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%
• 2011 - 1.8% (6,771 unduplicated children)
By Comparison:
• Nationwide - <1%
• Wisconsin – 1.2%
• City of Milwaukee – 3.4% (53206 at 17.5%)
How We Have Done It
1. 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
How We Have Done It
2. Complementary Childhood Lead
Poisoning Prevention Program
– Home-Based Education
•
Where the problem is
– Longitudinal Family Tracking
– Broader Community Outreach
How We Have Done It
3. 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)
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
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)
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
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
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