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SSCHC’s Childhood Lead Poisoning Prevention Program

SSCHC’s Childhood Lead Poisoning Prevention Program. John Bartkowski , Dr.PH President & CEO Sixteenth Street Community Health Center Milwaukee, Wisconsin. About Sixteenth Street CHC. What We Have Accomplished. SSCHC’s Lead Poisoning Prevalence Rates: 1995 - 36% 1999 - 15% 2007 - 5.1%

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SSCHC’s Childhood Lead Poisoning Prevention Program

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  1. SSCHC’s Childhood Lead Poisoning Prevention Program John Bartkowski, Dr.PH President & CEO Sixteenth Street Community Health Center Milwaukee, Wisconsin

  2. About Sixteenth Street CHC

  3. What We Have Accomplished SSCHC’s Lead Poisoning Prevalence Rates: • 1995 - 36% • 1999 - 15% • 2007 - 5.1% • 2011 - 1.8% (6,771 unduplicated children) By Comparison: • Nationwide - <1% • Wisconsin – 1.2% • City of Milwaukee – 3.4% (53206 at 17.5%)

  4. How We Have Done It • Excellent Clinical Care • Provider Teams that “Get It” • High Rates of Testing – Best in State • Most providers test >95% of children who need it • On-Site Laboratory Services

  5. How We Have Done It • Complementary Childhood Lead Poisoning Prevention Program • Home-Based Education • Where the problem is • Longitudinal Family Tracking • Broader Community Outreach

  6. How We Have Done It • Quality Care Coordination • Strong Internal Communication • Provider Teams, Lab (EMR), Outreach Staff • Connection to External Resources • Milwaukee Health Department’s Primary Prevention Program (window replacement leveraging other lead containment/abatement)

  7. SSCHC’s Childhood Lead Poisoning Prevention Program • Grant Funded • State of Wisconsin ~ $163,000 • City of Milwaukee (HUD Pass-Thru) ~ $90,000 • 5 Full-time Bilingual Staff Positions • Program Manager • Program Assistant • 2 Lead Outreach Workers • Community Capacity Builder

  8. SSCHC’s Childhood Lead Poisoning Prevention Program • Referrals From: • SSCHC Medical Clinics & WIC Clinic • Door to Door Canvassing • Community Partners & Community Outreach • Referral Reasons: • BLL’s in the 5-14µg/dL Range • Provider or Family Concerns • 1,099 Active Families; 1,266 Children (July 2011)

  9. SSCHC’s Childhood Lead Poisoning Prevention Program Response to Referrals: • Conduct Admit Home Visit (291) • Conduct Follow-up Home Visit Every 3, 6 or 12 months (501) • Discharge family when appropriate (192) Note: Numbers are from the July 2010 – June 2011 Program Year

  10. SSCHC’s Childhood Lead Poisoning Prevention Program Major Home Visit Objectives & Tasks: • Collect Demographic Information • Conduct an Environmental Home Assessment • Provide Parents with Lead Education & Set Household Goals • Conduct Lead Tests (when necessary) • Perform Interim Controls & Refer Out to MHD’s Primary Prevention Program

  11. SSCHC’s Childhood Lead Poisoning Prevention Program Looking Ahead: • Changes at WIC – Internal Blood Analysis • Develop Effective Partnerships to Capture Underserved Families • Continue Abatement Efforts - Expensive • Consolidation & Reduction of Federal $$ • Sustaining Low Prevalence Rates

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