Core Committee template for MC mc (1).ppt

Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC Core Committee template for MC

1. Core Committee meeting -1/2/3/4 Qtr 2022
National TB Elimination Programme
(NTEP)
Name of Medical College (Govt/Pvt)
:
Date
:
Venue
:
Name of Nodal Officer (Clinical )
:
Name of Nodal Officer (Community
Medicine )
:
Member secretary ( DTO/CTO ) :

2. Core Committee formed
YES/NO
–If No, discuss reasons /decide the date /
complete immediately
–If Yes, Members /participants

3. Committee members / Participants *
* maintain the register for signature
Department Name/s Email ID Mobile No.*Signature
Patron / Dean / Principal
Medical Superintendent
Nodal officer (Clinical) :
Chest/ Med/ Clinical
Nodal officer (PSM):
Member Secretary (DTO/CTO)
Members
General Medicine
Pulmonary Medicine
Community Medicine
OBGY
Pharmacology
Psychiatry
Paediatric
Ophthalmology
Orthopaedics
General Surgery
Thoracic Surgery
ENT
Pathology
Microbiology
Biochemistry
Dermatology
MO DRTB Centre/MO Med College
Nursing Superintendent
Co-opt members ( e.g. IMA)
Others

4. Agenda
Time Activities By
~ 15 Min
(e.g. 11.00 am -11.15 am)
Welcome address
Address the house
Nodal officer–PSM/ Clinical
Dean/principal/Director
~ 20 min
(i.e. 11.15 -11.45 am)
ATR of previous meeting (circulate
the copy to all members) and
discussion
Nodal officer –Clinical
~ 1.15 hr
(i.e.11.45 -01.00 pm )
Review of Medical College –
performance
Nodal officer –Public health
10 min
(i.e.1.00 pm -1.15 pm)
Concluding remarks Dean/principal/Director
Meeting agenda must be decided locally and followed up strictly

5. Status of Core Committee (MCCC) Meetings
Qtrs
CC Conducted
(Yes/ No / if yes, date
Reason for not
conducting
Minutes prepared / submitted
STO STF DTO/ CTO
1Q Yes/ No / if yes, date
2QYes/ No / if yes, date
3QYes/ No / if yes, date
4QYes/ No / if yes, date
Consider previous 4 Qtrsalways while conducting CC meeting *

6. Minutes of the previous CC meeting
S.No. Issue discussed Action taken
Responsibility (
College / DTO/ STO/
STF)

7. Status of Engagement
Facility Established Yes / no Functional (yes/no) Remarks
(reasons if no)
DMC
Treatment support
Centre
C and DST Lab *
Yes / no
Functional
(yes/no)
Accredited/ certified/ date
for technology *
Remarks
( reasons if no )
C and DST Lab
FL-LPA
SL-LPA
Liquid-MGIT
CBNAAT
Truenat
DRTB Centre Yes / no Functional (yes/no)
Remarks
( reasons if no )
Nodal DRTB Centre
District DRTB Centre
Write the exact status , use remarks column too
* If applicable, Solid/Liquid/ GeneXpert /LPA –FL/LPA-SL

8. Medical College : HR Status
Facility
established
Sanctioned NTEP
posts in number
Sanctioned /
not
sanctioned
(Y/N)
If yes,
In-place /
Vacant
Remarks (issues on
equipment's, fund,
TB diagnostic
centre and
Treatment support
Centre
MO (1) /
LT (1) /
TBHV (1) /
C and DST Lab
Microbiologist (1) /
Sr LTs (5) /
DEO/Ni-kshayoperator
(1)
/
Lab assistant (1) /
Nodal DRTB
Centre
Sr MO (1) /
SA (1) /
Distt DRTB Centre

