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Regionalization of TB Specialty Clinics in NJ



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9 28 2010 Regionalization of TB Specialty Clinics in NJ Karen Galanowsky RN BSN MPH Nurse Consultant TB Program New Jersey Department of Health Senior Services Infrastructure of the NJ TB Program TB clinical services are provided for residents of 115 separate health jurisdictions in 21 county chest clinics These local clinics are supported by six 6 regional TB specialty clinics available for referrals Each county has at least one designated TB nurse case manager High incidence counties have lay outreach workers but most counties do not have these resources Development of Regional Chest Clinics In 2004 the NJDHSS TB Program began developing the regional TB clinic concept to address the findings of an independent program review During this collaborative process meetings were held with expert physicians local health officers and hospital administrators nurse case managers Regional specialty clinic sites were chosen from among existing county chest clinics The implementation phase will end when a sixth county clinic transitions to providing regional services in 2010 1 9 28 2010 Six Regional Specialty TB Clinics In NJ The clinics are located as follows Northern NJ Lattimore Practice Newark Hudson Co Chest Clinic Jersey City Morris Co Chest Clinic Morristown Central NJ Somerset Co Chest Clinic Somerville Middlesex Co Chest Clinic Edison to be operational in 2010 Southern NJ Camden Co Regional Specialty Clinic Bellmawr Purpose of the Regional Specialty Clinics To provide expertise in the diagnosis treatment medical management nurse case management of TB and LTBI Provision of these services are flexible Medical management may continue throughout treatment One time and or periodic MD consultation may be provided over the course of treatment Consultation via telephone regarding TB diagnosis treatment medical management is available Nurse case management consultation is available for pediatric cases contacts patients who are experiencing difficulties with treatment or non



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