F Flint Water Crisis Public Archive

Mark Miller

Director, Local Health Services, DHHS

79

Emails

Jan 2015–Dec 2015

Archive range

79 emails found.

RE: case management for children with elevated blood Pb levels identified outside of

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Genesee County As below, Mikele andi chatted. 7H talk to Valacak this AM on options, but Mikelle figured we could just have Oakland for whontever} send us a voucher for the time, and we'll pay it out of aur PH&AS general furs S's. Shouldn't be too many of them. After you get with Karen, give mea call to consult, then | can try to cut a deal with the Health Officer in Cakdand. Mark

RE: case management for children with elevated blood Pb levels identified outside of Genesee County

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Weill, l'on not surprised. We didn’t retain any of the Flint CM funding ~ sent it all to Genesee - so we don’t have that source to pay another county for this work. Right now there are 2 kids, not sure if GCHD will find more. Probably afew, but my guess is it wan't be 4 high number, f the child is on Medicaid, yes it fs billable to Medicaid, and that should always be the first fund source, Oakland does not bill Medicaid, regardless. will have to get with Karen to get info on what Gakland currently does to respond to EBL cases, e.g. at what lavel do they send a letter vs. send out a nurse, ete. itis different for every county, so | want to make sure i get you accurate information. What we currently do in Oakland is that SurveiHance sends them their weekly data file of lead results, and they invoke their own policy about how thay will respond for not}, Remembering that Gakiand will have no idea ifa child nraviously iivedin Flint, unless we identify that for them. agree, we'll have to think about alternate fund sources.

case management for children with elevated blood Pb levels identified outside of Genesee County

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Ginichigar. gey> xxxEND_PAGE:dhhs03_b0428_1572_1573_1 001573 | chatted with GCHD; they weren’t too enamored with our idea to have OCHD bill them. | told Mark V. I’d think of some more ideas and call him tomorrow. Mikelle figured if the #’s are low we’d just have them bill So how many do we think we'll have in this fiscal year? What would the bill be for case management? How would that be reduced if the child was on Medicaid? Are there nurses in Oakland who can do case management? If so, | can probably work out a deal with the HO, especially if we can pay them. How would we normally handle a kid ID’ed in Oakland with an elevated blood Pb level? Mark Miller Director, Local Health Services Michigan Department of Health & Human Services 201 Townsend, 6" Floor Lansing MI 48913 (517) 335-8032 xxxEND_PAGE:dhhs03_b0428_1572_1573_2

RE: talking points on case management & environmental

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investigations/composite with a couple bullets from Wes isay this is good to send to Eden and Geralyn. The two experts, Wes and Nancy, provided the material that we summarized, Thoughts? I think these would be some brief talking points for Eden and/or Geralyn: The governor signed the legislation for funding on Oct. 15". Contracts for Case Management were negotiated and in place by Oct. 23: a contact for environmental investigations was executed on 10/29/15. GCHD hired 2.5 staff and trained them by Nov. 10"; staff have begun to contact families and offer/conduct case management services. The Nurse Case Managers have met with, and developed plans to coordinate efforts with, the Environmental Investigators, and will be making joint home visits whenever possible. There are 163 children with elevated blood lead levels reported since April 2014. Staff just started, but have reached 5 families to offer case management, and have conducted case management on one of those cases (as of 11/13/15). Outreach to additional families is already underway. 2 £8t xxxEND_PAGE:dhhs03_b0600_2025_2028_3 002028 nvesibablons have been eendcieted as of 1LAPASLS: erwipnrnegatal invesigeronrs ake: de: water Hr, We expect trese numbbers to grow in the coming Weete. xxxEND_PAGE:dhhs03_b0600_2025_2028_4

RE: 11182015 FLINT BLOOD LEAD CM - weekly status tracking form

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Nancy, ff we give the below talking points to Eden, are they accurate? ithink these would be some talking points for Eden: th fase management servires, There are 163 children with elevated blood lead levels reported since April 2074. Staff just started, but have We axpect these numbers to grow In the coming weeks.

Time Sensative

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Importance: High Hi Eden, This is the up to date version of the spread sheet. Please lat re know if there is other information that you want collected Tonk Toni L Lakocoe MS, RN Director of Nursing Services Genesee County Health Department 810.237 4544 tlarocco@achd.us a és the é fallhegs af fife. ME teens whak ve face ile one aoteptante, Shas? bi oedkse, aangasien fo foes tgs, A nan bao a wad ike x F ta haute ube & bees, a Siewger # g ase Pee beings POREG AGF Ee bug, aed ereates a eves fie igscapegee, if you are tenis of this e-miall is strictly o ranently delete ine original and de Hed. H you have received t copies. Thank you. migi in error, please notly me via ernall and p yy al For 3 copy of the Health Depariment’s Notice of Informetion Practices, contact the Health Denariment aor visi the Helin Depariment’s website at h

Flint work plan

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Updates in bold. Genesee hasn’t been reporting total numbers of filters distributed this week so | took that out of the plan for now. Highlights this week: Genesee CHD Nurse training Suggested language for health threshold Testing event held at Brownell School held Follow-up with Molina regarding testing Congressional Call re: Ready to Feed Formula Please let me know if you have any changes or additions before | send to Nick and all. xxxEND_PAGE:dhhs03_b0292_1098_1098_1