9. NTEP Implementation-Status as per Report-
Qtr1/2/3/4
All TB Cases routed throughNTEP TB diagnostic center
& Treatment Support Centre?
Yes/No
Reasons for the shortfall (discuss to
ensure solution from respective
distt/corporation)
Is the Medical College (all dept) adequately using
integrated diagnostic algorithm?
Yes / no
Referral/ transferregister maintained
-Online referral ( Ni-kshay)
Yes/No
DOT Directory Available Yes/No
Regular supply of Lab Consumables:
NTEP TB diagnostic centre Yes/No
C & DST LabYes/No
RegularSupply of Drugs ( DSTB / DRTB) for OPD /
inpatients
Yes/No
TB diagnostic centre (DMC) covered by EQA Yes/No
Faculty participated as a resource person in CME for
college-level/inter-departmental/IMA etc
Yes/No Specify
Faculty participated in internal evaluation /JSS /SNC/
JMM/Common review
Yes/No Specify
Funds available forMeetings/ CMEs/ Workshops/ OR/
thesis etc ( explain )
Yes/No

10. Year
No. of TB case
notified from dist
where Medical
College is situated
(A)
No. of TB case
notified from
Medical College (B)
%
Contribution at
the distt
(B/A)
2015
2016
2017
2018
2019
2020
2021
2022
Performance of Medical College :
Contribution of the Medical College in TB
notification (trend) distt.
2101970
2401351
1812560
1767626
219124
330486
219274 207831
10%
14%
12%
12%
0%
2%
4%
6%
8%
10%
12%
14%
16%
0
500000
1000000
1500000
2000000
2500000
3000000
2018 2019 2020 2021 ( Jan-
Oct21)
Total TB case Notified Medical college notified
% contribution
Dummy table to be
prepared for
college data

11. Contribution of Medical College : Pulmonary + Extra Pulmonary TB
Sr.
No.
Indicator ** Total number of
TB cases
registered in distt.
Total Number TB cases
notified by Medical College
Remarks
Q1
Total TBpatients registered (A)
Pulmonary TB(B) -% ( B/A)
Extrapulmonary TB (C) % C/A
Q2
Total TBpatients registered (A)
Pulmonary TB(B) -% ( B/A)
Extrapulmonary TB (C) % C/A
Q3
Total TBpatients registered (A)
Pulmonary TB(B) -% ( B/A)
Extrapulmonary TB (C) % C/A
Q4
Total TBpatients registered (A)
Pulmonary TB(B) -% ( B/A)
Extrapulmonary TB (C) % C/A
* /** Coordinate with STO office /WHO Consultant / DTO or CTO. For comparison purpose always use all 4 qtrs

12. Source of data is TB Lab register and NAAT register
Qtr
Number of EPTB
patients notified
from Medical
College
Out of (A), number (%)
microbiologically diagnosed
EPTB by Medical College
Out of (A), number (%)
clinically diagnosed EPTB
by Medical College
Remarks
(A) (B) ( D )
1 Q
2 Q
3 Q
4 Q
Total
Extra Pulmonary TB in Medical College

13. Contribution of Medical College : Pediatric TB
* /** Coordinate with STO office /WHO Consultant / DTO or CTO. For comparison purpose always use all 4 qtrs
QTr Indicator
** Number TB cases
registered in distt.
(A)
Number TB cases
notified by Medical
Colleges (B)
Proportion
contribution by Med
College to district
performance B/A*100
Remarks
Q1
Total TB patients
registered (A)
Total Pediatric TB
notified (B) -%
Q2
Total TB patients
registered (A)
Total Pediatric TB
notified (B) -%
Q3
Total TB patients
registered (A) -%
Total Pediatric TB
notified (B) -%
Q4
Total TB patients
registered (A)
Total Pediatric TB
notified (B) -%

14. Source of data is TB Lab register and NAAT register
Qtr
Number of
PaediatricTB
patients notified
from medical
college
Out of (A), number (%)
microbiologically diagnosed
Pediatric TB cases by
medical college
Out of (A), number (%)
clinically diagnosed
Pediatric TB cases by
medical college
Remarks
(A) (B) ( D )
1 Q 100 30 70
2 Q
3 Q
4 Q
Total
Pediatric TB in Medical College

