District Health dept #10

October 2019 Report

• Held phone meeting on 10/10/2019.
  • Reviewed next steps for grant activities:
    • Continue to reach out to Child Care Centers to schedule day/time for training (possibly meet with families at pick-up times for kits)
• Identify and contact ten child care centers:
  • Ten of ten centers identified and contacted. Waiting for return communication to schedule training in Crawford, Kalkaska, Manistee, Mason, Mecosta and Missaukee counties.
• Set training dates with four of ten child care centers:
  • Oceana: 9/26/19
  • Lake: 10/7/19
  • Newaygo: 10/9/19
  • Wexford: 10/22/19
• Complete training at four of ten child care centers:
  • Oceana: 9/26/19 Spoke with ten families
  • Lake: 10/7/19 Spoke with one family
  • Newaygo: 10/9/19 Spoke with 22 families
  • Wexford: 10/22/19 Spoke with 8 families
• 19 lead-safe cleaning kits have been distributed to date.
• No HEPA vacuum use referrals have been received to date.

September 2019

• Held planning meeting/work group on 08/09/19 and phone meeting on 09/09/2019.
  • 20 lead-safe cleaning kits assembled
  • All supplies for lead-safe cleaning kits ordered and received.
  • Identified providers in each county. Provided a mailing informing them WIC is using Lead Care II machines and WIC policy for screening for EBLLs, Michigan Medicaid provider recommendations for capillary to venous for EBLLs and “Quick Reference Guide” for providers.
  • Reviewed next steps for grant activities:
    • Reach out to Child Care Centers to schedule day/time for training (possibly meet with families at pick-up times for kits)
• Identify and contact ten child care centers:
  • Six of ten centers identified and contacted (Lake, Manistee, Mason, Missaukee, Oceana and Newaygo).
• Set training dates with three of ten child care centers:
  • Oceana: 9/26/19
  • Lake: 10/7/19
  • Newaygo: 10/9/19
• Complete training at one of ten child care centers:
  • Oceana: 9/26/19
• Four lead-safe cleaning kits have been distributed to date.
• No HEPA vacuum use referrals have been received to date.

August 2019

Held planning meeting/work group on 08/09/19.

• Reviewed next steps for grant activities
  • Submitted purchase requisition for supplies for remaining 25 lead-safe cleaning kits.
  • Discussed reaching out to staff in counties for the childcare providers that would be most beneficial to contact for education and to possibly meet with families at pick-up times for kits
  • Updated cleaning kit and HEPA vacuum use tracking tools.
  • Created one-page promotional flyer for day care centers to inform families of day/time of education and opportunity to receive lead-safe cleaning supplies if eligible.
  • Chose resources to include in lead-safe cleaning kit.
    • “A Homeowner and Renter’s Guide to Safe Cleaning of Lead Paint Chips and Dust” (laminated)
    • “Well Fed Means Less Lead”
    • “WIC brochure”
    • “DHD#10 Agency Guide”
  • Created process for reaching out to day care providers and providing lead risk exposure and lead-safe cleaning education to parents.
    • Resources to have available
      • Lead 101 (trifold)
      • “What Your Child’s Blood Lead Test Means”
      • “Lead Poisoning – Know the Facts”
      • “Pregnant & Nursing Mothers”
  • Created training evaluation
  • Plan to use current referral form and HEPA vacuum use agreement.

No lead-safe cleaning kits have been distributed to date.
No HEPA vacuum use referrals have been received to date.

Innovation Grant Activities March 2019):

• Held ninth planning meeting/work group 03/01/19.
  • Reviewed next steps for grant activities
    • Provide Lead 101 training to breast feeding peer counselors. (Scheduled 04/09/2019)
  • Finalized narrative for second year grant proposal.
  • Discussed continuing outreach to remaining OB providers in service area.
    • Wexford/Missaukee: Munson OB (Cadillac): Pending
    • Kalkaska: Munson OB (Traverse City): Not feasible
• Wexford LICC: lead exposure and lead safe cleaning training: scheduled 03/01/2019
• WIC Director and northern program liaison attended Lead Education Day in Lansing on 03/14/2019. Met with legislators and discussed importance of lead-safe cleaning and early, universal lead screening.
• NEMSCA (Frederic): Lead 101 training: 03/15/2019 cancelled. May reschedule if grant is extended.
• Program liaison to attend Great Start Collaborative on the Lakeshore (Mason, Lake and Oceana counties) quarterly meeting 04/25/2019
• 150 lead-safe cleaning kits have been distributed to home-visiting agencies and 108 at-risk families have been provided with lead-safe cleaning education and cleaning kits.
• Two HEPA vacuum use referrals have been received to date (03/26/2019).

