Text - Step by Step Guide

Planning and implementing a successful LTBI treatment program is a complex enterprise - not a single procedure but several simultaneous ones. In general, the process consists of the fifteen steps or series of activities, each of which is described in this section.

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• Summary of Steps

• Step 1: Situational Analysis

• Step 2: Guidelines, Protocols, and Strategies
  Associated Tools:
  • ATS/CDC Statement: Targeted Testing and Treatment of LTBI
  • ATS/CDC Update: Recommendations Against the Use of RIF and PZA for Treatment of LTBI
  • Resource Guide

• Step 3: Program Framework

• Step 4: Budget and Funding
  Associated Tools:
  • Resource Guide

• Step 5: Action Plan
  Associated Tools:
  • Template - LTBI Program Action Plan

• Step 6: Community Partners
  Associated Tools:
  • Background Guide 4: Proactive Collaboration with Other Community Providers
  • Template - MOU: Infectious Disease Screening

• Step 7: Community Outreach
  Associated Tools:
  • Resource Guide

• Step 8: Culturally Appropriate Care
  Associated Tools:
  • Background Guide 3: The Patient-Centered Philosophy
  • Resource Guide

• Step 9: Incentives and Enablers
  Associated Tools:
  • Background Guide 3: The Patient-Centered Philosophy

• Step 10: Location
  Associated Tools:
  • Background Guide 3: The Patient-Centered Philosophy

• Step 11: Administrative Protocols
  Associated Tools:
  • Background Guide 2: Case Management and Directly Observed Therapy for LTBI
  • Case Study 1: The San Francisco Model - TB Outreach Prevention Services (TOPS)
  • Case Study 2: Community-Based Service Delivery to the Foreign-Born, San Francisco
  • Case Study 3: Community Partnership Project, San Diego County
  • CDHS/CTCA Guidelines: Interjurisdictional Continuity of Care
  • Template - Notification: TB Clearance
  • Template - Notification: Treatment Completion
  • NYC DOHMH Protocols for LTBIResource Guide

• Step 12: Clinical Protocols
  Associated Tools:
  • ATS/CDC Statement: Targeted Testing and Treatment of LTBI
  • ATS/CDC Update: Recommendations Against the Use of RIF and PZA for Treatment of LTBI
  • Background Guide 2: Case Management and Directly Observed Therapy for LTBI
  • NYC DOHMH Protocols for LTBI
  • Resource Guide
  • SF Interruption Protocol
  • SF Missed Appointments Protocol
  • SF Missed Dose Flowchart
  • SF Nonadherence Protocol
  • SF Treatment Protocol
  • Template - Notification: Missed Appointment
  • Template - Patient Tracking Log

• Step 13: Staffing Requirements
  Associated Tools:
  • Background Guide 1: Staffing and Teamwork for an LTBI Program
  • Template - Job Description: Outreach Worker
  • Template - Job Description: Program Coordinator
  • Template - Job Description: Social Worker

• Step 14: Training
  Associated Tools:
  • Background Guide 3: The Patient-Centered Philosophy
  • Template - Field Safety Checklist

• Step 15: Evaluation
  Associated Tools:
  • Resource Guide