Highlights

Welcome to our Michigan Care Improvement Registry resource repository.

Highlighted on this page are MCIR team and associates featuring their recent research, national presentations, and published work.


National Presentations


Reminder/Recall Practices and Toolkit Overview, 2020

A 3-part webinar series outlining centralized reminder/recall for immunization information systems, IIS.  Several national IIS specialists share experience regarding how reminder/recall can be initiated, implemented and sustained to improve immunization rate at clinic/provider sites. [Webinar]. Click image to view PDF resource.

Presentation also Available at AIRA Repository.

Authors:
Alison Saville and Dennis Gurfinkel, University of Colorado 
Mary Woinarowicz, ND 
Heather Roth, CO 
Katie Cruz, NM 
Sydney Kuramoto, MN 
Alyssa Strouse, MI 
Amy Metroka, NYC

Using Michigan’s IIS to Monitor Zoster Administration Patterns, 2019

Authors:
Lynsey Kimmins, MPH

Key Takeaways:
– Pharmacies continue to be the top reporters of Zoster vaccines.
– Over half of Michigan residents that have initiated the Shingrix series have completed the series in the recommended timeframe.
– Established adult reporting to the MCIR has allowed for better tracking of Shingrix uptake and administration patterns. Presented at the AIRA National Meeting in Indianapolis, IN. Click image to view PDF resource.

Presentation also Available at AIRA Repository.

IIS & Immunization Best Practice Quality Improvement Project in Southeast Michigan, 2018

Authors:
Chelsea Harmell, PIP Program Director
Kris Dupuis, Region 1 MCIR Manager
Wendy Nye, Region 1 MCIR Manager

Grant funded quality improvement project led by Southeastern Michigan Health Association (SEMHA) & Michigan Association for Local Public Health (MALPH) and partnered with the Michigan Department of Health and Human Services (MDHHS) and the Michigan Care Improvement Registry (MCIR – Region 1, Southeast Michigan. Presented at the AIRA National Meeting in Salt Lake City, UT. Click image for PDF resource.

Presentation also Available at AIRA Repository.

Development of Immunization Report Cards to Support Michigan’s Immunization Program, 2015

Author:
Cristi Bramer, MPH

Key Points:
– The MCIR provides a wealth of immunization information. 
– The report card effectively summarizes county level immunization data across the lifespan in one place, makes it easy to share, allows counties to compare themselves to each other. 
– Our partners find the report cards useful and utilize them to increase immunization coverage levels.
Presented at the AIRA National Meeting in New Orleans, LA.

Presentation Available at AIRA Repository.


Recent Publications


Centers for Disease Control Morbidity and Mortality Weekly Report (MMWR)

Decline in Child Vaccination Coverage During the COVID-19 Pandemic – Michigan Care Improvement Registry May 2016 – May 2020

Authors:
Cristi A. Bramer, MPH
Lynsey M. Kimmins, MPH
Robert Swanson, MPH
Jeremy Kuo, MPH
Patricia Vranesich

Lisa A. Jacques-Carroll, MSW
Angela K. Shen, ScD

Data from the MCIR were used to show vaccine coverage declines among most children at milestone ages in May 2020 compared to previous May estimates.

Bramer CA, Kimmins LM, Swanson R, et al. Decline in Child Vaccination Coverage During the COVID-19 Pandemic — Michigan Care Improvement Registry, May 2016–May 2020. MMWR Morb Mortal Wkly Rep 2020;69:630–631. DOI: http://dx.doi.org/10.15585/mmwr.mm6920e1external icon.

American Public Health Association

Adolescent Immunization Coverage and Implementation of New School Requirements in Michigan, 2010

Authors:
Rachel C. Potter
Stefanie F. DeVita
Patricia A. Vranesich

Matthew L. Boulton

Examination of the effect of Michigan’s new school rules and vaccine coadministration on time to completion of all the school-required vaccine series, the individual adolescent vaccines newly required for sixth grade in 2010, and initiation of the human papillomavirus (HPV) vaccine series, which was recommended but not required for girls.

Rachel C. Potter, Stefanie F. DeVita, Patricia A. Vranesich, and Matthew L. Boulton, 2014:Adolescent Immunization Coverage and Implementation of New School Requirements in Michigan, 2010American Journal of Public Health 104, 1526_1533, https://doi.org/10.2105/AJPH.2014.301910

 The Society for Healthcare Epidemiology of America, 2018

Healthcare Personnel Vaccination Policies in Michigan Long-Term Care Facilities

Authors:
Lynsey M. Kimmins
Cristi A. Bramer
Jacklyn L. Chandler

Adam L. Hart

Abstract:
Of the 461 licensed long-term care facilities (LTCFs) in Michigan, 129 responded to the first survey of LTCF healthcare personnel (HCP) immunization policies, coverage estimates, and perceived barriers to vaccination.

Survey results suggest opportunities to improve HCP vaccination through polices, education, barrier removal, and HCP immunity status tracking in licensed LTCFs in Michigan.

Kimmins, L., Bramer, C., Chandler, J., & Hart, A. (2018). Healthcare personnel vaccination policies in Michigan long-term care facilities. Infection Control & Hospital Epidemiology, 39(8), 1003-1005. doi:10.1017/ice.2018.110

Journal of Public Health Management and Practice

Assessing the Ability of an Immunization Information System to Prevent Overimmunization of Pediatric Influenza Vaccines

Cristi A. Carlton, MPH
Rachel C. Potter, DVM
Patricia A. Varanesich, BSN, RN
Robert G. Swanson, MPH

Conclusions:
This is the first study to use an IIS to quantify the difference between ACIP’s approaches for 2-dose influenza vaccine recommendations. The immunization history and 2-dose forecasting algorithm available through MCIR minimizes overimmunization and has potential cost-saving implications. Our study illustrates the value of a centralized repository provided by IISs to immunization providers, public health, and caregivers.

Carlton, Cristi A. MPH; Potter, Rachel C. DVM, MS; Vranesich, Patricia A. BSN, RN; Swanson, Robert G. MPH Assessing the Ability of an Immunization Information System to Prevent Overimmunization of Pediatric Influenza Vaccines, Journal of Public Health Management and Practice: May/June 2015 – Volume 21 – Issue 3 – p 282-287 doi: 10.1097/PHH.0000000000000122


White Papers


This Pharmacy White Paper was created through the partnership between the Michigan Pharmacists Association (MPA) and the Michigan Department of Health and Human Services (MDHHS) Division of Immunization. This resource uses data reported to the Michigan Care Improvement Registry (MCIR) to discuss the valuable contributions of pharmacies on adult immunizations.

MDHHS Pharmacy White Paper 2018

MDHHS Pharmacy White Paper March 2020 – Jeremy Kuo, MPH

6.10.2020