TB at Edendale Hospital: Operational Guidelines for Doctors and Nurses. Dr. Michael Clark Medical Officer Edendale Hospital
|
|
|
- Dustin Morton
- 8 years ago
- Views:
Transcription
1 TB at Edendale Hospital: Operational Guidelines for Doctors and Nurses Dr. Michael Clark Medical Officer Edendale Hospital
2 The Burden What? Tuberculosis (TB) HIV/TB co-infection Drug resistance Where? South Africa KwaZulu Natal (KZN) Edendale Hospital (EDH)
3 TB in South Africa (2006) (WHO, 2008)
4 Paediatric TB in South Africa (2000) (Nelson and Wells, 2004)
5 (WHO, 2008)
6 MDR TB in South Africa (2006) (WHO, 2008)
7 TB in South Africa by province (2006) per 100, EC FS Gau KZN Lim Mpu NW NC WC (Department of Health, 2009)
8
9
10 Edendale Hospital Leading cause of death at EDH (in-hospital statistics) Among those who die, 44% do so within 2 days of admission (Alvarez et al., 2004) 81% of tested TB patients HIV positive in (TB Team Office) 50% of adults years had culture-proven TB at time of death in post-mortem study (Cohen et al., 2010)
11 (Alvarez et al., 2004)
12 XDR TB at Edendale Hospital
13 TB at Edendale Hospital: Perspective Setting Year Number of cases South Africa ,000 KwaZulu Natal ,705 Edendale Hospital Canada WHO, Department of Health, TB Team Office, EDH 4 Health Canada, 2009
14 400 Number of TB cases by month ( ) Jan Apr Jul Oct Jan Apr Jul Oct (TB Team Office)
15 HIV among tested TB patients ( ) 100% 80% 60% 40% 20% 0% Jan Apr Jul Oct Jan Apr Jul Oct (TB Team Office)
16 South Africa Summary The Burden Highest TB rate in the world Highest rate of HIV-infected TB cases in the world KwaZulu Natal Highest TB rate in South Africa Epicentre of MDR and XDR TB Edendale Hospital More TB cases in one year than Canada 50% of all young adult deaths have culture + TB
17 Diagnosis and Management Case finding Targets South Africa Edendale Hospital Treatment success Targets South Africa Edendale Hospital
18
19 South African Targets Detect 70% of cases 100% bacteriological coverage Cure 85% of newly detected SS+ TB cases Achieve treatment success in > 85% of cases Screen all HIV patients for TB Test all TB patients for HIV (Department of Health, 2009)
20 (WHO, 2008)
21 Treatment outcomes in South Africa (2005) (WHO, 2008)
22
23
24 100 Bacteriological coverage by quarter ( ) st 2nd 3rd 4th 1st 2nd 3rd 4th (Health District Office, Umgungundlovu)
25 Paediatrics High burden More outpatient cases than Canada 183 cases in 2009! TB in children aged 0-4 years (2008) EDH (outpatients) 73 Canada 38* * Health Canada, 2009 Diagnostic difficulties Gastric washings done once in outpatients No sputum inductions in children < 5 years
26 Leakage (Loveday et al., 2008)
27 (Audit, 2009) 25%!
28 Proportion of TB cases tested for HIV 100% 80% 60% 40% 20% 0% Jan Apr Jul Oct Jan Apr Jul Oct (TB Team Office)
29 Themes: Organization of care Interpretation of wellness Financial burden Knowledge, attitudes, and beliefs Law and immigration Personal characteristics Side effects Family and community ADHERENCE TO TB TREATMENT IS COMPLICATED!
30 WHAT CAN WE DO? Edendale must be regarded as a country, and not just a hospital: Burden of a developed nation in one institution Tiny fraction of the resources Shift to public health focus to control TB: Dedicated, centralized support for Medicine and Paediatrics Leadership for TB control: TB TEAM
31 TB Team Organogram District Office, Umgungundlovu Department of Medicine Services / Support HAST Committee, EDH TB PMO, EDH Services / Support Department of Paediatrics Head Nurse, TB Team Office TB Nursing Staff TB Data Capturer TB Tracer TB Clerk
32 Organization of TB Patient Care 1) Diagnosis 2) Consultation 3) Education 4) Medication 5) Registration 6) Transfer 7) Discharge
33 1) Diagnosis Use guidelines DOCTORS Smear microscopy
34 Inpatients If PTB highly suspected, and patient cannot expectorate sputum SPUTUM Use the warriors iteach (4523) SPUTUM INDUCTION Outpatients TB Team (4663) TB Team Office 09h00 13h00 Monday Friday (4663) PLEASE CALL FIRST!
