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Slide 2 Cohort Review in Arizona Ayesha Bashir, M.D., M.P.H. Arizona Department of Health Services Tuberculosis Control Program Slide 3 Objectives Identify cohort review methods used by Arizona Department of Health Services (ADHS) Data collection & review processes Lessons learned Benefits of cohort review Slide 4 Cohort Review in Arizona Arizonas cohort review protocol developed by Gayle Schack, R.N., P.H.N., M.S. as an internship project in 2010. ADHS held Cohort Review Training webinars for local county health departments (LHDs) prior to implementation. First cohort review: December 2010. Slide 5 Response Slide 6 Arizona Cohort Review Divided Arizona into three regions. All LHDs are invited to participate in all three regions cohort reviews. Provides educational opportunities for low morbidity counties. All cohort reviews are conducted by tele- conferencing. Slide 7 Northern Region Apache, Coconino, Mohave, Navajo, Yavapai Southern Region Cochise, La Paz, Pima, Santa Cruz, Yuma Central Region Gila, Graham, Greenlee, Maricopa, Pinal Three Regions Slide 8 Northern & Southern Regions Teleconference Biannual. Regions combined into one cohort review if small number of cases. Majority of the LHDs in the Northern and Southern regions are low morbidity areas. Slide 9 Central Region Maricopa County reports >50% of TB cases in the state (Metro Phoenix). Pinal County: Majority of cases are in correctional facilities. Many are in Federal custody and may not be included in the cohort reviews. Gila, Greenlee, & Graham LHDs report few (