Grand Rapids Blood Lead Data A P R ES E N TAT I O N O F B LO O D - - PowerPoint PPT Presentation

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Feb 10, 2023 249 likes •464 views

Grand Rapids Blood Lead Data A P R ES E N TAT I O N O F B LO O D L EA D D ATA I N T H E C I T Y O F G R A N D R A P I D S , M I . P R E PA R E D F O R T H E L EA D F R E E K I D S G R A N D R A P I D S A D V I S O RY C O M M I

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Grand Rapids Blood Lead Data

A P R ES E N TAT I O N O F B LO O D L EA D D ATA I N T H E C I T Y O F G R A N D R A P I D S , M I . P R E PA R E D F O R T H E L EA D F R E E K I D S G R A N D R A P I D S A D V I S O RY C O M M I T T E E M E E T I N G , F E B R UA RY 5 T H, 2 0 1 9 BY D A N A L B R I G H T, D E PA RT M E N TA L S P EC I A L I ST, M D H H S C H I L D H O O D L EA D P O I S O N I N G P R E V E N T IO N P RO G R A M

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Objectives

Understanding CLPPP and what we do
Grand Rapids Blood Lead Data

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Childhood Lead Poisoning Prevention Program (CLPPP)

Mission Statement
To prevent childhood lead poisoning through surveillance, outreach and health services
Vision Statement
No child in Michigan suffers from Lead Poisoning
Values
Accountability
Accuracy
Competency
Effective communication
Statewide support
Transparency

SLIDE 4

CLPPP Data Surveillance: Overview

Blood is drawn and analyzed
Test Result reported by testing lab to CLPPP
Results imported into MICLPS
MICLPS populates HHLPSS and provides the weekly HD uploads
Results sent to MDHHS Data Warehouse
Linked with MCIR
Reports and data requests are pulled from the warehouse

SLIDE 5

CLPPP Data Surveillance

Providers: 8000+
Order lead test to be performed by clinical laboratory
LeadCare
Many PCP, Local Health Departments, WIC clinics and other community groups perform in office

Capillary screening using the Leadcare2 machines

Laboratories: 400+
Clinical labs, hospital labs, nationwide labs and Leadcare users
Receive blood samples from providers
Can do both Capillary and Venous tests

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CLPPP Data Surveillance: Weekly Process

Import all test results into surveillance database (MICLPS)
Ensure all data is accurate and complete
Address validation
Check for missing patient information (Name, DOB)
Check date logic
1 page sheet is sent to provider or lab to get information before it is included in the

weekly file

Produce weekly reports
Healthy homes section
ABLES program
HHLPSS database
Local Health Departments
Data Warehouse

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CLPPP Data Surveillance: Data Outputs

Weekly reports
Local Health Departments
Partner agencies
Monthly reports
Executive Report
Quarterly
CDC
Public Housing Authorities
DUAs
Annual Reports
CLPPP Annual

(Provisional/Final)

Legislative report
CDC
Data Requests

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CLPPP EBL Nursing Case Management

CLPPP oversees the nursing case management activities performed by the Local

Health Departments throughout Michigan

Includes: outreach to the family/guardian of each child, nursing assessment of

the child and the child’s home environment, service/referral planning, and resource identification

Reimbursement for in-home nursing case management to LHDs
$201.58 per home visit
Children must be Medicaid-enrolled, under 6 y/o, confirmatory venous test
Most recent numbers – JulySeptember 2018 252 children received 353 in-

home nursing case management visits throughout MI, of these visits 46 took place in Kent County for 28 children

SLIDE 9

Grand Rapids Data

BLOOD LEAD TESTING DATA FROM THE CLPPP 2017 ANNUAL REPORT DATASET.

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Table 1: Children <6 in City of Grand Rapids 5-year trends, 2013-2017

2013 2014 2015 2016 2017 Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL GRAND RAPIDS 6378 466 7.3% 6376 399 6.3% 6303 524 8.3% 6633 531 8% 6441 370 6% 49503- 49508 5074 444 8.8% 4801 377 7.9% 4718 485 10.3% 4950 503 10.2% 4885 347 7.1% Michigan 148639 5743 3.9% 144099 5089 3.5% 141509 4815 3.4% 157813 5668 4% 150068 4711 3%

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6378 6376 6303 6633 6441 5074 4801 4718 4950 4885 4000 4500 5000 5500 6000 6500 7000 2013 2014 2015 2016 2017 Children Tested, <6 Year

Figure 1: Total Number of Children <6 Tested, 2013-2017

Grand Rapids Zip 49503-49508

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466 399 524 531 370 444 377 485 503 347 100 200 300 400 500 600 2013 2014 2015 2016 2017 EBL Children Year

Figure 2: Total Number EBL Children <6, 2013-2017

Grand Rapids Zip 49503-49508

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7.3% 6.3% 8.3% 8.0% 5.7% 8.8% 7.9% 10.3% 10.2% 7.1% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 2013 2014 2015 2016 2017 Percent EBL Year

Figure 3: Percent of Children <6 tested with an EBL, 2013-2017

Grand Rapids Zip 49503-49508

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2013 2014 2015 2016 2017 Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL Total Tested Total EBL Percent EBL GRAND RAPIDS 5034 354 7.0% 5055 308 6.1% 5072 420 8.3% 5220 394 7.5% 5158 274 5.3% 49503-49508 3963 342 8.6% 3750 288 7.7% 3753 381 10.2% 3820 373 9.8% 3833 253 6.6% Michigan 88386 3569 4.0% 87640 3102 3.5% 87723 3027 3.5% 95219 3470 3.6% 93173 2858 3.1%

Table 2: Children 1-2 in City of Grand Rapids 5-year trends, 2013-2017

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5034 5055 5072 5220 5158 3963 3750 3753 3820 3833 3500 3700 3900 4100 4300 4500 4700 4900 5100 5300 5500 2013 2014 2015 2016 2017 Children Tested Year

Figure 4: Total Number of Children 1-2yrs Tested, 2013-2017

Grand Rapids Zip 49503-49508

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354 308 420 394 274 342 288 381 373 253 50 100 150 200 250 300 350 400 450 2013 2014 2015 2016 2017 EBL Children Year

Figure 5: Total Number EBL Children 1-2yrs, 2013-2017

Grand Rapids Zip 49503-49508

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7.0% 6.1% 8.3% 7.5% 5.3% 8.6% 7.7% 10.2% 9.8% 6.6% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 2013 2014 2015 2016 2017 Percent EBL Year

Figure 6: Percent of Children 1-2yrs tested with an EBL, 2013-2017

Grand Rapids Zip 49503-49508

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Table 3: 2017 Zip code data for Children <6 years

Zip Total Tested Total Tested Zip Code Rank* Total EBL Total EBL Zip Code Rank* Percent EBL 49503 847 20 73 17 8.6% 49504 798 26 56 20 7.0% 49505 564 68 30 43 5.3% 49506 516 75 33 33 6.4% 49507 1334 13 134 1 10.0% 49508 826 23 21 57 2.5% *Out of 1538 zip codes in Michigan

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Questions/Comments

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Contact Information

Dan Albright Departmental Specialist, CLPPP albrightd@michigan.gov 517-584-4791 CLPPP website; www.michigan.gov/lead