The document provides a template for medical colleges to track their performance in implementing tuberculosis (TB) control activities. It includes sections to record details of the core committee overseeing TB activities, engagement in diagnosis and treatment, human resource status, and contribution of the college to TB case notification in the district for pulmonary TB, extrapulmonary TB, and pediatric TB on a quarterly basis. Maintaining the template with up-to-date data will help evaluate the college's progress in key areas of the national TB elimination program.
National framework for malaria elimination in indiaAparna Chaudhary
outlines India’s strategy for elimination of the disease by 2030. The framework has been developed with a vision to eliminate malaria from the country and contribute to improved health and quality of life and alleviation of poverty.
National framework for malaria elimination in indiaAparna Chaudhary
outlines India’s strategy for elimination of the disease by 2030. The framework has been developed with a vision to eliminate malaria from the country and contribute to improved health and quality of life and alleviation of poverty.
This presentation is prepared as part of the Course assignment of “Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till June 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
Core Committee template for MC mc (1).pptadmin503235
Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC
This presentation is prepared as part of the Course assignment of “Development and Management of HRH” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till June 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
Core Committee template for MC mc (1).pptadmin503235
Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC
SOAP NOTE TEMPLATEPlease include a heart exam and lung exam o.docxaryan532920
SOAP NOTE TEMPLATE
Please include a heart exam and lung exam on all clients regardless of the reason for seeking care. So, if someone presented with cough and cold symptoms, you would examine the General appearance, HEENT, Neck, Heart and Lungs for a focused/episodic exam. The pertinent positive and negative findings should be relevant to the chief complaint and health history data. This template is a great example of information documented in a real chart in clinical practice. The only section that will not be included in a real chart is differential diagnosis. The term “Rule Out…” cannot be used as a diagnosis.
Subjective Data
Chief Complain (CC):
History of Present Illness (HPI):
Last Menstrual Period (LMP- if applicable)
Allergies:
Past Medical History:
Family History:
Surgery History:
Social History (alcohol, drug or tobacco use):
Current medications:
Review of Systems (Remember to inquire about body systems relevant to the chief complaint & HPI)
Objective Data
Please remember to include an assessment of all relevant systems based on the CC and HPI. The following systems are required in all SOAP notes. You will proceed to assess pertinent systems.
Vital Signs/ Height/Weight:
General Appearance:
HEART:
RESP:
Assessment
A: Differential Diagnosis Please rule out all differential diagnosis with subjective and objective data and/or lab-work.
1.
2.
3.
B: Medical Diagnosis Rule in diagnosis with subjective and objective data and lab-work. They need to let us know how they arrived at the diagnosis.
1.
PLAN
A: Orders
1. Prescriptions with dosage, route, duration, and amount prescribed and if refills provided
2. Diagnostic testing
3. Problem oriented education
4. Health Promotion/Maintenance Needs
5. Referrals
B: Follow-Up Plans (When will you schedule a follow-up appointment and what will you address in the subsequent visit ---F/U in 2 weeks; Plan to check annual labs on RTC (return to clinic)
KAPLAN SCHOOL OF NURSING
SOAP NOTE/CASE STUDY GRADING RUBRIC
[100 Points Total]
A. Project Content
80 points possible
0
1-5
6-10
11-15
16-20
Score
Presentation of Case, subjective and
No paper submitted
Needs improvement
Partially addressed case and/or Subjective Data. Only 4-6 components addressed.
Partially addressed Case and/or Subjective Data.
Only 7-9 components addressed.
Clearly and thoroughly presents Case and Subjective Data.
All 10 components addressed
20
Objective Data
No Paper submitted
Omitted 5 or more components of the objective data
Omitted 3-4 components of the objective data
Omitted 1-2 components of the objective data
Clearly and thoroughly presents Objective Data. All of the relevant systems addressed based on the CC and HPI
20
Assessment
No Paper submitted
Failed to address the diagnosis and/or differential diagnosis
Diagnosis incorrect but completed a thorough exam and lab work in order to rule in diagnosis
Diagnosis correct but failed to rule in diagnosis with exams or ...
Victorian HIV Service STI Project: How simple is to ordering a blood test? Presentation given by Brian Price at the AFAO National Syphilis Forum, 23 October 2009.
