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Michele Borgialli, MPH, MSW EBL Environmental Investigations

Michele Borgialli, MPH, MSW EBL Environmental Investigations. EBL Environmental Investigation Certification and Protocol History. 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

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Michele Borgialli, MPH, MSW EBL Environmental Investigations

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  1. Michele Borgialli, MPH, MSWEBL Environmental Investigations

  2. EBL Environmental Investigation Certification and Protocol History • 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

  3. What are we doing about it? • 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

  4. 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

  5. What else are we doing about it? • Technical assistance communications • 2008 – 16 • 2009 to August – 17 • Field consultations – on-site training • 2008 – 3 • 2009 to August – 4 • Full EBL Environmental Investigations • 2008 – 17 • 2009 to August – 6 • EBL Report Reviews and Feedback • 2008 – 3 • 2009 to August - 4

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

  7. More Compliance Assistance • EBL report feedback • 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

  8. 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

  9. Who you gonna call? George Williams 989.430.0085 WilliamsG10@mi.gov Michele Borgialli 517.335.8948 borgiallim@mi.gov

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