MI.TB Program 2020 Overview
MI.TB Program 2020 Overview showcases program incentives, enablers, clinical consulting, and future objectives for the grant cycle. It includes information on funds allocated, assistance provided to individuals with TB, and trends in people served. The program has been instrumental in assisting individuals with TB infection and improving outcomes for the community.
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MI TB Program, 2020 Holding On & Looking Forward
Overview 2020 Incentives & Enablers 2020 Clinical Consulting Future objectives for 2020 2024 grant cycle 2 8/29/2024 Add a footer
2020 Incentives & Enablers
Oct. 2019 Sept. 2020 49 113 14 $35,000 requests people health dept. spent
Total Dollars Allocated for I/E Use and Number of I/E Requests per Fiscal Year $60,000.00 100 90 $50,000.00 80 70 $40,000.00 60 $30,000.00 50 40 $20,000.00 30 20 $10,000.00 10 $0.00 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Total Dollars Allocated Number of I/E Requests 5 8/29/2024 Add a footer
48 people with active TB 48 people with active TB In fiscal year 2020 MDHHS used incentives and enabler funds to assist 65 people with 65 people with latent TB infection latent TB infection
Number of People with TB and Percent of People with TB Assisted with I/Es per Fiscal Year 50 45% 45 40% 40 35% 35 30% 30 25% 25 20% 20 15% 15 10% 10 5% 5 0 0% 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Number of People with TB Assisted Percent of People with TB Assisted 7 8/29/2024 Add a footer
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Number of LHDs that Requested I/Es and Number of I/E Requests per Fiscal Year 18 100 90 16 80 14 70 12 60 10 50 8 40 6 30 4 20 2 10 0 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Number of LHDs Participating Number of I/E Requests 9 8/29/2024 Add a footer
I/E Trends and People Served, 2020 vs 2019 Contacts Cases LHDs Requests 0 20 40 60 80 100 120 FY19 FY20 10 8/29/2024 Add a footer
2020 Clinical Consulting
Number, Source, and Patient Demographics of Consultation Requests, 2020 N Pts By Age Group 16 Sex 24 14 Private Hospital Academic 12 10 47 8 Total Requests 6 4 2 23 Female Male N/A * Local/State Public Health 0 * N/A indicates patients for whom Female or Male are not appropriate. 0-5 5-10 10-20 21-40 41-60 61+
Urgency and Time to Complete Consultation Requests, 2020 Minimum, Average, and Maximum Time to Complete Request Urgency of Request 19 days 3 days same day * 24 requests with all relevant dates marked 24 hrs 3 bus days 5 bus days 13 8/29/2024 Add a footer
Site of Disease and Topic of Requests, 2020 Site Topic TB testing (TST/IGRA) Emotional/Behavioral/Psychiatric Diagnosis of LTBI Treatment of LTBI Diagnosis of TB disease Medication Side Effects Bone/Joint Genitourinary Lymph Node Treatment of TB disease Pleural Pulmonary Other * 0 2 4 6 8 10 * Other often pertained to diagnosis or treatment of LTBI. * From first 25 requests. 14 8/29/2024 Add a footer
Looking Forward *** Pending COVID ***
2020 2024: New Grant Cycle Applied in August 2019. Received in December 2019. Specific focus on TB Elimination and LTBI. Form TB Advisory Committee Develop TB Elimination Plan Expanded LTBI Diagnosis, Treatment, & Reporting 16 8/29/2024 Add a footer
TB Advisory Committee Planned to form and convene in Spring-Summer of 2020. Deferred due to COVID-19. May begin soliciting membership in late 2021 or early 2022? Reference Michigan Advisory Committee for the Elimination of TB (MIACET), last meeting was Fall 2012. Review MIACET membership and identify any potential return members. Identify new members and stakeholders. Convene and function online (lessons learned from 2020). 17 8/29/2024 Add a footer
TB Elimination Plan Planned to coincide and follow the formation of Advisory Committee. Draft TB Elimination Plan originally due to CDC in December 2020. Deferred due to COVID-19. MDHHS TB staff will submit minimal TB Elimination plan to CDC by year-end 2021 (earlier if possible). Review other states TB Elimination plans. Identify key stakeholder populations in MI. Define TB Elimination and benchmarks for MI and for key populations. 18 8/29/2024 Add a footer
Expanded LTBI Reporting & Treatment 2020 2021 Increased Contact Investigation, Identification of Contacts, and Treatment for LTBI. Deferred due to COVID-19. May begin engaging LHDs in late 2021. 2022 Increase LTBI treatment of Class B2 Immigrant/Refugee referrals. Voluntary LTBI case-reporting of contacts in MDSS. 2023 Identify other non-US-born population (not Class B) and one high-risk population for Target LTBI screening and treatment. Begin or increase LTBI testing and diagnosis in these groups. 2024 Voluntary LTBI case-reporting from these groups in MDSS. Continue activities and assess impact on overall TB incidence. 2025? Maybe add LTBI as Reportable Condition in some high-risk groups? 19 8/29/2024 Add a footer
