Overview

This initiative aims to increase vaccination rates for HPV in eligible patients seen in the Cleveland Clinic Community Care network by implementing system-based tools to more effectively identify and immunize eligible children, adolescents, and young adults against HPV.

About Quality Improvement (QI) and Performance Improvement (PI) CME

Quality Improvement (QI) is the framework used to systematically and continuously transform the ways healthcare is delivered to patients by leveraging the involvement of all team members to lead to better patient outcomes.

Performance Improvement Continuing Medical Education (PI CME) is a structured, long-term process by which a physician or group of physicians learn about specific performance measures, assess their practice using selected measures, implement interventions to improve their practice, and then reassess their practice after an interval of time.

This initiative is comprised of both approaches. Performance will be assessed against the following measures:

• Percent of patients with >2 HPV doses by age 13
• Percent of patients with >2 HPV doses by age 15
• Percent of patients to complete HPV-vaccine by age 27 (% of patients with >2 doses by age 15 or >3 doses by age 27 if first dose received is at or after age 15)

Statement of Need

The burden of human papillomavirus (HPV) is high with an increasing incidence of HPV-associated cervical, anogenital, and oropharyngeal malignancies, particularly in young adults. A vaccine against HPV was first introduced to prevent HPV-associated cancers over a decade ago. The currently available vaccine targets 9 HPV cancer-causing types, and recommendations for routine vaccination have been expanded. Unfortunately, HPV vaccination rates remain low and do not achieve national targets despite awareness and educational campaigns. Numerous patient, parental, clinical, and systems barriers have been attributed to these suboptimal HPV vaccination rates and missed opportunities for vaccination.

Target Audience

This educational activity is designed for pediatricians, family practitioners, and other clinicians who treat children, adolescents and young adults, and have an opportunity to assess, discuss, and/or administer the HPV vaccine to eligible children, adolescents, and young women and men.

Learning Objectives

Upon completion of this activity, participants will be able to:

• Discuss patient- and system-related barriers to achieving national standards for HPV vaccination
• Outline recommendations and schedules for HPV vaccination in children, adolescents, and college-age young women and men
• Formulate strategies to address parent/patient questions and concerns about HPV vaccination requirements
• Implement system-based tools to identify and immunize children, adolescents, and young adults
• Measure vaccination rates for prevention of HPV-related cancers and diseases in children, adolescents, and young adults

Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

Other Health Care Professionals: A certificate of participation will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Maintenance of Certification

This activity fulfills program requirements for the American Board of Pediatrics (ABP), the American Board of Family Medicine (ABFM) and the American Board of Internal Medicine (ABIM) MOC Part IV credit through the Cleveland Clinics Portfolio program.

Acknowledgement

The Cleveland Clinic Center for Continuing Education acknowledges an educational grant for support of this activity from Merck & Company.

This activity is produced by Cleveland Clinic Community Health, Cleveland Clinic Center for Continuing Education, and the Academy for Continued Healthcare Learning.

If you have any questions about this initiative or need assistance with the online portal, please contact:

Katlyn Cooper
Director, Outcomes and Educational Effectiveness
Phone: 773-714-0705 x203
Email: kcooper@ACHLcme.org