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Public Health Data Collection and Reporting in Michigan

Michigan law has several provisions relating to public health data collection and reporting. The State Department of Public Health is required to create a comprehensive health information system that will collect data and health statistics on causes, effects, and extent of disease or illness throughout the state, the impact of the disease on the state and the well being of others, environmental, social, and other health hazards, and determinants of health and nutritional practice.1  Additionally, the Department has the statutory duty to prevent disease and promote the public health through public health programs, health statistics, and health-related research.2

The state also requires physicians to report each case of a serious communicable disease, unusual condition or disease that threatens the health of the public, and non-communicable disease to the health department.3   The law also requires the Department of Health to verify the validity and accuracy of any data reported by physicians and hospitals.4  Notably, HIV must also be reported by providers to the Department of Public Health with the patient’s identifying information.  However, a patient has the right to request that a physician not provide the identifying information to the Department in the report.5  In addition, local health departments are required to run partner notification programs to assist patients with their legal obligation to notify partners of their positive HIV status.6  All cancer cases must be reported to the Department of Health within ten days, and must include the patient’s name, address, and other relevant information.7  The law also requires hospitals to report all cases of spinal cord and traumatic brain injury to the Department of Public Health.8  Clinical laboratories are required to report results of blood lead analyses to the Department of Community Health.9  All fetal deaths must be reported to the Department of Health, but must not indicate the identities of the parents.10  The state of Michigan is unique in requiring health care providers to report immunizations to the Department of Community Health Community Public Health Agency.11   Individual immunization information must remain confidential and can only be released with appropriate authorization.12  The Michigan Care Improvement Registry records all childhood immunizations and is maintained by the Department of Community Health.13  The state also maintains a Donor Registry, which must limit access to identifying information of donors.14

The law also requires the reporting of a number of other conditions and medical procedures.  Specifically, all abortions that are performed within the state must be reported to the Department of Community Health within seven days.  The abortion report must contain specific information, such as race/ethnicity, facility information, and medical data, but cannot contain patient identifying information, such as name, address, or social security number.15  In addition, the law requires physicians to report to the Department of Community Health all complications or deaths related to abortions that occur in woman under their care.16

 

Footnotes

  • 1. M.C.L.A. §333.2616; M.C.L.A. §333.2617
  • 2. M.C.L.A. §333.2221; M.C.L.A. §333.2618
  • 3. M.C.L.A. §333.5111; MI ADC R. 325.173
  • 4. M.C.L.A. §333.2614
  • 5. M.C.L.A. §333.5114
  • 6. M.C.L.A. §333.5114a
  • 7. MI ADC R. 325.971
  • 8. MI ADC R. 325.9062
  • 9. M.C.L.A. §333.20531
  • 10. M.C.L.A. §333.2834
  • 11. MI ADC R. 325.163
  • 12. MI ADC R. 325.166
  • 13. M.C.L.A. §333.9207
  • 14. M.C.L.A. §333.10120
  • 15. M.C.L.A. §333.2835
  • 16. M.C.L.A. §333.2837

 

