Using MIIC for
Immunization Practice
Miriam Muscoplat, MPH
Sudha Setty, MPH
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Overview
• MIIC (Minnesota Immunization Information Connection) is
our statewide immunization information system or IIS (or
immunization registry)
• MIIC is one of the more well-established registries in the
nation
• In existence for over 11 years
• One of 6 IIS “sentinel sites” in the nation
• Contains over 66 million immunizations for 6.9 million
clients
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MIIC Functionality
• Log in
• View client immunizations
• View vaccine forecasting
• Order MDH vaccines
• Run assessment reports
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Log In
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View Client Immunizations
MIIC Forecaster
• Clinical decision support tool
• Helps providers see what shots a patient is due for
• Administrative support tool
• Can help school users determine what a student needs for school
entry
MIIC Forecaster
MnVFC Program Goals 2014
• Continue to use technology to make program easier to
manage
• MIIC enhancements, online tools for annual reports
• Manage changing federal accountability requirements
• Written policies and procedures for replacement sites
• Increase outreach and recruitment
• Outreach to immunization managers at system level
• Recruit more MnVFC providers
MnVFC and MIIC
January 2014 monthly orders in MIIC
18%
Paper Order Form
MIIC Ordering Tool
82%
2014 MIIC Enhancements
• Providers can track shipping information in MIIC under
View Orders
• www.health.state.mn.us/divs/idepc/immunize/registry/hp/ordering.html
Assessment
• About
• Child
• Adolescent
• List based
Immunization Assessment Reports
• The Minnesota Immunization Information Connection
(MIIC) offers easy-to-use immunization assessment
reports to help monitor immunization rates for child and
adolescent vaccines.
• The assessment reports offer clinic-based and countybased immunization rates as a tool to assist in monitoring
immunization coverage rates and plan improvement
activities.
• NEW: Fact Sheets about the uses of these reports for
providers
• Located on MIIC User Guidance website
Fact Sheets
Quick Assessment Demonstration
• MIIC
List Based
 MIIC feature: List-based assessment reports
 MIIC builds a relationship between a patient and a clinic
when a shot is given to that patient and entered by that
clinic.
 Users must inactivate patients that are no longer part of their
practice.
 The list based assessment can be used to get rates for
active patients only
 Many EMRs can produce a list of patients that MIIC can use to
calculate rates
Using Reports for Quality Improvement
• Run Baseline Report: Run an assessment report to establish rates
and identify the areas most in need of improvement.
• Perform Evaluation: Measure both the steps taken to improve clinic
process and the improvement in immunization rates by monitoring
activity timelines and by periodically re-running assessment reports.
• Having solid quality improvement plans and activities in place can
help health care providers demonstrate meaningful use of electronic
health record immunization data.
• Monitoring and acting to improve immunization rates helps protect
patients and the community from vaccine-preventable disease.
Submit Client Query
• The Submit Client Query feature allows you to
submit a list of clients to MIIC and receive the
immunization records of those on the list.
• An added benefit is that the immunization records can
then be loaded into your organization’s electronic health
record system, giving you up to date immunization data.
Uses for Submit Client Query
• School nurses use this function to review immunization
records of students to see if they are compliant with
Minnesota’s school immunization law.
• Health plans use this function to get data to report on how
their plan members are meeting national health goals.
They also publicly report this data to show the quality of
health care received under their plans.
• Clinic staff can use this function to update immunization
records, especially patients that have recently joined their
practice.
Client Follow Up
• Identifies patients who are due or overdue for
immunizations and uses a process called reminder/recall
to follow-up with those individuals
• Can be used with the Childhood or Adolescent
Immunization Summary Reports
CFU demo
Client Follow Up-Manual
Client Follow Up-List
Client Follow Up
Client Follow Up
Client Follow Up
Prevention and Public Health Fund
activities
• Funding to 11 sites (7 states, 4 cities)
• MDH promoting entire adolescent platform
• Tdap, meningococcal, HPV & influenza vaccines
• Using every opportunity to also get message out
about the new school law changes effective
September 1, 2014
• Activities also coincide with the Minnesota Cancer
Alliance’s current initiative to promote HPV vaccine
as a cancer prevention measure
• Grant period ends December 29, 2014.
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Public & partner engagement
• Statewide news release 1/29/2014
• Quarterly email focusing on grant activities, resources &
collaborative opportunities
• Webinar on March 24 on strategies to promote adolescent
vaccination and opportunities to collaborate
• To access the archived version of the webinar:
• Go to https://health-state-mn-ustraining.webex.com
• Click “Recorded Sessions” under “Attend a Session” in the left-
hand toolbar
• Look for Partnering to Promote Adolescent Vaccination from March
24, 2014
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Statewide Postcard
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Public Campaign
• School Space Media
• Minnesota State High School League & Channel 45
• HPV public service announcements
• Social Media
• Reach out to diverse media
• Minnesota State Fair
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Exhibit at Xcel during tournaments
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HPV Public Service
Announcements
Channel 45 and Prep45.com air PSA
Close the Door to Cancer
Audience: Parents
This 30-second PSA reminds us why girls and
boys need HPV vaccine protection now—to
prevent cancer later.
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Social Media 3/10/14
Facebook - Have you seen our vax4teens
postcard? If you’re the parent of an 11 or 12
year old, watch your mailbox for this postcard to
arrive soon with info on getting your teen
vaccinated. www.health.state.mn.us/vax4teens
Twitter - Did you get our vax4teens postcard?
www.health.state.mn.us/vax4teens
3/27/14
Facebook and Twitter –
Making the game-winning shot is hard. Getting
vaccinated is easy. Do something easy today—
get vaccinated!
www.health.state.mn.us/vax4teens
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Reach out to diverse media
• Included an HPV message/ad in December 2013
• Will do another round of ads Spring 2014
• Diverse media outlets include:
• Asian American Press
• Hmong Times
• Hmong Today
• Insight News
• La Prensa
• Liberian Journal
• Mogadishu Times
• Mshale
• PepperSoup
• Ze-Habesha/Tenaadam
• KFAI radio (in 8 different languages)
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Provider Education Activities
• One set of content, three presentation types
• Webcast
• Grand Rounds-style lectures
• Clinic inservices
• Presented by Vince LaPorte, MD
• CME/CE available for all
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Lectures
Duluth
Bemidji
May 8
May 7
Minneapolis
May 29
Willmar
St. Paul
(Broadcast to others)
April 2
June 12
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In development
• Adult Assessment
• Adult CFU
• Adolescent Missed Opportunities