Download Supplies Materials and Services - Curry International Tuberculosis

Supplies, Materials, and Services
CONTENTS
Introduction ........................................... 15.2
Mantoux Tuberculin
Skin Testing Supplies .......................... 15.3
Interferon Gamma Release
Assay Supplies ..................................... 15.4
Chest Radiographs ............................... 15.5
Specimen Collection
and Shipment Supplies ........................ 15.6
Antituberculosis Medications ............. 15.7
Incentives and Enablers ...................... 15.9
Medical Interpretation Services ........ 15.10
Healthcare Staff Training
and Education ..................................... 15.11
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.1
Introduction
Use this section to find out what resources are available and how to access them.
The <<Your State>> Tuberculosis Program has resources available to assist local
agencies. The following tables explain the resources that are available and how to obtain
them:

Table 1: Mantoux Tuberculin Skin Testing Supplies

Table 2: Interferon Gamma Release Assay Supplies

Table 3: Chest Radiographs

Table 4: Specimen Collection and Shipment Supplies

Table 5: Antituberculosis Medications

Table 6: Incentives and Enablers

Table 7: Medical Interpretation Services

Table 8: Healthcare Staff Training and Education
For information on obtaining laboratory tests, see the Laboratory Services
section.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.2
Mantoux Tuberculin Skin Testing Supplies
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 1: MANTOUX TUBERCULIN SKIN TESTING SUPPLIES
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which free Mantoux tuberculin skin
testing (TST) supplies are provided.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides the following TST supplies at no charge:
 <<Item>>
 <<Item>>
How to Obtain
To order these supplies from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
Time
TST supplies can be delivered <<number of days>> business days from the receipt of
the request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.3
Interferon Gamma Release Assay Supplies
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 2: INTERFERON GAMMA RELEASE ASSAY SUPPLIES
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which interferon gamma release assay
(IGRA) supplies are provided.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides the following IGRA specimen collection and shipment
supplies at no charge:
 <<Item>>
 <<Item>>
How to Obtain
To order these supplies from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
Time
IGRA supplies can be delivered <<number of days>> business days from the receipt of
the request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.4
Chest Radiographs
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 3: CHEST RADIOGRAPHS
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which free chest radiographs (CXRs)
are provided.>>
 <<Criterion>>
 <<Criterion>>
How to Obtain
To order CXRs from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
Time
CXRs can be approved <<number of days>> business days from the receipt of the
request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.5
Specimen Collection and
Shipment Supplies
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 4: SPECIMEN COLLECTION AND SHIPMENT SUPPLIES
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which free specimen collection and
shipment supplies are provided.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides the following specimen collection and shipment supplies
at no charge:
 Specimen containers
 Packaging for shipment
How to Obtain
To order these supplies from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
Time
Supplies can be delivered <<number of days>> business days from the receipt of the
request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.6
Antituberculosis Medications
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 5: ANTITUBERCULOSIS MEDICATIONS
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which the state TB program pays for
antituberculosis medications.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides the following antituberculosis medications at no charge:
<<Add or delete medications below.>>
 Isoniazid (INH)
 Rifampin (RIF)
 Rifapentine (RPT)
 Ethambutol (EMB)
 Pyrazinamide (PZA)
Note: Pyridoxine (vitamin B-6) is also provided to patients who have conditions
associated with neuropathy such as nutritional deficiency, diabetes, human
immunodeficiency virus (HIV) infection, renal failure, alcoholism, and pregnant/
breastfeeding women. Second-line antituberculosis medications are provided for
patients with drug-resistant TB.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.7
How to Obtain
To order antituberculosis medications from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form(s) by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
<<If your state distributes medications through pharmacies, edit the following
information; otherwise, delete it.>>
 Medications will only be provided to approved pharmacies. Minimum inventories will
be maintained at each pharmacy to allow sufficient access for patients.
Note: Local healthcare agencies should establish a relationship with a local pharmacy
to provide dispensing services.
Time
Medications can be delivered <<number of days>> business days from the receipt of the
request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.8
Incentives and Enablers
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 6: INCENTIVES AND ENABLERS
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which incentives and/or enablers are
funded by the state TB program.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides the funds for the following incentives and enablers:
<<Add or delete incentives and enablers below.>>
Incentives
 Food and beverages
 Clothing
Enablers
 Transportation (bus pass, cab fare, car
battery, gas)
 Automotive supplies
 Rent assistance
 Hobby/craft items
 Childcare
 Household items
 Obtaining and shipping specimens for
the patient
 Laundry services
 Seasonal/holiday treats
 Movie passes
 Restaurant/fast food vouchers
 Toys
 Personal care items
How to Obtain
 Assisting the patient with getting
medication refills
 Assisting the patient with completing
paperwork to get food/housing
assistance
 Assisting the patient with getting
substance treatment
To request funds for incentives and enablers from the state TB program:
<<If your state processes orders by telephone, edit the following steps.>>
 Call <<position>> at <<telephone number>>.
<<If your state uses a form, edit the following steps.>>
 Complete this required form: <<form name>>
 Send the form by <<fax, land mail, e-mail>> to <<fax number, land mail address, email address>>.
Time
If approved, funds will be provided <<number of days>> business days from the receipt
of the request.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.9
Medical Interpretation Services
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 7: MEDICAL INTERPRETATION SERVICES
Availability and
Cost
In the following circumstances:
<<Insert the criteria describing circumstances in which medical interpretation services
are provided by the state TB program.>>
 <<Criterion>>
 <<Criterion>>
The state TB program provides medical interpretation services at no charge.
For other patients, other agencies may fund interpretation services, or interpretation
services may be obtained on a fee-for-service basis.
How to Obtain
To secure preapproval of funds for a medical interpreter, call <<position>> at
<<telephone number>>.
To arrange for a medical interpreter (state-funded or not), contact one of the following:
<<Below, list medical interpretation resources recommended by your state.>>
 <<Title>>
 <<Title>>
<<To create your state’s list of medical interpretation services, it may be helpful to
review resources from the following:>>
 Diversity Rx page on Interpreter Associations:
http://diversityrx.org/HTML/MOASSO.htm
 Yellow pages under "Translators & Interpreters"
 Medicaid-funded interpreters
 State refugee services program
 Local community organizations
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.10
Healthcare Staff Training and Education
<<Add, edit, or delete the directions below to reflect your state’s practices.>>
Table 8: HEALTHCARE STAFF TRAINING AND EDUCATION
Availability and
Cost
In the following circumstances:
<< List training and education services and resources provided by the state TB program
and their costs.>>
 <<Service/resource>>
 <<Service/resource>>
How to Obtain
For more information, call <<position>> at <<telephone number>>.
<<YOUR STATE>> TUBERCULOSIS PROGRAM MANUAL
Revised 08/11/08
Supplies, Materials, and Services
15.11