SOAP NOTE TEMPLATEPlease role play with a volunteer family mem.docxwhitneyleman54422
SOAP NOTE TEMPLATE
Please role play with a volunteer family member or friend to complete this assignment. You will focus on a respiratory disorder and gather data to complete an episodic SOAP note. You will include evidence-based practice guidelines in the management plan, and include rationales for differential diagnoses (cite source). Please include a heart exam and lung exam on all clients regardless of the reason for seeking care. So, if someone presented with cough and cold symptoms, you would examine the General appearance, HEENT, Neck, Heart and Lungs for a focused/episodic exam. The pertinent positive and negative findings should be relevant to the chief complaint and health history data. This template is a great example of information documented in a real chart in clinical practice The term “Rule Out…” cannot be used as a diagnosis. Please describe appearance of area assessed and refrain from using the term “normal” when documenting this note. Please note that requirements for SOAP notes may differ across NP courses.
I. Subjective Data
A. Chief Complain (CC):
B. History of Present Illness (HPI):
C. Last Menstrual Period (LMP- if applicable)
D. Allergies:
E. Past Medical History:
F. Family History:
G. Surgery History:
H. Social History (alcohol, drug or tobacco use):
I. Health Maintenance: ( include last PAP/MAM, immunizations, colonoscopy, PSA, last eye & physical exam, etc.)
J. Lifestyle Patterns (include spiritual beliefs, behaviors, and traditional practices)
K. Current medications:
L. Review of Systems (Remember to inquire about body systems relevant to the chief complaint & HPI)
II. Objective Data
Please remember to include an assessment of all relevant systems based on the CC and HPI. The following systems are required in all SOAP notes. You will proceed to assess additional pertinent systems.
Vital Signs/ Height/Weight:
General Appearance:
HEART:
RESP:
A. Assessment
Differential Diagnosis (include rationales and cite source)
1.
2.
3.
Medical Diagnosis (include ICD 10 codes)
1.
B: PLAN
1. Prescriptions with dosage, route, duration, and amount prescribed and if refills provided
2. Diagnostic testing
3. Problem oriented education
4. Health Promotion/Maintenance Needs
5. Cultural & Life span considerations
6. Referrals
Follow-Up Plans (When will you schedule a follow-up appointment and what will you address in the subsequent visit ---F/U in 2 weeks; Plan to check annual labs on RTC (return to clinic)
Please include CPT Code (level of visit)
References: Please include at least 3 evidence-based sources in APA format.
SOAP NOTE TEMPLATE
Please role play with a volunteer family member or friend to complete this assignment. You will
focus on a respiratory disorder and gather data to complete an episodic SOAP note. You will
include evidence
-
based practice guidelines in the management plan,
and include rationales for
differential diagnoses (cite .
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
1. Date:
Dr Sanjay Suryawanshi
WHO National Consultant,
(Medical Colleges Support & Institutional strengthening)
Central TB Division, MoHFW, New Delhi -110001
• Email: suryawanshis@rntcp.org ; 98960370714; 9890170711
National Workshop for Medical Colleges Task Force to
Accelerate Ending TB in India
Template for Core Committee in Medical Colleges
2. Formation Core Committee
Whether the college formed a Core Committee meeting? Yes/no
• If No, Medical College/DTO to initiate the activity, plan a meeting
with the Director/Dean/Principal and HODs of TB/ Medicine/
Paediatric, etc to discuss the role of a medical college in NTEP.
With the consensus, decide the date to form a Core Committee.
• If Yes, then plan a meeting and intimate Members /participants
in advance. Plan meetings for all 4 quarters, decide the dates.
