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Increasing Rates of Human Pipillomavirus Vaccination in Family Practice: A Quality Improvement Project
Mary Nissen1, Jennifer L Kerkvliet2, Andrea Polkinghorn3
1College of Nursing, South Dakota State University, Brookings, South Dakota.
Summary
Sanford Health improved human papillomavirus (HPV) vaccination rates by implementing a quality improvement project. This initiative successfully increased HPV vaccine series completion by 13% and reduced zero-dose vaccinations, addressing a critical public health concern.
Area of Science:
- Public Health
- Vaccinology
- Preventive Medicine
Background:
- The Centers for Disease Control and Prevention updated human papillomavirus (HPV) vaccine recommendations in 2016.
- Adolescent HPV vaccination rates remain significantly lower than those for other routine vaccines.
- Low HPV vaccination rates are concerning due to the link between HPV infection and preventable cancers.
Observation:
- A two-year quality improvement project was conducted by Sanford Health in South Dakota.
- Interventions included client reminder/recall systems, provider education, and feedback on vaccination opportunities.
- The project aimed to address low HPV vaccine administration rates in adolescent populations.
Findings:
- HPV vaccine series completion rates increased by 13% in patients aged 11-26.
- Zero-dose HPV vaccinations decreased by 22% in pilot clinics and 10% overall.
- The project enhanced provider and staff awareness regarding HPV vaccination assessment and administration.
Implications:
- The implemented evidence-based interventions are adaptable to various clinic systems.
- Increased HPV vaccination rates can lead to a reduction in HPV-associated cancers.
- This quality improvement model offers a scalable solution for boosting vaccine uptake.
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