• Ohio law requires blood lead testing at 12 and 24 months of age for children insured by Medicaid or who live in a high-risk ZIP code.
  • Only 50% of children meeting these criteria are being tested currently.
  • There are state and local resources to support families with children who have lead poisoning.
  • Iron insufficiency increases children’s risk for lead poisoning.


  • Roopa Thakur, MD, FAAP – Medical Director
  • Nick Newman, DO, MS, FAAP – Consultant
  • Suhavi Salmon-Rekhi – Program Manager


  • In 2019 Lead-Free Ohio (Lead-Free Ohio) Childhood Lead Prevention program developed a pilot quality improvement (QI) project and training sessions for health care providers.
  • A total of 235 primary care providers, home visitors, community health workers, and other allied health professionals participated in a two-part Spring 2020 lead poisoning prevention training as well as the Ohio AAP 2020 Summer Meeting lead poisoning prevention training. Additionally, the Quality Improvement program reached 11 practice locations across Ohio and engaged 46 providers, and ultimately impacting 50,000 children in Ohio.
  • A lead testing training QI program was developed, and 11 practices were enrolled into a learning collaborative. (2) Training materials and a presentation was developed to educate providers and other allied health professionals in Ohio. (3) Attendees at training sessions received continuing medical education credit and completed a post-survey evaluation. (4) Through the learning collaborative, practices created partnerships to scale up their work and disseminate what they have learned more widely.