Cheryl Rockefeller

Jonathan (DHHS);Hertel, Elizabeth (DHHS);Lasher, Geralyn (DHHS);Mark Valacak Mark (DHHS);Moran, Susan (DHHS);Ridley, Nancy (DHHS);Robinson, Mikelle (DHHS);Schoenow, Kris (DHHS);Sims, Teri (DHHS);Tamara Brickey Sheryl D. (DHHS);Toni Larocco [email protected];Wells, Eden (DHHS)

Geralyn (DHHS);Mark Valacak Mark (DHHS);Moran, Susan (DHHS);Ridley, Nancy (DHHS);Robinson, Mikelle (DHHS);Rockefeller, Cheryl (DHHS);Schoenow, Kris (DHHS);Sims, Teri (DHHS);Tamara Brickey Sheryl D. (DHHS);Toni Larocco [email protected];Travis, Rashmi (DHHS);Wells, Eden (DHHS)

Please have legal review as | think | still have a number of duplicated in email chains, Eden Eden V. Wells, MD, MPH, FACPM Chief Medical Executive Michigan Department of Health and Human Services 201 Townsend St., 5" Floor CVB Lansing, MI 48913 xxxEND_PAGE:dhhs02_b0250_1075_1075_1

Please share action plan with others on Gur internal call

Geralyn (DHHS);Mark Valacak Mark (DHHS);Moran, Susan (DHHS);Ridley, Nancy (DHHS);Robinson, Mikelle (DHHS);Rockefeller, Cheryl (DHHS);Schoenow, Kris (DHHS);Sims, Teri (DHHS);Tamara Brickey Sheryl D. (DHHS);Toni Larocco [email protected];Travis, Rashmi (DHHS);Wells, Eden (DHHS)

Hi Eden — can we chat about this sometime tomorrow? Jannifer Eisner Public information Officer Michigan Department of Health and Human Services Offic [email protected] Cell:

<Gonzalez chigan.gey>, "Hertel, Elizabeth Ledl ti sea: sey>, “Lasher, Geralyn (DHHS)" <iz3! : Mark (DHHS)" eee Nancy (DHHS)" <8 ’ "Schoenow, Kris (DHHS)" < , : "Tamara Brickey (thrickey@echeus)" <thric capmnachild uS>, "Themipsan, Sheryl D. (DHHS)" >, "Toni Larocco Hlarocco techs. se Stree dup>, "Travis, Rashmi

(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)

Eden (DHHS) swells £3@rmich:gan.gov>; Miller, Mark (DHHS) <i i an.gov>; Dykema, Linda D. (DHHS) <Uykernal é figesy>; Peeler, Nancy (DHHS) an.gov>; Priem, Wesley F. (DHHS) <prismiw@imichizan >; Fink, Brenda (DHHS) .20v>; Travis, Rashmi (DHHS) <Trayishi@michizan gov>; Gonzalez, Jonathan (DHHS) gan.eov>; Lixey-Terrill, Jennifer (DHHS) <Lixeyferrii @michizan.eov>; Thelen, Richard (DHHS) mgov>; Scott, Robert L. (DHHS) <ScoitkeGimichizar:sov>; Schoenow, Kris (DHHS) higan.ces>; Lasher, Geralyn (DHHS) <iasherg@imichigan gov>; Hertel, Elizabeth (DHHS) srigy>; Scott, Linda (DHHS) <ScottLiz@rnichi gav>; Scott, Robert L. (DHHS) i >; Stanbury, Martha (DHHS) <starikuryerigimichivan coy>

Geralyn (DHHS);Mark Valacak Mark (DHHS);Moran, Susan (DHHS);Ridley, Nancy (DHHS);Robinson, Mikelle (DHHS);Rockefeller, Cheryl (DHHS);Schoenow, Kris (DHHS);Sims, Teri (DHHS);Tamara Brickey Sheryl D. (DHHS);Toni Larocco [email protected];Wells, Eden (DHHS);Minicuci, Angela (DHHS);Travis, Rashmi (DHHS)

Good Afternoon, Attached is the summary of the 12:30 pm call from 10/27/15. Thank you, Cheryl xxxEND_PAGE:dhhs02_b0347_1294_1294_1

Importance: High Good Morning, Attached is the response from Dr. Eden Wells, Chief Medical Executive, Michigan Department of Health and Human Services, Population Health and Community Services Administration. Dr. Wells acknowledges that no emails, letters, memos or other correspondences exist related to Flint’s drinking water exist. Sincerely, Changl frecutive gibsristans Dr. Eden Wells, Chief Medical Executive Mikelle Robinson, Administrative Deputy Director and Director, Bureau of Local Health and Administrative Services Mark Miller, Director, Division of Local Health Services Michigan Department of Health and Human Services Lansing MI 48913 Telephone: (517) 335-8011 Fax: (517) 335-9032 Email:

Hi all — warted to senda quick upelate, and thanks far all the quick wark on the Parent and Provider letters. We reviewed all of the edits, some conflicting, and had ta make some choices for what to include ar not. The edited docurnents are now on our rragram Sharepoint site: e blue navigation bar, go to Warkgroups & Toolkits Click on FLINT WORKGROUP Click on Draft 2 documents - and look for the specitic folder, Jennifer Eisner from our Communications office is copied on this ernail, and is reviewing the materials now for approval. Nancy

a.gov> i don't know if the “Tips for Flint Residents" is finalized, and I'ma not even sure if | was supposed to look at it, but! have afew edits. Sarry, i'm totally OCD. Under #2, peaple can alsa just call 211 to get a fitter (this can be added to andouts for filter access}. l'rm nat sure if it was Hteracy tested - some big words like accumulate, precautions, @ print at bottom is same as #1, can just add email to #1. i would alsa reword sentence under tithe to “Lead plumbing is comrnon throughout Filnt anc in all homes built before 1986, Always follow the befaw steps te ensure safe drinking water.” Attached are my revisions to the parent letter. | tried to simplify and consolidate — it’s in markup mode, | have a 8:15 meeting, but will try to take a stab at provider letter as well before Gam meeting Mona Hanna-Attisna MD MPH Director, Pediatric Residency Program Hurley Chidren's Hospital at Hurley Medical Center xxxEND_PAGE:dhhs03_b0539_1879_1883_1 — 001880 Assistant Professor, Department of Pediatrics and Human Development Michigan State University College of Human Medicine Office: 810-262-7297

Hi all ~ draft letters for Providers and for Parents in Flint are posted in our Sharepoint folder called Flint Workgroup. We put them in both Word and pdf formats, to assure you can open them. They are rough drafts, so nlease do add/suggest language where there are clacenolders. Appreciate if you can review and make comments/suggest edits. To find the letters: On the dark ilue navigation bar, click on Workgroups & Toolkits CHck on the FLINT WORKGROUP folder Nancy

When: Wednesday, October 21, 2015 9:00 AM-10:00 AM (UTC-05:00) Eastern Time (US 2 xxxEND_PAGE:dhhs03_b0033_0084_0086_2 000086 & Canada). Where: CONFERENCE LINE: Rashmi will be host for the call. Cheryl gckagellas, fiseativn Flssistant Dr. Eden Wells, Chief Medical Executive Mikelle Robinson, Administrative Deputy Director and Director, Bureau of Local Health and Administrative Services Mark Miller, Director, Division of Local Health Services Michigan Department of Health and Human Services Lansing MI 48913 Telephone: (517) 335-8011 Fax: (517) 335-9032 na Email: Rockefeller @michigan gov xxxEND_PAGE:dhhs03_b0033_0084_0086_3

When: Wednesday, October 21, 2015 9:00 AM-10:00 AM (UTC-05:00) Eastern Time (US 2 xxxEND_PAGE:dhhs03_b0033_0084_0086_2 000086 & Canada). Where: CONFERENCE LINE: Rashmi will be host for the call. Cheryl gckagellas, fiseativn Flssistant Dr. Eden Wells, Chief Medical Executive Mikelle Robinson, Administrative Deputy Director and Director, Bureau of Local Health and Administrative Services Mark Miller, Director, Division of Local Health Services Michigan Department of Health and Human Services Lansing MI 48913 Telephone: (517) 335-8011 Fax: (517) 335-9032 na Email: Rockefeller @michigan gov xxxEND_PAGE:dhhs03_b0033_0084_0086_3

When: Monday, October 19, 2015 9:00 AM-9:30 AM (UTC-05:00) Eastern Time (US & Canada). hurley 3 aS OK folks, 9 AM Monday morning. Same Conference line- we will send it out, Eden

When: Monday, October 19, 2015 9:00 AM-9:30 AM (UTC-05:00) Eastern Time (US & Canada). hurley 3 aS OK folks, 9 AM Monday morning. Same Conference line- we will send it out, Eden

After printing and reading the notes | found your names listed so I’m sending to you also. ’[l make sure you get them the first round tomorrow. | apologize.