35 All sputa sent for AFB / TB MC&S must be recorded for FOLLOW-UP Inpatients: iteach Outpatients: TB TEAM Suspect Register GW 20/13
36 Screen all HIV patients for TB Test all TB patients for HIV
37 Children Use guidelines: Risk assessment: Mycobacteriology: Gastric washings Wednesday mornings in POPD (4170) Child must be NPO overnight before Sputum induction Remember that older children often expectorate SI currently done in children aged 5+ years (4663)
38 Complicated cases Monoresistance? Drug-induced hepatitis? IRIS? Complicated drug interactions? Sequelae (TBM, pericarditis)? Speak with senior doctor Or TB PMO (6318)
39 2) Consultation Look inside BLUE CARD DOCTORS Clinic/Hospital Card GW 20/12 BLUE CARD
40 TB STARTER PACK These are supplied to the wards by TB TEAM (4663)
41 Put in TB TEAM box CONSULTATION FORM Record name, ID and date in DOM record book
42
43 Collect from TB TEAM box TB TEAM Record name, ID and date in TB TEAM record book
44 3) Education Standard Accurate Clear TB TEAM Treatment buddy
45 TB TEAM BAG Record book Education tool Red stickers TB TEAM stamp
46 4) Medication TB PRESCRIPTION Look inside BLUE CARD Patient Treatment Card GW 20/15 GREEN CARD
47 See TB PRESCRIPTION Dosing Adult and childhood dosing Record for doctors and pharmacists Follows patient to PHCs Questions about dosing? Pharmacy (4317) Senior doctor or TB PMO (6318)
48 5) Registration TB TEAM Tuberculosis Register GW 20/11
49 6) Transfer 1) MDR TB patient Call TB TEAM (4663) Transfer to Doris Goodwin Hospital, with: Pink form and doctor-to-doctor LETTER! Copies of results (including HIV tests) and CXRs 2) Stable TB patient needs inpatient care Call TB TEAM (4663) Transfer to Richmond TB Hospital, with: Pink form and doctor-to-doctor LETTER! Copies of results (including HIV tests) and CXRs 3) Stable TB patient discharging home...
50 Transfer to PHC is vital! Patient Referral Form GW 20/14 PINK FORM TB TEAM EDH PHC
51 7) Discharge TB TEAM At the time of discharge, please look for this in the patient file
52 DISCHARGE SUMMARY DOCTORS Please ensure patient has been seen by TB TEAM before discharging! If you have questions, call 4663
53 TB TEAM Sticker indicates TB diagnosis made in hospital This is a reminder to ensure that: 1) Medication has been dispensed 2) Transfer to clinic has been arranged for patient
54 ROLES AND RESPONSIBILITIES Diagnosis Doctors TB Team Ward nurses Pharmacy Medical records Consultation Education Medication Registration Transfer Discharge
55 QUESTIONS? Diagnosis? Senior doctor or TB PMO (6318) Sputum? Inpatients: iteach (4523) Outpatients: TB TEAM (4663) Medications? Pharmacy (4137) Senior doctor or TB PMO (6318) Anything else? TB TEAM (4663) ESPECIALLY IF YOU ARE UNSURE ABOUT SOMETHING AT THE TIME OF DISCHARGE
56 References Alvarez GG et al. Int J Tuberc Lung Dis. 2004;8: Cohen T et al. PLoS Med. 2010;7:e Department of Health. National Tuberculosis Management Guidelines, Gandhi NR et al. NEJM. 2006;368: Health Canada. Tuberculosis in Canada, 2008 (published in 2009). Loveday M et al. Int J Tuberc Lung Dis. 2008;12: Munro SA et al. PLoS Med. 2007;4:e238. Nelson LJ, Wells CD. Int J Tuberc Lung Dis. 2004;8: Singh JA et al. PLoS Med. 2007;4:e50. Wilson et al. NEJM. 2009;360: World Health Organization. Global Tuberculosis Control: Surveillance, Planning, Financing: WHO Report 2008.
