DIVISION OF IMMUNIZATION

Michigan Office of the
Auditor General
Thomas H. McTavish, C.P.A.
Auditor General

EXECUTIVE DIGEST #3964299
DIVISION OF IMMUNIZATION

INTRODUCTION
This report, issued in March 2001, contains the results of our performance audit of the Division of Immunization, Community Public Health, Department of Community Health (DCH).

AUDIT PURPOSE
This performance audit was conducted as part of the constitutional responsibility of the Office of the Auditor General. Performance audits are conducted on a priority basis related to the potential for improving effectiveness and efficiency.

BACKGROUND
The Division of Immunization's mission is to increase the number of infants that are fully immunized, to oversee the utilization of the Michigan Children's Immunization Registry (MCIR), and to increase the immunization rates for all age groups, including older children and adults.

For fiscal year 1999-2000, the Division was appropriated $1,873,000 for administrative purposes and was authorized 7.7 full-time equated positions.

AUDIT OBJECTIVES, CONCLUSIONS, AND NOTEWORTHY ACCOMPLISHMENTS
Audit Objective: To assess the effectiveness of the Division's efforts to increase immunization levels.

Conclusion: We concluded that the Division was effectively increasing immunization levels. However, we noted a reportable condition related to MCIR data (Finding 1).

Noteworthy Accomplishments: MCIR is one of the most sophisticated of the immunization registries and is considered by the All Kids Count Project to be one of the best in the country. The registry contains the names of over 1.2 million children.

Audit Objective: To assess the effectiveness of the Division's vaccine handling and distribution operations.

Conclusion: We concluded that the Division was effectively handling and distributing vaccines.

AUDIT SCOPE AND METHODOLOGY
Our audit scope was to examine the program and other records of the Division of Immunization. Our audit was conducted in accordance with Government Auditing Standards issued by the Comptroller General of the United States and, accordingly, included such tests of the records and such other auditing procedures as we considered necessary in the circumstances.

Our methodology included examining the Division's records and activities for the period October 1997 through February 2000. To accomplish our first audit objective, we reviewed infant immunization levels, the completeness of MCIR, and day-care/school and adult immunization levels and procedures. To accomplish our second audit objective, we reviewed vaccine handling and distribution procedures and related controls, reports of vaccine loss and spoilage, and procedures for reviewing vaccine handling practices at local health departments.

AGENCY RESPONSES
Our audit report contains 1 finding and corresponding recommendation. DCH's preliminary response indicated that it agrees with this recommendation.

Full Audit Report - #3964299 - DIVISION OF IMMUNIZATION

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This page was created on March 6, 2001.


INTRODUCTION This report, issued in March 2001, contains the results of our performance audit of the Division of Immunization, Community Public Health, Department of Community Health (DCH).

AUDIT PURPOSE This performance audit was conducted as part of the constitutional responsibility of the Office of the Auditor General. Performance audits are conducted on a priority basis related to the potential for improving effectiveness and efficiency.

BACKGROUND The Division of Immunization's mission is to increase the number of infants that are fully immunized, to oversee the utilization of the Michigan Children's Immunization Registry (MCIR), and to increase the immunization rates for all age groups, including older children and adults. For fiscal year 1999-2000, the Division was appropriated $1,873,000 for administrative purposes and was authorized 7.7 full-time equated positions.

AUDIT OBJECTIVES, CONCLUSIONS, AND NOTEWORTHY ACCOMPLISHMENTS Audit Objective: To assess the effectiveness of the Division's efforts to increase immunization levels. Conclusion: We concluded that the Division was effectively increasing immunization levels. However, we noted a reportable condition related to MCIR data (Finding 1). Noteworthy Accomplishments: MCIR is one of the most sophisticated of the immunization registries and is considered by the All Kids Count Project to be one of the best in the country. The registry contains the names of over 1.2 million children. Audit Objective: To assess the effectiveness of the Division's vaccine handling and distribution operations. Conclusion: We concluded that the Division was effectively handling and distributing vaccines.

AUDIT SCOPE AND METHODOLOGY Our audit scope was to examine the program and other records of the Division of Immunization. Our audit was conducted in accordance with Government Auditing Standards issued by the Comptroller General of the United States and, accordingly, included such tests of the records and such other auditing procedures as we considered necessary in the circumstances. Our methodology included examining the Division's records and activities for the period October 1997 through February 2000. To accomplish our first audit objective, we reviewed infant immunization levels, the completeness of MCIR, and day-care/school and adult immunization levels and procedures. To accomplish our second audit objective, we reviewed vaccine handling and distribution procedures and related controls, reports of vaccine loss and spoilage, and procedures for reviewing vaccine handling practices at local health departments.

AGENCY RESPONSES Our audit report contains 1 finding and corresponding recommendation. DCH's preliminary response indicated that it agrees with this recommendation.