Michele Borgialli, MPH, MSW EBL Environmental Investigations.

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Presentation transcript:

Michele Borgialli, MPH, MSW EBL Environmental Investigations

EBL Environmental Investigation Certification and Protocol History  First EBL protocol  Became Michigan law in 2005  EBL certification required to respond to a child lead poisoning case to identify the sources of poisoning  Certification test – since 2006  Risk Assessor cert prerequisite  Mostly local health department staffers  Infrequent communications  Identified lead program gap to address

What are we doing about it?  Surveying Environmental Investigators June 2009June 2009 Sent out 80 surveysSent out 80 surveys 23 are inactive (retired, switched jobs)23 are inactive (retired, switched jobs) 25 respondents (44% response rate)25 respondents (44% response rate) Continue to follow up w/ non-respondersContinue to follow up w/ non-responders

Investigator Survey Content  Frequency of service  Investigator behaviors – sampling, XRF usage, communications  Technical proficiency – training, computer skills  Protocol and EBL report improvements  Assistance and training needs from MDCH  General feedback to MDCH

What else are we doing about it?  Technical assistance communications 2008 – – to August – to August – 17  Field consultations – on-site training 2008 – – to August – to August – 4  Full EBL Environmental Investigations 2008 – – to August – to August – 6  EBL Report Reviews and Feedback 2008 – – to August to August - 4

That’s nice…anything else?  George Williams Analyzing monthly reporting and MDCH Lead Lab data – sampling trendsAnalyzing monthly reporting and MDCH Lead Lab data – sampling trends Requesting specific EBL reports for courtesy review and feedbackRequesting specific EBL reports for courtesy review and feedback  Sampling quality/quantity  Occupancy use patterns  Completion of household questionnaire Contacting all EBL InvestigatorsContacting all EBL Investigators  George has his calendar today!

More Compliance Assistance  EBL report feedback Mostly by teleconferenceMostly by teleconference Some by site visit, requested by either partySome by site visit, requested by either party Rarely by comparison inspectionRarely by comparison inspection  On-site field or office consultation  Telephone/ consultation  MDCH XRF Quick-Loan  Voluntary Meeting – Dec 7, 8, or 9  Mandatory Meeting – March 2010

Goals to Shoot For…  Respond to everyone who requests compliance assistance  Revise the EBL report and update protocol  Increase communications with local health departments  Respond to EBL survey needs assessment  Transition from compliance assistance to enforcement focus by March 2010  Increase the Medicaid reimbursement rate from $200 to $800

Who you gonna call? George Williams Michele Borgialli