Skip Navigation LinksHome > September/October 2013 - Volume 19 - Issue 5 > Developing and Using Performance Measures Based on Surveilla...
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Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e3182751d6f
Original Articles

Developing and Using Performance Measures Based on Surveillance Data for Program Improvement in Tuberculosis Control

Ehman, Melissa MPH; Shaw, Tambi MPH; Cass, Anne MPH; Lawton, Elizabeth MHS; Westenhouse, Janice MPH; Young, Jan RN, MSN; Royce, Sarah MD, MPH; Barry, Pennan MD, MPH

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California state and local tuberculosis (TB) programs used a systematic process to develop a set of indicators to measure and improve program performance in controlling TB. These indicators were the basis for a quality improvement process known as the TB Indicators Project. Indicators were derived from guidelines and legal mandates for clinical, case management, and surveillance standards and were assessed using established criteria. The indicators were calculated using existing surveillance data. The indicator set was field tested by local programs with high TB morbidity and subsequently revised. Collaboration with key stakeholders at all stages was crucial to developing useful and accepted indicators. Data accessibility was a critical requirement for indicator implementation. Indicators most frequently targeted for performance improvement were those perceived to be amenable to intervention. Indicators based on surveillance data can complement other public health program improvement efforts by identifying program gaps and successes and monitoring performance trends.

© 2013 Lippincott Williams & Wilkins, Inc.



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