Quality Improvement Initiative to Improve Human Papillomavirus Vaccine Initiation at 9 Years of Age

Academic Pediatrics
Martha J GolemanJennifer Morack

Abstract

Adolescent human papillomavirus (HPV) vaccine rates remain low. Early vaccination may improve the efficacy of the vaccine and immunization rates; however, clinicians have not routinely made a strong recommendation for younger adolescents. This study assessed the feasibility of routine vaccination at 9 years of age. Three sequential quality improvement (QI) interventions were implemented to shift the initiation of the HPV vaccine to 9 years of age in a primary care network in low-income neighborhoods in Columbus, Ohio. The first intervention changed the electronic medical record alert for the HPV vaccine from 11 to 9 years of age and focused on cancer prevention when discussing the vaccine with families. The second intervention was formation of an HPV QI team. The third intervention was a clinic incentive for HPV captured opportunity rates. Immunization rates were monitored using statistical process control charts to compare the HPV immunization rate in a sample of 9- and 10-year-old children with a sample of 11- and 12-year-old children. The percentage of patients receiving an HPV vaccine before 11 years increased from 4.6% to 35.7% during the 6 months after the QI initiative began and to 60.8% 18 months after the project began...Continue Reading

Citations

Jul 9, 2020·CA: a Cancer Journal for Clinicians·Debbie SaslowUNKNOWN American Cancer Society Guideline Development Group
Jan 8, 2021·Pediatric Quality & Safety·Kristin OliverSharon Humiston
Jun 17, 2020·Pediatrics·Rebecca B PerkinsAmresh Hanchate
Dec 21, 2021·Journal of Lower Genital Tract Disease·Sharon M CaseyRebecca B Perkins

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