1st Quarter (Jan-March ) To be reviewed in April
2nd Quarter (April-June ) To be reviewed in July
3rd Quarter (July-Sept ) To be reviewed in Oct
4th Quarter (Oct-Dec ) To be reviewed in Jan
3. Name of Medical College (Govt/Pvt)
:
Venue
:
Name of Nodal Officer
:
Name of NTEP Medical Officer
:
Name of DTO/CTO :
Quarter 1 Quarter 2 Quarter 3 Quarter 4
Meeting Expected (Date)
Meeting conducted (Date)
Core Committee Meeting
4. Department Name/s Email ID Mobile No.
Director/Chairmen/ Dean / Principal
Medical Superintendent
Nodal officer (Clinical )
Nodal officer ( Public Health )
Member Secretary (DTO/CTO)
Members
General Medicine
Pulmonary Medicine
Community Medicine
OBGY
Pharmacology
Psychiatry
Paediatric
Ophthalmology
Orthopaedics
General Surgery
Thoracic Surgery
ENT
Pathology
Microbiology
Biochemistry
Dermatology
MO DRTB Centre/MO med college
Nursing Superintendent
Representatives from Dental/Ayurvedic colleges etc
Others Co-opt members ( e.g. IMA)
Committee members / Participants *
5. Time Activities By
~ 10 Min
(i.e. 11.00 am -11.10
am)
Welcome address
Address by
Nodal officer
Director /Dean/ Principal
Minimum 60 min
(i.e. 11.10 -12.10 am)
• Reading of minutes of previous
meeting ( circulate the copy to
all members ) and discussion
• Review of medical college –
performance
Nodal officer
10 min
(i.e.12.10 pm - 12.20
pm)
Concluding remarks Director /Dean/ Principal
Meeting agenda must be decided locally and followed up strictly
Committee members / Participants *
Agenda
6. Status of Core Committee ( CC ) Meetings Conducted
Quarters
CC Conducted
( Yes/ No / if yes, date
Date
If yes, Minutes prepared/submitted
If not, the reason for
not conducting
STO STF DTO/ CTO
1Q Yes/ No / if yes, date
2Q Yes/ No / if yes, date
3Q Yes/ No / if yes, date
4Q Yes/ No / if yes, date
For better comparison always there will be information available on 4 Quarters
7. Minutes of the previous CC meeting
Sr
no
Issue discussed Action suggested
Responsibility
(College / DTO/ STO /
STF)
8. Status of Engagement
Facility established Yes / no Functional (yes/no)
Remarks
( reasons if no )
TB diagnostic centre
Treatment support Centre
C and DST Lab * Yes / no Functional
(yes/no)
Accredited/ certified/ date for
technology *
Remarks
( reasons if no )
C and DST Lab
FL-LPA
SL-LPA
Liquid- MGIT
CBNAAT
Truenat
DRTB Centre Yes / no Functional (yes/no) Remarks
( reasons if no )
Nodal DRTB Centre
District DRTB Centre
Write the exact status , use remarks column
*If applicable, Solid/Liquid/ GeneXpert /LPA –FL/LPA-SL;
9. DR-TB Services
DR-TB Centre available in the Medical College Yes / No, IF yes, then mention, type Nodal District DRTBC
Separate DR-TB Ward for Male and Female
(available as per guideline)
Yes / No, IF yes, then mention no. of
beds available
10 Male
10 Female
2 - male
2 - female
DR-TB Committee formed? Yes / No
Pre-Treatment evaluation facilities (Test)
available
Yes / No
Minimum of 6 feet distance between two beds in
DR-TB ward is maintained
Yes / No
AIC guideline implemented in the DR-TB Ward Yes / No
ADR management happening ? If yes than aDSM
form filled up
Yes / No
DR-TB medicine available Yes / No
Is falcon tube available in each ward/OT/OPD ? Yes / No
10. TB/HIV Collaborative activities
Activities
Status
Yes/No
Whether ICTC is Present in the medical college?
Standard cross-referral between TBDC and ICTC is in place ?
Whether ART Centre is present in the medical college?
Is the mechanism available to diagnose and treat TB in ART
centres in place – “ Single window Concept “
11. TB/Diabetic/tobacco Collaborative activities
Activities
Status
Yes/No
A diabetic screening centre is present in the medical college
Standard cross-referral between TBDC and diabetic screening centre is
in place
A tobacco Cessation screening center is present in the medical college
Standard cross-referral between TBDC and Tobacco Cessation screening
centre is in place
Mechanism to put TB Patients on anti-TB treatment is in place
( NTEP Treatment centre)
12. Is the medical college (all dept) adequately using NTEP guidelines(diagnosis / treatment ) Yes/No
The NTEP records (Annex 15A,referral/ transfer, TB Notification register, Lab register, ) available
including -real-time referral through Ni-kshay
Yes / no
Treatment Support Directory available- Ni-kshay output Yes/No
Regular supply of Lab Consumables: Yes/No
NTEP TB diagnostic centre Yes/No
C & DST Lab (If applicable) Yes/No
CBNAAT Cartridges ( if applicable ) Yes/No
Truenat chips (If applicable) Yes/No
TB diagnostic centre covered under EQA Yes/No
Regular Supply of Drugs ( DSTB / DRTB) for OPD / inpatients is available Yes/No
All TB Cases are referred to NTEP TB diagnostic centre & Treatment Support Centre?
