Understanding the TB Cohort Review Process: Instruction Guide (2006)
What Is the Cohort Review Method?
4. Essential Elements of the Cohort Review Process
TB programs across the country have adopted a variety of approaches to conducting cohort reviews. All of the approaches incorporate the same key elements of preparation, presentation, and follow-up.
Preparation encompasses developing program objectives, ensuring that sound case management protocols are in place, using a reliable TB registry, and carefully preparing the case.
The element of presentation includes using a standardized format for cohort reviews, providing TB case and contact information to the TB control team, and presenting immediate feedback on goal accomplishment.
Follow-up involves acting on the recommendations of the TB control team from the cohort review session, ensuring that those patients and contacts started on treatment complete treatment, and following up on programmatic issues (e.g., training) that were noted at the cohort review session. Using this process allows TB programs to improve outcomes through a continual cycle of learning.
“I see the cohort review as an educational experience. I learn what it is that staff are doing, it tells me what are the issues that are there for every patient, what are the barriers that staff face, and all of the things that they accomplish…”
Sonal Munsiff, MD, Director, Bureau of TB Control,
New York City Department of Health and Mental Hygiene
The following table lists the elements associated with the preparation, conduct, and follow-up in a cohort review process. It is designed so that your TB program may conduct an at-a-glance assessment of its readiness to conduct cohort reviews, and it provides an overview of what may need to be enhanced in order for you to implement the cohort review approach.
Exercise 1: TB Program Self Assessment
|Essential Elements of the Cohort Review Process|
|What are you already doing?||YES||NO||What may need to be enhanced in order for you to conduct a cohort review:|
These elements of cohort review will be detailed in the next chapters.