Michele Borgialli MPH MSW EBL Environmental Investigations EBL
Michele Borgialli, MPH, MSW EBL Environmental Investigations
EBL Environmental Investigation Certification and Protocol History u u u u First EBL protocol - 2004 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? u Surveying Environmental Investigators • • • June 2009 Sent out 80 surveys 23 are inactive (retired, switched jobs) 25 respondents (44% response rate) Continue to follow up w/ non-responders
Investigator Survey Content u u u 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? u Technical assistance communications • 2008 – 16 • 2009 to August – 17 u Field consultations – on-site training • 2008 – 3 • 2009 to August – 4 u Full EBL Environmental Investigations • 2008 – 17 • 2009 to August – 6 u EBL Report Reviews and Feedback • 2008 – 3 • 2009 to August - 4
That’s nice…anything else? u George Williams • Analyzing monthly reporting and MDCH Lead Lab data – sampling trends • Requesting specific EBL reports for courtesy review and feedback Sampling quality/quantity u Occupancy use patterns u Completion of household questionnaire u • Contacting all EBL Investigators u George has his calendar today!
More Compliance Assistance u EBL report feedback • • • u u u Mostly by teleconference Some by site visit, requested by either party Rarely by comparison inspection On-site field or office consultation Telephone/email consultation MDCH XRF Quick-Loan Voluntary Meeting – Dec 7, 8, or 9 Mandatory Meeting – March 2010
Goals to Shoot For… u u u 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 989. 430. 0085 Williams. G 10@mi. gov Michele Borgialli 517. 335. 8948 borgiallim@mi. gov
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