Faculty participated as a resource person in CME/sensitization (interdepartmental/IMA) etc Yes/No Specify
Faculty participated in internal evaluation /JSS /SNC/ JMM/Common review Yes/No Specify
Funds available for Meetings/ CMEs/ Workshops/ OR/ thesis etc ( explain ) Yes/No
Specify
Shortages to be discussed during the meeting
NTEP implementation status
NTEP implementation status
13. Medical college: HR Status
Facility established Sanctioned NTEP
posts in number
Sanctioned /
not sanctioned
(Y/N)
If yes,
In-place /
Vacant
Remarks (issues on
equipment's, fund,
TB diagnostic centre and
Treatment support
Centre
MO (1) /
LT (1) /
TBHV (1) /
C and DST Lab*
Microbiologist (1) /
Sr LTs (5) /
DEO/Nikshay operator
(1)
/
Lab assistant (1) /
Nodal DRTB Centre *
Sr MO (1) /
SA (1) /
District DRTB Centre
• If applicable, ; DRTB Centre is Mandatory in each college ( Nodal or DDRTBC)
14. Year
No. of TB cases
notified by the
district where
Medical college is
located (A)
No. of TB case
notified from
Medical
college (B)
% Contribution
at the district
(B/A)
2015 1400 350 25%
2016 1300 345 27%
2017 1500 335 22%
2018 1600 325 20%
2019 1700 250 15%
2020 1600 190 12%
2021 1690 205 12%
2022 1700 210 10%
1400
1300
1500
1600
1700
1600
1690 1700
350 345 335 325
250
190 205 210
25%
27%
22%
20%
15%
12% 12% 12%
0%
5%
10%
15%
20%
25%
30%
0
200
400
600
800
1000
1200
1400
1600
1800
2015 2016 2017 2018 2019 2020 2021 2022
No. of TB case notified from dist. where Medical college is situated (A)
No. of TB case notified from Medical college (B)
% Contribution at the dist. (B/A)
Dummy chart – fill the data
in table and prepare the
chart
Contribution of the medical college in the district : TB case notification
(year-wise trend)
Contribution of the medical college in the district : TB case notification
(year-wise trend)
15. Dummy chart – fill the data
in table and prepare the
chart
Quarters
No. of TB case
notified by the
district where
Medical college is
situated (A)
No. of TB case
notified from
Medical college
(B)
% Contribution
at the district
(B/A)
Q1 1400 350 25%
Q2 1300 345 27%
Q3 1500 335 22%
Q4 1600 325 20%
Q1 1700 250 15%
Q2 1600 190 12%
Q3 1690 205 12%
Q4 1700 0%
Q1
1400
1300
1500
1600
1700
1600
1690 1700
350 345 335 325
250
190 205 210
25%
27%
22%
20%
15%
12% 12% 12%
0%
5%
10%
15%
20%
25%
30%
0
200
400
600
800
1000
1200
1400
1600
1800
2015 2016 2017 2018 2019 2020 2021 2022
No. of TB case notified from dist. where Medical college is situated (A)
No. of TB case notified from Medical college (B)
% Contribution at the dist. (B/A)
Contribution of the medical college in the district: TB case notification
(Quarter-wise trend) in the district
Contribution of the medical college in the district: TB case notification
(Quarter-wise trend) in the district
16. Contribution of the medical college in the district: Pulmonary / EP TB
Quarters Indicator
** Total number of TB
cases registered in
district
Total Number TB cases
notified by Medical
Colleges
Remarks
Q1
Total TB patients registered (A) 1000 100
Pulmonary TB (B) - % ( B/A) 800 ( 80 %) 65 ( 65 % )
Extrapulmonary TB (C) % C/A 200 (20 %) 35 (35 %)
Q2
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Q3
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Q4
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 quarters
17. Source of data is TB Lab register and NAAT register
Quarters
Number of EPTB patients
notified from medical
college
Out of (A), number (%)
microbiologically diagnosed EPTB
by medical college
Out of (A), number (%) clinically
diagnosed EPTB by medical college
Remarks
(A) (B) ( C )
Q 1 35 5 (14 % ) 30 (86 %)
Q 2
Q 3
Q 4
Total
Contribution of the medical college in the district: Extra Pulmonary TB
(Microbiological Confirmed EP TB )