CLEEC December 2018 Activities

•             Held fifth planning meeting/work group 12/05/18.

o             Reviewed next steps for grant activities.

?            Strategies to engage MIHP

?            Lead prevention now a requirement for MIHP visits.

o             Discussed continuing outreach to OB providers in service area.

?            Wexford/Missaukee: Munson OB (Cadillac): Pending

?            Kalkaska: Munson OB (Traverse City): Not feasible

?            Manistee: Jennifer Cameron: Pending

?            Lake: Spectrum OB (Baldwin): Scheduled 01/17/19

?            Mecosta: Family practice meeting scheduled 1/23/19 to be done by Darcy Lockers

?            Crawford: Munson OB (Grayling): Scheduled 1/24/19

?            Crawford: Munson Pediatricians (Grayling): Scheduled 1/24/19

?            Munson OBGYN (Manistee): Contact in January 2019

?            Mason: Spectrum OB (Ludington): Completed 10/17/18

?            Mason: Spectrum Ludington Hospital OB staff: Completed 11/12/2018

?            Oceana: Shelby Family Care (Shelby): Completed 11/28/18

?            Newaygo: Gerber/Spectrum OB (Fremont): Completed 11/28/18

?            Mecosta: OB office completed in September

•             One HEPA vacuum use referral has been received to date (11/21/2018).

•             Lead-safe cleaning training was presented to NEMSCA (Crawford) on 11/19/18 and NEMCAA (Missaukee) on 11/27/18.

•             Program liaison attended and presented at the Head Start Health Advisory Committee Meeting and Prenatal to Five Years Local Interagency Coordinating Council (Muskegon and Oceana counties) on 12/04/18. Twenty committee members were present and received information about local grant activities and lead-safe education, cleaning and resources.

•             Reached out to home-visiting staff to follow-up on identifying clients eligible to receive lead-safe cleaning kits or use of HEPA vacuum.

o             Five Cap has been provided with 14 kits. Four referrals have been received to date.

o             Oceana County Early Head Start has distributed three of six kits provided to them to clients.

o             Oceana County Telamon distributed all five of the kits provided to them to clients.

o             NEMSCA (Crawford) has distributed one of six kits provided to them to a client.

o             NEMSCA (Mecosta) has been provided with one kit.

o             MMCAA (Mecosta) has been provided with one kit.

o             NEMCAA (Missaukee) has been provided with four kits.

•             Training scheduled with community health worker staff on 01/22/2019 from 9am-10am in Mason County.

•             Head Start/Early Head Start plan for all staff meeting training about Lead 101 and lead-safe cleaning in March 2019

•             Program liaison met with Newaygo MIHP staff via phone conference 12/06/18 during staff meeting.

•             Met with DHD#10 EBL case managers to discuss lead-safe cleaning education, cleaning kits and HEPA Vacuum use and coordination of services.

o             Kristy Vansickle 10/19/18

o             Tawnya Ebels 11/14/18

•             93 lead-safe cleaning kits have been distributed to home-visiting agencies and 43 at-risk families have been provided with lead-safe cleaning education and cleaning kits.

CLEEC October Activities:

• Presented training: 
  • Mid-Michigan Head Start and NEMCSA Early On: 10/29/18. Five staff present. Three lead-safe cleaning kits provided.
• Held fourth planning meeting October 18, 2018
  • Reviewed 
    • Activities and progress towards goals to date
      • Meeting with Spectrum OBGYN, Ludington on 10/17/2018. Office manager and nurse were appreciative of the resources and indicated they would begin using the screening tool during initial client appointments.
      • Darcy Lockers scheduled to meet with Spectrum Family practice in Mecosta county January, 2019.
    • Next steps for OB provider process
    • Next steps for cleaning kit supplies
    • Next steps for HEPA vacuum process
    • Next steps for reaching out to Northern Head Start providers and other home-visiting staff in northern counties
    • Prepared 50 more EBL Provider resources to distribute to OB offices
    • Lead Care II observation at Kent County scheduled for 10/31/18. Skype training for WIC staff scheduled for 11/2/18 staff meeting.
• Reached out to home-visiting staff to follow-up on identifying clients eligible to receive lead-safe cleaning kits or use of HEPA vacuum
  • Five Cap – 14 kits provided (three given out referrals pending)
  • Oceana County Early Head Start- three of six kits distributed to clients
  • Oceana County Telamon – all five kits distributed to clients
  • 10/19/18 met with Kristy Vansickle EBL case manager Mason county
  • Meet with Newaygo MIHP staff via phone on 11/1/18
  • 10/19/18 communicated with Jen Hansen to arrange to speak at community health worker staff meeting in January 2019.
• Established process for HEPA vacuum use
  • received totes for vacuums
• Began reaching out to OB offices to arrange time to meet with staff
  • Spectrum OBGYN – Mason county: Met with office manager and select staff on 10/17/2018.
  • Munson OBGYN – Manistee county: Spoke with staff on 10/10/2018. Office had a fire and they cannot return until January of 2019. Will contact early next year.
  • Baldwin Family Healthcare – Lake county, Transitions – Manistee county, Spectrum/Gerber OBGYN – Newaygo county, and Shelby Family Care Center – Oceana county: 10/17/2018 left message requesting return call to set up meeting.
  • Munson OB – Grayling and Cadillac OBGYN: Spoke with front desk. Left message requesting return call to set up meeting.
  • Kalkaska OB – Kalkaska county, working on identifying contact person.
• Scheduled training date: 
  • NEMCSA Head Start (Crawford County): 11/19/18 (9:30am in Frederic)
  • NEMCAA (Missaukee): 11/27/18 (Lake City)
• Purchased more lead-safe cleaning supplies through Amazon
• Assembled 8 complete cleaning kits 
• Distributed 56 cleaning kits to agencies (total to date) )
• Distributed 17 cleaning kits to at-risk persons through home-visiting agencies (total to date

