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going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn
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Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Mar 31, 2015

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Page 1: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

going to show HPV the door

AIM Call to ActionFebruary 18, 2014

Heather HirschDenise Dunn

Page 2: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 3: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Joint letter from Minnesota Cancer Alliance and Minnesota Department of Health

Sent to 253 clinics identified via VFC ordering records

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 4: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Enclosures

Page 5: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Minnesota Cancer Alliance Strategy:

• HPV Vaccine added to Cancer Plan 2011-2016

• HPV Vaccine was added to the Policy Agenda (2011)

• HPV was identified as an MCA Steering Committee priority 2011/12

The workgroup chartered by the steering committee is developing a work plan aimed at changing the message around HPV; moving away from HPV as an STD and framing the conversation around cancer prevention.

Strategy includes recruiting physicians to: - Write editorials in provider publications - Host provider education webinars- Conduct clinic visits

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 6: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 7: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

About Minnesota Community Measurement Mandatory per state law Results reported to public Measures chosen by committee

Arguments for an HPV measure Similar to HEDIS measure but would

include males Easy to measure via IIS Likely an indicator of other best practices

Current status Minnesota Cancer Alliance (MCA)

advocated for a measure in 2011, but was not selected

MCA has drafted a letter outlining the measure and is recruiting support from member organizations

Letter will be submitted to the Division of Health Policy in April 2014

Page 8: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Prevent Cancer Foundation grant- MCA received $10,000 grant - Project began in January 2014

Partners: American Indian Cancer Foundation, Fond du Lac Comprehensive Cancer Control Program, MN WI Intertribal Cancer Council

Purpose- develop and test culturally specific mailing and

educational materials for HPV vaccinations to be used in MN American Indian populations

- distribute the educational materials and reminder mailings, through clinics and AI serving organizations

- Working with IHS to get data on HPV vaccination rates from tribal clinics

Page 9: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Old Minnesota State High School League physical assessment form:

New language (adds MCV4 and HPV):

Newer language (no distinction between recommended and required):

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 10: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Adolescent assessment summary report

Measures:• Tdap• MCV4 (1st &

booster)• HPV (1st, 3rd,

series completion)

• Missed opportunities (to be added)

Tdap, MCV4, and HPV client followup capacity added to IIS

Page 11: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Reminder-recall project participants Suburban pediatric practice Greater Minnesota family practice Combined adolescent cohort ~19,000

Status One first round complete, one nearly

complete Challenges

Data quality Clinic staff turnover

Lessons so far Patients respond enthusiastically Clinics are willing to use IIS reminder-

recall tools after demonstrations

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 12: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Goals Increase providers’ comfort in

recommending HPV Suggest easy, realistic responses to

common questions/hesitations Show, not tell Model CASE method Use in PPHF provider education project

Status Shooting footage this week Considering editing strategies Panel of pediatrician & family physician

reviewers

Page 13: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 14: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Statewide reminders Parents of 11- and 12-year-olds

(~123,000) Addresses from IIS with Westlaw updates

Regional reminders To adolescents due for any dose of HPV

2 more rounds to 11- and 12-year-olds 3 rounds to 13- through 17-year-olds Message is about full adolescent platform

In 2 out of 7 IIS administration regions Addresses updated via Westlaw

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 15: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Digital displays at high school sports events 29 metro-area high schools (high

attendance games) Look and feel of postcards

Minnesota State High School League 2014 state tournaments: boys’ & girls’

basketball, boys’ & girls’ hockey, wrestling, football

Program print ads, exhibits, PA announcements

PSAs during TV broadcasts of tournament games “Close the Door to Cancer” (CDC)

Banner ads on TV station website

Diverse media placements Radio PSAs in Hmong, Khmer, Vietnamese,

Oromo, Somali, Amharic, Spanish, and Tagalog

Print materials for American Indian, Spanish-speaking, Hmong, African-American, and African-born (Somali, Liberian, Ethiopian) audiences

Often get more than we pay for

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 16: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Digital displays at high school sports events 29 metro-area high schools (high

attendance games) Look and feel of postcards

Minnesota State High School League 2014 state tournaments: boys’ & girls’

basketball, boys’ & girls’ hockey, wrestling, football

Program print ads, exhibits, PA announcements

PSAs during TV broadcasts of tournament games “Close the Door to Cancer” (CDC)

Banner ads on TV station website

Diverse media placements Radio PSAs in Hmong, Khmer, Vietnamese,

Oromo, Somali, Amharic, Spanish, and Tagalog

Print materials for American Indian, Spanish-speaking, Hmong, African-American, and African-born (Somali, Liberian, Ethiopian) audiences

Often get more than we pay for

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 17: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Provider education On-demand webcast, 5 lectures, 10 clinic

visits CME credit available

Assessment & feedback Quality improvement planning at clinic

visits Webinar followup after adolescent AFIX

visits

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback

Page 18: Going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn.

Contact

Denise Dunn(651) [email protected] MDH Immunization Program

Heather Hirsch(651) [email protected] MDH Comprehensive Cancer Control Program

Lisa Randall(651) [email protected] MDH Immunization Program

Symposium presentation

Joint letters

Provider framing campaign

Minnesota Community Measure

Culturally appropriate educational materials

Athletic physical form

Adolescent reminder-recall

Provider videos

PPHF grant Stakeholder

engagement Reminder-recall Public

awareness Provider

education Assessment &

feedback