OutpatientNontraditional Facility-Based TB Risk Assessment Facility risk assessment for TB transmiss 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with PART A by entering the facility name and indicating the number of TB cases identified in your facility over the last year. Choose either (<3) or (>3) TB cases.
  3. Move to PART B, where you will answer yes or no to questions regarding the presence of TB disease and associated medical and population risk factors among patients and staff.
  4. In PART C, confirm whether your facility has an Infection Control Plan for managing confirmed or suspected TB cases, detailing triage and isolation procedures.
  5. Proceed to PART D to list the conversion rates for your facility from the last two years and indicate if there has been a significant increase.
  6. Finally, in PART E, classify your facility's risk based on responses from previous sections, determining if it is LOW RISK, MEDIUM RISK, or indicates POTENTIAL ONGOING TRANSMISSION.

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Work in places where TB is more likely to spread, such as hospitals, homeless shelters, correctional facilities, and nursing homes.

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