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Revised Report of Verified Case of Tuberculosis (RVCT) Revised Report of Verified Case of Tuberculosis (RVCT) Self-Study ModulesSelf-Study Modules

Course OverviewCourse Overview<Insert Faculty Names and Organizations>

Course Developed by Division of Tuberculosis Elimination

Centers for Disease Control and Prevention (CDC)

CDC Tuberculosis Surveillance Data TrainingCDC Tuberculosis Surveillance Data Training

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19931993 20082008

RVCT revision work group conducts compre-hensive review of RVCT

RVCT implemen-tion

20012001 20092009

Last major RVCT revision

Continuedcollabor-ation with experts on specific variables

20052005 20072007

Request for review and comments from TB partners

CDC and OMB clearance

RVCT Revision TimelineRVCT Revision Timeline

Software developed

RVCT Training materials developed

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Revised Report of a Verified Case of Revised Report of a Verified Case of Tuberculosis (RVCT)Tuberculosis (RVCT)

RVCT

Page 1 (Items 1 – 16) Page 2 (Items 17 – 25) Page 3 (Items 26 – 37)

Initial Drug Susceptibility Report

(Follow-Up Report – 1) (Items 38 – 40)

Case Completion Report

(Follow-Up Report - 2) (Items 41 – 49)

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Tuberculosis Surveillance DataTuberculosis Surveillance Data

• Some jurisdictions use their own formSome jurisdictions use their own form– Use variables from RVCTUse variables from RVCT– May include additional variablesMay include additional variables

• This training is not about softwareThis training is not about software

• RVCT data is collected for surveillance RVCT data is collected for surveillance purposes (not research)purposes (not research)

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How Do You Use RVCT Data?How Do You Use RVCT Data?

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Benefits of RVCT DataBenefits of RVCT Data

• Increased ability to assess program Increased ability to assess program performance, completeness of data performance, completeness of data collection, and accuracy of reportingcollection, and accuracy of reporting

• Improved data for program planning Improved data for program planning and performance developmentand performance development

• Facilitate patient servicesFacilitate patient services

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Consequences of Inaccurate, Consequences of Inaccurate, Incomplete, or Unknown RVCT DataIncomplete, or Unknown RVCT Data

• Inaccurate follow-up of services to patients Inaccurate follow-up of services to patients

• Inadequate resources Inadequate resources (e.g., funding, staff, (e.g., funding, staff, facilities, drugs, and supplies)facilities, drugs, and supplies)

• Inaccurate evaluation and policy Inaccurate evaluation and policy developmentdevelopment

• Misrepresentation of the public health Misrepresentation of the public health burden of TBburden of TB

• Inability to measure TB program indicators Inability to measure TB program indicators that are based on surveillance datathat are based on surveillance data

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RVCT Data CollectionRVCT Data Collection

Collect Collect information information

from patientsfrom patients

Enter Enter RVCT dataRVCT datainto systeminto system

Review patient Review patient information and RVCT information and RVCT

data for accuracydata for accuracy

Analyze and Analyze and disseminate disseminate

datadata

Use data for program Use data for program management, management,

evaluation, and policyevaluation, and policy

Transmit, Transmit, validate and validate and manage datamanage data

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Importance of Training Staff on Importance of Training Staff on How to Use the RVCTHow to Use the RVCT

If staff do not learn how to accurately complete the RVCT…

Garbage inGarbage in

If you use RVCT data If you use RVCT data how will this impact you?how will this impact you?

Garbage outGarbage out==

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What is the Status of the What is the Status of the Software?Software?

• TIMS has retired (some sites may continue to use until cases are closed)

• States have 4 software options1. CDC developed NEDSS Base System

(NBS)2. CDC developed eRVCT Software 3. Commercial system

(Atlas PH, Consilience, CIMS, or STC)4. State developed system

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New York City

WA

Transition Option StatusTransition Option Status

eRVCT Option - 10eRVCT Option - 10

OR

CA

AK

HI

AZ NM

TX

OK

KSCO

UTNV

ID

MT

WY

NE

SD

NDMN

WI

IL

IA

MO

AR

LA

MS AL GA

FL

SC

NCTN

KY

OHIN

MIPA

WVVA

NY

ME

NH

MA

RI

CT

NJ

MD

DE

PR

Washington DC

VT

Transition Overview MapTransition Overview Map

NBS Option - 16NBS Option - 16

Commercial Option - 12Commercial Option - 12

Pacific Islands

State-Developed Option - 16State-Developed Option - 16

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RVCT Training ProgramRVCT Training Program

