King County Medical Society Lead Testing Survey 2023

Introduction

The King County Medical Society (KCMS), in partnership with Public Health - Seattle & King County, aims to reduce lead (Pb) exposure and increase Pb testing. As part of our efforts, KCMS has developed a survey to understand better the current state of Pb screening in King County.

Your input will be very helpful in our ongoing efforts to safeguard public health and effectively prevent Pb exposure. Thank you for your participation and contribution to this important issue

This survey should only take a maximum of 5 minutes to complete.

Question Title

* 1. What are the ages of your patients? Please mark all the age groups that apply to your patients.

0-5

6-10

11-20

21-40

41-60

61+

All of the above

Question Title

* 2. If you perform routine Pb screening (asking about risk factors), which age groups do you screen?

6 months to 1-year

1 to 2 years

2 to 4 years

5 to 6 years

I do not perform routine Pb screening

Other (please specify)

Question Title

* 3. What are the common risk factors for lead poisoning that you consider when deciding to order a blood lead test?
(check all that apply)

Lives in or regularly visits a house built before 1978

Lives in a high-risk area (e.g., near a lead smelter, mining site, near an airport)

Pica or mouthing behaviors in children

Is a recent immigrant, refugee, foreign adoptee, or child in foster care

From a low-income family (defined as <130% of the poverty level)

Child with neurodevelopmental disabilities and learning delays

Uses traditional, folk, or ethnic remedies or cosmetics

Known to have a sibling or frequent playmate with an elevated blood lead level

Has a parent or principal caregiver who works professionally or recreationally with lead

Other (please specify)

Question Title

* 4. Based on your experience, what are the most common sources of Pb exposure for patients in your region or practice area?

Question Title

* 5. How frequently do you order blood lead Pb tests for your patients?

Routinely (for all patients within specific age groups)

Occasionally (only if specific symptoms or risk factors are present)

Rarely (not part of routine practice)

Never

Question Title

* 6. Which guidelines and/or requirements related to blood lead testing are you familiar with?

American Association of Pediatrics/Bright Futures Periodicity Schedule

Medicaid Lead Testing Requirement

Washington State Department of Health’s Clinical Algorithm for Targeted Childhood Lead Testing

Other (please specify)

Question Title

* 7. Which of the following do you consider barriers or challenges to increasing Pb testing in your clinic.
(Select all that apply)

Patient must go to another facility for the blood sample for the blood lead test

Healthcare professionals are unsure how to follow up with a blood lead test result above the blood lead reference value.

It is difficult to obtain reimbursement for blood lead lab tests

Inadequate reimbursement for Pb testing

Healthcare professionals are not sure when a blood lead test is indicated

Healthcare professionals are not comfortable interpreting blood lead test results

Time constraints during patient consultations

Lack of awareness among patients about the importance of lead testing

Other (please specify)

Question Title

* 8. On a scale of 1 to 5, how would you rate the current availability of Pb testing resources in your clinic or healthcare facility? (1 - Very Low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very High)

Question Title

* 9. Which strategies would be most effective in promoting Pb testing in your clinic?
(Select all that apply)

Educational campaigns for patients about the risks of lead exposure

Enhanced training for healthcare staff on Pb testing protocols

Streamlined EMR ordering systems for Pb tests

Increased financial incentives for physicians to order Pb tests

Collaborations with public health agencies to raise awareness

Access to a LeadCare Blood Lead Testing System to allow capillary testing in clinic.

Support from Public Health – Seattle & King County case investigators when providing care to a patient with a blood lead level above the blood lead reference value

Other (please specify)

Question Title

* 10. On a scale of 1 to 5, how would you rate the support and collaboration you receive from Public Health - Seattle & King County concerning Pb testing promotion and implementation?
(1 - Very Low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very High)

Question Title

* 11. Would you be interested in attending educational sessions or workshops on lead poisoning?

Yes

Question Title

* 12. Please share any additional comments or suggestions you have regarding the promotion and facilitation of Pb testing in clinics.

Thank you for your participation. Your responses will contribute to our ongoing efforts to combat Pb exposure effectively.

If you have any questions or need additional information, please contact Shurlon Brathwaite at Sbrath@kcmsociety.org.

Note: All responses will be kept confidential and used for research purposes only.

King County Medical Society Lead Testing Survey 2023

Introduction

Question Title

* 1. What are the ages of your patients? Please mark all the age groups that apply to your patients.

Question Title

* 2. If you perform routine Pb screening (asking about risk factors), which age groups do you screen?

Question Title

* 3. What are the common risk factors for lead poisoning that you consider when deciding to order a blood lead test?(check all that apply)

Question Title

* 4. Based on your experience, what are the most common sources of Pb exposure for patients in your region or practice area?

Question Title

* 5. How frequently do you order blood lead Pb tests for your patients?

Question Title

* 6. Which guidelines and/or requirements related to blood lead testing are you familiar with?

Question Title

* 7. Which of the following do you consider barriers or challenges to increasing Pb testing in your clinic.(Select all that apply)

Question Title

* 8. On a scale of 1 to 5, how would you rate the current availability of Pb testing resources in your clinic or healthcare facility? (1 - Very Low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very High)

Question Title

* 9. Which strategies would be most effective in promoting Pb testing in your clinic? (Select all that apply)

Question Title

* 10. On a scale of 1 to 5, how would you rate the support and collaboration you receive from Public Health - Seattle & King County concerning Pb testing promotion and implementation? (1 - Very Low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very High)

Question Title

* 11. Would you be interested in attending educational sessions or workshops on lead poisoning?

Question Title

* 12. Please share any additional comments or suggestions you have regarding the promotion and facilitation of Pb testing in clinics.

* 3. What are the common risk factors for lead poisoning that you consider when deciding to order a blood lead test?
(check all that apply)

* 7. Which of the following do you consider barriers or challenges to increasing Pb testing in your clinic.
(Select all that apply)

* 9. Which strategies would be most effective in promoting Pb testing in your clinic?
(Select all that apply)

* 10. On a scale of 1 to 5, how would you rate the support and collaboration you receive from Public Health - Seattle & King County concerning Pb testing promotion and implementation?
(1 - Very Low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very High)