Program Evaluation Plan & Assessment:

Completion of Treatment

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September 20-22, 2011April King-Todd, RN, BSN, MPH

Nurse Manager, LAC TB Control Program

Evaluation Plan Development

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Goal 2: Increase the proportion of cases that complete treatment within 12 months of initiation of treatment

Created on 9/13/2011 1:57:00 PM Page 1 of 1

Focus Strategy 1 (2.2) Indicator(s) Addressed

Lead Internal and External Collaborators

Project Timeline

Maintain oversight of TB cases treated by CHS*

#2, 7, 10 April Internal: Epi

External: Chest Clinic MDs, PHNS, PHNs

On-going

No. Activities Lead Anticipated Work Product Anticipated Completion

Date

1 Review HC APS roles and responsibilities

April King-Todd

Karen Y. Cho

Update duty statements as result of re-org.

Revise duty statements/role to reflect enhanced role in coordinating/instructing staff in cohort review, review NTIP with staff at health center, CI and education/evaluation vs. monitoring

Reassign health center location coverage to match current in workload

December 30, 201

1st revision:

December 2010

July 2011

Completion of Treatment (COT) Los Angeles County (LAC) 2009

11/15/2010

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COT Outcomes TB Cases LAC 2009

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COT by Provider Type LAC 2009

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TB Cases by SPA LAC, 2009 (N=701)*

* #5- TBC Admin

% of Total CasesNumber 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

LAC Evaluation Plan 2010-2011

Infrastructure Reorganization

– Defined objectives & Action plans

– Accountable

managers to facilitate progress

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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

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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

Form9

LAC Program EvaluationProgram Evaluation Process

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Activities OutcomesInputs/ Resources

= Data and programs undergo continuous improvement

with ongoing monitoring and evaluation feedback

Monitor progress toward

objectives

Met target

Implement Improvements(CHS )

Did not meet target

Identify and share “Best Practices”

Provide justifications, develop action plan to

evaluate(CHS & TBCP Evaluation

Team)

Complete evaluation(CHS & TBCP Evaluation

Team)

Refine/develop activities based on findings

(CHS & TBCP Evaluation Team)

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SPA 6 - South Health Center Approx. 1 million residents

Challenges / Opportunities

• Budget constraints • Resources• Communication of

PI outcomes to

LAC DPH leadership

• Focused interventions

• New technologies

• New partnerships

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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?

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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

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