Quality Improvement Project on Ob/Gyn Ambulatory Clinic HPV Vaccination in a Tertiary Community Hospital

Abstract

Background: Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with approximately half of new HPV infections occurring among persons aged 15–24 years. To improve HPV vaccination rate, a Quality Improvement (QI) Project was initiated in the OB/GYN ambulatory clinic and postpartum floor. Methods: Data analysis was performed on the results of a Quality Improvement Project on HPV Vaccination for years 2011-14 at Lincoln Medical and Mental Health Center ambulatory OB/GYN clinic. The following steps were implemented to improve the quality of care and increase rates of HPV vaccination: In-service training and meetings for OB/GYN staff members to discuss the importance of patient counseling on HPV vaccination, and associated issues and solutions. Enhancement of patient education on HPV vaccination by providing brochures and via use of wall panel and intra-hospital TV programs. Identification of patients eligible for HPV vaccination and follow-up to assure they receive all 3 doses of HPV vaccination. Implementation of standing postpartum orders for HPV vaccination for eligible patients and administration of one dose of HPV vaccine in postpartum unit. Results: Data showed increased trend of vaccination from years 2011-14. For those quarters with a decreased number of patients that completed HPV vaccination series, there was a correspondent decrease in number of patients eligible for vaccine and/or an increase in number that refused vaccination. Conclusion: Using the Quality Improvement Project in our hospital, we were able to increase the rate of HPV immunization rate among the young women and adolescent girls in our OB/GYN service.