BACKGROUND:
The Michigan Childhood Immunization Registry (MCIR) was established by the Michigan Public Health Code in 1996. The registry contains 2.8 million children and over 34 million shot records. There are over 2,570 provider sites registered in MCIR.

OBJECTIVE:
To demonstrate the non-reporting policy used in Michigan.

METHOD:
With the cooperation and input of private and public providers, Michigan created a non-reporting policy for MCIR. The policy follows several steps of reporting and utilizes public and private providers to communicate with the non- reporting provider.

RESULT:
The non-reporting policy in Michigan promotes regional staff assistance with providers who refuse to submit data to the registry. The second line of communication is provider-to- provider or communication from a local health jurisdiction.
The result is that non-reporting providers receive effective assistance in changing the "culture of the office" to become reporting providers

CONCLUSION:
Private providers requested that local health jurisdictions or other private providers be the second line of contact after registry staff. Provider participation increases when providers communicate to each other the benefits of the immunization registry.

LEARNING OBJECTIVES:
Participants will learn 3 strategies that Michigan uses to change a non-reporting provider into a participating provider.