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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