Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska

When to Expand a
Contact Investigation ......................... 11.38
Guidelines for expanding an investigation ....... 11.38
Low-priority contacts ....................................... 11.39
Data Management and Evaluation
of Contact Investigations ................... 11.41
Reasons contact investigation
data are needed ............................................... 11.41
Index patient and contact data ......................... 11.43
Evaluation of a contact investigation................ 11.46
Outbreak Investigation ....................... 11.47
Definition of a tuberculosis outbreak ................ 11.47
Deoxyribonucleic acid genotyping ................... 11.47
Resources and References ............... 11.49
LABORATORY SERVICES
Introduction ........................................... 12.2
Purpose.............................................................. 12.2
Policy ................................................................. 12.2
Laboratory Contact Information .......... 12.3
Available Laboratory Tests .................. 12.4
Specimen Collection ............................ 12.7
How to perform spontaneous sputum
collection at a healthcare facility ........................ 12.9
How to direct a patient to perform
spontaneous sputum collection at home.......... 12.10
Induced sputum collection at a
healthcare facility ............................................. 12.10
How to collect gastric aspirates ...................... 12.11
Bronchoscopy or collection of
extrapulmonary specimens .............................. 12.11
Specimen Shipment ........................... 12.12
Resources and References ............... 12.14
PATIENT EDUCATION
Introduction ........................................... 13.2
Purpose.............................................................. 13.2
Policy ................................................................. 13.2
General Guidelines .............................. 13.4
Education Topics .................................. 13.5
Language and comprehension barriers............. 13.5
Medical diagnosis .............................................. 13.6
Contact investigation ......................................... 13.7
Isolation ............................................................. 13.7
Side effects and adverse reactions ................... 13.7
Adherence ......................................................... 13.8
Patient Education Materials ................. 13.9
Resources and References ................ 13.10
CONFIDENTIALITY
Introduction ........................................... 14.2
Purpose ............................................................. 14.2
Policy ................................................................. 14.2
Health Insurance Portability and
Accountability Act (HIPAA) .................. 14.3
Centers for Disease Control and Prevention
guidance on HIPAA ........................................... 14.3
Alaska HIPAA policies ...................................... 14.3
National Guidelines .............................. 14.4
Resources and References .................. 14.5
TRANSFER NOTIFICATIONS
Introduction ........................................... 15.2
Purpose. ............................................................ 15.2
Policy ................................................................. 15.2
When to Initiate a Notification ............. 15.4
How to Issue a Notification .................. 15.6
Transfers inside the United States .................... 15.6
Transfers outside the United States .................. 15.8
References ........................................... 15.11
SUPPLIES AND SERVICES
TABLE 16
A L A S K A T U B E R C U L O S I S P R O G R A M M A N U A L Table of Contents VI
Revised November 2012