Public Health Data Collection and Reporting in Michigan

Subtopic Statute/Regulation Description
Confidentiality of reported data (Cross reference Privacy & Confidentiality) Mich. Admin. Code r. 325.971 - Reporting of cancer All physicians, dentists, or other health care professionals who have knowledge of a case of cancer must report the case to the Michigan Department...
Mich. Admin. Code r. 325.133 - Data collection The Michigan Department of Community Health must develop and maintain a statewide trauma data collection system.  The Department must adopt, at...
Mich. Admin. Code r. 325.166 - Confidentiality of reports Confidentiality of reports   The Department of Community Health Community Public Health Agency must maintain the confidentiality of all health...
Mich. Admin. Code r. 325.168 - Exchange of records The Department of Community Health may transmit copies of health records submitted by providers to state and national public health data systems....
Mich. Admin. Code r. 325.9054 - Confidentiality of reports The State Department of Public Health must maintain the confidentiality of the reports submitted to the Cancer registry and ensure that the reports...
Mich. Admin. Code r. 325.9072 - Reportable birth defects The statute lists numerous birth defects that must be reported to the Department. All birth defect diagnoses of children from birth to 2 years old...
Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Mich. Comp. Laws Ann. § 333.10120 - Regulations and guidelines regarding organ donor registries The Michigan Secretary of State must maintain an organ donor registry that contains the names of all individuals that opt to participate. The...
Mich. Comp. Laws Ann. § 333.2843b - Obligation of physicians to provide information when they have knowledge of an infectious agent in a deceased individual If a person dies while infected with an “infectious agent,” the physician that completes the death certificate must disclose the presence...
Mich. Comp. Laws Ann. § 333.5111 - List of reportable diseases, infections, and disabilities; rules List of reportable diseases, infections, and disabilities; rules   The Department of Community Health (“Department”) must create a...
Mich. Comp. Laws Ann. § 333.5114a - Referral of HIV infected individual to local health department; obligations of the local health department Referral of individual to local health department; assistance with partner notification; information; legal obligation to inform sexual partners;...
Mich. Comp. Laws Ann. § 333.5131 - Regulations and guidelines regarding the release of information about serious communicable diseases or HIV infections and instances of AIDS Generally, individuals must keep confidential all HIV/AIDs related “reports, records, and data pertaining to testing, care, treatment,...
Mich. Comp. Laws Ann. § 333.5621 - Reports not public records; exemption from disclosure; access to record All reports submitted to the department are not public records, but must be made available to the Bureau of Worker’s Disability Compensation...
Mich. Comp. Laws Ann. § 333.9207 - Childhood immunization registry; Michigan care improvement registry; establishment; purpose; confidentiality and disclosure requirements The Department of Community Health (“department”) must create and maintain the “Michigan care improvement registry” (“...
Mich. Comp. Laws Ann. § 333.9307 - Registration of child for kindergarten or first grade; certificate of hearing and vision testing or screening or statement of exemption required; summary of hearing or vision reports; forms; records Any parent enrolling their child in kindergarten or first grade must provide the school with a certificate of hearing and vision screenings, unless...
Mich. Comp. Laws Ann. § 722.627b - Child fatality review team membership and obligations; advisory committee membership and obligations Michigan requires each county in the state to form, either solely or jointly, a child fatality review team comprised of various government officials...
Disease specific reporting requirements: Cancer Mich. Admin. Code r. 325.971 - Reporting of cancer All physicians, dentists, or other health care professionals who have knowledge of a case of cancer must report the case to the Michigan Department...
Mich. Admin. Code r. 325.9050 - Registry The Department must maintain a cancer registry that records all tumorous and precancerous diseases. The registry information must be used for...
Mich. Admin. Code r. 325.9052 - Reportable diagnoses All cancers, benign brain tumors, and other tumorous and precancerous diseases must be reported to the Department. This reporting requirement applies...
Mich. Comp. Laws Ann. § 333.2619 - Cancer reporting and records maintenance obligations, regulations, and guidelines Each diagnosed case of cancer or tumorous and precancerous diseases must be reported to the State Department of Public Health or to a cancer registry...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Screenings for conditions if the results are required to be reported Mich. Admin. Code r. 325.13096 - Vision screening or test results All school-age children must undergo vision screenings, the results of which must be reported to the Department on a monthly basis within 30 days of...
Mich. Comp. Laws Ann. § 333.2221 - Organized programs to prevent disease, prolong life, and promote public health; duties of department Organized programs to prevent disease, prolong life, and promote public health; duties of department   The Department of Community Health has...
Mich. Comp. Laws Ann. § 333.2821 - Birth registration required; filing record of birth; time of registration; transmission to childhood immunization registry A birth record for each individual born in Michigan must be filed at the local registrar’s office within 5 days of the birth. The local...
Mich. Comp. Laws Ann. § 333.5432 - Hearing test and screening All health professionals providing care to a newborn infant that administers a hearing test and screening must disclose the results of the tests to...
Mich. Comp. Laws Ann. § 333.9152 - Screening pupils for scoliosis and other spinal disorders; guidelines; participation; written statement; short title of section The department must establish regulations organizing the screening of children in schools for scoliosis and other spinal disorders. Such regulations...
