Re-Framing HPV Vaccination as Cancer Prevention Kristin Burnett, - - PowerPoint PPT Presentation

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

Contra Costa Health Services 4,600 employees Contra Costa Health Plan 184,960 members

RMC CCHP PH

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:

 Access to health plan data, quality improvement team  Access to providers  Access to patients/members

Advantages for CCHP:

 Immunization program expertise  IZ program provided most of the

• utreach

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

medical and dental providers

 5 short presentations:

RNs, other clinic staff, medical residents

 CCHP Member Newsletter  Email blast  Clinic screensaver  Web page banners  Birthday letter  Director’s Report article  Clinic waiting room videos  School RN meetings  Preteen Vaccine Week

• utreach

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

Immunization Program Manager Contra Costa County Public Health, Communicable Disease Programs 925.313.6734 kristin.burnett@cchealth.org

Karen Schlein, MBA, MPH

Assistant Director of Quality and Population Health Contra Costa Health Plan 925.313.6138 karen.schlein@cchealth.org