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RHODE ISLAND RECIPES FOR FAMILY HEALTH

KIDSNET. KIDSNET. RHODE ISLAND RECIPES FOR FAMILY HEALTH. “Information is a product not a possession” Peter Simon,MD,MPH, Assist. Medical Director RI Department of Health. KIDSNET. KIDSNET. About The Ocean State:. Population of 1 million Birth cohort of 14,000

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RHODE ISLAND RECIPES FOR FAMILY HEALTH

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  1. KIDSNET KIDSNET RHODE ISLAND RECIPES FOR FAMILY HEALTH “Information is a product not a possession” Peter Simon,MD,MPH, Assist. Medical Director RI Department of Health

  2. KIDSNET KIDSNET About The Ocean State: • Population of 1 million • Birth cohort of 14,000 • No Local or County Health Departments • Health services provided by private physicians, community health centers, hospitial clinics • Ranked first: lowest percentage of uninsured population (6.4) • 2.4 % of children under 18 with no health insurance • Medicaid Managed Care (RIteCare)

  3. RI Recipe for Improving Outcomes for Families and Communities ChildrenI. Examples of successII. IngredientsIII.DirectionsIV Tips

  4. Childhood Lead Poisoning Prevention Program Partners Inspectors MCO’s Contractors Medical Community Family Health AG’s Office HRC Laboratory DHS DOE DEM RI Department of Health DOA EPA NELCC Environmental Health SNT’s City/TownOfficials CBO’s Legislators Advocates

  5. (1) Logic Model - Assessing the Impact of Lead-Safety Efforts on the Housing Market Many factors influencing changes in housing market… Affordable Unavailable Housing unit receives CoC or LS/LF certificate Available Affordable Available Unaffordable Housing unit not known to be lead-complaint Unavailable Unaffordable & Unavailable Isolating the impact of Lead Safety Efforts will be difficult

  6. (2) Logic Model - The Path to Lead Compliance Key pre1978, P=O pre-1978, rental post-1978 --- May occur, after series of steps PO gets tech. help PO gets $$ help PO attends LHA seminar Pre-1978 Rental Housing Fixes LH Finds LH PASSES Hires inspector CoC LHML Visual Assessment No LH found Case Closed Fails PO fails to comply with LHML, no child with significant EBLL Public List LH Found 1st NoV issued Pre-1978 Owner- OccupiedHousing Public List Child has significantly EBLL Accepted Inspection Inspection offered 2nd NoV Refused or can’t access property Litigate Home abated Clearance Inspection Case “closed” Fails PASSES Lead-Safe/ Lead-Free Post-1978 Housing Assumed, unless proven otherwise Lead-Free If child presents with EBLL, process is same as above * The City of Providence also offers inspections when a child’s BLL is 10-14mcg/dL.

  7. Enhancing Lead Screening Partnering with MCOs • Three-month birth cohorts of 24-26 month old children actively enrolled in a managed care product. • MCO sends to RICLPPP a data file containing enrollees with no evidence of lead screening claims in MCOs records. • Data is searched against the RICLPPP data. • Verified list of unscreened children is sent to MCOs.

  8. Impact on Screening Rates The screening rate of 44% identified through the MCOs claims’ data is an underestimate due to delays in billing of claims. Source: RI Childhood Lead Poisoning Prevention Program

  9. Newborn Developmental Risk Newborn Blood Spot Vital Records Home Visiting Lead Prevention Pediatric Providers Early Intervention RIHAP: Rhode Island Hearing Assessment Program Rhode Island Department of Health WIC: Special Supplemental Nutrition Program for Women, Infants and Children KIDSNET KIDSNET Immunizations Birth Defects

  10. % children in the EI with IFSP, discharged to SpEd, for whom an IEP is developed (EI Data) % kids in EI and WIC who were never screened for lead (KIDSNET) % children with Hearing loss enrolled in EI (KIDSNET/Newborn Hearing Screening) % IFSP’s that include all appropriate specialties (EI Data – not yet available) Several Health Care Coordination Questions from SLAITS Survey Medical Home Indicators for Coodinated Care

  11. Bateson, Gregory, Steps to an Ecology of Mind

  12. Children’s Health, The Nation’s Wealth:Assessing and Improving Child Health Report of the Committee on Evaluation of Children’s Health Board on Children, Youth and Families National Research Council Institute of Medicine

  13. A New Model of Children ‘s Health and Its Influences

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