Transcript MN HPV Call to Action Presentation

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 reminderrecall
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 reminderrecall
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 reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
Enclosures
Symposium
presentation
Joint letters
Provider framing
campaign
Minnesota Community
Measure
Culturally appropriate
educational materials
Athletic physical form
Adolescent reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
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 reminderrecall
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 reminderrecall
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 reminderrecall
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
Symposium
presentation
Joint letters
Old Minnesota State High School League
physical assessment form:
Provider framing
campaign
Minnesota Community
Measure
Culturally appropriate
educational materials
New language (adds MCV4 and HPV):
Athletic physical form
Adolescent reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
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 reminderrecall
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
Symposium
presentation
Joint letters
Provider framing
campaign
Minnesota Community
Measure
Culturally appropriate
educational materials
Athletic physical form
Adolescent reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
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 reminderrecall
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 reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
Symposium
presentation
Joint letters
Provider framing
campaign
Statewide reminders
 Parents of 11- and 12-year-olds (~123,000)
 Addresses from IIS with Westlaw updates
Minnesota Community
Measure
Culturally appropriate
educational materials
Athletic physical form
Adolescent reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
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 reminderrecall
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, Spanishspeaking, 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 reminderrecall
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, Spanishspeaking, 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 reminderrecall
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 reminderrecall
Provider videos
PPHF grant
 Stakeholder
engagement
 Reminder-recall
 Public awareness
 Provider education
 Assessment &
feedback
Contact
Denise Dunn
(651) 201-5560
[email protected]
MDH Immunization Program
Heather Hirsch
(651) 201-3620
[email protected]
MDH Comprehensive Cancer Control Program
Lisa Randall
(651) 201-4140
[email protected]
MDH Immunization Program