RE: Daily Activity Summary of 12:30 pm Call 11/05/15

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(DHHS);Miller, Corinne (DHHS);Dykema, Linda D. (DHHS);Peeler, Nancy (DHHS);Priem, Wesley F. (DHHS);Fink, Brenda (DHHS);Travis, Rashmi (DHHS);Gonzalez, Jonathan (DHHS);Lixey-Terrill, Jennifer (DHHS);Thelen, Richard (DHHS);Scott, Robert L. (DHHS);Schoenow, Kris (DHHS);Lasher, Geralyn (DHHS);Hertel, Elizabeth (DHHS);Scott, Linda (DHHS);Scott, Robert L. (DHHS);Stanbury, Martha (DHHS)

Re: Emergency Elevated Lead Management in Flint, financial vehicle for Follow-up Nurses

From
Mark Miller
To
Unknown recipient
Nancy, $0: “flint Water”, and 8450 k are all set. Vil bet you're waitin’ on approval for the att, Hl language, ah? You guys are doing some impressive work an this project... mark Sent: Thursday, October 22, 2015 9:11 AM To: Peeler, Nancy (DHHS) <fesierti@michigan.gov>; Miller, Mark (DHHS) <miferr Ce: Travis, Rashmi (DHHS) <Trayisti@rnichigan gov> Subject: RE: Emergency Elevated Lead Management in Flint, financial vehicle for Follow-up Nurses L@ michigan gov> Hi Mark and Nancy, We need the information for this project in order to add this to the Genesee County Health Department agreement. Please provide the project title, ammount, and Attachment lll language for this project. Please send this information to our mailbox as well as the tudget liaison. Please let re know if there will be a delay in forwarding this information. Thank you, Jeanette

RE: Emergency Elevated Lead Management in Flint, financial vehicle for Follow-up Nurses

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Hi Mark and Nancy, We need the information for this project in order to add this to the Genesee County Health Department agreement. xxxEND_PAGE:dhhs03_b0580_1990_1993_2 001992 Please provide the project title, amount, and Attachment HE language for this project. Please sand this information to our mailbox as well as the budget liaisor. Please let me know if there will be a delay in forwarding this information. Thank you, Jeanette

RE: Emergency Elevated Lead Management in Flint, financial vehicle for Follow-up

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Nurses, contract development for Flint As Nancy mentioned earlier in the week, we wil want to try, when possible, to have the nurse consultant and the EBL investigator perform the site visits at the sarne time. Language to this, should put into the contract. Secandiy, coordinating education and outreach events with bath the CLPPP program and our Healthy Homes Section is important, | believe that most of the data an the families wil be the same between the county and with CLPPP om there shouldn’t be a need to discuss this. Nancy will Genesee Ca. do any reporting functions?

FW: Draft Action Plan

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This is the short version that she wants input into the attached chart. Over the last week, DHHS (PHCSA) actions focused on supporting Genesee County Health Department and other state departments in coordinating: Filter/Water Distribution: -changes to the cloud-based database to compile all records of filters distributed and type of filter (in preparation for replacement filter distribution) Binod testing and Case Management Follow-up: -protocol finalized for blood testing and follow-up -protocol development for case management of confirmed children with EBL 5 and over (will be finalized by Friday} -contract (project)via e-grams to GCHD for nurse case management Elevated Blood Level investigations: -bids taken and contract development underway for contractor to conduct investigations in homes with elevated blood lead (EBL) Communications: -completion of FAQ and Infographic for posting on the Governor's website -assisted MDARD on development of communication to food service establishment re: City of Flint water -development of a letter and resources for schools to send to parents (education and encouraging testing) and a letter to providers, daycares, and Head Start Programs -outreach to area laboratories regarding reminder of lead reporting requirements -daily internal calls and daily calls with GCHD -response to public phone calls about the Flint water issue Miscelianesus: -support to DEQ for water testing in the schools developing protocol for water testing and screening levels for evaluation of water data of schools -participate (Linda and Eden) in the Mayor's Technical Advisory Committee and in weekly subcommittee meetings to address water sampling efforts in Flint schools -began discussions on evaluation metrics and reporting for investigations and case management <MDHHS Action Plan Flint EBL_Oct20.docx> xxxEND_PAGE:dhhs03_b0497_1773_1774_2

FW: Emergency Elevated Lead Management in Flint, financial vehicle for Follow-up Nurses, contract

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development for Flint Nancy, see below email from Ms. Hensler. We need to do the following (if everybody agrees}: Nancy should draft a letter for Sue’s signature, to Mark Valacak, that says we're sending him Sooo through Egrams, fora project called XMXXXX, for the time period XXX, and it should be for the following activities, reports, ete (a short list}. Say well work with ingrid Fink on the details and that we'd like all this finalized by the end of the week, Letter should co out today. Mark Valacak can take that to his administrator, ane it" } make # easier for him ta get started on logistics on his end. He might need some approvals from the County. Work with Jeanette and your budget Haison to develop aril execute the praject and amendment. The contract requirements will go in Attachment 1H, and as soon as we get the amendment executed, they (Genesee) can begin activities. Wes, is there any reason te build in any items from your area? Nancy, bulld in a bunch of specific metrics , aS there will be some int est in the outcomes from Sons way above my pay As Mark Valacak said yesterday, you can work directly with ingrid Fink on the budget particulars. fsuspect olf of this con be dene before the end of the week. Likewise Wes, Jeanette Hensler and staff will do whatever they can to facilitate your contracts. xxxEND_PAGE:dhhs03_b0359_1311_1313_1 001312

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