15. Contribution of Medical College : Microbiological /Clinical TB
Sr.
No.
Indicator ** Number of TB cases
registered in distt.
Number of TB
cases notified
from Medical
Colleges
Remarks
Q1
Total TBpatients registered (A)
Microbiological confirm ( Sputum +
ve, NAAT +ve) ( B ) % B/A
Clinically diagnosed ( Xray , other
investigations )( C ) % C/A
Q2
Total TBpatients registered (A)
Microbiological confirm ( Sputum +
ve, NAAT +ve) ( B ) % B/A
Clinically diagnosed ( Xray , other
investigations )( C ) % C/A
Q3
Total TBpatients registered (A)
Microbiological confirm ( Sputum +
ve, NAAT +ve) ( B ) % B/A
Clinically diagnosed ( Xray , other
investigations )( C ) % C/A
Q4
Total TBpatients registered (A)
Microbiological confirm ( Sputum +
ve, NAAT +ve) ( B ) % B/A
Clinically diagnosed ( Xray , other
investigations )( C ) % C/A* / ** Coordinate with STO office /WHO Consultant / DTO or CTO. For comparison purpose always use all 4 qtrs

16. Efforts to diagnose TB in Medical College
Qtr
No. of
Pulmonary
presumptive
TB examined
No. of Smear
+vePatient
diagnosed
Out A,
no. of
chest
Xray
done
Out C, no.
of
abnormal
chest Xray
seen
Out of D, no. of
chest Xray
abnormal,
NAAT
(CBNAAT/
TrueNAT )
done
Out of (E),
number
diagnosed
Total
microbiolo
gically
confirmed
diagnosed
Out of total
TB patients
diagnosed,
number
initiated on
treatment
(A) ( B ) ( C ) (D) (E) RS RR B+E
1 Q
2 Q
3 Q
4 Q
Total
Source of data is TB Lab register and NAAT register

17. TB Patients: UDST* and Screening for Co-
morbidities
Qtr
Total TB cases
notified by Medical
College (a)
Out of (a) total
UDST done
(Number / %)
Out of (a)
tested for HIV
(Number / %)*
Out of (a) tested
for DM
(Number / %)
Remarks
1 Qtr
2 Qtr
3 Qtr
4 Qtr
UDST * –as per the latest definition

18. TB Case Notification by Departments
Qtrs Qtr1 Qtr2 Qtr3 Qtr4
Presumptive
TB identified
TB
diagnosed
Presump
tive TB
identifie
d
TB
diagnos
ed
Presumptiv
e TB
identified
TB
diagnosed
Presumptiv
e TB
identified
TB
diagnosed
Pul.Medicine
Gen. Medicine
Paediatric
OBG
Orthopaedics
Surgery
ENT
Ophthalmology
Skin
Others-add
Total

19. 100750
166041
109487 111720
118374
164445
109787
96111
54.0%
49.8%
50.1%
46.2%
42.0%
44.0%
46.0%
48.0%
50.0%
52.0%
54.0%
56.0%
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
2018 2019 2020 2021
Total TB cases
Clinical vs Microbiological Confirmed TB
Clinically diagnosed Microbiologically confirmed Microbiologically confirmed%
32028
45199
28560 30871
99743
134257
87843
76631
75.7%
74.8%
75.5%
71.3%
69.0%
70.0%
71.0%
72.0%
73.0%
74.0%
75.0%
76.0%
77.0%
0
20000
40000
60000
80000
100000
120000
140000
160000
2018 2019 2020 2021
Pulmonary TB
Clinical TB v/s Microbiological Confirmed TB
Clinically diagnosed Microbiologically confirmed TB % Microbiologically confirmed TB
Dummy table to be prepared
for college data

