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A Quality Improvement Learning Collaborative for Human Papillomavirus Vaccination.

Kristin Oliver1, Kera Beskin2, Laura Noonan3

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Quality improvement initiatives using Project ECHO telementoring increased pediatrician confidence and reduced missed opportunities for human papillomavirus (HPV) vaccination, though HPV vaccine initiation and series completion did not significantly improve.

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Area of Science:

  • Pediatric Health
  • Public Health Initiatives
  • Vaccination Programs

Background:

  • Quality improvement (QI) initiatives are recognized for enhancing vaccination rates in medical settings.
  • Project ECHO is a telementoring platform supporting healthcare professionals through case-based learning and lectures.
  • Combining QI with Project ECHO offers a novel approach to address vaccination challenges.

Purpose of the Study:

  • To evaluate the impact of a QI learning collaborative, utilizing Project ECHO, on human papillomavirus (HPV) vaccination rates in pediatric practices.
  • To assess changes in HPV vaccine initiation, series completion, and missed vaccination opportunities.
  • To measure pediatrician confidence in communicating with vaccine-hesitant families and implementing QI.

Main Methods:

  • Recruitment of pediatric practices through the American Academy of Pediatrics (AAP) chapters.
  • Data collection via practice chart reviews reported to an AAP data aggregator, analyzed using run charts.
  • Participant surveys assessing experience, satisfaction, and self-reported confidence.

Main Results:

  • Physicians reported enhanced confidence in discussing HPV vaccination with hesitant families and in applying QI methods.
  • Analysis of practice run charts indicated a positive trend in reducing missed opportunities for vaccination.
  • No statistically significant improvement was observed in overall HPV vaccine initiation or series completion rates.

Conclusions:

  • The HPV QI learning collaborative successfully boosted participant confidence and reduced missed vaccination opportunities.
  • Longer project durations and more frequent data collection may be beneficial for detecting significant changes in vaccination initiation and completion rates.
  • The findings suggest potential for telementoring-enhanced QI to improve specific aspects of vaccination delivery.