Good Afternoon, Attached are the notes from the Thursday, 10/15, 12:30 pm Daily Flint Water Call. Thank you, Cheryl xxxEND_PAGE:dhhs02_b0941_3345_3363_03 _-Qaily Briefing 00 i PPI 003348 Population Health and Carnmnunity Services Administration Flint Water Daily Briefing Summiary Thelen, Bob Scott Filter/Water Distribution = Kris Shagnow {MOHHS} Has continued discussions with Tamara Brickey (GCHD) to enhance the cloud-based database ta.tyack thé-type of filter distributed and'client type. Integration of the data from Kris’s area inte the: database Is gaing smoothly, Blood Testing 2 ‘The draft of the protocol has been conipleted; however, revisions are expected. There will be a meeting-on Oct19 ‘to finalize the testing protocol and discuss case management protocols. on Friday; we'ltask If GCHD can put togetlier a consprehensive schedule. There will be testing sites in the City af Flint. Toni LaRocco (GCHB} is in discussions with UM-Flint to provide. nurses to inctease testing capacity. Rashi will check with Medicald on whether adults would he covered for testing. MDHHS will work with GCHD to. cover testing for folks iminsured or who ¢ab't pay. EAL Investigations ® Wes Prin (MDHSS) developed a data collection document that he referenced on Oct 14. This will be in the testing protocol, Therevare reporting requirements per administrative rule; however, there is: no. enforcéementimechanism, Currently; tlie following are collected foreach client: chifd’s name,-child's date of birth, and child's address. Otherdata elements are not currently collected as effectively. ‘There de conicems with being able to conduct quailty assurance on record entries-inte this database. “there are also-data privacy concerns:pertalhing te CLPPP survelllance.data-and who we easily shase this data with. Guidance.on the.data collection changes will be-sent out to the provider st, including laboratories across the state, Budget and contracts.are-anxious to assist.an the arrangements for the follaw-up nurses and environmental persorinel, Page Lofs xxxEND_PAGE:dhhs02_b0941_3345_3363_04 Funding 6 Hose atid Senate approved $5.3 stpplementat bifl on Oct 15. Bi wassigned by Governor: s Currently, thisis:a one-time apprépriation and the funding is not ciirfentlyp allocated for testing. & tt was-estimated that four nurses would be needed for in-home visit aspect of case management.- * The best option may bete send the nurse funding to. GCHD; however, alternative appraaches could be to seid tte. the childten’s Healthcare Access Project or Hurley. * The entity responsible for the training and supenvision of the nurses providing-casé managemeritneeds to be addressed. The GCHD feels that “Sherry Taylor’ might be up:te the task. Communications & Giidafce afiatt data reporting will be created and disseminated to providers: « The water FAQ was approved by MDHHS and GCHD and has been publicly disseminated. @ Sonie miftor chatiges will be made to the infographic before it Is sent for GCHD review, « Mark Miller will Inquire-as to the statusaf the MOARD Restaurant Information document. | Protocol | Create Testing'and | Gase Management | Oetaber 13: October 24 Send FAQ to Mark Valacak once it’s approved by MDHHS ‘Communications: based filter distribution database | October 13 | Eden Wells, i Rashmi Travis, i Eden Wells, Toni | LaRoces (GCHO), and Dr. Gary | Johnson (GCHD) | management : protacal creation. Testing ! protocol draft. | iscomplete | and being vetted. Probably finalized on Oct, 19", ai Mark Miller Kris Schognow & Mark Valacak Nene Complete are on-going and there are ne substantial, know: barriers to. completion. integration of the data is xxxEND_PAGE:dhhs02_b0941_3345_3363_05 003350 Determine what additional dats should be-collected for-case mariagérnent and Create message to: Medicaid (bilfing} October 14 Wes Priax going well. | | Draft submitted ‘on 10/25, Revisions TBD Nene | Complete care providers from | GCHD ‘ evelop.outreach fo ‘lah providers're: reporting requirements | Develop plan fer | October 15 hiring/training of 4.0 FTE nurseste support case Management eo None: ~~ | Complete. GCHD has.a complete: list and can tse thatas vehiele for’ anything. needing ta. go ta ders. | Sandip has'a vehicle for distribution of information: | efforts. 4 tothe labs. Page 2. of 3. xxxEND_PAGE:dhhs02_b0941_3345_3363_06 003351

| apologize, | forgot the attachment. 20-13-15 Daly

ichigan.gov>; Robinson, v>; Miller, Corinne (DHHS) ancy (DHHS) 3s¥>; Wells, Eden (DHHS) < I, D. (DHHS) <Pykermala@mi em, Wesley F. (DHHS) <p:

| added a few more bullet points at the end regarding calls that are being taken in Nancy Peeler’s area that | didn’t include. |’ve made copies of the notes if anyone wants them let me know. Cheryl xxxEND_PAGE:dhhs02_b0248_1071_1071_1

Hi Sue, I’ve attached notes | took during the meeting this morning. Eden said you could talk to her or Mikelle if you had any questions. This is the first meeting | have set in on so | might have missed some of the technical information that Jackie was giving us. Cheryl xxxEND_PAGE:dhhs02_b0246_1067_1067_1