Sschc s childhood lead poisoning prevention program
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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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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

About Sixteenth Street CHC


What we have accomplished

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

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


How we have done it1

How We Have Done It

  • Complementary Childhood Lead Poisoning Prevention Program

    • Home-Based Education

      • Where the problem is

    • Longitudinal Family Tracking

    • Broader Community Outreach


How we have done it2

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)


Sschc s childhood lead poisoning prevention program1

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 program2

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 program3

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 program4

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 program5

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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