TB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB:
EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN Risk factors in children acquiring TB: Children living in the same household as a lung TB patient (especially children under 5) Children
The Role of the Health Service Administrator in TB Control. National Tuberculosis Control Programme
The Role of the Health Service Administrator in TB Control Goal/Objectives of NTP Mandate: To provide leadership for the health sector response to combat Tuberculosis in Ghana. Goal: To reduce the burden
Costs of inpatient treatment for multi-drug resistant tuberculosis in South Africa
Costs of inpatient treatment for multi-drug resistant tuberculosis in South Africa Kathryn Schnippel 1, Sydney Rosen 1,2, Kate Shearer 1, Neil Martinson 3,4, Lawrence Long 1, Ian Sanne 1,2, Ebrahim Variava
TB preventive therapy in children. Introduction
TB preventive therapy in children H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg Children s Hospital Introduction Children are
Treatment of TB a pharmacy perspective
Treatment of TB a pharmacy perspective Colm McDonald, Antimicrobial Stewardship Pharmacist (Acting) National TB Conference, St. James s Hospital 6 th May 2011 Overview of presentation Role of the pharmacist
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention National Center for HIV, STD, and TB Prevention Division of Tuberculosis Elimination Public
Medecins Sans Frontieres Khayelitsha Clinical Mentorship Programme Report and Toolkit
Medecins Sans Frontieres Khayelitsha Clinical Mentorship Programme Report and Toolkit Khayelitsha Clinical Mentorship Toolkit 1 1. Background In 2005, the World Health Organization (WHO) produced recommendations
Management of a child failing first line TB treatment.
Management of a child failing first line TB treatment. Robert Gie Desmond Tutu Tuberculosis Centre Department of Paediatric and Child Health Stellenbosch University South Africa. Tygerberg Hospital Complex
TB Prevention, Diagnosis and Treatment. Accelerating advocacy on TB/HIV 15th July, Vienna
TB Prevention, Diagnosis and Treatment Accelerating advocacy on TB/HIV 15th July, Vienna Diagnosis Microscopy of specially stained sputum is the main test for diagnosing TB (1 2 days) TB bacilli seen in
INTEGRATED CLINICAL SYSTEMS MANAGEMENT QUALITY IMPROVEMENT OF CARE OF PLWHA
INTEGRATED CLINICAL SYSTEMS MANAGEMENT QUALITY IMPROVEMENT OF CARE OF PLWHA Dr.Henry Sunpath SAHIVSOC CONFERENCE CAPE TOWN 25/09/14 Why -PHC re-engineering? The health system needs to find its focus Outwards
Childhood Tuberculosis Some Basic Issues. Jeffrey R. Starke, M.D. Baylor College of Medicine
Childhood Tuberculosis Some Basic Issues Jeffrey R. Starke, M.D. Baylor College of Medicine TUBERCULOSIS IS A SOCIAL DISEASE WITH MEDICAL IMPLICATIONS THE GREAT PARADOX OF TUBERCULOSIS A CAUTIONARY TALE
Revised National Tuberculosis Control Programme (RNTCP) Dr. NAVPREET
Revised National Tuberculosis Control Programme (RNTCP) Dr. NAVPREET Assistant Prof., Deptt. of Community Medicine GMCH Chandigarh Problem Statement of TB in India India accounts for nearly 1/4 th of global
www.uhs.nhs.uk/commercial
Sue Ladds & Mark Pepperrell Chief Pharmacist & Deputy Chief Pharmacist University Hospital Southampton NHS Foundation Trust www.nhs.uhs.uk/commercial Medicines and Technology Medicines are the most common
Adverse reactions identification and documentation
Adverse reactions identification and documentation Contents Purpose... 1 Policy... 2 Scope... 2 Associated documents... 2 Responsibilities on Presentation to the CDHB for capture and documentation... 3
Aim of Presentation. The Role of the Nurse in HIV Care. Global Epidemic 7/24/09
Aim of Presentation The Role of the Nurse in HIV Care Eileen Nixon HIV Nurse Consultant Brighton and Sussex University Hospitals Overview of key issues that affect people with HIV Identify the role of
TREATING DRUG-SENSITIVE TB IN INDIA: IMPLEMENTATION OF DAILY THERAPY WITH FIXED DOSE COMBINATIONS
TREATING DRUG-SENSITIVE TB IN INDIA: IMPLEMENTATION OF DAILY THERAPY WITH FIXED DOSE COMBINATIONS Policy brief, March 2015 Tuberculosis (TB), a communicable disease that affects 9 million people worldwide,
Bringing Hepatitis C Treatment into the Medical Home
Bringing Hepatitis C Treatment into the Medical Home Dr. Joanna Eveland MS, MD, Clinical Chief for Special Populations Mission Neighborhood Health Center, San Francisco, CA The Challenge: Hepatitis C Virus
