Improving Human Papilloma Vaccination Rates Through Provider Prompted Screening

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Gaines, Nichole
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Background: Human papillomavirus (HPV) infection is a significant public health concern linked to cervical cancer. HPV is the causative agent for nearly 36,000 cases of cancer in women every year in the United States. Vaccination against HPV can prevent 33,000 of these cancers by preventing the variants that cause them (Kurosawa et al., 2022). The vaccination rate for the age group 18 to 26 in North Carolina is 18.3% compared to the national average of 52.2% (Boersma & Black, 2020). The purpose of this quality improvement project was to implement an EHR provider screening prompt for HPV vaccination status in young women ages 18 to 36 years and initiate vaccination as indicated. Methods: An EHR prompt was initiated to determine HPV vaccination status for patients during their routine and annual appointments. Based on screening, providers counseled patients on the need for vaccination and offered initial vaccination or completion of the series as indicated. Results: A total of 104 women met inclusion criteria. Screening was documented for 96 women (90.57%) and education related to HPV vaccination was given to 100 women (96.15%). Eleven women received the vaccine (10.58%) during their visit. Pre-implementation retrospective chart reviews revealed that only 2 of 106 women were screened and vaccinated (1.89%). Conclusion: Implementation of a screening prompt was significant as most women post-intervention were screened and received education. Additionally, there was an increase in the number of women who received the vaccine. The data supports that increased screening by the provider improved HPV vaccine acceptance. Keywords: HPV awareness, HPV vaccination compliance rates in ages 18-36, HPV vaccine screening in primary care, electronic health record (EHR) screening tools for the HPV vaccine