CLEEC August Activities:

• Presented training: 
  • Telamon: Oceana County (September 5: 20 attendees)
  • Early Head Start: Oceana County (9/7/18: 4 attendees)
  • Early Head Start: Five Cap (9/7/18: 12 attendees)
  • Spectrum Health Big Rapids OBGYN (9/26/18: 30 attendees) Coordinated and presented by Darcy Lockers, DHD#10 Personal Health Supervisor
• Attended CLPPP training in Lansing on September 11, 2018
• Held third planning meeting September 12, 2018
  • Reviewed 
• Materials from 9/11/2018 training
• Next steps for OB provider process
• How to reach out to offices
• What documents/resources to bring to meeting
• one page for OB providers/staff
• tear-off sheet
• WIC brochures/Service guide
• Well Fed Means Less Lead
• Sample to kit
• Next steps for cleaning kit supplies
• Next steps for HEPA vacuum process
• Next steps for reaching out to Northern Head Start providers and other home-visiting staff in northern counties
• Established process for HEPA vacuum use
  • received ID tags for vacuums
  • need totes for vacuums
• Began reaching out to OB offices to arrange time to meet with staff
• Finalized process for OB provider referrals
• Continued development of document to provide to OB providers explaining grant interventions and referral process
  • one page for OB providers/staff
  • tear-off sheets
• Completed training evaluation summary
• Purchased more lead-safe cleaning supplies
• Received printed materials
  • tear-off sheets
  • WIC brochures
  • DHD#10 Agency Service guide
• Assembled 25 complete cleaning kits 
• Distributed 25 cleaning kits to agencies 
  • Telamon: Oceana County - 5 kits
  • Early Head Start Oceana County - 6 kits
  • Five Cap - 14 kits
• Began assembly of 15 cleaning kits
• Ordered and received 'Well-fed means Less Lead' brochure-200 English/50 Spanish Crawford county, 200 English/50 Spanish for Mason county
• Distributed 9 cleaning kits to at-risk persons through home-visiting agencies

In July 2018, our project team convened in person once to review the activities and works in progress. See below summary.

• Held meeting on 7-11-18 (see attached minutes)
• Finalized power point and other resources that will be used for home visiting staff trainings (see attachment)
• CLEEC staff presented the power point to DHD#10 WIC staff during staff meeting
• Set dates for two trainings thus far; August 17 for DHD#10 home visiting staff and September 7 for Early Head Start staff (Oceana County)
• Investigated and ordered 3 HEPA commercial vacuums. Vacuums were per recommendation by the State of Michigan Healthy Homes Representative.
• Comparison shopped on line for clean kit supplies. We will order the first week of August 2018.
• Comparison shopped for printing and copying of educational materials
• Scheduled the next few planning meetings:  August 6, September 12, and October 18.

In June 2018, our grant project team convened and responsibilities/activities assigned based upon project timeline and deliverables. Much has been accomplished in just one month’s time. See below summary and attached draft forms and resources.

• Held first planning meeting June 15th
• Began development of training materials (power point, handouts, training evaluation)
• Compiled contact information for community partners (Early Head Start and OB offices)
• Scheduled first training with DHD#10 MIHP, Healthy Families staff - August 17th
• Began development of process for obtaining cleaning kits
• Began development of process for accessing use of HEPA vacuum
• Began development of referral form and HEPA vacuum user agreement
• Researched educational handouts to include in cleaning kit
• Scheduled next planning meeting July 11^th