michigan care improvement registry (mcir)
DESCRIPTION
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) - PowerPoint PPT PresentationTRANSCRIPT
Child Health Integration
Bob Swanson, MPH
Division of Immunization
Michigan Department of Community Health
Michigan Care Improvement Registry (MCIR)
Michigan Care Michigan Care Improvement RegistryImprovement 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 Provider
recruitment
Provider training
Help desk
Advisory boards
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 DaycaresUtilizing MCIR
4813 Schools95% enrolled in MCIR
4235 Daycares89% enrolled in MCIR
Reporting Adverse Events (in development)
Integrated VAERS form Auto populates data Transmission to CDC
MCIR Electronic Interface Activity
in 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 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 ReportingPopulation 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
Gogebic
Otonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
Schoolcraft
Luce
Mackinac
Chippewa
Cheboygan
Presque Isle
Charlevoix
Antrim Otsego
Leelanau
BenzieGrand
TraverseKalkaska Crawford Oscoda Alcona
Manistee Wexford Ogemaw Iosco
Mason Lake Osceola Clare
Gladwin
Arenac
Oceana Newaygo Mecosta IsabellaMidland
Bay
Huron
MuskegonMontcalm Gratiot Saginaw
Tuscola Sanilac
St. Clair
Lapeer
ShiawasseeClintonIonia
Kent
Ottawa
Allegan Barry Eaton Ingham Livingston Oakland
Macomb
VanBuren
Kalamazoo Calhoun Jackson Washtenaw Wayne
Berrien Cass Hillsdale LenaweeMonroe
St. Joseph Branch
Missaukee
Alpena
Roscommon
Emmet
Genesee
Montmorency
January 2001 4:3:1:3:3:0
Detroit
0 - 29%
50 - 59%
60 - 69%
70 - 79%
80 - 89%
30 - 49%
90 - 100%
Current Immunization Profile for 19 - 35 Month Old Children
Based on MCIR Data
Gogebic
Otonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
Schoolcraft
Luce
Mackinac
Chippewa
Cheboygan
Presque Isle
Charlevoix
Antrim Otsego
Leelanau
BenzieGrand
Traverse KalkaskaCrawford
Oscoda Alcona
Manistee Wexford
OgemawIosco
Mason Lake Osceola Clare
GladwinArenac
Oceana Newaygo Mecosta Isabella Midland Bay
Huron
MuskegonMontcalm Gratiot Saginaw
Tuscola Sanilac
St. Clair
Lapeer
ShiawasseeClintonIonia
Kent
Ottawa
Allegan Barry Eaton Ingham Livingston Oakland
Macomb
VanBuren
Kalamazoo Calhoun Jackson Washtenaw Wayne
Berrien Cass Hillsdale LenaweeMonroe
St. Joseph Branch
Missaukee
Alpena
Roscommon
Emmet
Genesee
Montmorency
4:3:1:3:3:1
Detroit
August 2008
Lead Data ResultsLead 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
BenefitsBenefits
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
Newborn HearingNewborn Hearing
Planning began in 2004
EHDI program began creating their own Oracle Database 2005-2007
Rollout in 2009
EPSDTEPSDT
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program
Requirements Gathering January 2007
Rollout 2009
Newborn ScreeningNewborn Screening
Requirements Gathering 2005
System Upgrades to MCIR and NBS Database
Rollout 2009
Michigan’s BMI Michigan’s BMI Surveillance EffortsSurveillance Efforts
On going discussions to add BMI to the MCIR
Emerging SynergiesEmerging Synergies
Surveillance
Lesson LearnedLesson Learned
Health Plan Incentives
Mandated Reporting
Billing Data vs Medical Record
Regional Training and Support