Referral Guidelines for TB/HIV co-management. (First Edition)
Referral Guidelines for TB/HIV co-management (First Edition) Government of Lesotho April 2011 1 REFERRAL GUIDELINES FOR TB/HIV CO-MANAGEMENT INTRODUCTION Many TB patients are infected with HIV. Many people
Tuberculosis in children in Europe -the ptbnet
Tuberculosis in children in Europe -the ptbnet Beate Kampmann FRCPCH PhD A/Professor in Paediatric Infection & Immunity Consultant Paediatrician Imperial College London, UK and Institute of Infectious
HIV Outpatient Clinical Care Pathway Version 11 [As per 10 updated for documentation review]
![HIV Outpatient Clinical Care Pathway Version 11 [As per 10 updated for documentation review]](/thumbs/33/16158850.jpg "HIV Outpatient Clinical Care Pathway Version 11 [As per 10 updated for documentation review]")
HIV Outpatient Clinical Care Pathway Version 11 [As per 10 updated f documentation review] Categy 1: New Categy 2: Stable Categy 3: Complex - ACCESS HIV + Diagnosis Patient from: G.U. clinic A&E Medical
Perils and Pitfalls in Clinical Trials of Diagnostic Tests for Tuberculosis. Richard O Brien, MD Foundation for Innovative New Diagnostics Geneva
Perils and Pitfalls in Clinical Trials of Diagnostic Tests for Tuberculosis Richard O Brien, MD Foundation for Innovative New Diagnostics Geneva 1 Outline of Presentation Statement of the problem Common
Paediatrica Indonesiana. Limitations of the Indonesian Pediatric Tuberculosis Scoring System in the context of child contact investigation
Paediatrica Indonesiana VOLUME 51 November NUMBER 6 Original Article Limitations of the Indonesian Pediatric Tuberculosis Scoring System in the context of child contact investigation Rina Triasih 1,2,
Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults)
Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults) H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg
Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ.
What is TB? Do many people get tuberculosis (TB)? Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ. It is infectious, so it
Guidance on how to measure contributions of public-private mix to TB control
Guidance on how to measure contributions of public-private mix to TB control Project report to the Tuberculosis Control Assistance Programme (TB CAP) Project number: APA4, C3-01 The World Health Organization
Recognised as a world leader and a prominent clinical researcher in South Africa
Expert Talks Prof. Peter Donald Emeritus professor in Pediatrics and Child Health at the Faculty of Health Sciences of the University of Stellenbosch and Tygerberg Children's Hospital, South frica n internationally
Risk for Tuberculosis in Swiss Hospitals. Content. Introduction. Dr. med. Alexander Turk Zürcher Höhenklinik Wald alexander.turk@zhw.
Risk for Tuberculosis in Swiss Hospitals 17. Tuberkulose Symposium Münchenwiler Risk for Tuberculosis in Swiss Hospitals Dr. med. Alexander Turk Zürcher Höhenklinik Wald alexander.turk@zhw.ch 1 Content
Private health care cost containment and supply-side regulation. CMS presentation to the Health Portfolio Committee 2014
1 Private health care cost containment and supply-side regulation CMS presentation to the Health Portfolio Committee 2014 2 Contents Introduction Private hospital context Economic considerations Concentration
Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals
Learning Objectives Creating a Hospital Based Bedside Delivery Program to Enhance the Patient Experience at Cleveland Clinic s Community Hospitals Describe the 5 steps needed to create an effective hospital
TUBERCULOSIS CONTROL INDIA
TUBERCULOSIS CONTROL INDIA In terms of population coverage, India now has the second largest DOTS (Directly Observed Treatment, Short course) programme in the world. However, India's DOTS programme is
Tuberculousmeningitis: what is the best treatment regimen?
Tuberculousmeningitis: what is the best treatment regimen? H S Schaaf Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University
Clinic Name and Location: 4. Clinic has specific written protocols or guidelines for treatment of TB:
TB Clinic Survey Form Clinic Name and Location: PATIENT POPULATION 1. Number of Patients eligible for initiation of TB Treatment: 2. Number of Patients Started on TB Treatment: 3. Number of these Patients
The results for all specimens sent for TB culture are filed in the TB Office between the main entrance and the Staff Health clinic.
