HPV Vaccination Quality Improvement Collaborative
Now Recruiting Practices!
HPV Series Completion (Phase 2) Begins March 2018
Get CME and MOC Part 4
Project Requirements, Per Participating Provider
- Pull 10 consecutive charts of patients ages 11 and 12 years to determine a baseline HPV vaccine series completion rate, and again monthly to track progress.
- Attend the In-Person Learning Session in Pasadena in March, date TBD.
- Collect monthly data and upload onto QIDA (AAP's Quality Improvement Data Aggregator), to track progress and produce run charts.
- Participate in monthly webinars (usually at 12:15 PM on a Wednesday)
See below for some of the Lessons Learned from Phase 1.
Please email the Chapter if you are interested: email@example.com
HPV Series Initiation Project Below This Point
Phase 1 ended in May 2017.
QUESTION: What was the most effective strategy you were able to implement that helped with HPV vaccine initiation/completion rates?
- Never mention HPV last in a list. “Today you’re getting Tdap, HPV, and Menactra” .
- Providing parents with proof of long-term studies showing vaccine efficacy and safety.
- CDC handout given to refusing parents, then followed-up with a call.
- Vignette written by father whose daughter had cervical cancer at age 23.
- Emphasize it is a Cancer Prevention vaccine. Get it now and only get 2 shots.
- Look-up patients turning 11 and call them to come in for an appointment.
- Provide information brochures to 9 and 10 yo to get them prepared.
- Tell parents “This vaccine is given at a young age because their immune system works better at this point”.
- CDC Vignette written by father whose daughter had cervical cancer at age 23.
- Created a roster of 10, 11 and 12 yo who had not come in for a physical.
- Used HPV flyer from CHOP:
- English: http://media.chop.edu/data/files/pdfs/vaccine-education-center-hpv.pdf
- Spanish: http://media.chop.edu/data/files/pdfs/vaccine-education-center-hpv-esp.pdf
- FYI, all CHOP Vaccine Safety Sheets: http://www.chop.edu/centers-programs/vaccine-education-center/resources/vaccine-and-vaccine-safety-related-qa-sheets
- Ask refusers who researched online “what website were you reading?” and provide resources from credible institutions.
- When sick, schedule a follow-up appointment for the “illness” to vaccinate later.
- Immunization Record available from the beginning of the visit (and not go out to get it).
- Brought up HPV 3 times: Nurse mention on take-in, hand info at start of visit, discuss at end of visit.
- Congratulated parents for making the correct choice.
- It’s effective for MAs to mention the HPV vaccine. Taken as coming more from a peer.
- Explain that sexually is not the only transmission route. Also by touch.
- Summer Camp Forms. An opportunity to look at immunization record and recommend HPV.
QUESTION: What additional resources would you need or consider useful?
- A brochure by Patient Point is very effective with patients/parents.
- A PDSA worksheet would help to formalize in depth PDSA sheets development.
- Working with IT to develop an automated “text” reminder system.
- Printing the patient’s vaccine log to capture missed opportunities for all vaccines at all visits (well child, sick and urgent care).
- Assure a nursing follow-up appointment if parent wanted to think about the vaccine.
- Generated a call-back list when ran out of vaccines and utilized the Call Center to have patients return.
- Electronic health records and registries are not helpful in tracking patient populations.
- The use of the Ishikawa Diagram (Fishbone Diagram) was extremely useful and will use it again in the future
Please scroll below to view the 3 MONTHLY REQUIREMENTS and the free webinar announcement from CDPH.
- Cycle 5 ended on April 15th.
- Please fax your forms ASAP to be compliant with MOC.
- Remember that every practice Leader must complete the "Practice Project Update" following each monthly webinar. This is also required for MOC.
NOTE: Practices are required to complete a "Practice Project Update" (short online survey) following each monthly call.
All practice leaders will need to complete this retroactively (to reflect participation during the January Webinar) and after every monthly call/webinar going forward. Thank you for your consideration in meeting this requirement. See link below, under Monthly Requirement number 3.
THREE MONTHLY REQUIREMENTS for MOC
1. Participants upload Data Into QIDA and send the form to the Chapter
All participating providers are responsible for uploading their own data. Cycles end the 15th of each month.
- Download the HPV QIDA Data Capture Form. You may capture data on this printed document, then enter as aggregate data in QIDA at the end of each Cycle. Be sure to also send the completed forms to us at the end of each cycle. (details for faxing and emailing at the bottom of the form).
- Click the following link to access QIDA. You will need your AAP ID and password: https://qidata.aap.org/ca2hpv
To watch the QIDA tutorial, click here.
2. Participants attend a Monthly Webinar
Webinar attendance is required. These are offered on two consecutive days (4th Wednesday/Thursday)
Wednesday, April 26 at 12:15 PM, and
Thursday, April 27 at 6:00 PM.
Please join my meeting from your computer, tablet or smartphone.
You can also dial in using your phone.
+1 (646) 749-3122
Access Code: 983-986-445
3. Practive leader completes the Practice Project Update (SurveyMonkey)
If you have trouble with the link above, Right-Click the link, then select "Open link in new private window".
Attendance is everyone's requirement. However, this survey is to be completed by the practice leader to reflect webinar participation for the practice. Please enter your responses pertaining to attendance and aggregate practice data as reviewed during the January Webinar (Cycle 2), and after every Monthly Webinar going forward.
- Each participating provider will pull 10 consecutive charts of patients ages 11 and 12 years to determine a baseline HPV initiation rate, and again monthly to track progress.
- All data will be entered into QIDA (AAP's Quality Improvement Data Aggregator), from which to produce baseline data and run charts.
- No personal identifiers will be collected. This is not a research project.
- All practices are expected to participate in monthly webinars, offered on two different dates per calendar month for convenience.