F Flint Water Crisis Public Archive

Nancy Peeler

Section Manager, DHHS - Early childhood health

488

Emails

Oct 2012–Jan 2016

Archive range

488 emails found.

Re: CLPPP Grant

From
Nancy Peeler
To
Unknown recipient
Sure - I thought Courtney had already addressed this on one of our weekly calls with them, and her take on it was that they shouldn't stop helping people to engage in prevention activities. What exactly was the conversation with Bob on 12/22? I'ma little confused about where this came from? Sent from my iPad On Jan 4, 2016, at 3:29 PM, Lishinski, Karen (DHHS) <Lisk Carn we talk about this tornorrow?

FW: Numbered Letter L 15-73

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Fyi, likely you all already have seen this . . . I’m just on the MSA policy listserve so get whatever goes out . . . so am just forwarding to be sure you have this! Brenda Fink, A.C.S.W. Director, Division of Family and Community Health Michigan Department of Health and Human Services 109 W. Michigan Ave. Lansing, MI 48933 517-335-8863 Fax: ade 335-8697

RE: Michigan News: LEAD

From
Nancy Peeler
To
Lisa Walraven
Good morning — fen we A xood resource to share with your providers is There are resources being posted at that website that they can use. Some are being edited so there is another version with a lower reading level - that work is underway. State and local mariners have been working together te make sure water filters/filter raplacernents are available to families who are on the Flint water system. ii is a good idea to cantinue to remind your providers to continue to use the filters, and how to obtain filter replacements. | believe we have some messaging materials about that already on the website E listed above, that you could utilize if you like. Also about how to change the filter cartridges, The Genesee County Health Denartment (GCHD} is offering case management services for all childran identified with elevated blood lead levels. Your providers could encourage families to take advantage of those services if their child has had an elevated blond lead level ousect on a blend test. GCHD has a list of all children with elevated levels, and is contacting each farnily. GCHD also has sarne good resources for families that providers could use. Gur Acninistration is in the process of putting together a chart of existing follow-up services that can help mitigate/address the impact of lead exposure, and we included high quality child care on that list. [had understood that there ic (ar will be} sarne sort of communication from Sue Maran to Susan Broman about this? Not sure since this is being coordinated by Rashrni and Sue — fut more to come. if you have other more specific questions, let me know, happy to share or help you find things.

FW: Michigan News: LEAD

From
Lisa Walraven
To
Nancy Peeler , Mark Jansen
Naney and Mark- Other than offering the water Hiters | haven’! been invelved in the efforts, so I'd appreciate an effort on what has been done so! can report back to the Office af Child Care. Thanks. Lisa

FW: Molina Healthcare - Lead Testing Initiative

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Good morning, Monica and Kim - | wasn't sure who to share this with, thought | would start with you, [hada conversation with Dana Brown from Molina after the MCH meeting, and we talked about their upcoming health fairs in Flint, and the fact that they didn’t have a LeadCare machine to use at those health fairs. if you are not familiar with it, LeadCare is a point of service machine that can analyze a capillary blood sarnple for lead, you have the result within about 3 minutes. the capillary is high, then it is still necessary to get a venous sample to confirm the result. But if the capillary is low, then typically no further testing is needed at that time point. Dana is going to follow-up with Magellan, as she thought there may be some practices that could meet the testing volurne to get a free machine. | wonder Hf tt would be helpful to share the Magellan information with other health plans, ofr possibly even invite the rep to the next MCH meeting, or hast a conference call? Not sure what your usual approach is, but Lat least wanted to get this information inte your hands, see what you think. Nancy

RE: Molina Healthcare - Lead Testing Initiative

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Good afternoon, Dana ~ i did manage to connect with Magellan today; there are two options that you might consider: i. Magellan confirrned that they cs offer free LeadCare machines for areas with low testing rates, however, you must make a commitment that you would meet a minimum testing volume, that being at least 384 tests/year le.g. you must purchase 8 test ‘hits’, each of which contains supplies for 48 individual tests, 8x48 = 384 tests, You purchase 4 test kits um front, then 4 more within the year}. You would need to review your potential testing volume 9 see if this is a standard you could carnmit to meeting. 2. They have a pilot study/project going on, where you can purchase the LeadCare machine for $2,000, which includes 2 test kits (supplies for 96 individual tests}. After that, you would purchase replacemant test kits (48 gach] as needed, at a cost of $382 for each test kit, The Midwest Ragional Sales Representative for Magellan is Brandon Albright; i've inchiched his contact information below. | did tell hirn that he ray hear fram serneone. He said that he is working this week and next other than Christrnas Day. | hope this information is useful, and you are able te reach hirn! Nancy MAGELLAN CONTACT INFORMATION: xxxEND_PAGE:dhhs03_b0657_2230_2231_1 002231 Brandon Albright | Midwest Regional Sales Representative | Magellan Diagnostics, inc. Phone: 219-314-9589 | Fax: 978-856-2335] Ernail: balbright@magellands.com

RE: question about Pediatric Symptom Checklist

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For young children that are screened with the ASO, the process is clear in most communities (to Early On} but with older children, the identification of mental health issuus would mean a referral to a mental health professional for assessinent, For Medicaid children the health plans should have practices/agencies identified in the community or for those with very severe issues, a referral to Genesee Health Systems (community mental health} would be warranted. Valinda Christopher is the children’s services director in Genesee. Would you like me to contact her? Mary

RE: question about Pediatric Symptom Checklist

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michigan sey> This would be the nurse case managers frarn the local health department using the teal, with 6-17 year olds. ffthey had afinding on the screener, they might send info the PCP for them to order further testing or follow-up, or perhaps the ISt for special ed, or CMH. We haver’t started yet, so not sure what they will find or where the refarral would go.