DIAGNOSIS AND MANAGEMENT OF TUBERCULOSIS The HIV epidemic has greatly increased the incidence of tuberculosis (TB) and complicated TB diagnosis: smear-negative pulmonary TB and extrapulmonary TB account
Costs of inpatient treatment for multi-drug-resistant tuberculosis in South Africa
Tropical Medicine and International Health doi:10.1111/tmi.12018 volume 18 no 1 pp 109 116 january 2013 Costs of inpatient treatment for multi-drug-resistant tuberculosis in South Africa Kathryn Schnippel
Page 1/.. USA / Canada - South Africa Schedule No. 4 / 2011-Jan-24
USA / Canada South Africa Schedule No. 4 / 2011Jan24 Page 1/.. USA / Canada South Africa Schedule No. 4 / 2011Jan24 Page 2/.. USA / Canada South Africa Schedule No. 4 / 2011Jan24 Page 3/.. USA / Canada
Tuberculosis Treatment in Japan: Problems and perspectives
From the Japanese Association of Medical Sciences The Japanese Society for Tuberculosis Tuberculosis Treatment in Japan: Problems and perspectives How to expand the Japanese version of DOTS JMAJ 52(2):
Tuberculosis Case Management for Undocumented and Deportable Inmates/Prisoners/Detainees in Federal Custody
Background Federal Bureau of Prisons (BOP) Tuberculosis Case Management for Undocumented and Deportable Inmates/Prisoners/Detainees in Federal Custody Federal Bureau of Prisons (Department of Justice)
Policy & Procedure Manual Administration - Role and Expectations of the Most Responsible Physician (MRP)
The Scarborough Hospital Policy & Procedure Manual Administration - Role and Expectations of the Most Responsible Purpose To clarify and standardize the role of the Most Responsible at The Scarborough
Module 5 Laboratory CONTENTS ILLUSTRATED GUIDES
Health Information System () Part Two: Technical Sections Module 5 Laboratory CONTENTS 5.1 What are the tools used for data collection?............................... 17 5.2 Who is responsible for collecting
Global Update on HIV Treatment 2013: Results, Impact and Opportunities
June 2013 Global Update on HIV Treatment 2013: Results, Impact and Opportunities WHO/UNAIDS/UNICEF v2 Outline Results: Progress towards Global Targets - Antiretroviral treatment - Prevention of mother-to-child
Tuberculosis Exposure Control Plan for Low Risk Dental Offices
Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.
GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA
GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA 2010 1 TB prophylaxis GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS Background
MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST PHARMACEUTICAL SERVICES JOB DESCRIPTION. 75% Top Band 4 2 nd year Pharmacy Department, Leighton Hospital
MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST PHARMACEUTICAL SERVICES JOB DESCRIPTION POST: BAND: LOCATION: RESPONSIBLE TO: MANAGED BY: TRAINEE PHARMACY TECHNICIAN 70% Top Band 4 1 st year 75% Top Band 4
Substance misuse and TB: Information for families affected
Substance misuse and TB: Information for families affected What is TB? TB is the short name for an infectious disease called tuberculosis. You can get TB by prolonged and close contact with someone who
PEDIATRIC TUBERCULOSIS. Hot topics / Unresolved issues in Clinical Practice
PEDIATRIC TUBERCULOSIS Hot topics / Unresolved issues in Clinical Practice Ann M. Loeffler, M.D. Legacy Emanuel Children s Hospital Portland, OR Faculty Consultant Francis J. Curry National TB Center February
RMO Workstation - Category E Working Hours
RUN DESCRIPTION POSITION: Palliative Medicine Registrar elective train in modules DEPARTMENT: Palliative care team, Division of Medicine, Middlemore hospital South Auckland Hospice, Manurewa PLACE OF WORK:
Drug Coverage Programs for Patients with Cancer
Drug Coverage Programs for Patients with Cancer UHN Information for patients and families Read this guide to learn about: different drug coverage programs which program to use and how to use it who to
MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams
MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams Document control Title Type Author/s Management of tuberculosis in prisons: Guidance for prison healthcare teams Operational
General Information on Tuberculosis
General Information on Tuberculosis ON THE MOVE AGAINST TUBERCULOSIS: Transforming the fi ght towards elimination World TB Day 2011 SAARC Tuberculosis & HIV/AIDS Centre GPO Box No 9517, Kathmandu, Nepal
Challenges to the Success of HIV and Tuberculosis Care and Treatment in the Public Health Sector in South Africa
SUPPLEMENT ARTICLE CSE Global Theme Issue on Poverty and Human Development Challenges to the Success of HIV and Tuberculosis Care and Treatment in the Public Health Sector in South Africa Krista Dong,
- % of participation - % of compliance. % trained Number of identified personnel per intervention
Fighting Disease, Fighting Poverty, Giving Hope KEY OBJECTIVE 1 : HUMAN RESOURCE MANAGEMENT KEY RESULT AREA : HUMAN RESOURCE ACTIVITIES OUTPUT KEY ACTIVITIES INDICATOR TARGET RESOURCE/ENABLERS Have adequate
Age In London TB is more common in younger adults aged 15-44 years and peaks in the 25-34 age group (3).
