The CDC NPIN Featured Partner resource offers HIV/AIDS, viral hepatitis, STD, and TB prevention-focused organizations a platform to showcase their services, programs, and materials. Our goal is to highlight the work of CDC's prevention partners and encourage partners to connect with each other to share information and strategies. Organizations are nominated by CDC or their peers, or are self-nominated. Those selected are featured on the NPIN Web site for the month.
CureTB provides referrals and continuity-of-care services for tuberculosis (TB) patients and their families when traveling throughout the United States (U.S.), Mexico, and Central America. The program serves as an information conduit between the previous provider, the patient, and the new provider in the patient's destination area. This program's goal is to ensure treatment completion, decrease TB transmission, and prevent the development of drug-resistant TB. The program uses mobile technology to educate patients, guide them to suitable care, and facilitate the exchange of clinical information among healthcare providers who care for persons with TB.
The service is available to any U.S. provider with a TB patient who will be relocating or traveling in the U.S., Mexico, and Central America. The referring provider shares the patient's clinical information and date of departure with the CureTB team. CureTB staff then reach out to the patient for details on where they are going and any additional clinical information.
After receipt of the information, CureTB staff make arrangements with public health staff in the patient's destination city. They also inform the appropriate state and national agencies. After CureTB notifies the public health agencies, the staff member calls the patient with details on the location of his or her new provider and the CureTB toll-free number if they have any problems. The program staff follow up with the new provider at least every 2 months to ensure the patient is still in treatment, and then passes the outcomes back to the referring provider.
The program provides these services to patients, their families, and healthcare providers when a person with TB is referred and participates in the program from any location within the U.S., Mexico, and Central America. CureTB's staff knowledge of the healthcare systems in these areas enables them to support the patient in accessing needed healthcare and ensure that relevant public health agencies are informed.
CureTB services are free of charge, and have served more than 5,000 patients since launching in 1997 within the County of San Diego Health and Human Services Agency's Public Health Services TB Control Branch.
CureTB services include referral and outcome follow-up for:
- Individuals with Active TB Disease-CureTB refers patients with verified TB to local health jurisdictions, whether in the U.S., Mexico, or Central America, for initiation or continuation of treatment. The program refers patients suspected of active TB for additional evaluation and treatment, as needed.
- Individuals Who Have Been Exposed to Infectious TB-CureTB provides referrals for those who have been in contact with a verified, infectious case. Staff supply healthcare providers with information to assist them in assessing risk and treatment needed for "contacts."
- Source Case Finding-Young children who develop active TB usually have had close contact with an adult with infectious TB. CureTB helps to locate the adult or "source case" when he or she is suspected to be in a neighboring country. This helps to ensure that the adult also receives TB treatment, limiting further spread of the disease. These services also can be useful for very young children with latent infection, as well as those who are worried about someone in a neighboring country who has symptoms consistent with TB and who may be the source case.
- Past History Requests-CureTB can obtain information about past TB treatment from neighboring countries. This helps the patient's current provider make decisions about TB diagnosis and treatment. CureTB also helps providers understand the TB practices in their patients' previous treatment settings.
Using over-the-phone case management strategies and a computer database, CureTB monitors and documents treatment outcomes for patients. CureTB also provides follow-up information to the provider in English or Spanish.
Provider Tips for a Successful Referral
- Refer early. Do not wait until your patients leave to call CureTB. It is ideal if one of CureTB's staff can speak to your patients before they leave.
- Provide complete laboratory, clinical, and treatment information so CureTB can ensure the receiving provider is well-informed. CureTB will follow up with your program if important clinical information, such as drug susceptibility testing results, is pending at the time of referral.
- Ask your patients for the best contact information (e.g., telephone, address, e-mail) for at least two people who always will know their location. CureTB also will review this with your patients.
- Give your patients the CureTB binational card (available at www.curetb.org) before departure whenever possible. This card includes the CureTB toll-free number that patients or their downstream providers can use to reach the program at no cost.
3851 Rosecrans Street, Suite 128
San Diego, CA 92110