smartoakland HEAlthy homes achhd pilot

We are working on a Get the Lead Out Utility Pilot with Alameda County Healthy Homes Lead Poisoning Prevention Program to use data and technology to help fight and win the war on lead poisoning in Oakland. We've defined 5 steps we'll both use to align with ACHHD's life cycle and SmartOakland's agenda to optimize operations which, at a very high level are:

  • Discover where the lead housing units and At-Risk children under 7 are located;
  • Assess landlords and tenants ability to qualify for federal lead abatement fund assistance to remediate units;
  • Implement abatement projects;
  • Verify lead abatement has been successful and move tenants back into unit;
  • Report results to project stakeholders

pilot overview

The goal for the pilot is to automate processes and collapse time frames allocated to discovery, assessment, verification and reporting to divert resources into childhood lead poisoning interventions and implementation for more unit abatement to scale to Zip Code scale abatement projects and start gaining ground to win the war on lea.

We will work in parallel to ACHHD case activities and assist by creating precision data insight dashboards to support each step in their DAIVR process. We will prioritize locating at-risk children and pre-qualified tenants and landlords who meet abatement fund criteria.


CURRENT STATE SITUATION

Important background factors:

the process for locating qualified lead abatement candidates is too slow and every minute spent could be used to prevent more children from being poisoned

  • 90% of time & money is spent searching for abatement candidates, managing applications and closing out reporting requirements
  • 10% of time, or less, is spent performing actual physical lead remediation work in housing units

Housing

  • ACHHD Housing has to compete nationally for HUD grants to abate lead from pre-1978 housing
  • An average HUD grant is $2,000,000 and lasts 2 years to abate 140 units
  • There is no rental registry to narrow down the hunt for abatement units or the ability to proactively prioritize At-Risk children
  • $2,000,000 divided by 140 is $14,285 per unit for full life projects but that amount only pays for material construction costs
  • It can take more than 1 year to locate and abate lead from 1 unit - the average is about 70 units per year
  • There are 95,000 rental units in Oakland and 80% of them are pre-1978 construction
  • Current operations will not win the WAR ON LEAD

health

  • ACHHD Health receives 350-400 new childhood lead poisoning cases per year
  • A recent Environmental Working Group report found three quarters of Medi-Cal toddlers have not been blood lead tested per federal and state laws
  • If we assume 350 children only represent 1/4 of the children being lead poisoned each year in Oakland the actual number of poisonings for Medi-Cal eligible children could be somewhere between 1400-1600 per year
  • This does not include children under age 7 with parents who pay for their own health insurance.
  • We do not have tracking numbers on child lead poisoning cases whose parents are in the mid- to high-income levels because CA state does not require it for public reporting
  • There is an decrease in overall lead poisonings in the African American and Hispanic populations
  • There is an increase in Caucasian, Indian, and Afghan communities
  • More people are moving into pre-1978 housing that is not being appropriately maintained whether they're renting or buying

ACHHD process as it is today

Disclaimer: Alameda County Healthy Homes Lead Poisoning Prevention Program is in the middle of very detailed, complex, transactions that include health, housing, and education programs while managing all aspects of program discovery, assessment, abatement project implementations, verifications and certifications, and reporting on all aspects on each of them.  The process itself is time consuming, somewhat manual, and it's also hard to see a constant stream of newly poisoned children every week. We've dramatically understated what ACHHD does in this 5-step process to attempt to simplify it for new viewers to get a general idea of the big picture activities and to see how difficult this challenge is to handle. ACCHD has been patient responding to our requests so we may understand how things work and collaborate on ideas to improve processes and technology to empower people and build capacity.

ACHHD logo.jpg

discover

housing

  • Scout around looking for old homes with peeling paint

  • Use unsafe lead practice complaints to track back to lead paint units

health

  • Respond w/ nursing for poisoned kids
  • Use newly poisoned child information to track them back to the room they were poisoned in

education

  • Outreach to say lead funds are available for abatement
  • Educate parents how to care for poisoned kids
  • Educate re;
    lead safe construction practices

assess

housing

  • Visual inspection
  • Scientific scanner (XRF) inspection to check the location into the project pipeline for remediation

application process

  • Do tenants qualify for financial assistance?
  • Do landlords qualify for financial assistance?
  • If both qualify award funds to case and assign Project Designer

 

implement

housing

  • Construction plan approval
  • Put contract out for bid
  • Receive proposals
  • Choose contractor
  • Award projects
  • Schedule project construction
  • Tenants move out
  • Work is done by certified RRP contractors
  • Alert ACHHD work is complete and requires verification
  • Communicate with tenants throughout
  • Communicate with landlords throughout
  •  

 

verify

housing

  • Visual inspection
  • Scientific scanner (XRF) inspection to check out the home is lead-free and safe to inhabit

health

  • Provide varying lengths of health support services to lead poisoned child

 

report

housing

  • Report monthly and quarterly to Federal Housing & Urban Development (HUD) Grant Administrators
  • Report to Joint Power Authority
  • Report to Alameda County Housing

health

  • Report monthly and quarterly results to Health Service Administrators
  • Report to Alameda County Health Services

 


white box.jpg

Time

3 - 6 months


% money

50% searching for pre-1978 units with young kids & low-income parents


If $100 dollars spent, how much goes to Discovery?

$50

Time

3 weeks - 6 months


% money

25% managing application process with tenants and landlords


If $100 dollars spent, how much goes to assessment?

$25

Time

2 weeks


% money

10% managing construction project bid, contracts, and project closure


If $100 dollars spent, how much goes to implementation?

