KEYWORD1:
WIC, Immunizations Registry, Collaboration

BACKGROUND:
The Michigan Childhood Immunization Registry (MCIR) is populated using information from electronic birth certificates. Oakland County has over 16,000 births per year. An estimated 1,800 providers in Oakland County administer immunizations. Oakland County has over 47,000 children under three years of age that have a record in the MCIR. There are over 3,000 infants and 7,000 children enrolled in WIC in Oakland County. This is approximately 20% of the children under three years of age in the MCIR. The immunization records for this large group of children can significantly improve the number of immunization records in MCIR.

OBJECTIVE:
To increase the number of children with a complete immunization record in MCIR by assuring that the data on children in the WIC program has been entered.

METHOD:
WIC clerks contact families the day before their appointment and remind them to bring immunization records. WIC staff copies the record. These copies are given to the immunization program and the data entered into MCIR. Whenever a child's record is identified as incomplete in MCIR, the parent is contacted for follow up. Monthly profile reports are run to monitor the current immunization status for children identified as WIC clients by a special MCIR provider ID number.

RESULT:
100 records were data inputted with 93% having at least the first DTaP dose entered into the MCIR. It is estimated that we will be able to add immunization records on approximately 50 to 100 children each week. Monthly compares will be done to monitor our success. This should have a positive impact on the number of children with immunization dates in the MCIR.

CONCLUSION:
Collaboration by staff members of the WIC, IAP Program, and SE-MCIR will increase the number of children with immunization records in the MCIR and help to document the coverage rate of our jurisdiction using MCIR reports.
LEARNINGOBJECTIVES:
Understand how WIC and immunization programs can collaborate with an immunization registry to increase the immunization coverage rate in a jurisdiction.