going to show HPV the door

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

3. Joint letter from Minnesota Cancer Alliance and Minnesota Department of Health Sent to 253 clinics identified via VFC ordering records

4. Enclosures

5. 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

7. 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

8. 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

9. Old Minnesota State High School League physical assessment form: New language (adds MCV4 and HPV): Newer language (no distinction between recommended and required):

10. 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

11. 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

12. 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

14. 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

15. 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

16. 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

17. 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

18. Contact Denise Dunn (651) 201-5560 denise.dunn@state.mn.us MDH Immunization Program Heather Hirsch (651) 201-3620 heather.hirsch@state.mn.us MDH Comprehensive Cancer Control Program Lisa Randall (651) 201-4140 lisa.randall@state.mn.us MDH Immunization Program