$10

This is where the material construction cost come in:

  • small = $6-8K
  • med = $10-15K
  • large = $16-25K

Time

1 week


% money

5% verifying work is completed & safe for tenants to resume occupancy


If $100 dollars spent, how much goes to verification?

$5

Time

perpetual


% money

10% reporting results to regulators monthly, quarterly & yearly


If $100 dollars spent, how much goes to reporting?

$10


GTLO Oakland_500_SmartOakland_logo.png

SmartOakland 12 month pilot

We will support ACHHD process re-engineering, data, technology, and Internet of Things connectivity to collapse their process timeline, produce actionable intelligence, allow outside investment to see and understand opportunities for investment in entire Oakland Zip Codes for sustainable, resilient, green, Smart Cities initiatives. 

To be clear, ACHHD will not change their current plans and will reach their intended goals regardless of the outcome of the SmartOakland Healthy Homes Pilot. Although we can provide information that includes every at-risk unit and child in the city of Oakland current capacity and funding models cannot handle this scale of implementation so we will need to discuss third party investment partnerships.

Part of our Healthy Homes pilot will be spent determining how to build capacity around ACHHD utilizing data, technology, local service providers, non-profits, and workforce development programs to train Oaklanders into jobs related to lead abatement activities.

Your support of our pilot will bring jobs to Oakland, build sustainability into micro-communities, and expand resilience in 147 neighborhoods representing every ethnicity and five generations of people living in Oakland today. *Reports also estimate for every $1 spent on prevention $17-221 can be expected in returns.


 SmartOakland Healthy Homes
Data Utility Pilot
w/At-Risk Child Detection for/

All Zip Codes
to Lead Poison Protection

discover


persistent data dashboards w/ progress status


  • Survey all pre-1978 Oakland  housing units to find locations where children under age 7 reside with parents who qualify for low-income requirements for Federal lead abatement funds
  • Share findings w/ ACHHD and follow guidance on preferred next steps
  • Join Civic Platform training to recruit and train volunteers to help manage in the future

assess


persistent data dashboards w/ progress status


  • Match pre-qualified tenants & landlords w/ lead abatement funds
  • Assist with Public Service Announcements to contact unit tenants & landlords to educate and inform of risk to children and funding options
  • *Perform outreach in targeted communities to educate mothers and families about the risk of lead poisoning in multiple languages

implement


persistent data dashboards w/ progress status


  • Provide real-time scan-in data representing the lead levels present at the start of the unit abatement project
  • If and when number of qualified candidates for abatement are more than ACHHD has available funds take investment opportunity to outside sustainability investors to provide funding

verify


persistent data dashboards w/ progress status


  • Provide real-time scan-out data representing the effective containment of lead to meet safety standards
  • Provide real-time verification available for public use and promotion of the "Lead-Free" status of the housing unit (optional)

report


persistent data dashboards w/ progress status


  • Provide real-time project status including costs and performance levels on all funds
  • Provide real-time status on  number of childhood lead poisoning interventions
  • Real-time cost savings for each child removed from lead threat before becoming poisoned
  • Project portfolio performance per quarter

   total cost to build a baseline, learn, improve, and extend services out to
Zip Codes

 

Time

4-8 weeks


money

$175,000


the set up and daily monitoring needed to optimize ACHHD's workflow and SmartOakland's data is what will take the most work in the beginning

Time

4-8 weeks


money

$75,000


the number of weeks is not set in stone because our assumption is our tuned data model and algorithms will persist new insights and remain current

Time

4-8 weeks


money

$100,000


implementation could require additional funding as we create larger project pipeline of lead abatement candidates

Time

4-8 weeks


money

$75,000


Total for pilot

Time

4-8 weeks


money

$75,000


$500,000

(*$17-221 return on investment)

Support ACHHD PIlot to find and protect more kids and win the war on lead

background for national agenda to abate lead in every US city

  • Lead poisoning is not an Oakland, Flint, or South Bend story - there are almost 4000 US cities with equal or higher lead poisoning than Flint, MI and it's a national agenda that should be at the forefront of everyone's mind because it affects all of us
  • Pew Charitable Trust released a new report late 2017 called, "10 Policies to Prevent and Respond to Childhood Lead Exposure", that outlines what states, cities, and towns can do to start making real progress on ending lead poisoning.
  • A 2009 report published on Environmental Health Perspectives by Elise Gould states every dollar invested in lead poisoning abatement and prevention equals $17-221 return on investment. We've included the abstract from her report here for your convenience.

Environ Health Perspect; DOI:10.1289/ehp.0800408

* Childhood Lead Poisoning: Conservative Estimates of the Social and Economic Benefits of Lead Hazard Control

Elise Gould

Background:

This study is a cost–benefit analysis that quantifies the social and economic benefits to household lead paint hazard control compared with the investments needed to minimize exposure to these hazards.

Objectives:

This research updates estimates of elevated blood lead levels among a cohort of children ≤ 6 years of age and compiles recent research to determine a range of the costs of lead paint hazard control ($1–$11 billion) and the benefits of reduction attributed to each cohort for health care ($11–$53 billion), lifetime earnings ($165–$233 billion), tax revenue ($25–$35 billion), special education ($30–$146 million), attention deficit–hyperactivity disorder ($267 million), and the direct costs of crime ($1.7 billion).

Results:

Each dollar invested in lead paint hazard control results in a return of $17–$221 or a net savings of $181–269 billion.

Conclusions:

There are substantial returns to investing in lead hazard control, particularly targeted at early intervention in communities most likely at risk. Given the high societal costs of inaction, lead hazard control appears to be well worth the price.