Cervical Cancer Prevention Increasing HPV Vaccinations in an FQHC Lindsay B. Hinson, BSN, RN Assistance Director of Nursing
Who Are We? Eau Claire Cooperative Health Centers, Inc. (ECCHC) is a federally qualified health center that offers services to communities throughout the Midlands of South Carolina. Our offices are located in Richland, Lexington, Fairfield and Newberry counties. Our mission is to provide accessible high quality compassionate health care in the spirit of The Good Samaritan
In March 2015, ECCHC was one of 10 FQHCs in the nation selected to join the HPV Vaccinate Adolescents against Cervical Cancers (VACs) Pilot project through the American Cancer Society. The goal is to increase HPV vaccination rates of 11-12 year old male and female patients..
Clinical Overview & Baseline Data 22 Clinical Sites 12 serving adult & pediatric patients 5 serving only pediatric patients # of 11-12 year old patients 1429 female patients 1348 male patients Based on the initial 2014 chart audit: ~73% overall childhood immunization compliance rate ~27% HPV completion rate Cooperative wide
HPV VACs Quality Improvement Team ECCHC Members: Focus on Quality Projects and Grants Coordinator Research Coordinator/Project Coordinator Clinical Information Systems Department Chief Medical Officer Pediatric Division Director Nursing Administrative Team Patient Services Department Project Evaluator American Cancer Society Health System Manager
ECCHC s HPV VACs Partnership Team Members HPV VACs QI Team CDC and ACS Merck Vaccines Pfizer Select Health of SC Molina Healthcare SC DHEC (Vaccines for Children Program & Immunization registry) Advisors Dr. Heather M. Brandt, PhD, CHES Dr. Kathleen Cartmell, PhD, MPH Dr. Jennifer Young Pierce, MD, MPH
Focused Initiatives Goal: To increase initiation rate by 10% within two pilot sites Pilot Sites Sterling Sharpe Pediatrics: large urban practice in Columbia with 6 providers o 37% of 11-12 year olds not initiated series o 16% series completion Pediatrics of Newberry: small rural practice with 4 providers o 34% of 11-12 year olds not initiated series o 23% series completion
Selected Interventions Make a Strong Recommendation Revised Immunization Policy Incorporate HPV into existing immunization schedule Promote AAP recommendation at clinical meetings Prompt the Provider System-wide EHR prompts to avoid missed opportunities Proper HPV series documentation training Chart Review & daily review of schedules to identify immunization needs
Selected Interventions
Selected Interventions Developed specific plans for each of the 2 pilot sites Enhanced training for providers on effective communication with parents and patients Provided targeted provider education materials Facilitated clinical sites in setting their own specific goals and benchmarks to measure success Implemented incentive and award recognition program for staff
Selected Interventions Track Series Completion and Follow Up Compile HPV Vaccine Progress Report of series completion Measure and Improve Performance Review data to determine effectiveness of interventions *Each of the selected interventions are being evaluated using the following tool: Activities Data sources Tools/ procedures Timeline Data analysis or synthesis Person(s) Responsible
Selected Interventions
Progress Report Sterling Sharpe Pediatrics *Completion Baseline rate of 16% 2015-407 patients out of 673 completed series Completion rate of 60.5% Pediatrics of Newberry *Completion Baseline rate of 23% 2015-167 patients out of 286 completed series Completion rate of 58.4% *2016 data currently being collected & reviewed*
Forward Progression Expansion
Questions Contact Us At: Lindsay Hinson, BSN, RN Email: lhinson@ecchc.org (803) 733-5969 ext. 4525 Keyshonda Ivory, BS Email: kivory@ecchc.org 803)733-5969 ext. Samar Paija Magar, MD, MPH Email: smagar@ecchc.org 803) 733-5969 ext. 4121