Mich. Comp. Laws Ann. § 333.9307 - Registration of child for kindergarten or first grade; certificate of hearing and vision testing or screening or statement of exemption required; summary of hearing or vision reports; forms; records Any parent enrolling their child in kindergarten or first grade must provide the school with a certificate of hearing and vision screenings, unless...
Public health reporting requirements Mich. Admin. Code r. 325.133 - Data collection The Michigan Department of Community Health must develop and maintain a statewide trauma data collection system.  The Department must adopt, at...
Mich. Admin. Code r. 325.135 - Performance improvement Performance improvement   The trauma registry will be phased in and ultimately administered by regional trauma advisory committees.  The...
Mich. Admin. Code r. 325.163 - Reportable information A health care provider who administers an immunization to a child born after December 31, 1993 or is under 20 years old, must report the immunization...
Mich. Admin. Code r. 325.164 - Quality assurance A health care provider who submits reports to the Department of Community Health regarding childhood immunizations must allow the Department to...
Mich. Comp. Laws Ann. § 333.20191 - Emergency patient; test for presence of infectious agent; positive test results; duties of health facility; notice; request for testing; confidentiality; rules; disclosure as misdemeanor; liability; definitions Police officers, fire fighters, or other emergency personnel (“emergency responders”) may come into contact with a person’s blood...
Mich. Comp. Laws Ann. § 333.2221 - Organized programs to prevent disease, prolong life, and promote public health; duties of department Organized programs to prevent disease, prolong life, and promote public health; duties of department   The Department of Community Health has...
Mich. Comp. Laws Ann. § 333.2614 - Duties of department generally The State Department of Public Health must establish the circumstances, persons and methods by which health related data can be collected.  The...
Mich. Comp. Laws Ann. § 333.2616 - Comprehensive health information system; establishment; provisions The State Department of Public Health must establish a health information system that will collect, analyze and utilize data and health statistics....
Mich. Comp. Laws Ann. § 333.2617 - Comprehensive health information system; statistics The health information system should include statistics about causes, effects and extent of disease or illness throughout the state, the impact of...
Mich. Comp. Laws Ann. § 333.2833 - Recording death on decedent's birth certificate; notification; recordation by department or local registrar; recordation on face of copies of certificate; correction of record The department of community health must, upon receiving the death certificate of an individual under the age of 45, notify the local registrar office...
Mich. Comp. Laws Ann. § 333.5111 - List of reportable diseases, infections, and disabilities; rules List of reportable diseases, infections, and disabilities; rules   The Department of Community Health (“Department”) must create a...
Mich. Comp. Laws Ann. § 333.5611 - Report of occupational disease or health condition aggravated by workplace exposures; time; contents; forms and instructions All physicians, hospitals, and clinics aware of or suspecting a case of an individual’s occupational disease must report the case to the...
Mich. Comp. Laws Ann. § 333.9206 - Certificate of immunization required; form; contents; right to object to reporting requirement; report to department; failure to comply with subsection 3; “health care provider” defined Any health care provider that immunizes a child must present the accompanying adult with a certificate of immunization. The certificate must list...
Mich. Comp. Laws Ann. § 722.623a - Knowledge of suspicion of alcohol, controlled substance, or metabolite of controlled substance in body of newborn infant; report required; exception All persons that are required to report child abuse and neglect must also report any incident where a newborn infant has alcohol, a controlled...
Trauma reporting requirements Mich. Admin. Code r. 325.134 - Trauma registry The Michigan Department of Community Health must establish standards for the reporting of trauma injuries, including the definition of a trauma...
Birth defects reporting requirements Mich. Admin. Code r. 325.14419 - Client records All patient records must be retained for 3 years following the end of services. The medical records must contain a signed consent form, the date of...
Mich. Admin. Code r. 325.9072 - Reportable birth defects The statute lists numerous birth defects that must be reported to the Department. All birth defect diagnoses of children from birth to 2 years old...
Mich. Comp. Laws Ann. § 333.5721 - Birth defect reporting and record maintenance obligations, regulations, and guidelines It is a mandatory requirement that each diagnosed incidence of a birth defect, including congenital abnormalities or genetic disease be reported to...
Deaths due to methadone Mich. Admin. Code r. 325.14419 - Client records All patient records must be retained for 3 years following the end of services. The medical records must contain a signed consent form, the date of...
Public health Registries Mich. Admin. Code r. 325.168 - Exchange of records The Department of Community Health may transmit copies of health records submitted by providers to state and national public health data systems....
Mich. Admin. Code r. 325.9052 - Reportable diagnoses All cancers, benign brain tumors, and other tumorous and precancerous diseases must be reported to the Department. This reporting requirement applies...
Mich. Comp. Laws Ann. § 333.10120 - Regulations and guidelines regarding organ donor registries The Michigan Secretary of State must maintain an organ donor registry that contains the names of all individuals that opt to participate. The...
Mich. Comp. Laws Ann. § 333.2619 - Cancer reporting and records maintenance obligations, regulations, and guidelines Each diagnosed case of cancer or tumorous and precancerous diseases must be reported to the State Department of Public Health or to a cancer registry...
