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Increasing HPV Vaccination Rates in a Rural FQHC (Stakeholders (Clinical…
Increasing HPV Vaccination Rates in a Rural FQHC
Populations
Series
3 dose series HPV
Patients starting the vaccine after age 15 that are initiating the series after October 2016
Patients who started the series prior to October 2016
2 dose series HPV
Patients starting the vaccine before age 15 that are initiating the series after October 2016
Gender
Male
Female
Age
11-14 yo
15 - 26 yo
Clinic
EAMC Adult Clinic
EAPC Pediatric Clinic
School-based clinics
Insurance
Private
Medicaid
Uninsured
Barriers to vaccination
Parental or patient refusal
Lack of education
Poor provider recommendation
Religious or cultural beliefs
Medical condition
Fear
Finances
Private insurance
Medicaid
Uninsured
Poor f/u at adult clinic (no GRITS pulled, new patients)
Company policies
No standing orders allowed for pediatric vaccines
Lack of buy-in from staff
Burn-out
Heavy workload
"Too many clicks" in the EMR"
Currently no formal way to track vaccination rates in EMR
Strategies
Strong provider recommendation
Answer Questions
Team approach
Specific HPV vaccine policy/ standing orders
Presenting HPV Vaccine- announcement vs. conversation
Education materials
Provider education
Recall and reminder system
EMR prompts
Stakeholders
Physicians
Nurse Practitioners
Physician Assistants
Nursing Staff
Patients
Parents
Front office staff
Upper level management
QI committee
Clinical partners
American Cancer Society
Population Management Tool
Drug reps
DNP team
Benefits
Protects from OTHER cancers, not just cervical
Penile
Vulvar
Anal
Vaginal
Mouth and Throat
Protects from genital warts
We can possibly eradicate HPV related cancers in the future!
Focus
Patients who need to initiate 2 dose series all together
Patients that need to complete 2 dose series
Patients that need to complete 3 dose series