20. 66801
123833
84782 82169
5312
10751 8719 7388
8%
9%
10%
9%
0%
2%
4%
6%
8%
10%
12%
0
20000
40000
60000
80000
100000
120000
140000
2018 2019 2020 2021
EP TB
Clinical vs Microbilogical Confirmed TB
Grand Total Microbiologically confirmed TB % Microbiologically confirmed TB
100670
165639
109333
111573
118374
164427
109757
96111
54.0%
49.8% 50.1%
46.3%
42.0%
44.0%
46.0%
48.0%
50.0%
52.0%
54.0%
56.0%
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
2018 2019 2020 2021
Paediatric TB
Clinical vs Microbilogical Confirmed TB
Clinically diagnosed Microbiologically confirmed TB % Microbiologically confirmed TB
Dummy table to be prepared
for college data

21. Chest symptomatic OPD referral in the Qtr.
Total new
adult OPD in
Qtr 2022 [A]
Total
presumptive
referral to DMC*
[B=Out of A]
Total
presumptive
cases referred
to CBNAAT**
[D=Out of A]
Total presumptive
cases referred to
TrueNAAT# [F=Out
of A]
Total Referral
(B+D+F)
Referral rate

22. Department wise indoor screening reporting
format
Sr.
No.
Department Name Total new
admission
in a month
Total indoor
patients
screened for
TB in a month
[A]
No. of patients
found to have
TB symptoms
[B=Out of A]
No. of
patients,
whose CXR
done
[C= Out of
B]
No. of patients,
whose samples
sent to DMC for
smear
microscopy
[D= Out of B]
No. of patients,
whose samples
sent to NAAT for
TB diagnosis
[E= Out of B]
No. of Indoor
patients, in
whom TB is
diagnosed
[E= Out of D
and E]
1Cardiology
2CTVS
3Dermatology
4Department of Endocrinology,
Diabetes and metabolism
5ENT
6Gastroenterology and hepatalogy
7Department of medicine
8Department of neurology
9Neurosurgery
10OBSTETRICS & GYNAECOLOGY
11Opthalmology
12Orthopedics
13Pediatrics’
14Psychiatry
15Pulmonary medicine
16Radiotherapy
17Surgery
18Urology
19Nephrology
20Pediatric surgery
21Plastic surgery
22General Ward/ Any other wards
Total

23. Indoor ward screening in the Qtr
Name of Medical
college
Total
IPD
registr
ation
(all
wards)
in April
Total Indoor
patients
screened
for TB (all
wards) [A]
Total Indoor
patients
found to
have TB
symptoms
[B=Out of
A]
No. of
Indoor
patients,
whose
samples
sent to DMC
for smear
microscopy
[C= Out of
B]
No. of
Indoor
patients,
whose
samples
sent to
NAAT for
TB
diagnosis
[D= Out of
B]
No. of
Indoor
patients, in
whom TB is
diagnosed
[E= Out of C
and B]
% of
Screening
of IPD
Patients for
TB
symptoms

24. Advocacy-workshops/seminar/CME
Qtr
Number of CMES /seminar/ workshops
done in college on TB update
Remarks (attach snaps)
Qtr1
Qtr2
Qtr3
Qtr4

25. Trainings and sensitizations on TB update
Category In Place
Previous Qtr** Current Qtr* Total
Trained in
previous Qtr
(A)
Sensitized in
previous Qtr
(B)
Trained in
this Qtr
(C)
Sensitized
in this Qtr
(D)
Trained
till date
(A+C)
Sensitiz
ed till
date
(B+D)
Faculty In charge
Core Committee
Members
Other Faculty
Members
PG Students
Interns
UG Students
Lab Technicians
Pharmacists
Nurses
Paramedics
* Qtrto be reviewed ** previous Qtrfor comparison

