Correspondence between

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

Lishiaskit@imich? ochichs Hvean.gov) < gan.eov>; LaRocco, Toni (Harecco® Good afternoon, Jori. Per our discussion last week, with this email | am verifying our conversation that there may occasionally be circumstances where GCHD deems it appropriate and necessary to offer Case Management services to a child in Flint/Genesee County, who has been exposed to Flint water, that has a blood lead test showing a lead level <5. If this occurs, we appreciate if you could keep us informed that you have made such determination, and for whom (conversation during the weekly call will suffice). That will help us as we maintain our records here. Please let me know if you have questions. Nancy Peeler, Manager Early Childhood Health Section 517/335-9230 xxxEND_PAGE:dhhs03_b0645_2169_2169_1

Nancy- Do you want running totals? That wasn’t clear in your reply. | suppase that it depends an what vou want for numbers; to me it makes serise to have the test date. Aren't you wanting to know the feaci test results of those that were drinking the water before the switch back to Detroit??? dori Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department

Hi Jori - thanks for sending feedback. We'll have the Excel spreadsheet for you tomorrow (Tuesday). Regarding your questions - xxxEND_PAGE:dhhs03_b0601_2029_2031_1 002030 e [think the Word document had totals for each column. | agree, that the 'X' in rows 3 and 4 will change each week as any new results come in, and as Bob adds to the list. e Thanks for catching the > 5 - you are correct, it should be > 5. e We were thinking data would be based on when data was added to Bob's lists; what would work best for you?

Nancy- Regarding the updated renorting form: e® Do you want running totals for all rows and columns? This means that the “X” will change each week dependent on the list received from Bob and any results we receive ahead of being put on his list. ® The top 2 rows, should the results show as > 5? Currently, they are just > 5. e Do you want data entered inte the columns dependent on the date the test was done or the date the result was added to Bob’s fist? Please clarify, Thank you, dort Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department jbv@gchdus (810) 237-4543

Document I’m referencing

Importance: High dori, the files f wanted to walk through are attached. 7ibcall you shortly. Nancy

xxxEND_PAGE:dhhs03_b0601_2029_2031_2 002031 Hi Mancy- Closer to noon would be best for me. dort Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department jrdv@echdus (810) 237-4543

igan gov] Hi Jori, [have a couple of questions pertaining to the reporting form we gave you - we need to update it to match the revised cortract language, and | can see some other things that could be improved, would like to review those with one of more of you tomorrow, if possible. Karen is off for a family event, so it would be just me on our end. i could talk sometime tommorrow between about 9 and noon, ar around 4prn. Would one of those times work for you? ff you could fet re know, ari send me your shone murmber, | would appreciate it! Naney xxxEND_PAGE:dhhs03_b0601_2029_2031_3

Hi Jori, I have a couple of questions pertaining to the reporting form we gave you - we need to update it to match the revised contract language, and I can see some other things that could be improved, would like to review those with one or more of you tomorrow, If possible. Karen is off for a family event, so it would be just me on our end. I could talk sometime tomorrow between about 9 and noon, or around 4pm. Would one of these times work for you? If you could let me know, and send me your phone number, I would appreciate it! Nancy