Developing and Implementing a Remediation Plan

Goal

The overall goal of a remediation plan is to address the areas where the TB program did not meet objectives. Programs should implement strategies for long-term improvement in those areas.

Objectives

Developing objectives for your remediation plan will help to ensure that the activities meet the specific achievements that your program wants to accomplish. See Developing Objectives and Evaluation Questions for information about developing objectives that are Specific, Measurable, Achievable, Relevant, and Time bound (SMART).

Remediation Plan Elements

The goals and objectives should be followed by specific information about remediation plan activities, measures, timeline, dissemination of results and determining next steps.

Activities

These are specific activities that are decided upon by the TB program to address program evaluation findings. For example:

• Program evaluation finding
  • Many TB patients have a difficult time arriving at the TB clinic during normal clinic hours to receive Directly Observed Therapy (DOT).
• Activity to address the finding
  • The TB program decides to partner with the STD clinic to offer extended hours and services for DOT of TB patients.

Measures

Your plan should include measures to determine effectiveness of your activities. The criteria for each measure should be reasonable and quantifiable. For example:

• The number of STD clinic staff cross-trained in administration of TB DOT
• The number of TB patients who arrived at the STD clinic for TB DOT during extended clinic hours
• The percentage of TB patients who completed therapy by DOT

Timeline

The timeline should cover the time it will take to:

• Implement new activities
• Collect data to determine their effectiveness
• Analyze and interpret data
• Disseminate results of the remediation plan
• Determine next steps

When developing a timeline, consider the following:

• Reasonable timeframe
  • Give a reasonable and feasible amount of time to complete each proposed activity.
• Resources
  • The TB program should have the necessary support (materials, staff, training, and collaboration) to implement and complete each activity.
• Accountability
  • Regular communication between staff who are implementing activities, project lead, and other stakeholders on progress, barriers, and achievements of remediation plan activities.

Persons Responsible

Appoint a project lead to manage the implementation and monitoring of the remediation plan.

• This person will be responsible for keeping the plan moving according to the timeline, addressing issues that come up, and adjusting the plan activities or timeline as needed.
• The TB Program Evaluation Network focal point might be an excellent point person for the implementation of the remediation plan.

List the activity leads who will manage the implementation and monitoring of specific activities in the remediation plan.

Dissemination and Next Steps

Decide how you will disseminate results and determine next steps of your remediation plan. This may include reports to your program evaluation stakeholders.

• Results can be disseminated informally (meetings or conference calls) and formally (reports and presentations). See Sharing Your TB Program Evaluation Findings for more information and suggestions.
• If you are required to submit an annual progress report to CDC's Division of TB Elimination, be sure to include the progress and results of your remediation plan.

Determine any next steps, such as policy or practice changes, other activities, or further evaluation based on your remediation plan findings.

Resources