F Flint Water Crisis Public Archive

Karen Lishinski

Nurse Consultant at Division of Family and Community Health / DCH

58

Emails

Jul 2014–Jan 2016

Archive range

58 emails found.

010116 Edited FLINT BLOOD LEAD CM - weekly status tracking form v5 12.22.15.xlsx

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Hello Here is an updated file. Not much movement over last 2 weeks due to short weeks and holidays. No new file from Bob until this week. | added a column (B) to report week’s lists numbers instead of the number being buried in the first column (A). It helped for the formulas. The columns shifted once to right to become C to O. We did open one child to case management during this time period. Thank you Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, MI 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the xxxEND_PAGE:dhhs03_b0641_2161_2161_1

Fw: CLPPP Grant

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Karen, I'm following up since, | did not receive a response from the email below. Druring the12/22/15, CLPPP Grant Gead} meeting at the Burton Cleic, our GCHD staff were informed by Bob Scott, that cleaning supplies and education could affect the ETC results. This helps clarify the intent of the recent resirictions of our CLPPP Grant. GCHD has also been informed that ETC Consulting has only conducted 11 residential lead assesaments for the approximate 140 known EBL cases. xxxEND_PAGE:dhhs03_b0349_1279_1282_1 001280 GCHD val not conform to the recent restrictions of the CLPPP grant and we will provide assistance for the known EBL families in Flint, immediately. ‘The rate at which the assessments are being conducted and the actions by your department, which allows for continued lead exposure for the known EBL children, is unacceptable. Jim Henry RS, MBA Environmental Health Supervisor 630 S. Saginaw St., Suite 4 Flint, Mi 48502-1540 Phone (810} 257-3418 Fax (810) 257-3125 ips E-mail jo <imaged0i jpg>

letter to parents

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This is a copy of the letter sent to parents by the CMs after they talk to the families. Is this the one they are looking at to change? | don’t think this is third grade level-Go figure! Karen Lishinski RN MA AE-C Nurse Consultant Michigan Department of Health and Human Services Childhood Lead Poisoning Prevention Program 517 241 3599 109 Michigan Ave 4" Floor Lansing, Mi 48913 Fax 517 335 8509 xxxEND_PAGE:dhhs03_b0286_1085_1086_2

12112015 FLINT BLOOD LEAD CM - weekly status tracking form v4 11.24.15.xlsx

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Hello Here is the weekly report for the week ending 12/11/15. Thank you Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at hits s/ xxxEND_PAGE:dhhs02_b0447_1804_1805_2

CM Updates for Flint

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See attached. When I combed through it, it seemed like there were only a few places where you would want to differentiate what you ask because of the child's age. The developmental screening was the most obvious...see if the approach works. I added several questions in the comments. Also--Project Find is no more! When the grant was defunded some items were continued--but the statewise hotline was disallowed. OSE has a number you can call...but it isn't really a "find line". Might be a good question for Susan Broman’s people. Karen--we will have to go over the forms again....sigh. Em Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 xxxEND_PAGE:dhhs03_b0353_1286_1286_1

12042015 FLINT BLOOD LEAD CM - weekly status tracking form v4 11.24.15.xlsx

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Good morning Here is our weekly status report for the week ending 12/4/15. Thank you Kim Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e- mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at bitp.//www.echd us! xxxEND_PAGE:dhhs03_b0469_1709_1710_2

email to send out on Tuesday morning

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See below, trying to keep it short! Please copy me and Linda Dykema on the email to Candace. Thanks! Dear Candace, | just wanted to follow up on your inquiry to our program about assistance with Representative Neely’s upcoming health fair in Flint. We wanted to confirm that the Genesee County Health Department is your best resource for materials, and we understand they do have print materials about nutrition related to children and lead exposure. Either the WIC staff at the Genesee County Health Department, or potentially staff at MSU Extension, could be good resources related to your proposed ‘healthy eating’ demonstration. Good luck with your event! Karen Lishinski RN MA Nurse Consultant MDHHS Childhood Lead Poisoning Prevention Program 517 241 3599 xxxEND_PAGE:dhhs03_b0639_2158_2158_1

