Modeling of Immunization Registry Operations Workgroup (MIROW)

MIROW develops best practice recommendations.


The purpose of MIROW is to develop a best practice operational improvement guidebook and to promote the implementation of best practices in the IIS community. 

Best practice recommendations include:

  • An overview of the topic being reviewed
  • Principles, business rules, and general recommendations associated with the topic
  • Various models, such as business process models, state transition models, and others
  • Agreed upon terms and definitions
  • Information about implementation considerations for the best practice recommendations

Each guide is available as a full guide or as a summarized mini-guide. This is an ongoing initiative with additional topics added regularly.

 For more information:

  • The MIROW Charter contains more information about this steering committee.
  • The MIROW Brochure offers additional information about the MIROW process to develop best practice recommendations.


The MIROW Steering Committee includes experts from state and city IIS, IIS implementers, and CDC.  The MIROW co-chairs are Elaine Lowery and Mandy Harris.

Not an MIROW member? MIROW is a limited-membership committee which offers membership through invitation only. If you are interested in nominating yourself for future openings on this committee, please email [email protected]. An AIRA staff member will contact you if you are being considered for an open MIROW Steering Committee member position.


The MIROW Steering Committee meets the third Thursday of every month from 4:00 to 5:00 p.m. ET (1:00 to 2:00 p.m. PT). Meetings are also listed on AIRA’s events calendar.

MIROW Resources for the IIS Community

Best Practice Guidelines

Please select a guide from the following list to access the full guide and mini-guide(s). Select MIROW mini-guides are available in French and Spanish. The MIROW Suggested Reading Paths document can be used to help navigate the guides below by staff role.

MIROW Common Vocabulary

Learn more about the common vocabulary used in MIROW guides. 

MIROW Evaluation Final Report

Learn how MIROW best practices are being implemented across the country in the MIROW Evaluation Final Report