Mich. Comp. Laws Ann. § 333.2821 - Birth registration required; filing record of birth; time of registration; transmission to childhood immunization registry A birth record for each individual born in Michigan must be filed at the local registrar’s office within 5 days of the birth. The local...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Mich. Comp. Laws Ann. § 333.9207 - Childhood immunization registry; Michigan care improvement registry; establishment; purpose; confidentiality and disclosure requirements The Department of Community Health (“department”) must create and maintain the “Michigan care improvement registry” (“...
Disease specific reporting requirements: Communicable diseases/reportable diseases (as designated by each state) Mich. Admin. Code r. 325.173 - Reporting and surveillance requirements All physicians must report each case of a serious communicable disease, defined under the law to the health department within 24 hours of discovery...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Other Mich. Admin. Code r. 325.63 - Reporting responsibilities All clinical laboratories that analyze blood or urine samples must issue a report to the Department of Community Health that lists all of the results...
Disease specific reporting requirements: Lead poisoning Mich. Admin. Code r. 325.9082 - Reportable information When requesting a blood lead analysis from a clinical laboratory, the physician must submit the appropriate information the Department. The...
Mich. Admin. Code r. 325.9083 - Reporting responsibilities All clinical laboratories that analyze blood samples for lead must report the results of such tests to the Community Public Health Agency, Childhood...
Mich. Admin. Code r. 325.9086 - Confidentiality of reports The Agency must maintain the confidentiality of all blood lead test reports and must not disclose any information that would identify a specific...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: AIDS/HIV Mich. Comp. Laws Ann. § 333.16267 - HIV infected test subject; compliance reporting requirements; definitions All licensees obtaining a test result from a test subject that reveals the test subject is HIV infected must comply with reporting requirements in...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5114 - HIV infected test subject; report; form; encoded individual case files If a positive HIV test result is obtained, the person or government entity that performs the test, must report within 7 days to the State Department...
Mich. Comp. Laws Ann. § 333.5114a - Referral of HIV infected individual to local health department; obligations of the local health department Referral of individual to local health department; assistance with partner notification; information; legal obligation to inform sexual partners;...
Mich. Comp. Laws Ann. § 333.5133 - Information that physicians who order HIV tests and health facilities that perform HIV tests must provide Information; pretest information; informed consent to HIV test; documentation; distribution of information; HIV test performed on anonymous basis;...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Public Health Data Collection and Reporting Mich. Comp. Laws Ann. § 333.17013 - Alternative methods of treatment of breast cancer; duty of physician to inform patient; standardized written summary or brochure; form; civil action A physician administering primary treatment for breast cancer must provide their patient with information, both orally and in writing, about...
Disease specific reporting requirements: Abortion Mich. Comp. Laws Ann. § 333.17015 - Guidelines and regulations regarding abortion Informed consent; definitions; duties of physician or assistant; location; disclosure of information; view of ultrasound; medical emergency...
Mich. Comp. Laws Ann. § 333.2835 - Reporting obligations regarding abortions Michigan requires physicians to submit reports to the Department of Community Health (“department”) within 7 days of performing abortions...
Mich. Comp. Laws Ann. § 333.2837 - Physical complication or death resulting from abortion; report Physicians must report to the department of community health (“department”) all complications or deaths related to abortions that occur...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Blood lead reporting requirements Mich. Comp. Laws Ann. § 333.20531 - Lead analysis; clinical laboratory reporting requirements All clinical labs must report, electronically, the results of blood lead analysis to the department of community health within 5 days of finishing...
Disease specific reporting requirements: Fetal deaths Mich. Comp. Laws Ann. § 333.2834 - Reporting obligations, regulations, and guidelines regarding fetal deaths Report of fetal death; time, form, and manner; prohibited information; report if dead fetus delivered in or outside institution; notice to medical...
Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: Birth defects Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: Brain tumor Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: Congenital abnormalities Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: Other conditions designated by the state as required reporting Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Disease specific reporting requirements: STDs Mich. Comp. Laws Ann. § 333.2843 - Report of death by funeral director A funeral director who receives a dead body must report the individual’s death. Included in the definition of a “dead body” is an...
Mich. Comp. Laws Ann. § 333.5717 - Birth defects registry; establishment; purposes The department must establish and maintain a birth defects registry to determine the trends of birth defects, to determine other causes of birth...
Child neglect/abuse reporting requirements Mich. Comp. Laws Ann. § 722.623 - Individual required to report child abuse or neglect; written report; regulations and guidelines regarding transmission of report Michigan requires numerous professionals, including physicians, physician’s assistants, and EMTs to report suspected cases of child abuse and...
Child fatality reporting requirements Mich. Comp. Laws Ann. § 722.627b - Child fatality review team membership and obligations; advisory committee membership and obligations Michigan requires each county in the state to form, either solely or jointly, a child fatality review team comprised of various government officials...