Opportunity to Increase HPV Vaccination in Rural Washington Starting at Age 9

A Rapid and Practical Quality Improvement Project, Sponsored by the Washington Chapter of the American Academy of Pediatrics

WCAAP is excited to share with you the wonderful news that our Chapter has been selected to receive a grant from the AAP to engage 3-4 rural clinics in a quality improvement project to start HPV vaccine at age 9. The project will run February 2023-July 2023. Please reach out directly to DeAnna Dudley, Program manager ddudley@wcaap.org if you are interested in learning more!

It has been proven that HPV vaccination before age 13 provides powerful protection against 90% of HPV-related cancers (cervical, oropharyngeal, anal, penile, vaginal, vulvar). HPV completion rates in Washington State are well under the Healthy People Target of 80%, indicating that many children are at risk of developing cancers in adulthood that could have been prevented. For rural communities this is an even bigger issue; HPV vaccination rates are about 10% lower and HPV-related cancer rates are higher in rural communities.

We have an opportunity to make a difference by increasing HPV vaccination rates.  Regionally and nationally, clinics that have adopted HPV at age 9 have increased their HPV vaccination rates substantially. This change in practice to start HPV vaccination at age 9 is consistent with current ACIP recommendations and is considered a best practice by the National HPV Roundtable and American Academy of Pediatrics. 

Participating clinics will receive training in best practices to promote HPV vaccination in preteens, particularly by starting HPV vaccination at age 9, using strong provider recommendations, and posting a standardized immunization schedule. Clinics will be encouraged to increase well child visits, specifically for age 9-10. Learning will be accomplished through a combination of webinars, cohort meetings and individual clinic coaching sessions (approximately 1-2 hours a month). Baseline data will be collected in February, with clinic participation starting in March.

To assess improvement, we will monitor WAIIS HPV vaccination coverage rates for your clinic and same day HPV vaccine administration at the 9-10 year well child visit. 

Maintenance of Certification (MOC) hours will be awarded.

Forming your Practice QI Team:  To participate, we ask that you assign at least two primary contacts to lead this QI project.

  • Clinical Leader: This person should be a clinician, have a comprehensive understanding of how the clinic operates, and have a strong interest in quality improvement. The clinical leader does not have to be a physician but should have a direct patient care role. Examples: Physician, Nurse Practitioner, Physician Assistant, Registered Nurse.
  • Project Leader: This person will serve as the project manager for this project at your clinic. They will be responsible for data collection, survey completion, and will ensure materials are shared with clinic staff and QI interventions are implemented. The project leader must have experience using the Washington State Immunization Information System (WAIIS) in their clinic. Examples: clinic manager, VFC manager, MA, RN.


Learn more or enroll

For more information and to enroll, contact DeAnna Dudley at ddudley@wcaap.org by January 24, 2023

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