Observe the history and physical exam for several applicants and answer the following:

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1. Name of Contractor Completing Survey: (Required.)

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2. Some TB history questions are open-ended (e.g., 'Have you ever had a chest x-ray?' or “Have you ever been treated for a lung infection?”) (Required.)

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3. TB history questions include a review of typical TB signs and symptoms (e.g., cough, weight loss, night sweats, etc.) (Required.)

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4. Physical exam includes auscultation of the lungs anteriorly and posteriorly in multiple locations on bare skin. (Required.)

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5. Additional comments about TB related history and physical exam: (open comment) (Required.)

Inquire about lab testing by meeting with a panel physician and lab director and answer the following:

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6. What IGRA test type is used? (Required.)

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7. Which lab runs the IGRA test? (Required.)

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8. What is the IGRA test turnaround time (TAT)? (Required.)

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9. Is the panel noting any issues with IGRA testing or supply chain? (Required.)

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10. What molecular test is used for TB diagnosis? (Required.)

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11. Which lab runs the molecular test? (Required.)

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12. What is the molecular test turnaround time (TAT)? (Required.)

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13. Is the panel noting any issues with molecular testing or supply chain? (Required.)

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14. Additional comments about TB lab related issues (open comment): (Required.)

Inquire about chest x-rays by meeting with panel physician and radiologists/radiology

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15. For calendar year 2024, what is the percentage of abnormal chest x-rays for applicants aged 15 and older (number of abnormal chest x-ray/applicants 15 yrs of age or older x 100)? (Required.)

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16. You routinely review your x-ray processes and procedures. (Required.)

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17. Your facility ensures x-ray equipment is well maintained and calibrated. (Required.)

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18. X-ray techniques are reviewed to ensure optimal image quality. (Required.)

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19. Applicants are properly prepared and positioned during x-ray acquisition. (Required.)

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20. Workstation monitors used for x-ray interpretation are of high quality. (Required.)

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21. Image viewing software used at the facility is optimized for radiological review. (Required.)

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22. Ambient light in the radiograph reading room is appropriately controlled. (Required.)

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23. Noise level and activity in the reading room kept to a minimum to avoid distractions. (Required.)

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24. All radiologists familiar with the Technical Instructions. (Required.)

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25. All radiologists enter results into the eMedical system. (Required.)

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26. Radiologists know who to contact with questions, abnormal chest x-ray results, etc. (Required.)

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27. Additional comments about radiology related issues (open comment): (Required.)

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