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Now....go PLAY Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712

Interesting. Could one of you forward me the letter itself, as I'd like to read it? Karen, let's put this on the list for our Tuesday call with them - I'd like to better understand how it is used, and we can share what we noticed about it, for their information (e.g. it is sent after what kind of call?). We could possibly email them feedback on Monday, to discuss on Tuesday...what are your thoughts? Nancy Sent from my iPad No. This is not "the parent letter"... THINK that letter is the one that we sent to ALL parents in the area. Although you've raised an interesting question and | will check with Michelle. Here are some thoughts: 1. This letter doesn't address water--at all. Nothing on filters, cooking or any of the water- related guidance. 2. Do you know how this is used? Does it come with info that directs the family to CM if they are above 5? When | read this it is a little unclear to me what a parent should do....what if I'm a xxxEND_PAGE:dhhs03_b0286_1085_1086_1 001086 20 cap? Shouldn't | be going for a confirmatory right away? (I assume they are going to call them directly, but still). 3. According to the Kincaid scale--this is a 7.5 grade reading level-with 60% readability at that level (meaning it's hard for readers who are competent at that level to grasp the content easily). Hope this is helpful. Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712

I'm good for now unless you have something you want to add. Just let me know. Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712

| agree, good additions. Will call you ASAP. Sent from my iPad

Anything YOU want to add? Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712

120315.pdf; CLPPP_Initial Home Visit Form_120315.pdf; CLPPP_Individualized Plan of Care_120315.pdf; CLPPP_Referral Form_102915.pdf; CLPPP_Followup_Visit_ form_ 103015.pdf; CLPPP_Activity_Log Form102915.pdf wencenna= Forwarded message ----------

weeenene n= Forwarded message ----------

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

Hi Nancy, Talked to Karen. I think I captured your needs. LMK. Em Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 rpconsultar xxxEND_PAGE:dhhs03_b0352_1285_1285_1

Water FINAL.pdf; 2015-11-13 - Phosphate in Flint 02 DRAFT (2) - Copy.pdf; - Copy.pdf I can go! Save me a seat on the parade route! weeenene ne Forwarded message ----------

FYI — any suggestions?

Yes. ichigan.2ov> wrote: AE Eke Hee NS Help, le am still « on iPad, can't see edits. Did the stuff under CM M get removed for priorities 2 and 3? Sent from my iPad Begin forwarded message: Date: ‘October 22, 2015 at 2:32:36 PM EDT

A clarification — Geralyn will also provide the her input on the drafts that were set up on the letters last evening and I just center the updated testing protocol that Emily did. Thanks so things are moving! Sent from my iPhone

Good morning, Several new documents have been added to the Draft 2 Folder in the Flint workgroup sharepoint. Parent letter. DRAFT VERSION 3 of parent letter has been added to the folder. | apologize, but for now it is in the Draft 2 folder. Testing Protocal. A new testing protocol document has also been added to the draft 2 folder for review. if you have questions, please feel free to contact me. Emily Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712 xxxEND_PAGE:dhhs03_b0034_0087_0088_2

Testing Protocol October 22, 2015 Good morning, The updated testing protocol document is attached. xxxEND_PAGE:dhhs03_b0552_1920_1929_08 001928 Based on emails from last night, I: 1. Removed the Hurley column 2. Did NOT include 2-1-1 in the testing protocol Let me know if you have additional edits. Emily Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 9 xxxEND_PAGE:dhhs03_b0552_1920_1929_09 001929 EPinit BResd East level Testing Prvesedl table VS. OeK> EFint Bhrod Laat teevel Testing Protoeol Table v8.deex> xxxEND_PAGE:dhhs03_b0552_1920_1929_10

Good morning, The updated testing protocol document is attached. Based on emails from last night, I: 1. Removed the Hurley column 2. Did NOT include 2-1-1 in the testing protocol xxxEND_PAGE:dhhs03_b0550_1911_1918_7 001918 Let me know if you have additional edits. Emily Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 r2poonsultants com Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 rpconsultents.com <Flint Blood Lead level Testing Protocol table v5.docx> <Flint Blood Lead Level Testing Protocol Table v8.docx> xxxEND_PAGE:dhhs03_b0550_1911_1918_8

Ok, just to be sure you have these, ©

fra good, will forward it to Toni and Mona tonight.

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

See if this works Emily Houk, President and Chief Mischief Maker Research to Practice Consulting, LLC 216 North Chestnut Lansing, Michigan 48933 517-896-2712 xxxEND_PAGE:dhhs03_b0350_1283_1283_1

More comments Sent from my iPad Begin forwarded message:

Quick question on tone--what is the opening messaging strategy.....or would you like me to call Angela on this? (le., "As you are aware, lead has been found" or "in an ongoing effort to promote the safety"...or something else)? Emily Houk, Communications Consultant Michigan Department of Community Health 517-896-2712

Content we need in the letter (either in or attached, we need to develop the recommendation) - letter to parents (at 4th grade reading level) --intro, why they should care, lead in water, lead in other sources --how to get filters --nutrition information (including vitamins) and breastfeeding --TESTING - list the community clinics that we know about and also GO TO YOUR PRIMARY CARE PROVIDER --WIC and SNAP benefits --HV programs/other community resources referrals --help with transportation Attachments about some of the above (and which ones) need to leave space to insert info about community testing clinics need to leave space to insert a phone number to call (CHAP) for help with transportation Hope this helps Sent from my iPad xxxEND_PAGE:dhhs03_b0282_1078_1078_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: