EasyPI: HPV Vaccination

Welcome to the human papillomavirus (HPV) vaccination track page. The Ohio Academy of Family Physicians (OAFP) has curated all of the information you will need to complete a self-guided performance improvement (PI) project focused on HPV vaccination rates in practice in order to earn American Board of Family Medicine (ABFM) PI and continuing medical education (CME) credits.

As a new initiative for the OAFP, we would love your feedback on your current comfort in completing a PI activity for ABFM credit. In order to gauge effectiveness of this new tool, EasyPI, please take a few moments to share initial feedback before diving in by completing a quick survey.

And, once you’ve reviewed the content and/or submitted a project for credit, please let us know how it went by completing the post-survey.

Let’s Get Started!

The following is a quick step-by-step guide:
  1. As needed, review the background information and guidelines for HPV.
  2. Determine what factor of HPV care you want to address – you may already be aware of equity gaps, may identify gaps by doing process mapping, or may use your Electronic Health Record to review data to find opportunities for improvement.
  3. Review the Performance Improvement Process Materials, complete the process mapping, determine your quality measures and interventions, and create a quality improvement plan.
  4. Collect preliminary data.
  5. Implement your change. Note: you will select the length of the PI activity (at least seven (7) days, but not more than 12 months).
  6. Collect post-intervention data.
  7. Submit your project for ABFM credit. See the ABFM Performance Improvement Activity section for detailed directions.

The resources provided below can be used prior to and during your PI project. Choose the resources you need most. You don’t have to click on every link included. There are a variety of options to match  where you might be in your quality journey. There’s something for everyone, no matter if this is your first PI activity or 30th!

Resources with indicate there may be additional CME credit available upon completion.

Resources with indicate materials that include tools, education, support, etc. on health equity topics to consider.


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.

HPV Infection and Associated Cancer and Disease
Speaker: Kellie Rath, MD, Medical Director, Gynecologic Oncology, OhioHealth | Presentation
Learning Objectives

At the conclusion of this webinar, participants will be able to:
  • Understand HPV transmission and the burden of infection
  • Demonstrate knowledge of HPV-related cancer and disease
  • Understand screening for and detecting HPV infection and disease.

HPV Vaccination: An Update
Speaker: Kellie Rath, MD, Medical Director, Gynecologic Oncology, OhioHealth | Presentation
Learning Objectives

At the conclusion of this webinar, participants will be able to:
  • Understand the most updated HPV vaccination guidelines and how to apply them clinically
  • Understand safety and efficacy of the HPV vaccine
  • Demonstrate the impact of the HPV vaccine and how it works
  • Identify strategies for discussing the HPV vaccine with patients.

Strategies to Implement Changes in Practice for HPV Vaccination
Speaker: Heidi R. Yount, MD, Family Health Services of Darke County | Presentation
Learning Objectives

At the conclusion of this webinar, participants will be able to:
  • Identify barriers to HPV vaccination for patients
  • Practice overcoming the barriers patients face in order to increase HPV vaccination
  • Identify educational resources available to patients and incorporate them into practice
  • Discuss case study examples of implementing different strategies.

HPV Vaccination: Team-Based Care and Workflow Mapping
Speaker: Heidi Gullett, MD, MPH – Assistant Professor, Case Western Reserve University Center for Community Health Integration – Cleveland, OH | Presentation
Learning Objectives

At the conclusion of this webinar, participants will be able to:
  • Review importance of preventing HPV-related cancers through vaccination
  • Discuss the importance of and best practices for team-based care
  • Understand and demonstrate the process of workflow mapping
  • Identify key resources for diverse teams.

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

Overview

Practice Management


The following resources are links to guidelines for HPV vaccination:


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. 

Cervical Cancer Screening & Diagnostic Services
  • 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.
Breast Cancer Screening & Diagnostic Services
  • 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. 


Engaging in performance improvement (PI) activities can:
  • 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.

Choose the tools to help you and your team have a successful PI project.

Quality Measures & Intervention Selection

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


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.

Some key things to know about this pathway:
  • 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!



Questions

If you have any questions regarding materials on this page or the PI process in general, please contact Deputy Executive Vice President Kaitlin McGuffie or call 800.742.7327.

This EasyPI track is supported by a grant provided by the Ohio Department of Health (ODH) Bureau of Health Improvement & Wellness, Breast and Cervical Cancer Project (BCCP) through financial support from the Centers for Disease Control and Prevention (CDC) under Cooperative Agreement NU58DP007097.