EasyPI: HPV Vaccination

The recorded webinar series below includes information on the general background of HPV infection, an overview of HPV-associated cancer and disease, HPV vaccination guidelines and updates, as well as strategies to implement changes for this project.

These sessions are for information only and are no longer eligible for continuing medical education credits as accreditation expired on January 23, 2024.

Utilize all or some of these resources to get you ready for your project.

Overview

• Human Papillomavirus (HPV) Vaccines (National Cancer Institute)
• HPV Vaccination Recommendations (Centers for Disease Control and Prevention [CDC])
• HPV Vaccine Schedule and Dosing (CDC)
• Human Papillomavirus: Screening, Testing, and Prevention (American Family Physician)
• HPV Vaccine for Prevention of High-Grade Precancerous Cervical Lesions (American Family Physician)
• Vaccination Disagreement Between Parents (American Family Physician)
• HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive Cervical Cancer (American Family Physician)
• Human Papillomavirus (HPV) (immunize.org)
• Cervical Cancer Stats and Facts for Ohio 2022 (Ohio Department of Health [ODH])
• Ohio Annual Cancer Report 2022 (ODH)

Practice Management

• Scope of Practice: Reclaiming Young Patient Care (Family Practice Management)
• Rethinking Workflow: Team Rooming for Greater Efficiency (Family Practice Management)
• #HowIRecommend Videos on HPV (CDC)
  

• Vaccine Recommendations for the Human Papillomavirus Vaccine (Advisory Committee on Immunization Practices)
• Human Papillomavirus Vaccine (AAFP)

• CDC Vaccine Schedules App
• Shots Immunizations App (AAFP/STFM)

• Preteen and Teen Immunization Resources (CDC)
• HPV Information for Parents (CDC)
• Vaccine Information (Children’s Hospital of Philadelphia)
• HPV Vaccine Videos (Children’s Hospital of Philadelphia)

Patient Eligibility
The Ohio Department of Health’s Breast and Cervical Cancer Project (BCCP) is a limited screening and diagnostic program that provides services to eligible women in Ohio. 

• Age 21 years and older
• Income at or below 300% of the Federal Poverty Level (FPL)
• Uninsured or underinsured (effective November 4, 2019)
• Ohio resident.
  

• Age 21 – 39 years with a physician reporting abnormality or other factors
• Age 40 years and older
• Income at or below 300% of the FPL
• Uninsured or underinsured (effective November 2019)
• Ohio resident.
  

Regional Enrollment Agencies
Ohio’s BCCP operates across the state with four enrollment agencies. These agencies cover multiple counties and enroll women in both patient navigation and direct services. These agencies cover multiple counties and enroll women in both patient navigation and direct services. To reach your enrollment agency call 1.844.430.BCCP (2227) and select your region or select option 6 if you are unsure of what region you may belong in.

The regional staff will determine if a woman is eligible for no-cost breast and cervical cancer screenings and diagnostic services.  If a woman is eligible, regional staff will schedule services for the patient at a contracted provider and provide case management to clients with abnormal results. The BCCP is committed to serving Ohio women in a convenient, accessible, respectful, and culturally competent manner.  

Physicians & Practice Teams as BCCP Providers
Approximately 500 medical, clinical, and laboratory providers have signed agreements with ODH to provide breast and cervical cancer screening and diagnostic services to BCCP clients. BCCP’s five Regional Enrollment Agencies work with medical providers in their respective geographic areas to provide services to BCCP direct service clients.

BCCP direct services include mammograms, Pap tests, office visits, clinical breast exams, colposcopy, breast ultrasound, biopsy, and other diagnostic procedures. The CDC determines eligible Current Procedural Terminology codes for BCCP. In general, providers are reimbursed at Medicare Part B rates. Allowable codes and rates are updated annually. Services are reimbursed by a third party administrator.

In order for a provider to be reimbursed for services to a BCCP client, the provider must have a signed agreement with ODH and submit a Provider Agreement packet. The term of the current BCCP provider agreement is November 1, 2019, through June 30, 2026. A provider can enter into an agreement at any time between November 1, 2019, through June 30, 2026.

For more information about BCCP, please call 1.844.430.2227 and select the corresponding option for your region. 

• Improve patient outcomes and help meet quality metrics
• Achieve team-based practice change
• Make practices more efficient
• Boost team morale
• Improve revenue.

These materials will guide you through identifying areas for improvement, understanding and using data, planning and making changes, and tracking performance over time.

• Quality Improvement Essentials Toolkit (Institute for Healthcare Improvement)
• Quality and Safety Topic Collection (Family Practice Management)
• Quality Measures (AAFP)

Quality Measures & Intervention Selection

• Quality Measure Selection and Sample Interventions
• Example PDSA Cycle

Process Mapping

Workflow & process mapping creates a visual map of the steps your practice is currently using for a specific patient care or administrative task.

Benefits of process mapping include allowing the entire team to visualize and appreciate what role/contribution they and their colleagues play in the care of patients; gives an overview of the current processes that allows the team to plan for change; identifies unintended variations in care, inefficient procedures, and opportunities to involve other team members in care; improves communication between team members; gives team members increased ownership in patient care; and can increase employee job satisfaction.

View an outline of the mapping process and the following instructional video on the process:

Data Collection

• Data Collection Information & Tips

Now that you’ve collected data, implemented change, and have your outcomes, it’s time to submit your project for credit! Family physicians utilizing the EasyPI: HPV track will use the ABFM’s Self-Directed Performance Improvement (PI) Project pathway to do so.

This pathway allows you to report customized improvement projects, regardless of the scope of care delivered. This pathway can be used to satisfy your PI requirement for continuing certification.

• You may report a project conducted alone or within a single practice group, an ACO, or other larger group practices
• You can use this pathway whether you see patients in a continuity setting or if you are providing non-continuity episodic care (e.g., hospitalist, telemedicine, locums, urgent care, emergency department, etc.).

Log into your MyABFM Portfolio to access this PI activity. To help you through the process of applying for credit, here is a sample application to review and ensure you have all of the information you will need, and below is video guide that walks you through each step.

Once you’ve submitted your application and it has been approved (may take up to 10 days for approval), you will fulfill an ABFM certification requirement and you will have earned 20 ABFM points and 20 American Academy of Family Physicians Prescribed CME credits.

We’d love to hear how this process was for you and what impact you had on patient care by completing your PI activity. Let us know in a post-survey.

If you have any questions regarding your PI activity requirement for the ABFM or if you have any issues with your application, please contact Ann Williamson at the ABFM. You can also visit the OAFP’s ABFM Certification webpage for more information on all things ABFM!