1. Preparing for Cohort Review & Standard Forms for Cohort Presentation June 16, 2010 Kieran Hartsough

2. Page  2 Preparing for Cohort Review  Cohort preparation begins when cases are first reported  Preparation continues with regular case management  Case managers complete the demographic information on cohort forms  The remaining information is added as case information becomes known: During patient interview Through home assessment Chart review Clinic visits Contact elicitation and investigation Laboratory reports

3. Page  3 Standard Forms  Assist case management  Ensure concise case presentation  Collect essential patient and contact information  Assist in evaluation of key indicators New York City cohort presentation forms include: Pulmonary or Laryngeal TB Case Clinically Confirmed or Extrapulmonary TB Case

4. Page  4 NYC Presentation Form I : Pulmonary or Laryngeal TB To document cases that require a contact investigation: 2a) sputum smear+, pulmonary 2b) sputum smear -, sputum culture + 2c) pediatric; other resp smear and/or culture+; cavitary, culture -

5. Page  5 NYC Presentation Form II : Clinically confirmed or Extrapulmonary TB To document cases that do not require a contact investigation 2a) sputum smear+, pulmonary 2b) sputum smear -, sputum culture + 2c) pediatric; other resp smear and/or culture+; cavitary, culture -

6. Page  6 Information that captures essential information on TB cases and permits analysis of key indicators Key demographics Clinical characteristics Treatment regimen/duration/completion DOT/pharmacy checks Results of contact investigations Information on congregate site exposures Timeliness measures Laboratory results Standard Forms – what to include