26. Training Status in PMDT (2021 guidelines)
PMTPT (2021 guidelines)
Name of Dept
Faculty Trained
PG Students & Residents
trained
Interns trained
No. in
Place
No. TPT
trained
Online/ off
line
No. PMDT
Online/ off
line
No. in
Place
No. TPT
trained
Online/
off line
No.
PMDT
Online/ off
line
No. in
Place
No. TPT
trained
Online/
off line
No.
PMDT
Online/
off line
Chest and TB
Medicine
Pediatric
OBGY
Department wise number trained to be mentioned

27. PG Thesis by Medical College (1)
Qtrs
Number of thesis
proposals submitted to
State OR committee by
college
Number of thesis
Proposals approved by
State OR committee
No. of Thesis for
which funds have
been released
Remarks
Qtr1
Qtr2
Qtr3
Qtr4
Department wise details in next slide

28. Sr. No
Name of
Department
Number of
thesis
initiated
Topics
Status of Thesis
Submitted to state
OR Committee/ STO
office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1ABC 1
2
3
2XYZ 1
2
3
3XXY 1
2
3
Use more slides to enlist all
PG Thesis by Medical College (2)

29. OR in Medical College (1)
Qtrs
Number of OR proposals
submitted to State OR
committee by college
Number of OR
Proposals approved by
State OR committee
No. of OR for which
funds have been
released
Qtr1
Qtr2
Qtr3
Qtr4
Department wise details in next slide

30. Sr. No
Name of Department
Number of
ORs
initiated
Topics
Number of of ORs
Submitted to state
OR Committee/
STO office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1ABC 1
2
3
2XYZ 1
2
3
3XXY 1
2
3
Use more slides to enlist all
OR in Medical College (2)

31. Scientific Publications (1)
Qtrs
No. of publications on NTEP in peer reviewed indexed journals
Thesis ( name, dept, title )
1 Qtr
1
2
3
4
2 Qtr
1
2
3
4

32. Scientific Publications (1)
Qtrs
No. of publications on NTEP in peer reviewed indexed journals
ORs ( name, dept, title )
1 Qtr
1
2
3
4
2 Qtr
1
2
3
4

33. Completed thesis in the current year

34. Completed OR in the current year

35. College-specific points to be discussed
( open to enumerate and discuss )

36. State/district-specific points to be discussed
( open to enumerate and discuss )

37. Medical College for Sub National
Certification support
Name of Medical
College
Whether College adopted
distt. for SNC
( Y/N, if Y, name)
Applied for
Bronze Silver Gold TB Free

38. TB/HIV Collaborative activities
Activities Status
Yes/No
ICTC Present in the Medical College
Standardcross-referral between DMC and
ICTC
ART Centre presentin the medical college
Mechanism to put TBPatients treated in
the ART centre on DOTS

39. TB/Diabetic/tobacco Collaborative
activities
Activities Status
Yes/No
A diabetic screening centre is present in the medical
college
Standardcross-referral between DMC and diabetic
screening centre is in place
Standardcross-referral between DMC and Tobacco
Cessation screening centre is in place
Mechanism to put TBPatients on DOTS diagnosed
from diabetic screening centre is in place
Mechanism to put TBPatients on DOTS diagnosed
from Tobacco Cessation screening centre is in place

40. Suggestions for Nodal officers.

41. Innovations / Best Practices

42. ORs
•Up-to Rs 2 lakh may be approved by State OR committee,
•Up to Rs. 5 Lakhs may be approved by the ZTF (for medical colleges)
•Rs. 5 lakhs plus will be forwarded to CTD and put up to the National OR
Committee for review and recommendation for approval to CTD
Fin norms : OR/Thesis/conferences
Thesis
•Rs 3O,OOO /thesis for research on NTEP priority formed for Medical
College involvement under areas will be approved by state OR committee
Conferences/workshops
•National level-Rs. 4 lakhs per conference (8 conferences annually at CTD level);
•At the state level -Rs, l lakh/-per conference for 4 conferences annually,
•Sponsorship of plenary session on NTEP in seminars / CME /Workshops up to Rs.10,
000/ annually for a Medical College.

43. THANK YOU