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good morning ladies and gentlemen and welcome to the NCI our connections and query function conference call yea votes for today is Melissa Ottinger this Islander you may begin good afternoon and welcome to today's webinar presented by lake superior quality innovation network Lake Superior clin is comprised of three organizations and pro in Michigan m tis are in Wisconsin and shredded health in Minnesota to support the Centers for Medicare and Medicaid Services priorities for healthcare quality improvement in each organization's respective states today we have also on the line three spoiled you see their public health abundant maker so just some background snicker was originally the Michigan childhood immunization registry created in 1998 to collect immunization data and children in two thousand six adults were added in the main change to Michigan cherry provement registry there are currently over 6000 providers and 1,400 pharmacies reporting data victor is used by schools licensed chil

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