Improving HPV Vaccination in Adolescents: A Quality Improvement Initiative
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King, Cora
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Abstract
Background: Human Papillomavirus (HPV) related cancers are preventable if vaccinated. Opportunities to administer the HPV vaccination to adolescents were being missed with a rural, primary care clinic due to lack of vaccination status assessment protocols.
Methods: A missed opportunity for vaccination protocol was developed using the 4 Pillars™ Practice Transformation Program. Baseline vaccination rate for the clinic was determined using HPV billing reports.
Intervention: Staff were educated about HPV missed opportunities for vaccination for the first week of ten. Clinic Staff implemented a missed opportunity for vaccination protocol and evaluated it weekly for the remaining nine of 10 weeks.
Results: The clinic achieved a 0.025% vaccination rate with implementation of the missed opportunity for vaccination protocol. This percentage was lower than the clinics baseline vaccination rate of 28.3%. This percentage was also below the Healthy People 2020 goal of 80%.
Conclusion: Implementation of a missed opportunity for vaccination protocol developed using the 4 Pillars™ Practice Transformation Program was unsuccessful in helping this rural clinic achieve improved HPV vaccination rates for adolescents 9-17 years of age.
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King, C. S. (2018). Improving HPV Vaccination in Adolescents: A Quality Improvement Initiative