The MCIR Region-2 staff are fully versed in all aspects of MCIR, including HL7, Inventory Management, Dose for Dose Accountability, Reports, etc.
Use their expertise to help you protect more people, raise your immunization rates, be more efficient using MCIR, etc.

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 Our Region 2 Staff 

Lee Brazie


MCIR Program Coordinator / Webmaster

Lee has been a professional teacher for over 40 years. He also brings 20 years IT and Managerial experience to MCIR and utilizes this background expertise to help his Providers.

Counties: Branch, Calhoun, Hillsdale, Ionia, Jackson, Lenawee, and St. Joseph

John Harwood

MCIR Program Coordinator

John comes to MCIR as a Medical Assistant with clinical experience in Pediatrics and Family Medicine and has over a decade�s worth of customer service experience. He formerly worked at the MCIR Help Desk and was the Immunization Coordinator at a West Michigan FQHC for 4 years.

Counties: Kent and Ottawa

Rosemarie Patrick

Help Desk

Rosemarie benefits us with 20 years of LHD experience, which includes front-line customer service, software expertise, user training, and a host of material development, and has taken the lead in creating procedure manuals, newsletters, databases and the like.

Counties: All

Bill Richter

MCIR Program Coordinator

Bill comes to MCIR with a BA in Communications from the University of Michigan and a teaching certificate from Western Michigan University. He has extensive experience in customer service including retail, non-profit, and mortgage services.

Counties: Allegan, Berrien, Cass, Kalamazoo, Muskegon, and Van Buren

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"MCIR is the best immunization registry
in the universe!"


Calhoun County Provider Meeting Awards - Peds

In recognition of attaining greater than 60% MCIR Up-To-Date Immunization rates of the 24 through 36 month old pediatrics (4:3:1:3:3:1:4:2) in your practice.
Dr. Thomas Neidlinger, Dr. David Byrens, Cereal City Peds, Oaklawn Medical Group – Suite 2B, Historic Family Physicians

Calhoun County Provider Meeting Awards - Adols

In recognition of attaining greater than 60% MCIR Up-To-Date Immunization rates of the 13 through 17 year old teenagers in your practice.
DayOne, Grace Health, NHBP Health Dept & Cereal City Peds

Marshall Internal Family Medicine (MIFM)
Oaklawn Medical Group

Oaklawn Medical Group - MIFM receives the achievement award from MDHHS at the 2017 Kalamazoo Immunization Conference for a 93.3% immunization rate for Peds (4:3:1:3:3:1:4:2).

L to R: Lee Brazie - MCIR Coordinator; Alice Gombas - VFC Primary, Andrea Cook - Immunization Supervisor (not pictured, David Cavendar - VFC Backup)

Intercare Benton Harbor Student Health Center

Lakeia Whitfield and Susan Bublick from Intercare Benton Harbor Student Health Center receive a Special Recognition Award for their efforts in HPV vaccine completion rates.

Vaccines are the most cost-effective health care interventions there are.
Ezekiel Emanuel

What is the Michigan Care Improvement Registry?

In 1997, the originally named Michigan Childhood Immunization Registry (MCIR), was created as a strategy to increase the immunization levels of children in Michigan. The goal was to provide a reliable, easily accessible software tool which consolidates immunization records for children for the entire state.

From the beginning, MCIR was designed to be implemented to local communities while providing access to all immunization providers, both public and private, anywhere in the state. MCIR is populated using birth data submitted from the state�s electronic birth certificate system, which originates in the birthing hospital. MCIR records are updated with health information including immunization records submitted by healthcare providers.

While MCIR is a single database accessible through a secure web page, there are six regions across the state that are responsible for communicating with providers, providing technical assistance and developing procedures and protocols through their own governance boards. This decentralized approach has helped establish local ownership with a more receptive buy-in from public and private providers. The registry has been welcomed by health care professionals who recognize the value of having immunization records in a single location, no matter where a child receives vaccines.

MCIR�s numerous benefits include: Providing assessments and printouts of a child�s immunization record, as well as due dates for the next recommended vaccines Assisting managed care organizations with The Health Plan Employer Data and Information Set (HEDIS) reporting Generating recall notices to the parents or guardians of children who are past due for recommended immunizations

In addition, the MCIR vaccine inventory module (VIM) assists providers in managing vaccine inventory, thus increasing efficiency in providers� offices.

In 2006, the Michigan Public Health Code was modified to allow MCIR to collect immunization information on individuals of any age. Since it was becoming a lifespan registry, its name was changed to the Michigan Care Improvement Registry, retaining the MCIR acronym. Another important change to the Public Health Code was that it allowed MCIR to interoperate with other public health data. Since MCIR has over 30,000 users, making additional public health data available to better manage patient care is critical to improving health care in Michigan.

Since that time, MCIR has undergone many changes, and it now provides benefits that weren�t even thought of 15 years ago. MCIR has integrated lead, early hearing and detection intervention (EHDI), newborn screening (NBS) and Early Periodic Screening Diagnosis and Treatment (EPSDT) results for providers to access, and has recently implemented Body Mass Index (BMI) clinical decision support for providers in Michigan. In addition, sickle cell case reporting is managed through MCIR.

MCIR has also been enhanced so it has the ability to track vaccines and biologics to be used in an emergency situation. In a public health emergency such as pandemic influenza, the MCIR All Hazards module serves a useful role in tracking persons vaccinated and/or provided prophylaxis as a result of an emergency.

The purpose of MCIR is not merely to be a warehouse for immunization records. Rather, the ultimate goal is that MCIR can be a tool used to assure that all individuals are vaccinated on time. We wish to thank Michigan physicians and health care providers for your role in making MCIR an integral part of providing immunizations in our state. Our registry wouldn�t be a nationally-recognized success without your continued commitment to using MCIR in your practices to improve health care for Michigan families.