Quality Improvement Strategies to Increase Human Papillomavirus (HPV) Vaccination in Integrated Healthcare Delivery Systems
| Status: | Recruiting |
|---|---|
| Conditions: | Infectious Disease, Women's Studies |
| Therapuetic Areas: | Immunology / Infectious Diseases, Reproductive |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 3/27/2019 |
| Start Date: | March 2019 |
| End Date: | July 31, 2020 |
| Contact: | Jennifer A Heisler-MacKinnon, MPH |
| Email: | jenmackinnon@unc.edu |
| Phone: | 919-843-8962 |
HPV vaccination coverage is at lower levels than the national goal. This study will evaluate
the effectiveness of quality improvement strategies for increasing HPV vaccination coverage
among adolescent within the context of large integrated health care delivery systems.
the effectiveness of quality improvement strategies for increasing HPV vaccination coverage
among adolescent within the context of large integrated health care delivery systems.
The University of North Carolina (UNC) will evaluate the impact of a quality improvement (QI)
model for increasing HPV vaccination coverage among adolescents in primary care settings. UNC
will partner with the American Cancer Society (ACS) to evaluate the effectiveness of their
Vaccinate Adolescents against Cancer (VACs) model for HPV vaccine QI within the context of
integrated healthcare delivery systems (IDSs). The VACs model includes the development of a
QI action plan and a QI team. The QI team is made up of health care providers from
participating clinics within the IDSs. The team then helps implement specific QI activities
in participating primary care clinics. The model also includes vaccination coverage
assessments in participating clinics at multiple time points to assess the impact of QI
activities. Specific QI activities that will be offered to participating clinics will be
chosen from a menu of options that will include the Center for Disease Control and
Prevention's AFIX model and physician-to-physician engagement. AFIX (Assessment, Feedback,
Incentives and eXchange) consists of brief quality improvement consultations that
immunization specialists from state health departments deliver to vaccine providers in
primary care settings. Using immunization registry data, the specialist evaluates the
clinic's vaccination coverage and delivers education on best practices to improve coverage.
Physician-to-physician (P2P) engagement consists of an in-depth training about how to make
strong and effective HPV vaccination recommendations to primary care providers. The
investigators will compare changes in HPV vaccination coverage between the quality
improvement arm or wait list control arm.
model for increasing HPV vaccination coverage among adolescents in primary care settings. UNC
will partner with the American Cancer Society (ACS) to evaluate the effectiveness of their
Vaccinate Adolescents against Cancer (VACs) model for HPV vaccine QI within the context of
integrated healthcare delivery systems (IDSs). The VACs model includes the development of a
QI action plan and a QI team. The QI team is made up of health care providers from
participating clinics within the IDSs. The team then helps implement specific QI activities
in participating primary care clinics. The model also includes vaccination coverage
assessments in participating clinics at multiple time points to assess the impact of QI
activities. Specific QI activities that will be offered to participating clinics will be
chosen from a menu of options that will include the Center for Disease Control and
Prevention's AFIX model and physician-to-physician engagement. AFIX (Assessment, Feedback,
Incentives and eXchange) consists of brief quality improvement consultations that
immunization specialists from state health departments deliver to vaccine providers in
primary care settings. Using immunization registry data, the specialist evaluates the
clinic's vaccination coverage and delivers education on best practices to improve coverage.
Physician-to-physician (P2P) engagement consists of an in-depth training about how to make
strong and effective HPV vaccination recommendations to primary care providers. The
investigators will compare changes in HPV vaccination coverage between the quality
improvement arm or wait list control arm.
Inclusion Criteria:
- Integrated healthcare delivery systems headquartered in New York State or Wisconsin
with at least 4 pediatric or internal medicine practices within the system.
- All clinics within the integrated healthcare delivery system must participate in the
state immunization registry.
Exclusion Criteria:
- Integrated healthcare delivery systems headquartered outside of New York State or
Wisconsin.
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