Correspondence between

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

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

Here you go! Updated as needed. Also--I added "in Flint, Michigan" to the title so as to differentiate it from the statewide CM. Call me if you need anything! Em

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

Ok...Nancy and I did our best to interpret the comments... Eden/Rashmi--is this more what you had in mind? (Happy to wordsmith as necessary). Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 xxxEND_PAGE:dhhs02_b1067_3732_3732_1

Sharing FYI - the $850,000 is to be split between CLPPP for case management and Healthy Homes for EBL investigations. Next step for us is decisions about how to put the case management services into place, which Sue Moran has already scheduled a meeting to discuss. I'll be calling in for that meeting - feels good to know we can do more to contribute to something good happening for families in Flint. Sent from my iPad Begin forwarded message:

Screening & Testing for Safe, Healthy Michigan Kids.pdf; Parent Handout Is Your Child Safe From Lead Poisoning.pdf; Pregnant and Nursing Mothers and Lead.pdf OK, FYI, attached are the final documents that were posted on our website today by Jeff Ellsworth. | believe they will be referenced in the press conference tomorrow. Yes, Gov is holding a big press conference tomorrow, watch your email, stay tuned, (online TV?). | think it is in Flint, but don’t quote me on that. Angela talked in a meeting today about our toolkit and plans to introduce it later this month since this pesky lead problem existed before and continues to exist both in Flint and statewide, great that there will be continued attention. These attached documents will be kind of a preview. Some thank you’s - Emily, many thanks for the last minute speedy work on the breastfeeding document, and just plain making the rest of the materials look great, and set all of us (CLPPP and MDHHS) for a big push later this month! Karen, thank you for finding that research that made the breastfeeding document easy to create, and for tracking what is happening in Flint and keeping the day to day work going for all of the other kids. Jess, you are a rock of stability with your headphones on, plugging away at all that data which has become so incredibly important in the Epi analysis, and in helping people to get a picture of what is happening in Flint and statewide. Bob, you’ve pushed so much through in a short period of time, responding with such grace and kindness with each request, even the ornery ones. Thank you for your positive attitude and great work, the Department TRULY couldn’t do it without you!!! And Beth — you just keep laughing at me as | flit around, which is good, the humor is needed! Thank you, everyone! Nancy xxxEND_PAGE:dhhs03_b0337_1251_1251_1

| don’t have any details other than what | forwarded, sorry. The Congressional piece is new information for me. If | hear

Thanks Nancy. I'm looping in Geralyn, Angela, and Elizabeth as a heads up about the congressional hearing. Do you know when the hearing is taking place? Is DEQ involved? Thank you, Jennifer

FYI - Jen, this is part of why we are working on talking points. Because of this, | imagine we'll want to include points about what our program offers/can do.