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The HPV Vaccination Initiative is a multi-sector, multi-level collaborative focused on increasing human papillomavirus (HPV) vaccination in Texas. Guided by MD Anderson¡¯s , this initiative convenes and collaborates with community collaborators who are working to increase HPV vaccination rates within their communities.

The HPV Vaccination Initiative is an initiative of the Cancer Prevention and Control Platform. The goal is to increase the percentage of Texas youth, ages 9 to 17, who have completed the recommended HPV vaccine series. MD Anderson, as the initiative¡¯s backbone organization, supports collaborating organizations¡¯ capacity to implement evidence-based interventions (EBIs) to achieve the initiative goal. This backbone support includes providing funding, capacity building, technical assistance and other resources to collaborators. MD Anderson also guides the development of shared measures and convenes meetings to foster collaboration and overcome barriers related to implementation of evidence-based interventions.  

• Implement incentivized quality improvement initiatives
• Implement standing orders
• Implement provider audit / assessment and feedback
• Implement provider and office staff knowledge of HPV and HPV vaccination
• Implement provider and office staff HPV vaccination communication skills
• Make strong provider recommendations
• Use announcement language
• Bundle with other adolescent vaccines
• Focus on vaccination of young adolescents
• Promote vaccination of boys and girls equally
• Repeat recommendations as needed
• Provide HPV vaccination messaging targeting parents
• Implement reminder and recall systems
• Ensure adequate provider reimbursement
• Facilitate access to vaccination
• Ensure electronic health record optimization
• Ensure Texas Immunization Registry (ImmTrac2) optimization
• Increase access to vaccination
• Policy changes in clinic settings (such as standing orders)
• Patient education
• Clinic-based quality improvement (such as reminder/recall, workflow, electronic medical records (EMR) optimization, etc.)
• Provider and staff training

The following section describes the projects carried out by the HPV Vaccination Initiative¡¯s implementation collaborators. These collaborators meet regularly to share ideas and lessons learned, participate in a shared measurement system and implement 12 distinct projects carried out across multiple sectors, including schools, federally qualified health centers (FQHCs) and academic institutions.

Collectively, these organizations, with the support of MD Anderson, form the HPV Vaccination Implementation Community (VIC). The VIC was designed by MD Anderson, as the initiative¡¯s backbone organization, to bridge silos, initiate multi-sector collaboration and facilitate real-time sharing of lessons learned and resources. These collaborators work with over 70 additional organizations across 18 Texas counties. Together they have reached around 200,000 individuals with projects that will increase the percentage of Texas youth who have completed the recommended HPV vaccine series.