A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates
HPV vaccine uptake is low, nationwide. Quality improvement (QI) principles have the potential to change practice; however, not all providers are confident with QI skills. We developed an educational program designed to enhance QI skills and improve HPV vaccination rates. Five pediatric practices par...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2019-08-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2019.1627822 |
| _version_ | 1797633725214752768 |
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| author | Cynthia A Bonville Joseph B Domachowske Manika Suryadevara |
| author_facet | Cynthia A Bonville Joseph B Domachowske Manika Suryadevara |
| author_sort | Cynthia A Bonville |
| collection | DOAJ |
| description | HPV vaccine uptake is low, nationwide. Quality improvement (QI) principles have the potential to change practice; however, not all providers are confident with QI skills. We developed an educational program designed to enhance QI skills and improve HPV vaccination rates. Five pediatric practices participated in the pilot initiative. Training consisted of presentations regarding QI methods, data tracking and analysis, and system changes to reduce missed opportunities. Monthly for 6 months, participants performed chart audits, captured data, printed run charts, and developed, implemented, and tracked interventions. Outcome measures included rates of HPV vaccine completion and missed opportunities. A second phase included eight different pediatric practices who received similar training. Outcome measures included rates of HPV vaccine initiation and completion. Over the 6 months, mean HPV vaccine completion rates increased (45% to 65%) and missed opportunities for HPV vaccination decreased (45% to 19%) in the pilot program. When the program was replicated in phase 2, an increase was seen in both HPV vaccine initiation (46% to 61%) and completion (62% to 94%) rates. Combining QI education with workflow-focused strategies was associated with a reduction in missed opportunities and a substantial increase in HPV vaccine completion rates. |
| first_indexed | 2024-03-11T11:57:53Z |
| format | Article |
| id | doaj.art-8800f5b7f6844bd6a8ed57714bd07158 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T11:57:53Z |
| publishDate | 2019-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-8800f5b7f6844bd6a8ed57714bd071582023-11-08T11:55:19ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-08-01157-81570157610.1080/21645515.2019.16278221627822A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion ratesCynthia A Bonville0Joseph B Domachowske1Manika Suryadevara2SUNY Upstate Medical UniversitySUNY Upstate Medical UniversitySUNY Upstate Medical UniversityHPV vaccine uptake is low, nationwide. Quality improvement (QI) principles have the potential to change practice; however, not all providers are confident with QI skills. We developed an educational program designed to enhance QI skills and improve HPV vaccination rates. Five pediatric practices participated in the pilot initiative. Training consisted of presentations regarding QI methods, data tracking and analysis, and system changes to reduce missed opportunities. Monthly for 6 months, participants performed chart audits, captured data, printed run charts, and developed, implemented, and tracked interventions. Outcome measures included rates of HPV vaccine completion and missed opportunities. A second phase included eight different pediatric practices who received similar training. Outcome measures included rates of HPV vaccine initiation and completion. Over the 6 months, mean HPV vaccine completion rates increased (45% to 65%) and missed opportunities for HPV vaccination decreased (45% to 19%) in the pilot program. When the program was replicated in phase 2, an increase was seen in both HPV vaccine initiation (46% to 61%) and completion (62% to 94%) rates. Combining QI education with workflow-focused strategies was associated with a reduction in missed opportunities and a substantial increase in HPV vaccine completion rates.http://dx.doi.org/10.1080/21645515.2019.1627822human papillomavirushpvquality improvementvaccination ratesadolescent immunization |
| spellingShingle | Cynthia A Bonville Joseph B Domachowske Manika Suryadevara A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates Human Vaccines & Immunotherapeutics human papillomavirus hpv quality improvement vaccination rates adolescent immunization |
| title | A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates |
| title_full | A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates |
| title_fullStr | A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates |
| title_full_unstemmed | A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates |
| title_short | A quality improvement education initiative to increase adolescent human papillomavirus (HPV) vaccine completion rates |
| title_sort | quality improvement education initiative to increase adolescent human papillomavirus hpv vaccine completion rates |
| topic | human papillomavirus hpv quality improvement vaccination rates adolescent immunization |
| url | http://dx.doi.org/10.1080/21645515.2019.1627822 |
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