4. TUBERCULOSIS INTRODUCTION Tuberculosis (TB) is an infectious, notifiable disease (meaning there is a requirement by law to report it to government authorities) caused by the bacterium Mycobacterium
1 Patient Interview 1 minute ER Nurse on duty. Patient Assessment (Chief Complaint and Vital Signs)
EMERGENCY ROOM PATIENT CARE PROCEDURES (Monday- Sunday -24 Hours) Requirement Step Duration of Person in Charge Military Active Military ID 1 Patient Interview 1 minute ER Nurse on duty 2 Patient Assessment
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH HEALTH CARE AND SUPPORT SERVICES HIV MEDICATION ADHERENCE PROGRAM PROTOCOL
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH HEALTH CARE AND SUPPORT SERVICES HIV MEDICATION ADHERENCE PROGRAM PROTOCOL Revised July 2013 HIV MEDICATION ADHERENCE PROGRAM PROGRAM OVERVIEW People living with
Resources for the Prevention and Treatment of Substance Use Disorders
Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug
Clinical Scenarios In Childhood TB. Josefina Cadorna Carlos M.D., FPPS, FPIDSP, FSMID Associate Professor of Pediatrics U E R M M M C
Clinical Scenarios In Childhood TB Josefina Cadorna Carlos M.D., FPPS, FPIDSP, FSMID Associate Professor of Pediatrics U E R M M M C Objectives: To present different commonly encountered clinical scenarios
HIV DRUG RESISTANCE EARLY WARNING INDICATORS
HIV DRUG RESISTANCE EARLY WARNING INDICATORS World Health Organization indicators to monitor HIV drug resistance prevention at antiretroviral treatment sites June 2010 Update ACKNOWLEDGEMENTS The preparation
The International Student & NIU Student Health Insurance
The International Student & NIU Student Health Insurance 2010 2011 Student Health Insurance Coverage offered through International Students are required to maintain health insurance coverage throughout
Title/Description: Discharge Medication Planning, Education, and Procurement
University of Kentucky / UK HealthCare Policy and Procedure Policy # A02-030 Title/Description: Discharge Medication Planning, Education, and Procurement Purpose: To educate patients discharged from UK
South African Health Sector: Presented to Budget committee By Dr. Olive Shisana CEO Human Sciences Research Council
South African Health Sector: Presented to Budget committee By Dr. Olive Shisana CEO Human Sciences Research Council Vision of the Department of Health An accessible, caring and high quality health care
Chapter 8 Community Tuberculosis Control
Chapter 8 Community Tuberculosis Control Table of Contents Chapter Objectives.... 227 Introduction.... 229 Roles and Responsibilities of the Public Health Sector Providers.... 229 Roles and Responsibilities
Using Routine Data for OR/IS & Data Quality Audits. Sarah Gimbel, MPH, RN HAI/DGH
Using Routine Data for OR/IS & Data Quality Audits Sarah Gimbel, MPH, RN HAI/DGH Introduction: Measurement Measurement of exposures, outcomes, other characteristics are a key part of most epidemiologic
NATIONAL ADHERENCE GUIDELINES FOR HIV,TB AND NON COMMUNICABLE DISEASES
NATIONAL ADHERENCE GUIDELINES FOR HIV,TB AND NON COMMUNICABLE DISEASES Ms. Mokgadi Phokojoe Director: HIV and AIDS Care and Support Programs National Department of Health 11 June 2015 SA AIDS Conference
Welcome to the Pediatric Eating Disorders Program Information about the Day Hospital Program
Welcome to the Pediatric Eating Disorders Program Information about the Day Hospital Program The Pediatric Eating Disorders Program Hamilton Health Sciences, 2013 Table of contents Topic Page What is Day
The Power of Metrics Part Two. By Rob Borchert, CPAM Altarum Institute: Revenue Cycle Management Practice
The Power of Metrics Part Two By Rob Borchert, CPAM July 2009 The Power of Metrics Part Two By Rob Borchert, CPAM Altarum Institute: Revenue Cycle Management Practice July 2009 THE POWER OF METRICS PART