18. Contribution of the medical college in the district: Pediatric TB
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 Quarter s
Quarter Indicator
** Number TB cases
registered in district (A)
Number TB cases notified by
Medical Colleges ( B )
Remarks
Q1
Total TB patients
registered (A)
1000 100
Total Pediatric TB
notified (B) - % ( B/A )
150 (15 % ) 30 ( 30 % )
Q2
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )
Q3
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )
Q4
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )
19. Contribution of the medical college in the district: Pediatric TB
(microbiological Confirmed)
Quarter
Number of Paediatric
TB patients notified
from medical college
Out of (A), number (%)
microbiologically diagnosed
Pediatric TB cases by medical
college
Out of (A), number (%) clinically
diagnosed Pediatric TB cases
by medical college
Remarks
(A) (B) ( D )
Q 1 30 10 ( 33 %) 20 (67%)
Q 2
Q 3
Q 4
Total
20. Contribution of the medical college in the district: Microbiological /Clinical TB
Quarters Indicator Number of TB cases
registered in district
No. of f TB cases notified
from Medical Colleges
Remarks
Q1
Total TB patients registered (A) 1000 100
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A 650 (65 % ) 55 ( 55 % )
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A 350 ( 35 ) 45 ( 45 %
Q2
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Q3
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Q4
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 Quarter s
21. Efforts to diagnose TB in Medical College
Quarter
No. of
Pulmonary
presumptive
TB examined
No. of Smear
+ve Patient
diagnosed
Out A, no.
of chest
Xray done
Out C, no.
of abnormal
chest Xray
seen
Out of D, no. of
chest Xray
abnormal, NAAT
(CBNAAT/ Truenat
) done
Out of (E),
number
diagnosed
Total
microbiologi
cally
confirmed
diagnosed
Out of total
TB patients
diagnosed,
number
initiated on
treatment
(A) ( B ) ( C ) (D) (E) RS RR B+E
1 Q 100 10 100 50 50 20 5 35
2 Q
3 Q
4 Q
Total
Source of data is TB Lab register and NAAT register
22. Performance of CBNAAT ( >250 /month)
Total Test Done
Total MTB
detected
RR Case
detection
Paediatric
test
Total MTB
detected
EP test
Total MTB
detected
Jan 284 123 8 11 1 6 1
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
23. Performance of Truenat ( >250 /month)
Total Test Done
Total MTB
detected
RR Case
detection
Paediatric test
Total MT/RR
detected
EP test
Total MTB/RR
detected
Jan 284 123 8 11 1/0 6 1/0
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
24. TB Patients: UDST and Screening for Co-morbidities
Quarter
Total TB cases
notified by Medical
College (a)
Out of (a) total number of
cases tested for at least
Rifampicin
(Number / %)
Out of (a) tested
for HIV
(Number / %)*
Out of (a)
tested for DM
(Number / %)
Remarks
Q 1
100 90 99 98
Q 2
Q 3
Q 4
25. TB Case Notification by Departments
Quarters Q 1 Q 2 Q 3 Q 4
Dept
Presumptive
TB identified
TB
diagnosed
Presumptive
TB identified
TB
diagnosed
Presumptive
TB identified
TB
diagnosed
Presumptive TB
identified
TB
diagnosed
Pul Medicine
Gen Medicine
Paediatric
OBGY
Orthopaedics
Surgery
ENT
Ophthalmology
Skin
Others-add
Total
Referral register to be kept in all clinical department
26. Chest symptomatic OPD referral from ART center in the Quarter……
Total PLHIV
OPD in
Quarter
(A)
Out of (A), total
presumptive TB
patient's referral ( by 4
symptoms screening )
for microcopy*
(B)
Out of (A), total
presumptive TB
patient's referral ( by 4
symptoms screening )
to NAAT directly
(C)
Out of (B) and (C),
total
microbiologically
confirmed TB
patients diagnosed
(D)
Out of (A)
total clinical
TB
diagnosed
(E)
Total TB
patients
diagnosed
(C+D+E)
Total
patients put
of treatment
1000 20 10 9 15 24 24
27. Sr.
No.