cm protocol

From
Karen Lishinski
To
Unknown recipient
I think this is it!!!! Please just change the page numbers and the date in the header. Also the fix tabbing starting at the “social history” don’t know why it would let me do that one! If you can send it back by 100- that would be fabulous! Karen Lishinski RN MA AE-C Nurse Consultant Michigan Department of Health and Human Services Childhood Lead Poisoning Prevention Program 109 Michigan Ave 4" Floor Lansing, Mi 48913 Fax 517 335 8509 xxxEND_PAGE:dhhs03_b0617_2069_2070_1 002070 Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 xxxEND_PAGE:dhhs03_b0617_2069_2070_2

CM Forms

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Forms: e Activity Log: No changes required ¢ Follow-up Visit: No changes required e Individualized Plan of Care: Fixed typos, updated revision date, under long-term development changed form to read "Date of ASQ screening" e Initial Home Visit: Revised name of form, added in ASQ under developmental screening, w/comment section and date, fixed form errors, updated form date e Referral Form: No changes re referral for Early On is described as being for BLL>10. Do we want to add "or other noted developmental delay"?) e Report to Health Care Provider: Fixed BLL repeat test protocol on second page. Updated date of form. e Case Closure: Updated date of form. Updated closure reason in section 2 of form to 1 BLL<5 ug/dL to be consistent with section 1. All form names are revised for naming convention consistency. Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 xxxEND_PAGE:dhhs03_b0619_2080_2080_1

FW: hoping to touch base about our reporting form

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GCHD Contract.Flint water 11.18.15.changes.docx Importance: High Fyi— follow up on my call today with dort. Let's talk about this on Monday — @ treviewed the updated contract language with Jori, as wall as the revised reporting spreadsheet She is going to review the reporting spreadsheet with the nurses, they are supposed to give feedback on the Tuasday call that you already have set up. e {asked her about the numbers on the first report they sent you~ we don’t know where they gat the 163 rurnber they fisted. | cari see that the totals they Hsted for rows band 2 are not accurate fas measured by the list of families that Bob sends ther} ~ she is hopefully going to get back to me today regarding that number. Rashmi has asked about it, and my detective work so far with Sob hasn't helped us to figure it cut. | do wonder if the tent on the renorting form was part of the problem, sa | tried to fix what! saw might be the problem. We'll see! See you on Mornay, hope it was a good (warm) weekend - you left just in time for our first snow!

positions

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Hi Nancy and Karen, One of our nurses working in Lead Case Management came to us concerned that you might not know the roles of Genesee County staff in the case management realm. If you have questions regarding budget or contract issues, that should be brought to myself or Jori. If you have questions regarding clients that would go to Sherry, Kim or Jan. If there are concerns about implementation process please discuss with Jori. | hope this is helpful. Thanks, Toni Towel LaRocca MS, RN Director of Nursing Services Genesee Courly Health Deparment 810.237 4644 tlarocco@achd us ¢ BAD MOPS, Zz 2 oS eneage, oe , , 3, fe Cat Oe" o te, ee whe a friend Geolfiade n seated : aw So eer DORE RHE, f +, , RE CMEake *NOTICE: This ened, inchulig att geidressee and may contain o not the intended reciolent, any dis gsedion in redian fthe contants ins e-mail in ersy, please act destroy al copies. Thank you. closure, use, distr inis e-mad is sin me vig o-mall and permane nly eu and @ the org For @ copy of u + Practices, contact the Health Cepartiment or vi Health Cepartments Notice of informatio! he Health Depariment’s website ath xxxEND_PAGE:dhhs03_b0591_2009_2010_2

REVISED GCHD Contract.Flint water 11.18.15.changes

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Importance: High Per Sue’s request, we have modified the contract language with GCHD related to Flint water, see attached. Changes are highlighted in yellow. We had a phone call with GCHD staff to review the changes before submitting. Karen will email them this copy as an FYI, and we will be revising our reporting form to align with the new metrics, will send them that form to them tomorrow. Please let us know if you have any questions. Nancy xxxEND_PAGE:dhhs03_b0588_2005_2005_1

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