[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-174060-en":3,"doc-seo-174060-105":30,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},174060,8796093062539,"8796093062539","",1,17,"Forms","Facility Tuberculosis (TB) Risk Assessment Instructions and Worksheet for Health Care Settings Licensed by MDH - Updated 4/2026","Instructions and a structured worksheet for completing TB facility risk assessments for Minnesota Department of Health (MDH) licensed health care settings. Covers acceptable assessment options, use of CDC Appendix C for risk classification, and requirements for how often assessments must be performed by risk level and license type/address. Provides TB incidence inputs and guidance on county-specific reporting, then details determining risk classification and TB screening/testing expectations for health care personnel, including baseline, serial, and post-exposure protocols under updated CDC guidance.","Facility Tuberculosis (TB) Risk Assessment Instructions and Worksheet for Health Care Settings Licensed by MDH*\nUpdated 4/2026\nBackground\nHealth care settings licensed by MDH (*boarding care homes, home care providers, hospices, nursing homes, outpatient surgical centers, and supervised living facilities) may use either of the following options to meet the “perform a TB facility risk assessment” requirement:\nthis worksheet, or\n“Appendix B: Tuberculosis (TB) Risk Assessment Worksheet” published by the Centers for Disease Control and Prevention (CDC) in “Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005”. Use CDC’s \u0013 HYPERLINK \"https://www.health.state.mn.us/diseases/tb/rules/mmwrc.pdf\" \u0014Appendix C\u0015 to determine facility risk classification.\nAll documents are located on the MDH webpage for \u0013 HYPERLINK \"https://www.health.state.mn.us/diseases/tb/rules/healthcare.html\" \u0014Prevention and Control of TB in Health Care and Other Congregate Settings (https://www.health.state.mn.us/diseases/tb/rules/healthcare.html)\u0015.\nChanges were made to the facility risk assessments starting in 2019 that differed from prior years to reflect updated 2019 guidance from CDC:\nStarting June 10, 2019, serial (annual) TB testing is no longer required for MDH licensed health care settings with low and medium risk level classification.\nThe level of infection control measures including respiratory protection plan employed by your facility should match the risk classification of your setting.\nThe MDH Manual Regulations for Tuberculosis Control in Minnesota Health Care Settings, July 2013 is being updated. Until the new version is available, use the July 2013 guidance to remain in regulatory compliance with MDH Licensing and Certification. Please note, many of the links within the 2013 manual are broken so please use the webpage for access to forms.\nSettings should perform a facility risk assessment on an annual basis if risk classification is medium or higher. Low risk classification settings should perform a facility risk assessment every two years.\nThe CDC version of the facility risk assessment or an internally developed form that incorporates all CDC variables should be used by health settings that are a hospital or emergency department or other setting with airborne infection isolation (AII) room(s).\nThis document is updated annually to reflect current TB case rates and numbers. Data for 2026 will be available by April 2027.\nA separate Facility TB Risk Assessment Worksheet is required for each type of license.\nA separate Facility TB Risk Assessment Worksheet is recommended for each physical address.\nIf you have questions, please contact the MDH TB Program at 651-201-5414 or email \u0013 HYPERLINK \"mailto:sarah.gordon@state.mn.us\" \u0014sarah.gordon@state.mn.us\u0015.\nInstructions\nIncidence of TB\nIncidence is the number of people who are diagnosed with active TB disease in a geographic area during a given year. Do not include patients with latent TB infection (LTBI) or suspected active TB disease that was ruled out.\nNational case rate for 2025: 3.0 per 100,000 population.\nMinnesota case rate for 2025: 2.8 per 100,000 population.\nCounty data for Minnesota:\nHealth care settings in Hennepin, Olmsted, and Ramsey counties: record the county’s case rate**. \u000b**These preliminary case rates were calculated using 2020 Census population estimates; to be recalculated after updated population estimates are available June 2026.\nHealth care settings outside of Hennepin, Olmsted, and Ramsey counties: record the number of cases. MDH does not calculate TB incidence rates for other counties.\nHealth care settings that serve persons from multiple counties should record the rate or number for each county.\nCases of Active TB Disease by County, Minnesota, 2025\nDetermining TB risk classification\n***Settings or occupations with increased risk of TB exposure from patients prior to diagnosis\nTB screening of health care workers\nEffective June 10, 2019","cbCaivfFWYcqUGZL","https://ap.wps.com/l/cbCaivfFWYcqUGZL","docx",79235,13,"English","en",105,"# Background\n## Assessment options and classification\n## Frequency requirements\n# Instructions\n## Incidence of TB\n## Determining TB risk classification\n## TB screening and testing for health care workers","[{\"question\":\"What options can MDH-licensed facilities use to meet the TB facility risk assessment requirement?\",\"answer\":\"Facilities can use this worksheet or use the CDC “Appendix B: Tuberculosis (TB) Risk Assessment Worksheet” from the 2005 CDC Guidelines. Appendix C from CDC is used to determine facility risk classification.\"},{\"question\":\"How often must a facility perform the TB facility risk assessment based on risk classification?\",\"answer\":\"Facilities with medium or higher risk classification perform the assessment annually. Low risk classification settings perform a facility risk assessment every two years.\"},{\"question\":\"Is annual TB testing required for all MDH licensed facilities after June 10, 2019?\",\"answer\":\"Annual TB testing is not required for MDH licensed health care settings with low or medium risk level classification. Increased occupational exposure settings should consider annual TB testing and some may use quarterly or biannual screening based on risk.\"}]","Facility Tuberculosis (TB) Risk Assessment Instructions and Worksheet for Health Care Settings Licensed by MDH - Updated 4/2026 | DOCX",1788309916,5,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":10,"description":15,"schema_data":34,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"facility-tuberculosis-tb-risk-assessment-instructions-and-worksheet-for-health-care-settings-licensed-by-mdh-updated-42026",{"@graph":35,"@context":85},[36,53,68],{"@type":37,"itemListElement":38},"BreadcrumbList",[39,43,47,50],{"item":40,"name":41,"@type":42,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":44,"name":45,"@type":42,"position":46},"https://docshare.wps.com/template/","Template",2,{"item":48,"name":13,"@type":42,"position":49},"https://docshare.wps.com/template/forms/",3,{"item":51,"name":14,"@type":42,"position":52},"https://docshare.wps.com/template/facility-tuberculosis-tb-risk-assessment-instructions-and-worksheet-for-health-care-settings-licensed-by-mdh-updated-42026/174060/",4,{"url":51,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":40,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-04","2026-09-02",true,{"@type":65,"interactionType":66,"userInteractionCount":11},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What options can MDH-licensed facilities use to meet the TB facility risk assessment requirement?","Question",{"text":75,"@type":76},"Facilities can use this worksheet or use the CDC “Appendix B: Tuberculosis (TB) Risk Assessment Worksheet” from the 2005 CDC Guidelines. Appendix C from CDC is used to determine facility risk classification.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How often must a facility perform the TB facility risk assessment based on risk classification?",{"text":80,"@type":76},"Facilities with medium or higher risk classification perform the assessment annually. Low risk classification settings perform a facility risk assessment every two years.",{"name":82,"@type":73,"acceptedAnswer":83},"Is annual TB testing required for all MDH licensed facilities after June 10, 2019?",{"text":84,"@type":76},"Annual TB testing is not required for MDH licensed health care settings with low or medium risk level classification. 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