As in any healthcare system, a “paper trail” exists from the time an order for an immunization is written until the actual administration and accompanying documentation is recorded. As a check on how well the NCIR was being used, the pilot team compared pharmacy records to the NCIR records in July and again in October and found 99% agreement. This is a high level of reliability and speaks to the hard work of the team to develop a reliable system. Currently the team is completing the name reconciliation for the infants entered over the summer and creating a graphic of the unit process for using the registry. The last activity of the pilot will be to plan system checks and agree on periodic system sampling to assure that there is not falloff or drift from the current achievements.