Public Health Resources


Date of this Version



BMC Public Health 2004, 4:4.


Copyright © 2004 Wilken et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.


Background: To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site.

Methods: Retrospective chart review for evidence of BLLs. Data analyses were conducted using frequencies, percentages & chi-square.

Results: The overall incidence of documented BLLs was 78.9% with one clinic demonstrating 100% BLLs while the others had 72%. Screening rates differed significantly by clinical site (X2 = 18.460, df = 3, p < 0.001).

Conclusion: Although universal blood lead screening is mandated, there were missed opportunities to obtain BLLs in 21.1% of the records reviewed. Only one clinic had 100% documentation of BLLs when children on Medicaid were seen between the ages of 12–18 months.