Improving HPV Vaccination Completion Rates: Implementation of a Multi-Component Intervention Process to Improve Scheduling of Subsequent Dose
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Authors
Esch, Weily
Issue Date
2023-05-11
Volume
Issue
Type
Presentation
Language
Keywords
HPV , Vaccination , Adolescents
Alternative Title
Abstract
Purpose: The purpose of this quality improvement project is to implement education, clinical process changes, and reminder system interventions to enhance delivery of subsequent HPV vaccine dosages to improve completion rates in the adolescent population specifically ages 10-14 within one family care clinic.
Background: HPV is the most prevalent STI in the U.S for both men and women contributing to over 95% cervical cancer cases, as well as other cancers. Greater than 98% of persons who receive the HPV vaccine produce antibody response to the specific HPV types. There continues to be a variation in rates between receiving the initial dose and completing the full two-dose series. Despite proven efficacy and recommended guidelines of the HPV vaccination, rates remain below target goal of 80% in the adolescent population nationally and locally
Sample/Setting: This quality improvement project was implemented at a family care clinic in Hastings, Nebraska over a 13-week period. Using recommended HPV vaccine guidelines, a target population of ages 10-14 was chosen.
Methods: The Plan-Do-Study-Act model was utilized to carry out a multicomponent intervention during a 13-week implementation phase. HPV education was inserted within the EMR to print on the patient’s after visit summary. Adolescent was given a check-out slip to make their subsequent dose appointment with a perforated HPV vaccine appointment reminder card attached, along with a immunize.org HPV fact sheet. At check out the slip was kept in a folder. Lastly, a scripted phone interview was conducted on 20% of adolescent parents that did not schedule subsequent dose.
Results: The project was implemented using the different components as outlined. Two of seven eligible adolescents who received their first dose made appointments for subsequent HPV vaccine injections.
Conclusion: This quality improvement project supports patient education and appointment reminders as interventions to improve vaccine uptake. Project design can be replicated in a family practice setting.
Description
Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University