Department Name
Total new
admission in a
month
Total indoor
patients
screened for TB
in a month
[A]
No. of patients
found to have
TB symptoms
[B=Out of A]
No. of
patients,
whose CXR
done
[C= Out of B]
No. of patients,
whose samples sent
to DMC for smear
microscopy
[D= Out of B]
No. of patients,
whose samples
sent to NAAT for
TB diagnosis
[E= Out of B]
No. of Indoor
patients, in
whom TB is
diagnosed
[E= Out of D
and E]
1 Pulmonary medicine
2 General medicine
3 Pediatrics’
4 OBGY
5 ENT
6 Gastro & hepatology
7 CTVS
8 Department of neurology
9 Neurosurgery
10 Dermatology
11 Opthalmology
12 Orthopedics
13 Dept of Endocrinology,
14 Psychiatry
15 Cardiology
16 Radiotherapy
17 Surgery
18 Urology
19 Nephrology
20 Pediatric surgery
21 Plastic surgery
22 General Ward/ Any wards
Total
Indoor Department-wise screening- Quarter
28. Category In Place
Previous Quarter ** Current Quarter * Total
Trained in previous
Quarter (A)
Sensitized in
previous Quarter
(B)
Trained in this
Quarter (C)
Sensitized in
this Quarter
(D)
Trained till date
(A+C)
Sensitized
till date
(B+D)
Faculty In charge
Core Committee
Members
Other Faculty Members
PG Students
Interns
UG Students
Lab Technicians
Pharmacists
Nurses
Paramedics
Trainings & sensitizations on TB update
* Quarter to be reviewed ** previous Quarter for comparison
29. Training Status in PMDT (2021 guidelines) & PMTPT (2021 guidelines)
Name of Dept
Faculty Trained PG Students & Residents trained Interns trained
No. in
Place
No. TPT
trained
Online/ off
line
No. PMDT
Online/ off line
No. in
Place
No. TPT
trained
Online/ off
line
No. PMDT
Online/ off
line
No. in
Place
No. TPT
trained
Online/ off
line
No.
PMDT
Online/ off
line
Chest and TB
Medicine
Pediatric
OBGY
Department wise number trained to be mentioned
30. Advocacy- workshops/seminar/CME
Quarters
Number of CMES /seminar/ workshops done in
college on TB update
Remarks ( attach snaps)
Q 1
Q 2
Q 3
Q 4
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison
31. PG Thesis by Medical College (1)
Quarters
Number of thesis proposals
submitted to State OR
committee by college
Number of thesis Proposals
approved by State OR
committee
No. of Thesis for
which funds have
been released
Remarks
Q 1
Q 2
Q 3
Q 4
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison
32. PG Thesis by Medical College (2)
Sr. No
Name of
Department
Number of
thesis
initiated
Mention PG thesis titles (
details )
Status of Thesis
Submitted to state
OR Committee/ STO
office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1 ABC 1
2
3
2 XYZ 1
2
3
3 XXY 1
2
3
Use more slides to enlist all
33. OR in Medical College (1)
Quarters
Number of OR proposals
submitted to State OR committee
by college
Number of OR Proposals
approved by State OR
committee
No. of OR for which
funds have been
released
Q 1
Q 2
Q 3
Q 4
Department wise details in next slide
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison
34. OR in Medical College (2)
Sr. No
Name of
Department
Number of ORs
initiated
Mention the title of OR
Topics
Number of of ORs
Submitted to state
OR Committee/ STO
office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1 ABC 1
2
3
2 XYZ 1
2
3
3 XXY 1
2
3
Use more slides to enlist all
Nodal officers, DTO, MO and NTEP Staff should meet and plan the activities ( CC meeting, Training, CMES etc ) in consensus with the Director/Dean/Principal