National HPV Vaccination Roundtable

Noel Brewer, ChairDebbie Saslow, Vice-Chair

AB

MissionThe National HPV Vaccination Roundtable is a national coalition of public, private, and voluntary organizations and invited individuals working together to increase U.S.HPV vaccination coverage.

Supported by grant from Centers for Disease Control and Prevention (2014-2016)

Steering CommitteeAmerican Academy of Family PhysiciansAmerican Academy of PediatricsAmerican Cancer Society (Vice-Chair)American College of Obstetricians and GynecologistsAssociation of Immunization ManagersCenters for Disease Control and PreventionCervical Cancer-Free North Carolina (Chair)Immunization Action CoalitionNational Association of Pediatric Nurse PractitionersNational Vaccine Program OfficePrevent Cancer Foundation

Do’s Provide a forum that

links vaccination and cancer prevention

Identify unmet needs and gaps

Stimulate collaborations to address those needs

Don’ts Duplicate member

organization roles Compete with member

organizations Take positions on policies

that are in conflict with member organizations

Scope

~70 Participating OrganizationsCancer PreventionImmunizationPubic HealthProviders/Professional SocietiesGovernment AgenciesAdvocacy & Survivor GroupsState-based OrganizationsAcademic Institutions/Cancer Centers Special Populations InsurersIndustryResearch TrainingQuality Improvement

Accelerating HPV Vaccine Uptake in the United States

Three Goals1. Reduce Missed Clinical

Opportunities to Recommend and Administer HPV Vaccines

2. Increase Parents’, Caregivers’,and Adolescents’ Acceptance of HPV Vaccines

3. Maximize Access to HPVVaccination Services

Draft Recommendations from the National Vaccine Advisory Committee

HPV Working Group(As Presented: February 11, 2015)

Bruce Gellin, MD, MPHDeputy Assistant Secretary for Health

Director, National Vaccine Program Office

Task Groups

Topic Chair

Provider training Sharon Humiston, AAPNational campaign Marsha Wilson, FWCPharmacy Bruce Gellin, NVACParent education via schools Nichole Bobo, NAPNAPElectronic health records Rebecca Coyle, AIRASurvivor involvement Rebecca Perkins, ACOG

Electronic Health Records

GOALIncreased

HPV Vaccination

EHR Guide:Functionality

Standard Components

Increased EHR utilization for

monitoring HPV immunizations

# Clinics receiving EHR Guide

Improved use of EHR for data capture and reporting. EHR Gold Standard

• Coordinate with CDC EHR workgroup • Coordinate with NCCRT for current

status/model • Refine tasks and timelines • Revise costs and project budget • Identify which Gold Standard characteristics

and metrics implemented for HPV Specific

• Task group members • HPVRT Funding• HPVRT Steering Committee

leadership• Health system pilot site staff• EHR Application Suppliers• NCCRT & NACHC EHR guide• CDC EHR work group

Initial OutcomesIntermediate Outcomes

Outputs

Activities

Inputs

• Fragmented systems.• HPV not tracked specifically.

Assumptions

Guide to use EHR for HPV tracking

• ID vendor for Guide development • Guide vendor contract executed • Develop roll-out plan

• Define tasks and timelines • Identify costs and project budget • Identify HPV RT partners •

Pilot test at multiple sites

Evaluation

ContentAppropriateness AcceptabilityUsabilityAdoption

Pilot Projects

Proposals that meet key reqs

Evaluated on these criteria

Responsive Address Roundtable’s priority area

Address PCP or NVAC recommendation

Collaborative Be implemented by Roundtable members, possibly with a vendor

Facilitate collaboration between different groups, and link cancer prevention and immunization expertise

Impactful Affect measurable outcomes Address important and clearly articulated problem, i.e. pass the “so what test”

Feasible Have a one year timeline for completion, within a budget of $30,000

Be likely to be completed on time

Novel Be difficult to do outside of the Roundtable

Offer a novel solution to the problem identified