN WI IL IA MO AR LA MSALGA FL SC NC TN KY OH IN MI PA WV VA NY ME NH MA RI CT NJ MD DE PR Washington DC VT Transition Overview Map NBS Option - 16 Commercial Option - 12 Pacific Islands State-Developed Option - 16

12. 12 RVCT Training Program Purpose –To train health care workers on how to accurately complete the revised RVCT Target audience Health care workers from state and local health departments, territories, and Pacific Islands who Collect the data from patientsCollect the data from patients Complete the RVCT formComplete the RVCT form Enter data from the RVCT into the data systemEnter data from the RVCT into the data system Monitor accuracy of TB program data collectionMonitor accuracy of TB program data collection Analyze data from the RVCTAnalyze data from the RVCT

13. 13 Types of RVCT Training RVCT Self-Study Modules Participants work at their own pace –Print-based modules Facilitated Training Sessions Participants work through the Self-Study Modules and participate in discussions with a facilitator Training-of-Trainers Participants learn how to teach a facilitated training session to others

14. 14 RVCT Training Course Objectives After working through these modules participants will be able to –Distinguish between the three reports included in the RVCT form –Recognize the items on the RVCT form –Use the RVCT instructions to determine how to complete the RVCT –Accurately complete the RVCT form

15. 15 Agenda for 2-Day Course Day 2 - Interactive course format 1.Participants work through short sections of the modules –Read content and instructions for each of the items –Work through exercises (study questions and case studies) 2.Facilitator leads a group discussion on content, instructions for the items and answers to the exercises

16. 16 Course Materials Documents are final! Report of Verified Case of Tuberculosis (RVCT form) RVCT Self-Study Modules Answer sheets for recording answers Posttest End of course evaluation

17. 17 RVCT Self-Study Modules Table of Contents (indicates which items are new, revised, and there is no change) Introduction Module A – page 1 – Items 1 - 16 Module B – page 2 – Items 17 - 25 Module C – page 3 – Items 26 - 37 Module D – page 4 – Items 38 - 40 Module E – pages 5 & 6 – Items 41- 49 Appendices

18. 18 RVCT Self-Study Modules (cont.) Each item includes Image of the item Purpose Instructions for how to complete the item Comments that explain the instructions Examples for applying the instructions Notes that highlight important content Exercises (case studies and study questions) Examples and exercises cannot cover all situations

19. 19 RVCT Self-Study Modules (cont.) Each item includes Image of the item Purpose Instructions for how to complete the item Comments that explain the instructions Examples for applying the instructions Notes that highlight important content Exercises (case studies and study questions) Examples and exercises cannot cover all situations

20. 20 Continuing Education Free of charge after June 1, 2009 Available for RVCT Self-Study Modules (not this training course) Available online http://www2a.cdc.gov/TCEonline –Take test –Complete evaluation

21. 21 Continuing Education (cont.) Types of credits –0.5 Continuing education units (CEUs) –5.0 AMA PRA Category 1 Credits Continuing medical education (CME) –5.0 Continuing nursing education (CNEs) –5.0 Continuing education contact hours (CECH)

22. 22 Ground Rules Agreement between trainers and participants for how this training will be conducted Posted on the wall Referred to throughout the training Can add items throughout the training

23. 23 Parking Lot Place to put or park items such as questions, concerns, or topics that: –Require extra time –Are related to the training but not critical Discuss items during breaks, lunch, evenings or at the end of the training Way to keep the training focused and on time

24. 24 Housekeeping Logistics: Breaks Lunch Restrooms Exits Cafe Travel: Submit expenses to travel preparerSubmit expenses to travel preparer –Hotel –Taxi –Additional transportation Per diem