De-Sexualizing and Re-Framing HPV Vaccination as Cancer Prevention Kristin Burnett, MPH Immunization Program Manager Contra Costa County
Contra Costa County Contra Costa County Population: 1.1 million Area: 716 square miles
RMC CCHP PH Contra Costa Health Services 4,600 employees Contra Costa Health Plan 184,960 members
Background Contra Costa Public Health Immunization Program wanted to improve HPV vaccination rates Motivation: National and State HPV vaccination rates Local rates also low
IZ Program Partnership with CCHP Contra Costa Health Plan (our Medi- Cal Managed Care plan) also wanted to improve rates Motivation: Quality Improvement HEDIS scores
Advantages of Partnership Advantages for Public Health: Advantages for CCHP: Access to health plan data, quality Immunization program expertise improvement team IZ program provided most of the Access to providers outreach Access to patients/members
Data Adventures Public Health worked with CCHP to create a report on HPV Vaccination Rates for eligible members IDs individual patients (female 11-26, male 11-21) who have/have not been vaccinated for HPV, overall rate of HPV vaccination Data sources: EHR, pharmacy claims, Care Everywhere, CAIR2
First Report: July 2018 Issues Identified: CPN Exclude for now Untimely follow up was high (?) Exclude for now What is reliable that we can track? No Shots At All (38.1%) n = 35,158 patients
Pilot Campaign Focus Areas Target: RMC providers serving CCHP patients eligible for HPV vaccination Focus message: cancer prevention Highlight: HPV-related mouth/throat cancer Data presented: % of patients eligible for HPV Vaccination with no shots in series
Resources and Inspiration American Cancer Society Mission: HPV Cancer Free Campaign NFID Webinar HPV Vaccination: Recommendations and Strategies for Improving Coverage CDPH Preteen Vaccine Week Toolkit Team Maureen Dental Toolkit
Activities (July 2018 – March 2019) 5 long presentations Web page banners medical and dental providers Birthday letter 5 short presentations: Director’s Report article RNs, other clinic staff, medical Clinic waiting room videos residents School RN meetings CCHP Member Newsletter Preteen Vaccine Week Email blast outreach Clinic screensaver
Key Messages HPV vaccination schedule, catch up schedule Minor consent law Data Vaccination rates HPV-related cancer rates (MDs) Cancer prevention potential Why is coverage so low? How to make an effective recommendation for HPV vaccine
Waiting Room Videos
Barriers Stigma Perception that HPV vaccine causes fainting Getting the data right Providers prioritizing school-required vaccines “Not me” / “Not at our clinic”
HPV Vaccination Rates by Health Center
Report: April 2019 Results: July 2018 April 2019 % of eligible RMC patients with no shots in the HPV series reduced from 38.1% to 29.4% Approximately 1,650 additional eligible patients began the HPV series! Cancers averted: ~12 n = 35,553 patients
Next Steps More outreach CPN network Public health clients Other county providers Look at data by demographics Refine dental referrals Implement strategies to complete the series
Lessons Learned Use existing resources Go for the “low - hanging fruit” Data Partnerships Present new information
Contact Info Kristin Burnett, MPH Karen Schlein, MBA, MPH Immunization Program Manager Assistant Director of Quality and Population Health Contra Costa County Public Health, Communicable Disease Programs Contra Costa Health Plan 925.313.6734 925.313.6138 kristin.burnett@cchealth.org karen.schlein@cchealth.org
Recommend
More recommend