Performance Management Dashboard May 2015
Performance Management Dashboard May 2015 Paper No: SET/43/15 May 2015 Performance Summary Overview Of 78 performance measures, 37 were status red in April, 13 Amber and 28 Green. Increase of 372 new and
Overview of emar Electronic Medication Administration Record
Overview of emar Electronic Medication Administration Record March 2006 WHAT IS emar? emar Electronic Medication Administration Record - Replaces the paper MAR MAK Medication Administration Check (Siemens)
MONITORING SERVICES, PATIENTS AND PROGRAMMES
CHAPTER 6 MONITORING SERVICES, PATIENTS AND PROGRAMMES INTRODUCTION This chapter describes how to collect, manage, analyse and use routine clinical information for HIV patient management, HIV programme
CASE STUDY: E-PHARMACY AT CHELSEA AND WESTMINSTER HOSPITAL, UK
e-business W@tch European Commission, DG Enterprise & Industry E-mail: entr-innov-ict-ebiz@ec.europa.eu, info@ebusiness-watch.org This document is based on sector studies, special reports or other publications
Tuberculosis OUR MISSION THE OPPORTUNITY
Tuberculosis OUR MISSION Guided by the belief that every life has equal value, the Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. Our Global Health Program is
TB AND M/XDR-TB: FROM CLINICAL MANAGEMENT TO CONTROL AND ELIMINATION
ersnet.org/school TB AND M/XDR-TB: FROM CLINICAL MANAGEMENT TO CONTROL AND ELIMINATION 23-26 May 2012 - Bucharest, Romania SCHOOL COURSE 2012 Educational Material Thank you for viewing this document. We
Up to $402,000. Insight HIV. Drug Class. 1.2 million people in the United States were living with HIV at the end of 2011 (most recent data).
HIV Background, new developments, key strategies Drug Class Insight INTRODUCTION Human Immunodeficiency Virus (HIV) is the virus that can lead to Acquired Immunodeficiency Syndrome, or AIDS. No safe and
Childhood Tuberculosis: Diagnosis, Treatment and Prevention of TB in HIV-infected Children
Childhood Tuberculosis: Diagnosis, Treatment and Prevention of TB in HIV-infected Children Celia DC Christie-Samuels Professor of Paediatrics (Infectious Diseases, Epidemiology and Public Health) University
National Clinical Programme in Surgery (NCPS) Care Pathway for the Management of Day Case Laparoscopic Cholecystectomy
National Clinical Programme in Surgery (NCPS) Care Pathway for the Management of Day Case Consultant Surgeon DRAFT VERSION 0.5 090415 Table of Contents 1.0 Purpose... 3 2.0 Scope... 3 3.0 Responsibility...
Drug-resistant Tuberculosis
page 1/6 Scientific Facts on Drug-resistant Tuberculosis Source document: WHO (2008) Summary & Details: GreenFacts Context - Tuberculosis (TB) is an infectious disease that affects a growing number of
Complaints Annual Report 2014-15. Author: Sarah Housham, Senior Complaints and PALS Officer
Complaints Annual Report 2014-15 Author: Sarah Housham, Senior Complaints and PALS Officer 1 Rnoh Complaints Annual Report 2014 / 2015 Complaints Handling & the Principles of Remedy Introduction Complaints
Protocol for the Control of Tuberculosis
Protocol QH-HSDPTL-040-1:2015 Effective Date: 11 November 2015 Review Date: 11 November 2018 Supersedes: Protocol QH-HSDPTL-040-1:2013 QH-HSDPTL-040-2:2013 QH-HSDPTL-040-3:2013 Health Service Directive
Statement of Conflicts of Interest
10 th Annual 340B Coalition Winter Conference Expansion of Pharmacy Services Through the 340B Program Binita Patel, PharmD, MS Director of Ambulatory/Retail Services Froedtert & Medical College of Wisconsin
Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for
Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for your discharge or transfer from hospital. Healthcare professionals
How Can We Get the Best Medication History?
