Learning Objectives for this Presentation:
By the end of the presentation participants will be able to:
1. Describe the outcome of utilizing registry functionality for statewide reporting of school/childcare immunization information
2. Describe how MCIR automatically assesses immunization data according to state school and childcare requirements
3. Identify the benefits of using registry data for all stakeholders


Background:
Legislation was passed in 1997, establishing the Michigan Childhood Immunization Registry (MCIR). In 2006, MCIR became the Michigan Care Improvement Registry as a result of the inclusion of adult immunization data and other health interfaces. Schools and licensed childcares in Michigan are required to report immunization histories of select children, who must meet mandatory requirements to attend childcare/school.

Setting:
All Michigan schools, licensed childcare centers, local public health departments, and state health department

Population:
All Michigan children attending licensed childcare centers, all kindergarten, all 6th graders, plus new entrants to school districts in other grades

Project Description:
In the 2005/06 school year, the use of the MCIR school/childcare reporting functionality was released to all registered schools, childcare centers and health departments in Michigan. Training was presented. Reporting was completed using the new web-based registry functionality.

Results/Lessons Learned:
As of September 2006, 5620 schools (92%) and 5542 licensed childcares (81%) have registered with MCIR. Final reports for childcares and schools throughout Michigan during the first year showed more children reported (total of 623,686 children reported), more children assessed as complete for immunization requirements, and fewer waivers. Reporting process was faster and easier, as most immunization data was already in the registry and did not need to be re-entered by the school and childcare sites. MCIR summary data was automatically retrievable for review by the local and state health departments via the internet.