Abstract
Purpose
The human papillomavirus (HPV) causes genitourinary and oropharyngeal cancers. The
HPV vaccine is safe and effective in preventing those diseases; however, vaccine series
completion rates remain low in the United States. Our quality improvement (QI) project
aimed to increase HPV-vaccination series completion rates to 70% from 2017 to 2020
for the 13-year patient population in an extensive academic pediatric primary care
network that serves predominantly minority and Medicaid-insured children in Columbus,
OH.
Methods
The outcome measure was the percentage of 13-years Nationwide Children's Hospital
Primary Care Network patients who completed the two-dose vaccine series by their 13th
birthday. Four QI implemented interventions were utilized. Electronic medical records
alert informed providers when the HPV vaccines are due. We studied monthly data for
the network and for individual clinics using statistical process control, displaying
data on a control chart. We followed two process measures, captured opportunity rate,
and the number of HPV vaccines given.
Results
We substantially increased HPV-vaccination series completion rates overall in the
13-year teen population from 27% to 65%, and three clinics reached the 70% goal for
at least one quarter. Latino children had the highest completion rate of 80% and White
children had the lowest completion rate at 64%.
Discussion
Our QI project used four measures to improve HPV-vaccination series completion rates
in the 13-year patient population that serves minority and low-income teens predominantly.
Further QI studies are needed to improve HPV vaccine completion rates in teens.
Keywords
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Article info
Publication history
Published online: March 14, 2023
Accepted:
January 9,
2023
Received:
June 18,
2022
Publication stage
In Press Corrected ProofFootnotes
Conflicts of interest: The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2023 Society for Adolescent Health and Medicine. All rights reserved.
