(Please see the Provider section of the Resource Library for more quick tip sheets and other important information and help)
Q1: How can I find my patients faster in MCIR?
Q2: I can't find a patient in MCIR, what should I do to add them to my Roster?
A2: Was the patient born in a Michigan hospital from 1994 to present? Chances are they are listed under an alternate name or with a different birthdate than what you have on file. Contact your Regional MCIR Helpdesk for assistance with finding such a record. Patients born outside of Michigan or before 1994 may be added to MCIR. If you are unable to add such a patient and do not get the prompt to add, you likely have a pop-up blocker on your Internet Explorer browser. Follow this link for some helpful hints on how to disable popups for the SSO/MCIR website: How to remove a pop-up blocker from you Internet Explorer.
Q3: What are the responsibilites of a MCIR Site Administrator?
A3: Click here for your Site Administrator Training and Responsibilities.
Q4: How does my office gain access to the MCIR?
Q5: How much does access cost?
A5: Because the MCIR system is funded by the State of Michigan, access is free.
Q6: Can I receive training on the MCIR system?
A6: Your Regional MCIR Coordinator has many training materials available to help you in learning the functionality of the MCIR system. Training sessions many also be available to you by request to your MCIR Regional Office. Additionally, we have some prerecorded online training course available at the MiHealth website, here.
Q7: What are the technical requirements for the MCIR?
A7: To use the MCIR Web Application, you must have a computer with internet access (broadband highly recommended) and Internet Explorer version 6.0 (PB link to MS IE downloads website) if you have Windows 98 and above or Internet Explorer version 5.5 with service pack 2 installed if you have Windows 95. MCIR also works with Netscape Navigator version 7 and above and Mozilla.To print reports, you must have the most current version of Adobe Reader (PB link).
Q8: Are all Michigan residents in the MCIR?
A8: Children who were born in Michigan hospitals from 1994 to present are in the MCIR. Some older children and young adults are also in the MCIR. As of June 5, 2006, providers may add adults to the MCIR. Many doctor's offices, local health departments, and MCIR regional staff are continually working to add historical shot data to ensure the most accurate records possible
Q9: I looked up a person and some of his immunizations were incorrect, how do we fix this?
A9: Immunizations entered into a shot record by one office cannot be edited by another. To correct incorrect information in a record, you can contact your Local Health Department or your MCIR Regional Coordinator.
Q10: Who do we contact for technical assistance?
A10: Technical assistance is provided by your MCIR Regional Office.
Q11: A person from our practice has moved out of Michigan, is there a way to identify this in MCIR?
A11: Yes, you would use the Patient Status feature in MCIR. More information is available in this reference guide. You can receive additional assistance on this or any other MCIR functionality by contacting or your MCIR Regional Coordinator.
Q12: Why does MCIR say that this patient is overdue for MMR or Varicella? It looks to me like he/she should be complete.
A12: It could be the "Live-Live Rule." Certain vaccines (MMR, Varicella, and Influenza Intranasal) are considered live-virus vaccines. Such vaccines must either be given on the same date, or separated by at least 28 days. Otherwise, the second vaccine will not produce a proper immune response, and it will be considered an invalid dose. For more information, go to the CDC Immunization Website. Contact your Local Health Department if you have further questions.
Q13: How can I use Twinrix in combination with hepatitis B and hepatitis A vaccines to complete a series that was started with Twinrix but can't be completed that way?(Many of the health departments are now using Twinrix, HepA/HepB. It is to be given at 0, 1, 6 months-LHDs are concerned that MCIR does not assess this vaccine correctly. I have attached a Q/A with a response from CDC on how to assess Twinrix with single antigen hep A and hep B.)
A 13: Twinrix is licensed in the U.S. as a 3-dose series for persons age 18 years and older. If Twinrix is not available or if you choose not to use Twinrix to complete the series, you must consider the following: Twinrix contains a standard ADULT dose of hepatitis B vaccine, but a PEDIATRIC dose of hepatitis A vaccine. Thus, a dose of Twinrix can be substituted for any dose of the hepatitis B series, but not for any dose of the hepatitis A series.
Any combination of 3 doses of adult hepatitis B or 3 doses of Twinrix = a complete series of hepatitis B vaccine.
1 dose of Twinrix + 2 doses of adult hepatitis A = a complete series of hepatitis A vaccine
2 doses of Twinrix + 1 dose of adult hepatitis A = a complete series of hepatitis A vaccine