How Can We Get the Best Medication History? Stephen Shalansky, Pharm.D., FCSHP Pharmacy Department, St. Paul s Hospital Faculty of Pharmaceutical Sciences, UBC How Are We Doing Now? Completeness of Medication
Nova Scotia Pharmacare Programs
Nova Scotia Pharmacare Programs The Nova Scotia Family Pharmacare Program Effective December 2012 The information in this booklet is subject to change and does not replace the Health Services and Insurance
IV. Counseling Cue Cards. ICAP International Center for AIDS Care and Treatment Mailman School of Public Health Columbia University
IV. Counseling Cue Cards ICAP International Center for AIDS Care and Treatment Mailman School of Public Health Columbia University How to Use These Counseling Cue Cards ABOUT THE CUE CARDS This set of
The PHS 340B Drug Pricing Program
340B DRUG PRICING PROGRAM: Improving access to affordable medications. Harry P. Hagel, RPh, MS Senior Director HRSA Pharmacy Services Support Center American Pharmacists Association August 16, 2006 The
KNIGHTS HILL SURGERY Suite 1, West Norwood Health and Leisure Centre, SE27 0DF
KNIGHTS HILL SURGERY Suite 1, West Norwood Health and Leisure Centre, SE27 0DF Tel: 0203 141 0700 Fax: 0203 049 0701 Email - lamccg.knightshill@nhs.net Website: www.knightshillsurgery.nhs.uk PARTNERS Dr
NOTICE OF PRIVACY PRACTICES. The University of North Carolina at Chapel Hill. UNC-CH School of Nursing Faculty Practice Carolina Nursing Associates
NOTICE OF PRIVACY PRACTICES The University of North Carolina at Chapel Hill UNC-CH School of Nursing Faculty Practice Carolina Nursing Associates THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU
TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG
TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG Tx CENTERS Tuberculosis Control Program Health and Human Services Agency San Diego County INTRODUCTION Reducing TB disease requires
TUBERCULOSIS (TB) CASE MANAGEMENT/TEAM APPROACH. I. TITLE: Protocol for the case management of persons with suspected or confirmed active TB disease.
REVISED (original 4/93) TUBERCULOSIS (TB) CASE MANAGEMENT/TEAM APPROACH I. TITLE: Protocol for the case management of persons with suspected or confirmed active TB disease. II. TYPE OF STANDARD: Service
A systematic review of ehealth systems in developing countries and practical examples
A systematic review of ehealth systems in developing countries and practical examples Hamish SF Fraser MBChB, MRCP, MSc Director of Informatics and Telemedicine, Partners In Health Assistant Professor,
BOARD OF DIRECTORS PAPER COVER SHEET. Meeting date: 29 November 2006 Agenda item: 7.4
BOARD OF DIRECTORS PAPER COVER SHEET Meeting date: 9 November 6 Agenda item: 7. Title: COMPLAINTS REPORT QUARTER 6/7 (1 July 6 3 September 6) Purpose: To update the board on the number and type of complaints
The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0
The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0 January 2013 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3.
Mental Health Acute Inpatient Service Users Survey Questionnaire
Mental Health Acute Inpatient Service Users Survey Questionnaire What is the survey about? This survey is about your recent stay in hospital for your mental health. Who should complete the questionnaire?
ecompliance: Revolutionizing Tuberculosis Treatment Designed in collaboration with: Microsoft Research India & Innovators In Health 1
ecompliance: Revolutionizing Tuberculosis Treatment Designed in collaboration with: Microsoft Research India & Innovators In Health 1 Overview Operation ASHA is a non-profit bringing tuberculosis treatment
Conroe Physician Associates. Patient Consent Form. I fully understand that this is given in advance of any specific diagnosis or treatment.
Conroe Physician Associates Patient Consent Form Please Read and Sign I, undersigned, hereby consent to the following: Administration and performance of all treatments Administration of any needed anesthetics
KWA ZULU NATAL NURSE EDUCATORS TB.MDR AND HIV AIDS WORKSHOP REPORT
KWA ZULU NATAL NURSE EDUCATORS TB.MDR AND HIV AIDS WORKSHOP REPORT DATE OF TRAINING: 09-12 APRIL 2013 VENUE: TROPICANA HOTEL COR-ORDINATORS AND FACILITATORS: Mr. Sipho Cornwell Khoza and Ms. Thokozile
PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.
PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 12, 2011. It is intended for information and reference purposes
Dealing With MDRTB In The Field. Douglas Wilson Department of Medicine Edendale Hospital
Dealing With MDRTB In The Field Douglas Wilson Department of Medicine Edendale Hospital Edendale post mortem diagnosis by TB status [n = 240] Not TB 32% TB Rx* culture positive 27% Not on TB Rx culture
EMR and ehr Together for patients and providers. ehealth Conference October 3-4, 2014
EMR and ehr Together for patients and providers ehealth Conference October 3-4, 2014 DISCLOSURES: Commercial Interests NONE Susan Antosh is CEO of ehealth Saskatchewan Vision: Empowering Patients, Enabling
Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1
Medicines reconciliation on admission and discharge from hospital policy April 2013 WHSCT medicines reconciliation policy 1 Policy Title Policy Reference Number Medicines reconciliation on admission and
TUBERCULOSIS the disease, its treatment and prevention. mmunisation
TUBERCULOSIS the disease, its treatment and prevention mmunisation TB (tuberculosis) is an infectious disease that usually affects the lungs, although it can affect almost any part of the body. About