TB Program Structure

To perform the stated goals efficiently, the program is made up of four services. The four services are:

1. Clinical Services
2. Field (Outreach) Services
3. Surveillance Services
4. Administrative Support Services

1. 
   Clinical Services
   Clinical Services operates three TB clinics at the following locations in the County:
   
   Health District Center
   1350 NW 14th Street
   Miami, FL 33125
   Telephone number: (305) 575-5401
   
   Little Haiti Health Center
   300 N.E. 80th Terrace
   Miami, Florida 33138
   Telephone numbers: (305) 795-2100 and (305) 795-2030
   
   West Perrine Health Center
   18255 Homestead Ave.
   Miami, Florida 33156
   Telephone numbers: (305) 256-6315 and (305) 234-5400

Clinical Services include:

• Identify and treat all cases of active tuberculosis disease.
• Diagnosis of patients with tuberculosis infection and treatment as indicated.
• Civil Surgeon services, Status adjuster, EDN
• Nursing Services: TB case management, LTBI, TB clearance
• Radiology services
• Testing and Laboratory services

2. Field Services
   Field Services is responsible for all outreach activities aimed at screening and identifying persons exposed to Tuberculosis and for the administration of Directly Observed Therapy (DOT).
   
   Field Services provides the following services:

• Contact Investigations
• Directly Observed Therapy (DOT) Services
• Video Directly Observed Therapy (VDOT)
• Directly Observed Preventive Therapy (DOPT) Services
• Community Based Organizations (CBO) liaison
• Institutional Outreach (i.e., correctional facilities, homeless shelters, etc.)
• Social (holistic patient care) Services
• Tuberculosis Education
• Targeted Testing

3. Surveillance Services
   Surveillance Services is responsible for all functions pertaining to reporting, surveillance and analysis of TB cases in the county, including:

• Obtaining reports from physicians, laboratories, and hospitals (ICPs) on suspected cases of Tuberculosis.
• Liaison with reporting facilities to obtain TB confirmation.
• Liaison with other providers to ensure compliance with standard of care for TB treatment.
• Maintain a database of all suspected TB cases reported to the DOH and ensure a disposition on each report.
• Report all confirmed cases of Tuberculosis to the State Bureau of TB Control.
• Maintain a database of all reported B1 and B2 immigrants and refugees.
• Coordinate interjurisdiction clients.
  
  

4. Administrative Support Services
   Administrative Support Services is responsible for all program support services.