Correspondence between

Thanks, Bob- Sue- how should we update Chris on this? Sent from my iPhone michigan.gov> wrote: lagree--plans can view lead info in MCIR, but it’s not the most efficient way to get plan- wide lead data. in answer to Eden's question below: new lead data becomes available in the Warehouse and MCIR at the same time--generally each Monday morning. We've been anticipating the need for a weekly file to Medicaid health plans. Daisy Peng helped me with a Warehouse query that identifies the health pian Uf applicable} for each new lead result. Bob

Thanks, Bob, How fast do they need this, Jen? Eden V. Wells, MD, MPH, FACPM MDHHS Sent from my iPad

Hi all, | deduplicated to year for the state. | have SAS output for 2010-2015 by agegroup and by Michigan, Genesee, and Flint. By quarter and then broke 2015 to 1/1 to 9/30 and 10/1 onward. | can share the SAS output with you, but I’m entering into excel, which will be easier to read. The hand entering is going slowly, so | may not have the excel tables ready by this afternoon. also want Yan to double check the code that | modified to create the yearly datasets. So rough numbers | can provide today, something more polished probably won't be available until Monday. Unless | work on it during the weekend. Patricia McKane, DVM MPH - Manager, Maternal & Child Health Epidemiology Section | Michigan Department of Health ang Human Lifecourse Epidemiology and Genomics Division [PC Box 30195 / 251 Townsend St 4" Floar - Lansing, Mi 48909 | Cell i ffice ph: 517-335-9456 Fax 517-335-9790 | [email protected] ‘ Work Hours: M_F 7:30am— 4:00 pm Michigan has a public records law. Most written communications to or from state officials regarding state business are public records available to the public and media upon request. Your e-mail communications and any attachments to them may be subject to public disclosure. This message, including any attachments is intended solely for the use of the named recipient(s) and. may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:dhhs02_b0385_1466_1468_2 001468 xxxEND_PAGE:dhhs02_b0385_1466_1468_3

Yes, wi can show tests by week and cumulative. “This week" refers to the work week ending Friday, 10/23/15. Every Friday ideally}, we process all recarels received for the week—adding ther to the CLPPP database anc sending them to the MDHHS Data Warehouse.

Can we show number of tests by week and curnulative? his when you Say “tests process «= 405, what week are you referring to?

Please see attached.

xxxEND_PAGE:dhhs03_b0560_1958_1960_1 001959 Hi Bob, Do we have an updated report? Thanks so much! Angela

Eden and Angela, Per your request, please see attached. Consider this a 1° (well, 3°) draft, and let me know if you have suggestions or questions. xxxEND_PAGE:dhhs03_b0560_1958_1960_2 001960 Thanks, Bob

Yes, lalmost think we should get weekly summary. How many test have been done since the first press conference (9/28?)

Hi Nancy and Bob, Out of curiosity, could we begin looking at pulling some data about recent Flint BLL data? | think all results have to be reported to us within 5 days of the test result, correct? If so, is there any chance we can begin taking a look at what that data is telling us? Not wanting to do anything with it yet, but just trying to think a little more proactively. Thanks, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services Office: (517) 241-2112 Mobile: i [email protected] www.michigan.gov/mdhhs E-mail Confidentiality Notice: This message, including any attachments is intended solely for the use of the named recipient(s} and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and ail copies of the original message. xxxEND_PAGE:dhhs03_b0560_1958_1960_3

100715.docx dust triple checking that we're all on the sare page here —in the meantime, i'm good to send the attached te Kristi, correct? Jennifer (Smith) Eisner Public information Cfficer Michigan Department of Health and Human Services SL?-241-2412

| talked with lan Horste, who says that it does mot sound like research and therefore does not need an IRB review fat quarter or annual aggrepation}. | talked to Colin Boes at Legal, and he’s reviewing it now,

We specifically want the following fields for all kids under 5 years of age in Genesee County from Jan 1, 2013 to current. Some pt identifier/number Street address City Zip DOB Date of blood lead Lead level (race and gender if available) IfI can get all that, we can run focused GIS analysis in less than a day. We already have the macros/runs set up to clean the data and geocode them. We are completely transparent and will share all.

Fy¥i~—fFraceivad a call today from Paul loice, who ic the “Flint Taam Lead, White House Strong Cities, Strong Communities Initiative” cut of HUD. He is placed at Flint City Hall. He was researching lead funding in Michigan, and carne across our CDC Survelflance grant, called to ask what itis for, ete. Amengst his questions, he asked about aur MDHHS data that is being referenced inthe press, asked if he can have a copy of the date charts that were dateci Santember 23. Referring the question to all of you, whether to send it to him. f did teil him saveral times that MDHHS Epi is angaged in an analysis right now, which would be better to lack at once it is available. He also followed up « offering a i connection toan EPA Epiciemiotogist in case it would be helpful. The Epidemiologist at xxxEND_PAGE:dhhs02_b1216_4639_4641_1 004640 Nancy

Importance: High Is it possible to get the same type of data for just childran uncer the age of six? So basically, the City of Flint kids ages six and under with the same type of angreach as the attached chart you gave us last week?