Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics

Amanda F. Meyer, Nicole L. Borkovskiy, Jennifer L. Brickley, Rajeev Chaudhry, Andrew Franqueira, Joseph W. Furst, Donna M. Hinsch, Margaret R. McDonah, Jane F. Myers, Randi E. Petersen, Lila J Rutten, Patrick M. Wilson, Robert M Jacobson

Research output: Contribution to journalArticle

Abstract

Introduction: Human papillomavirus (HPV) vaccination rates nationally are low. This study determined if an electronic point-of-care prompt in the retail clinic setting increases HPV vaccination rates among an eligible population. Study design: An interrupted time series assessed change in weekly HPV vaccination rates with the introduction of an electronic point-of-care prompt and rate change in post-intervention period. Setting/participants: The study sites were two similar retail care clinics in Rochester, Minnesota. Participants were patients who presented to the retail clinics setting between the ages of 9 and 26 years from September 12, 2016, to September 30, 2017. Intervention: HPV vaccine (nonavalent) was made available at both retail clinics. Staff completed a 2-hour lecture on HPV vaccine and one-on-one training for use of the prompt. Pre- and post-intervention rates of HPV vaccination after initiation of electronic point-of-care prompt were measured. A satisfaction survey was given to all patients or parents/guardians between the ages of 9 and 26 years regardless of HPV vaccine status. Main outcome measures: HPV vaccination rates per week before and after the introduction of the electronic point-of-care prompt along with satisfaction with HPV vaccine availability and the point-of-care prompt in the retail clinic setting. Data analysis was completed January 2018. Results: The point-of-care prompt increased the median weekly HPV vaccination rate by 8.6 per 100 patient visits (95% CI=5.8, 11.5, p<0.001). Patients thought it was convenient having HPV vaccine available and helpful to be reminded of the need for HPV vaccine. Conclusions: This study demonstrates a significant increase of HPV vaccine rates in the retail clinic setting with use of a point-of-care prompt.

Original languageEnglish (US)
JournalAmerican Journal of Preventive Medicine
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Point-of-Care Systems
Papillomavirus Vaccines
Vaccination
Parents
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Meyer, A. F., Borkovskiy, N. L., Brickley, J. L., Chaudhry, R., Franqueira, A., Furst, J. W., ... Jacobson, R. M. (Accepted/In press). Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics. American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2018.06.027

Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics. / Meyer, Amanda F.; Borkovskiy, Nicole L.; Brickley, Jennifer L.; Chaudhry, Rajeev; Franqueira, Andrew; Furst, Joseph W.; Hinsch, Donna M.; McDonah, Margaret R.; Myers, Jane F.; Petersen, Randi E.; Rutten, Lila J; Wilson, Patrick M.; Jacobson, Robert M.

In: American Journal of Preventive Medicine, 01.01.2018.

Research output: Contribution to journalArticle

Meyer, AF, Borkovskiy, NL, Brickley, JL, Chaudhry, R, Franqueira, A, Furst, JW, Hinsch, DM, McDonah, MR, Myers, JF, Petersen, RE, Rutten, LJ, Wilson, PM & Jacobson, RM 2018, 'Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics', American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2018.06.027
Meyer, Amanda F. ; Borkovskiy, Nicole L. ; Brickley, Jennifer L. ; Chaudhry, Rajeev ; Franqueira, Andrew ; Furst, Joseph W. ; Hinsch, Donna M. ; McDonah, Margaret R. ; Myers, Jane F. ; Petersen, Randi E. ; Rutten, Lila J ; Wilson, Patrick M. ; Jacobson, Robert M. / Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics. In: American Journal of Preventive Medicine. 2018.
@article{9c34fb3387f44426be2bfe332fe53fcf,
title = "Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics",
abstract = "Introduction: Human papillomavirus (HPV) vaccination rates nationally are low. This study determined if an electronic point-of-care prompt in the retail clinic setting increases HPV vaccination rates among an eligible population. Study design: An interrupted time series assessed change in weekly HPV vaccination rates with the introduction of an electronic point-of-care prompt and rate change in post-intervention period. Setting/participants: The study sites were two similar retail care clinics in Rochester, Minnesota. Participants were patients who presented to the retail clinics setting between the ages of 9 and 26 years from September 12, 2016, to September 30, 2017. Intervention: HPV vaccine (nonavalent) was made available at both retail clinics. Staff completed a 2-hour lecture on HPV vaccine and one-on-one training for use of the prompt. Pre- and post-intervention rates of HPV vaccination after initiation of electronic point-of-care prompt were measured. A satisfaction survey was given to all patients or parents/guardians between the ages of 9 and 26 years regardless of HPV vaccine status. Main outcome measures: HPV vaccination rates per week before and after the introduction of the electronic point-of-care prompt along with satisfaction with HPV vaccine availability and the point-of-care prompt in the retail clinic setting. Data analysis was completed January 2018. Results: The point-of-care prompt increased the median weekly HPV vaccination rate by 8.6 per 100 patient visits (95{\%} CI=5.8, 11.5, p<0.001). Patients thought it was convenient having HPV vaccine available and helpful to be reminded of the need for HPV vaccine. Conclusions: This study demonstrates a significant increase of HPV vaccine rates in the retail clinic setting with use of a point-of-care prompt.",
author = "Meyer, {Amanda F.} and Borkovskiy, {Nicole L.} and Brickley, {Jennifer L.} and Rajeev Chaudhry and Andrew Franqueira and Furst, {Joseph W.} and Hinsch, {Donna M.} and McDonah, {Margaret R.} and Myers, {Jane F.} and Petersen, {Randi E.} and Rutten, {Lila J} and Wilson, {Patrick M.} and Jacobson, {Robert M}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.amepre.2018.06.027",
language = "English (US)",
journal = "American Journal of Preventive Medicine",
issn = "0749-3797",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Impact of Electronic Point-of-Care Prompts on Human Papillomavirus Vaccine Uptake in Retail Clinics