RE: question about Pediatric Symptom Checklist

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Naney.we Rave supported the use of the Pediatric Symptorn Checklist in discussions with Medicaid and primary care (as we didin LAUNCH) There are not any specific training videos, to my knowledge, but the Mass General website has all of the materials that one would need. | appreciate that they have a youth version (aver 13 years} and the tool in multiple languages inchudling a pictorial version. Since this teal is used in general pediatric care, | don’t foresee any issues with using the tool, f trust that it will be useful in primary care. Has anyone fat the CMH know that additional screening will be going on to rnake sure that they know that they may get calls from pediatric care/famillas? Of coursa, the PSC does nat screen for other developmental issues besides social emotional health. Wil the ccs have additional surveillance cuestions to ersure all of the develonrnental issues are addressed? Mary xxxEND_PAGE:dhhs03_b0656_2228_2229_1 002229

Lead Case management for 6 through 17 year olds

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Good morning, Jori. Per our conversation last week, | am verifying that GCHD is able to provide lead case management services to children aged 6 through 17 years of age under our contract, as you see appropriate. This would cover children living in Flint or Genesee County exposed to Flint water. Bob Scott has changed his data sheet to add a tab with a list of children in this age group. | have attached a revised weekly reporting form shortly, that adds a row to capture information on any CM activities that you do provide to this age group. Please let me know if you need further information or documentation from MDHHS. Nancy Peeler, Manager Early Childhood Health Section 517/335-9230 xxxEND_PAGE:dhhs03_b0654_2223_2223_1

question about Pediatric Symptom Checklist

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Hi Mary — We are working closely with Genesee County Health Department as they provide case management services to children in Flint with elevated blood lead levels. Our case management protocol includes developmental screening with the ASQ for younger children, . However, there are also some 6-17 year olds that may receive services, and | am considering substituting the PSC for the ASQ for that older group. A couple of questions for you: e Do you see any issues with using the PSC in this type of circumstance? e Weaccessed the tool, scoring materials, administration information are available for free online. Are there any training videos or materials specific to this tool that you are aware of? Would that be needed (it didn’t look like it to me). Thanks for any info you can offer! Nancy xxxEND_PAGE:dhhs03_b0656_2228_2229_2

data question

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Good morning, Bob. | wondered if you can help me with some data that would provide context for an email that | need to send to Sue Moran this morning. She asked about how many children had EBLs higher than 40 during FY2015. Is that something you could easily tell me? Also, if memory serves, before November, the last child in Genesee County with an EBL above 40 was back in 2009. Is that accurate? Thanks for any help you can give me with this; | appreciate it! | know you are headed out to Genesee County for the training, hoping this is an easy question that won't delay your departure. Certainly call me if that is easier - 517-243- 6635. Nancy Sent from my iPad xxxEND_PAGE:dhhs03_b0442_1606_1607_2

Molina Healthcare - Lead Testing Initiative

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Hi Nancy, | hope all is going well! Thank you for your presentation at last week’s Maternal Child Workgroup Meeting! You passion for you work with the Lead Program is inspiring. Molina is working diligently on our lead testing initiative. We have a blast fax going to our providers this week re- education them on the lead test recommendations for a test at 12 and 24 months and for children 3 -6 years if they have never been tested. We are also sending our members information regarding lead testing events we planning for Jan — Mar 2016. Four events have been confirmed so far. We are doing these in schools from 3:30 — 6:30PM in the evening so they are convenient for parents. I'd like to follow-up with our conversation regarding the LeadCare II machines offered by Magellan Diagnostics. Were you able to speak with your contact or do you have the criteria a provider office needs to meet to receive the machine? Thanks, Dana Dana Brown Manager, QI Intervention/HEDIS Molina Healthcare of Michigan 880 W. Long Lake Rd., Suite 600 Troy MI 48098 Phone: 1-866-449-6828 Ext 151787 Direct Dial: 248-925-1787 Fax: 248-925-1732 Email: dana. brown @molinahealthcare. com IMPORTANT NOTICE TO RECIPIENT: This email is meant only for the intended recipient of the transmission. In addition, this email may be a communication that is privileged by law. If you received this email in error, any review, use, disclosure, distribution, or copying of this email is strictly prohibited. Please notify us immediately of the error by return email, and please delete this email from your system. Thank you for your cooperation. xxxEND_PAGE:dhhs03_b0657_2230_2231_2

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