• Purpose – To train health care workers on how to

accurately complete the revised RVCT

• Target audienceHealth care workers from state and local health

departments, territories, and Pacific Islands who • Collect the data from patients Collect the data from patients • Complete the RVCT form Complete the RVCT form • Enter data from the RVCT into the data systemEnter data from the RVCT into the data system• Monitor accuracy of TB program data Monitor accuracy of TB program data

collectioncollection• Analyze data from the RVCTAnalyze data from the RVCT

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Types of RVCT TrainingTypes of RVCT Training

RVCT Self-Study Modules • Participants work at their own pace

– Print-based modules

Facilitated Training Sessions• Participants work through the Self-Study

Modules and participate in discussions with a facilitator

Training-of-Trainers• Participants learn how to teach a

facilitated training session to others

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RVCT Training Course RVCT Training Course ObjectivesObjectives

After working through these modules After working through these modules participants will be able toparticipants will be able to– Distinguish between the three reports

included in the RVCT form– Recognize the items on the RVCT form– Use the RVCT instructions to determine

how to complete the RVCT– Accurately complete the RVCT form

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Agenda for 2-Day CourseAgenda for 2-Day Course

Day 2 - Interactive course format1. Participants work through short

sections of the modules– Read content and instructions for each of Read content and instructions for each of

the itemsthe items– Work through exercises (study questions Work through exercises (study questions

and case studies)and case studies)

2. Facilitator leads a group discussion on content, instructions for the items and answers to the exercises

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Course MaterialsCourse Materials

Documents are final!

• Report of Verified Case of Tuberculosis (RVCT form)

• RVCT Self-Study Modules

• Answer sheets for recording answers

• Posttest

• End of course evaluation

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RVCT Self-Study ModulesRVCT Self-Study Modules

• Table of Contents (indicates which items are new, revised, and there is no change)

• Introduction• Module A – page 1 – Items 1 - 16• Module B – page 2 – Items 17 - 25• Module C – page 3 – Items 26 - 37• Module D – page 4 – Items 38 - 40• Module E – pages 5 & 6 – Items 41- 49• Appendices

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RVCT Self-Study Modules RVCT Self-Study Modules (cont.)(cont.)

Each item includes • Image of the item• Purpose• Instructions for how to complete the item• Comments that explain the instructions• Examples for applying the instructions• Notes that highlight important content• Exercises (case studies and study

questions)Examples and exercises cannot cover all situations

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RVCT Self-Study Modules RVCT Self-Study Modules (cont.)(cont.)

Each item includes • Image of the item• Purpose• Instructions for how to complete the item• Comments that explain the instructions• Examples for applying the instructions• Notes that highlight important content• Exercises (case studies and study

questions)Examples and exercises cannot cover all situations

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Continuing EducationContinuing Education

• Free of charge after June 1, 2009

• Available for RVCT Self-Study Modules (not this training course)

• Available online http://www2a.cdc.gov/TCEonline– Take test– Complete evaluation

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Continuing Education (cont.)Continuing Education (cont.)

• Types of credits– 0.5 Continuing education units (CEUs)– 5.0 AMA PRA Category 1 Credits

Continuing medical education (CME)– 5.0 Continuing nursing education (CNEs)– 5.0 Continuing education contact hours

(CECH)

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Ground RulesGround Rules

• Agreement between trainers and participants for how this training will be conducted

• Posted on the wall

• Referred to throughout the training

• Can add items throughout the training

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Parking LotParking Lot

• Place to put “or park” items such as questions, concerns, or topics that:– Require extra time– Are related to the training but not critical

• Discuss items during breaks, lunch, evenings or at the end of the training

• Way to keep the training focused and on time

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HousekeepingHousekeeping

Logistics:• Breaks• Lunch• Restrooms• Exits• Cafe

Travel:• Submit expenses to travel preparerSubmit expenses to travel preparer

–Hotel –Taxi–Additional transportation

• Per diem