279-25 NJMS GTBI.West Orange TB Service Agreement RBHS-05105.docx (003).pdf

EXECUTION VERSION 4 NJMS – Essex County Municipality – RBHS-05105 CY2025 Memorandum of Agreement – Global TB Institute 5. Collaborate with other health care providers (public and private) and intervene as necessary to ensure adherence to the Standards of Care for Tuberculosis Disease and Latent TB Infection, 6. Collaborate with the patient and available community resources to meet patient needs and remove barriers to care and/or adherence to prescribed treatment and/or clinical assessment, 7. Collaborate with the New Jersey-State Tuberculosis program to secure support for housing for homeless TB cases and suspected TB cases and other incentives and/or enablers to increase the likelihood of successful treatment outcomes, 8. Assign and monitor field staff activities and assessment and improvement of staff’s techniques and skills as deemed necessary, 9. Serve as the Township's point of contact for any patient management issues under this Agreement, 10. Completion or review, revision and submission of TB-70 (TB Case, Suspect and Status Report) and TB-41 (Record of Contact Interview) to both the DOH and the Township pursuant to this Agreement, 11. Compilation and submission of quarterly activity reports to the funding source of this Agreement, 12. Provision of patient education. c) Field services to include, but not limited to the following: 1. Directly Observed Therapy (“DOT”) as prescribed by the health care provider, 2. Case interviews for the purpose of contact identification, 3. Lost and delinquent investigations, 4. Location and referral for evaluation of identified contacts to infectious or potentially infectious TB disease and Class B1 and B2 referrals from CDC-DGMQ, 5. Provision of patient transportation as necessary, 6. Worksite and school site assessments to identify associated contacts as necessary,Docusign Envelope ID: 77D43CF0-E0B2-4E8B-998E-ADDA677D4897