AU - Meyer, Amanda F.

AU - Borkovskiy, Nicole L.

AU - Brickley, Jennifer L.

AU - Chaudhry, Rajeev

AU - Franqueira, Andrew

AU - Furst, Joseph W.

AU - Hinsch, Donna M.

AU - McDonah, Margaret R.

AU - Myers, Jane F.

AU - Petersen, Randi E.

AU - Rutten, Lila J

AU - Wilson, Patrick M.

AU - Jacobson, Robert M

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Introduction: Human papillomavirus (HPV) vaccination rates nationally are low. This study determined if an electronic point-of-care prompt in the retail clinic setting increases HPV vaccination rates among an eligible population. Study design: An interrupted time series assessed change in weekly HPV vaccination rates with the introduction of an electronic point-of-care prompt and rate change in post-intervention period. Setting/participants: The study sites were two similar retail care clinics in Rochester, Minnesota. Participants were patients who presented to the retail clinics setting between the ages of 9 and 26 years from September 12, 2016, to September 30, 2017. Intervention: HPV vaccine (nonavalent) was made available at both retail clinics. Staff completed a 2-hour lecture on HPV vaccine and one-on-one training for use of the prompt. Pre- and post-intervention rates of HPV vaccination after initiation of electronic point-of-care prompt were measured. A satisfaction survey was given to all patients or parents/guardians between the ages of 9 and 26 years regardless of HPV vaccine status. Main outcome measures: HPV vaccination rates per week before and after the introduction of the electronic point-of-care prompt along with satisfaction with HPV vaccine availability and the point-of-care prompt in the retail clinic setting. Data analysis was completed January 2018. Results: The point-of-care prompt increased the median weekly HPV vaccination rate by 8.6 per 100 patient visits (95% CI=5.8, 11.5, p<0.001). Patients thought it was convenient having HPV vaccine available and helpful to be reminded of the need for HPV vaccine. Conclusions: This study demonstrates a significant increase of HPV vaccine rates in the retail clinic setting with use of a point-of-care prompt.

AB - Introduction: Human papillomavirus (HPV) vaccination rates nationally are low. This study determined if an electronic point-of-care prompt in the retail clinic setting increases HPV vaccination rates among an eligible population. Study design: An interrupted time series assessed change in weekly HPV vaccination rates with the introduction of an electronic point-of-care prompt and rate change in post-intervention period. Setting/participants: The study sites were two similar retail care clinics in Rochester, Minnesota. Participants were patients who presented to the retail clinics setting between the ages of 9 and 26 years from September 12, 2016, to September 30, 2017. Intervention: HPV vaccine (nonavalent) was made available at both retail clinics. Staff completed a 2-hour lecture on HPV vaccine and one-on-one training for use of the prompt. Pre- and post-intervention rates of HPV vaccination after initiation of electronic point-of-care prompt were measured. A satisfaction survey was given to all patients or parents/guardians between the ages of 9 and 26 years regardless of HPV vaccine status. Main outcome measures: HPV vaccination rates per week before and after the introduction of the electronic point-of-care prompt along with satisfaction with HPV vaccine availability and the point-of-care prompt in the retail clinic setting. Data analysis was completed January 2018. Results: The point-of-care prompt increased the median weekly HPV vaccination rate by 8.6 per 100 patient visits (95% CI=5.8, 11.5, p<0.001). Patients thought it was convenient having HPV vaccine available and helpful to be reminded of the need for HPV vaccine. Conclusions: This study demonstrates a significant increase of HPV vaccine rates in the retail clinic setting with use of a point-of-care prompt.

UR - http://www.scopus.com/inward/record.url?scp=85055053677&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055053677&partnerID=8YFLogxK

U2 - 10.1016/j.amepre.2018.06.027

DO - 10.1016/j.amepre.2018.06.027

M3 - Article

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

SN - 0749-3797

ER -