Cohort Review

A TB cohort review is a systematic evaluation of patients with TB disease and their contacts, and is used in countries around the world, including the United States. The cohort review process has proven to be a very useful tool for ensuring accountability, educating staff about protocols and goals, and improving case management and prevention. The TB cohort review process is used as a management tool that was designed to motivate staff, reveal program strengths and weaknesses, indicate staff training and professional education needs, increase staff accountability for completion of treatment for both TB disease and latent TB infection (LTBI), and improve TB case management and the identification of contacts.

The Michigan TB Control Program conducts cohort reviews quarterly (January, April, July, October) with any local health department that has reported at least one case with the previous 3 months.

Quarter

Review cases counted duing this time

Month of cohort review

Detail

1

01/01 – 03/31

April

All cases counted January – March (quarter 1) will begin the review process in the month of April (date and time will be scheduled individually with each LHD).

2

04/01 – 06/30

July

All cases counted April – June will begin the review process in the month of July (to be scheduled). Additionally, we will continue to review, or complete the review, of cases counted in quarter 1.

3

07/01 – 09/30

October

All cases counted July – September will begin the review process in the month of October (to be scheduled). Additionally, we will continue to review, or complete the review, of cases counted in quarter 1 (if necessary) and quarter 2.

4

10/01 – 12/31

January

All cases counted October – December will begin the review process in the month of December (to be scheduled). Additionally, we will continue to review, or complete the review, of cases counted in quarters 1 & 2 (if necessary) and quarter 3.

1

01/01 – 03/31

April

Any cases counted January – March (quarter 1) will begin the review process in the month of April (to be scheduled). Additionally, we will continue to review, or complete the review, of cases counted in quarters 1-3 (if necessary) and quarter 4 of the previous year.

 

  • Cohort Review Form: If you do cohort reviews with the state TB Unit, then complete this form for each case you are reviewing. This form is a PDF fillable form and was last updated in July 2020.
     
  • Understanding the TB Cohort Review Process: An Instruction Guide: This document will explain what the cohort review method is, how to use it to enhance your current TB control activities, and how to adapt it to your own program area. It is intended primarily for the management team—the program manager, medical reviewer, and epidemiologist or data analyst—or the staff person who performs these functions in your program area.