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Program performance monitoring provides evidence of the quality and value of the services that tuberculosis (TB) programs provide.
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All TB programs in Canada are encouraged to monitor the same core indicators of performance using the definitions and suggested targets provided.
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This framework should be considered a minimum standard for monitoring Canadian TB programs; jurisdictions are encouraged to monitor additional indicators relevant to the populations served.
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Assessment against targets produces quantitative measures of performance, which are useful to reallocate efforts and resources.
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Program performance monitoring should be annual, with summaries made available to TB programs and other relevant stakeholders, as well as the public.
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Program performance monitoring requires adequate human resources dedicated to data collection, validation and analyses processes.
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Interpretation of monitoring results should be performed in close collaboration with the physician/nursing leads to ensure clinically relevant judgments are properly considered.
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Solutions to programmatic underperformance should be collaborative, involving members of TB-affected communities, select population groups, and relevant stakeholders.
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TB programs should monitor their capacity to provide patient-centered care and favorably influence long-term outcomes, which, among other program staff, is dependent on having dedicated support of a social worker.
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