Improving Human Papilloma Virus Vaccination Rates: Quality Improvement

Pediatric Quality & Safety
Michelle BowdenBindiya Bagga

Abstract

Human papilloma virus (HPV) is a sexually transmitted infection with a national prevalence of greater than 70 million. Most infections are among persons 15-24 years of age. The HPV vaccine has nearly 100% efficacy when administered before natural exposure. However, national vaccination rates remain less than 50%. Our objective was to improve the rate of initiation of the HPV vaccination series in a resident teaching practice. We used the Plan Do Study Act methodology for quality improvement. Eligible patients included children 9 through 13 years of age who presented to a general pediatric clinic. We established baseline data by reviewing HPV immunization rates taken from a convenience sample of ≤20 patients per month over 7 months. A key driver diagram guided interventions including resident communication, nursing staff education, family knowledge, and an electronic medical record prompt beginning at age 9. Using standard run chart rules, we plotted monthly postintervention vaccination rates over 7 months of data collection. Baseline data included 136 patients age 9-13. Run chart monitoring revealed an increase in our HPV vaccination rate from 53% at baseline to 62% by October 2015. Additionally, we observed a statistically sig...Continue Reading

References

May 6, 2005·Journal of Lower Genital Tract Disease·Kristin DavisJames K Dias
May 15, 2007·The New England Journal of Medicine·Suzanne M GarlandUNKNOWN Females United to Unilaterally Reduce Endo/Ectocervical Disease (FUTURE) I Investigators
Jul 14, 2007·Preventive Medicine·Noel T Brewer, Karah I Fazekas
Sep 21, 2010·Patient Education and Counseling·Cabral A BigmanRobert C Hornik
Jan 14, 2011·BMJ Quality & Safety·Rocco J PerlaSandy K Murray
Aug 29, 2013·Human Vaccines & Immunotherapeutics·Pooja R Patel, Abbey B Berenson
Dec 9, 2014·Human Vaccines & Immunotherapeutics·Sarah E Williams
Aug 26, 2016·MMWR. Morbidity and Mortality Weekly Report·Sarah Reagan-SteinerJames A Singleton

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Citations

Jul 26, 2019·Clinical Obstetrics and Gynecology·Melissa G Rosenstein

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Cerner Ambulatory

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