Improving Human Papilloma Virus Vaccination Rates Through Resident Education: Quality Improvement (Qi Abstract)

Human Papilloma Virus (HPV) is a common sexually transmitted infection. The HPV vaccine is effective and safe. Early prevention is key, but national vaccination rates remain less than 50%. We sought to determine our baseline data and improve the rate of initiation of the HPV vaccination series for adolescents in a resident teaching practice. The secondary goal was to assess if these interventions increased resident knowledge about HPV. Aim Statement To increase the percentage of patients at ULPS General Pediatrics Clinic ages 9-13 years old that initiate the Gardasil series from 42% to 65% by November 30, 2015. Interventions Interventions included resident education, nursing staff in-service, providing Vaccine Information Sheets (VIS) in triage, developing a script for residents, and creating a prompt in the electronic medical record. Pediatric residents were given an 8 item pre-test about the HPV virus and vaccine. A 13 item post-test was administered to assess change in knowledge (virus, vaccine, and resident confidence in recommendation). Measures Eligible patients included all children 9 through 13 years of age seen in the resident clinic. Baseline data were obtained by analysis of one month of vaccine initiation rates. Monthly chart reviews were performed to assess post-intervention immunization initiation rates. Chi square test was used to assess the significance of improvement in three key questions in pre and post intervention tests.