Collaboration + Innovation = Immunization Information Systems Success Therese Hoyle Michigan Department of Community Health and American Immunization Registry.

Collaboration + Innovation = Immunization Information Systems Success Therese Hoyle Michigan Department of Community Health and American Immunization Registry Association

Association of Immunization Managers Immunization Information Systems Committee The Immunization Information Systems Committee is looking at ways to improve and expand immunization registries. Bob Swanson committee chair

MCIR Background Web-based application Populated with electronic birth records (within 2 weeks) Operational with a regional approach Majority of the funding from the Healthy Michigan Fund (tobacco tax) First rolled out in 1998

MCIR Activity  3.7 million children  Over 47 million shot records  7,500 user log-ins to MCIR every day  2,203 provider sites submitted data in 2004

GOT PROW? WHAT?

Elizabeth Harton Sr. Public Health Advisor Lesley Chace Detroit Public Health Advisor Bob Swanson, MPH Section Manager Assessment & Local Support School & Day Care Assessments Jacquelyn Perigo VFC Jan Koopman Darcy Wildt Connie Bessette MCIR Therese Hoyle Kyle Enger John Baker Field Reps Dave Brown Kevin Czubachowski Mary Jo Flenner Sharon Maddox Carol Romback Perinatal Hepatitis B Prevention Patrick Fineis Marcy Thelen Sallie Pray Kari Tapley Education & Outreach Rosemary Franklin Division of Immunization Bob Swanson, MPH Acting Director Division of Immunization Bob Swanson, MPH Acting Director Immunization Nurse Educators Barbara Wolicki JoEllen Wolicki Nancy Tate Division Secretary All Hazards Response Patricia Bragg Sue Herring Contracts Coordinator Nurse Consultant Patsy Bourgeois Dianne Matelsky Secretary Patricia Vranesich. RN, BSN Section Manager Outreach & Education Carlene Lockwood Secretary VPD Surveillance Joel Blostein Kyle Enger Rachel Potter AFIX Stephanie Sanchez Barbara Day Karen Goucher Rebecca Taylor Physician Peer Education (MSU) Dawn Contreras Tammy Sullivan Special Populations Carolee Besteman

Surveillance Michigan is a IIS Sentinel Site for the National Immunization Program Uptake of new vaccines Influenza data Prevnar study Timeliness of data entry

Perinatal Hepatitis B Follow-up on children born to HbsAg + mothers Outreach workers monitor birthing hospital submission of hepatitis B birth dose

Education MCIR is a component of all educational materials used Nurse Education Modules Physician Peer Education Program AIM tool kit Health organizations have written the MCIR assessment into their standard of care policies.

AFIX Electronic download of data from MCIR to CASA Doses in charts that are not in MCIR are added by AFIX specialist Doses in MCIR that are not in the chart are given to the provider New immunization levels with combined data are given to the provider

Vaccine Accountability Approximately 70% of our VFC providers report doses administered through the registry. Approximately 50% of our VFC providers generate VFC profiles to estimate vaccine need. LHDs track vaccine usage and distribution data using the registry to detect misuse of VFC vaccine.

All Hazards Preparedness Use the MCIR to track pandemic flu vaccine Use the MCIR to track antiviral use Track pan-flu vaccine efficacy and adverse events

2004 NIS Compared to MCIR

Profile Screen

2005 I MMUNIZATION P ROFILE BY R EGION 19-35 Months of Age 19-35 Months of Age 4:3:1:3:3:1 4:3:1:3:3:1 FEBRUARY 2006 0-49% 50-59% 60-69% 70-79% 80-89% 90-100% 72% 76% 70% 57% 74% 74% State65%

Gogebic Otonagon Houghton Keweenaw Iron Baraga Marquette Dickinson Alger Delta Menominee Schoolcraft Luce Mackinac Chippewa Cheboygan Presque Isle Charlevoix Antrim Otsego Leelanau Benzie Grand Traverse Kalkaska Crawford OscodaAlcona ManisteeWexfordOgemawIosco MasonLakeOsceola Clare Gladwin Arenac OceanaNewaygoMecostaIsabella Midland Bay Huron Muskegon Montcalm GratiotSaginaw Tuscola Sanilac St. Clair Lapeer ShiawasseeClintonIonia Kent Ottawa AlleganBarryEatonIngham LivingstonOakland Macomb Van Buren KalamazooCalhounJacksonWashtenawWayne Berrien CassHillsdale Lenawee Monroe St. JosephBranch Missaukee Alpena Roscommon Emmet Genesee Montmorency January 2001 4:3:1:3:3:0 Detroit 0 - 29% 50 - 59% 60 - 69% 70 - 79% 80 - 89% 30 - 49% 90 - 100% Current Immunization Profile for 19 - 35 Month Old Children Based on MCIR Data Gogebic Otonagon Houghton Keweenaw Iron Baraga Marquette Dickinson Alger Delta Menominee Schoolcraft Luce Mackinac Chippewa Cheboygan Presque Isle Charlevoix Antrim Otsego Leelanau Benzie Grand Traverse Kalkaska Crawford OscodaAlcona ManisteeWexford Ogemaw Iosco MasonLake Osceola Clare Gladwin Arenac Oceana NewaygoMecostaIsabellaMidland Bay Huron Muskegon MontcalmGratiotSaginaw TuscolaSanilac St. Clair Lapeer ShiawasseeClintonIonia Kent Ottawa AlleganBarryEatonInghamLivingstonOakland Macomb Van Buren Kalamazoo CalhounJacksonWashtenawWayne Berrien CassHillsdale Lenawee Monroe St. JosephBranch Missaukee Alpena Roscommon Emmet Genesee Montmorency 4:3:1:3:3:1 Detroit February 2006

Lead Data Results Added a lead pop-up window Medicaid enrolled Mapped to HR zip code 23% increase March – May of 2004 in lead testing as compared to 2003 data. Increased provider participation

WIC Cooperation Profile reports distributed monthly to WIC clinics Listing of kids not up to date distributed to each clinic Reached 70% immunization levels for WIC children. 6% higher than the rest of the population

Medicaid Cooperation Display Medicaid Health Plan Provide Medicaid Health Plans with immunization data for HEDIS reporting Generate Health Plan reports

MCIR Immunization Levels for 4:3:1:3:3:1

Health Plan HEDIS Levels Combination 1

Future Innovations Integrate the MCIR with other databases which are accessible to providers Lead Newborn hearing Newborn screening Asthma

Future Innovations Partner with RHIO’s Partner with the Michigan Health Information Network (MHIN) State to State data sharing Life Span Registry

In 1954, Popular Mechanics showed its readers what a home computer might look like this year (2004).

Collaboration + Innovation = Immunization Information Systems Success Therese Hoyle Michigan Department of Community Health and American Immunization Registry.

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