going to show HPV the door AIM Call to Action February 18, 2014 Heather Hirsch Denise Dunn
Mar 31, 2015
going to show HPV the door
AIM Call to ActionFebruary 18, 2014
Heather HirschDenise 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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