TB Program News and Announcements
Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control for FY 2017 are now available.
The Standing Delegation Orders (SDOs) and Standing Medical Orders (SMOs) are written instructions, orders and procedures prepared by the Department of State Health Services Tuberculosis and Refugee Health Services Branch to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB.
The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under authority of Rule Title 22, Texas Administrative Code §193.2, Standing Delegation Orders.
The intended audience for the SDOs and SMOs includes physicians, registered nurses, licensed vocational nurses, non-licensed staff working in DSHS Health Service Regions. These orders are being shared with local health department TB programs as a resource document only.
The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control are effective September 1, 2016.
The Tuberculosis and Refugee Health Services Branch encourages local health department TB programs to enroll in Medicaid.
If you were enrolled as a TB Medicaid Provider prior to January 1, 2013, you are required to re-enroll prior to September 25, 2016 to continue billing for services.
The Application to enroll or re-enroll may be downloaded from our
In 2015, 1,334 cases of tuberculosis (TB) were reported in Texas, a rate of 4.9 per 100,000 population. TB can affect anyone but is more likely to be diagnosed in persons born in a foreign country where TB is prevalent, persons living with diabetes or HIV/AIDS, persons who abuse alcohol and other drugs, persons who live in congregant settings (including prisons and other detention centers), the homeless, and health care workers
TB in Correctional Facilities
The Texas Department of State Health Services (DSHS) Tuberculosis Services Branch collects, compiles and analyzes tuberculosis screening activity reported by jails meeting Texas Health and Safety Code Chapter 89 criteria. The Annual Tuberculosis Screening Report reflects these screening results for jails meeting the statutory criteria and is now available for viewing or download.
Congregate Setting Target Testing
On May 13, 2014, the Texas Department of State Health Services (DSHS) Tuberculosis and Refugee Health Services Branch released new guidelines for congregate setting target testing. The guidelines were issued in recognition of the importance of screening activities among high-risk populations and treatment for TB infection as essential components in TB elimination programs. Submission of a Congregate Setting Target Testing Monthly Report is now required under these guidelines.
Cohort Review Implementation
In March 2013, the Tuberculosis Services Branch implemented the cohort review system in Texas. A cohort review is a systematic and retrospective review of the management of TB cases and contacts. It is an effective management tool that identifies trends impacting outcomes and provides the impetus for developing systems that enhance program performance.
It is the policy of the Tuberculosis Services Branch that in order to promote optimal case management and contact investigation practices statewide, DSHS health service regions and contracted local health department TB programs will hold quarterly cohort reviews. DSHS health service regional TB programs will work with low morbidity public health jurisdictions to implement the cohort review process. The Health Service Regions' Tuberculosis
Cohort Review Infrastructure form (
67 KB) provides the reporting framework for the cohort reviews.
Please refer to the
Cohort Review Policy (
45 KB) for further information.
The followings tools are available to conduct the cohort review and report findings to DSHS Tuberculosis Program Services Branch:
For help completing the summary form, download An Overview of the Cohort Review Summary Form ( 141 KB).