KEYWORD1:
Michigan Childhood Immunization Registry (MCIR), SE Michigan Childhood Immunization Registry (SEMCIR), Physician Database, Strategic Planning, Registry Implementation, Outreach

BACKGROUND:
The SE Michigan Childhood Immunization Registry is part of the Michigan Childhood Immunization Registry (a statewide electronic childhood immunization registry/database. It provides a comprehensive multi-clinic record with history and assesment to primary care providers and parents for children 0-19 years of age. The physician database provides our SE Michigan Region with the common denominator of providers that administer vaccines to children anb allows us to measure progress toward implementation of the registry in the region. The MCIR is divided into 6 regions for Michigan, the largest of which is our region 6. Our demographics for Greater Detroit include half of the State's population, 6500 providers, 2650 clinic sites, 32 health plans and 62 major hospitals

OBJECTIVE:
To create a public/private internal database to monitor the 6500 primary care physicians towards the implementation of the registry.
To measure outreach efforts
To measure training efforts
To measure contiued use/participation in the registry
To measure web connectivity
To have a planning tool for staff in outreach eforts and evaluation

METHOD:
SEMCIR developed an ACCESS database of over 30 data fields. The "SEMCIR Physician Database" is updated daily by all SEMCIR staff based on their outreach activities. Additional EXCEL or ACCESS rosters of physicians are monitored collabratively with professional organizations/health care institutions.

RESULT:
Over 5600 primary care providers (PCP) are in the database. Priority is given to pediatricians and Vaccine for Children Providers. Analysis shows that most clinic user agreements include at least 2 PCP per clinic site

CONCLUSION:
Most PCP have multiple health plan affiliations and practice addresses. Development and maintenance of the Physician/provider database to track registry activities is essential for accurate and effective outreach and monitoring
LEARNINGOBJECTIVES:
Describe the development of a physician database
Understand the value of the development, implementation and maintenance of a physician database in a complex multi-county registry in a dynamic healthcare environment