Child Health Integration
Download
1 / 29

Michigan Care Improvement Registry (MCIR) - PowerPoint PPT Presentation


  • 169 Views
  • Uploaded on

Child Health Integration Bob Swanson, MPH Division of Immunization Michigan Department of Community Health. Michigan Care Improvement Registry (MCIR). Michigan Care Improvement Registry. Web-based application Populated with electronic birth records (within 2 weeks)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Michigan Care Improvement Registry (MCIR)' - malina


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Child Health IntegrationBob Swanson, MPHDivision of ImmunizationMichigan Department of Community Health

Michigan Care Improvement Registry (MCIR)


Michigan care improvement registry
Michigan Care Improvement Registry

  • 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

  • 4.7 million records

  • Over 57 million shot records

  • 35,000 registered users

  • 2,334 provider sites submitted data in 2007


Mcir regions
MCIR Regions

Provider recruitment

Provider training

Help desk

Advisory boards


Mcir tools
MCIR Tools

Assessment of patient immunization status at the time of the visit

Reminder/Recall Letters Coverage Level Reports

High Risk Influenza/Lead Pop-up

Lead Results

Clinical Record

All Hazard Component


Schools and daycares utilizing mcir
Schools and DaycaresUtilizing MCIR

4813 Schools

95% enrolled in MCIR

4235 Daycares

89% enrolled in MCIR


Reporting adverse events in development
Reporting Adverse Events (in development)

  • Integrated VAERS form

  • Auto populates data

  • Transmission to CDC


Mcir electronic interface activity in february 2008
MCIR Electronic Interface Activityin February 2008

270,000 immunizations reported from provider offices

860,000 updates from Medicaid with beneficiary information

200,000 WIC ID updates

10,800 Electronic Birth Records


Mcir benefits
MCIR Benefits

High provider participation (>90%)

Supports all programmatic functions of the Immunization program

All Hazard tracking capabilities

Population based system

Reports to demonstrate “pocket of need”

Flexibility to allow linkages with other public health systems

Infrastructure setup with regional staffing model


Population based reporting
Population Based Reporting

  • State Levels

  • County Levels

  • WIC Levels

  • MEDICAID Health Plan Levels

  • Clinic Site Levels

  • School District Levels

  • School Building Levels

  • Migrant Schools

  • Migrant Population


Current Immunization Profile for 19 - 35 Month Old Children

Based on MCIR Data

Keweenaw

Keweenaw

Houghton

Houghton

Otonagon

Otonagon

Baraga

Baraga

Luce

Luce

Gogebic

Marquette

Gogebic

Marquette

Alger

Chippewa

Alger

Chippewa

Schoolcraft

Schoolcraft

Iron

Iron

Mackinac

Mackinac

Dickinson

Dickinson

Delta

Delta

Cheboygan

Cheboygan

Emmet

Emmet

Menominee

Menominee

Presque Isle

Presque Isle

Charlevoix

Charlevoix

Alpena

Montmorency

Montmorency

Otsego

Antrim

Otsego

0 - 29%

Antrim

Alpena

Leelanau

Leelanau

Grand

Crawford

Grand

Crawford

Oscoda

Alcona

Benzie

Kalkaska

Kalkaska

Oscoda

Alcona

Traverse

Benzie

Traverse

Manistee

Wexford

Missaukee

Iosco

Roscommon

Manistee

Wexford

Missaukee

Roscommon

Ogemaw

Iosco

30 - 49%

Ogemaw

Arenac

Arenac

Gladwin

Gladwin

Mason

Lake

Osceola

Clare

Mason

Lake

Osceola

Clare

Huron

Huron

Midland

Oceana

Newaygo

Mecosta

Isabella

Midland

Bay

50 - 59%

Oceana

Newaygo

Mecosta

Isabella

Bay

Tuscola

Sanilac

Tuscola

Sanilac

Montcalm

Gratiot

Saginaw

Muskegon

Montcalm

Gratiot

Saginaw

Muskegon

Lapeer

Kent

Lapeer

Kent

Genesee

60 - 69%

St. Clair

Genesee

Ottawa

Ionia

Clinton

Shiawassee

St. Clair

Ottawa

Ionia

Clinton

Shiawassee

Macomb

Macomb

Allegan

Barry

Eaton

Ingham

Livingston

Oakland

Allegan

Barry

Eaton

Ingham

Livingston

Oakland

70 - 79%

Van

Buren

Calhoun

Jackson

Washtenaw

Wayne

Detroit

Kalamazoo

Detroit

Kalamazoo

Calhoun

Jackson

Washtenaw

Wayne

Van

Buren

Monroe

Berrien

Lenawee

Cass

St. Joseph

Branch

Hillsdale

Monroe

Berrien

Lenawee

Cass

St. Joseph

Branch

Hillsdale

80 - 89%

August 2008

January 2001

4:3:1:3:3:1

90 - 100%

4:3:1:3:3:0


Lead data results
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


Benefits
Benefits

  • High provider participation (90%)

  • Population based system

  • Reports to demonstrate “pocket of need”

  • Flexibility to allow linkages with other public health systems

  • Infrastructure setup with regional staffing model





Michigan s bmi surveillance efforts
Michigan’s BMI Surveillance Efforts

  • On going discussions to add BMI to the MCIR


Emerging synergies
Emerging Synergies

Surveillance


Lesson learned
Lesson Learned

  • Health Plan Incentives

  • Mandated Reporting

  • Billing Data vs Medical Record

  • Regional Training and Support


ad