Date of Graduation

Summer 8-12-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Susan M Mortell

Second Advisor

Dr. Elena A Capella

Third Advisor

Dr. Carlee Balzaretti


Although the Human Papillomavirus (HPV) vaccine has been approved and recommended by the FDA and other vaccine experts for over a decade, the national uptake rate of the HPV vaccine has remained below the Healthy People 2020 goal of 80% (OFPHP, 2018). In 2016, the clinic’s completion rate for the HPV series was only 27.7% among 11- to 13-year-olds, which was not only below national targets, but also below the organization’s completion rate goal of 30.4%. In 2017, the clinic implemented the HPV Vaccination Improvement Project and was able to increase their completion rates up to 31.1%, which surpassed the previous year’s organizational goal.

This change project aims to increase the rates of HPV vaccine uptake in the pediatric primary care clinic through patient outreach and reminder telephone calls and mailed letters. The project is planned to start July 9, 2018 and go until July 30, 2018. We will measure a combination of process, outcome and balancing measures, including/recall HPV initiation and completion rates, number of HPV vaccines given and appointments scheduled. Additionally, we will track “used opportunities to vaccinate”, missed opportunities to vaccinate and simultaneous vaccines given.

As a result of the outreach calls, we were able to reach an improvement of about 2%, which was less than our goal of 5-10% improvement. However, if all patients scheduled as a result of the outreach calls received an HPV vaccine, that would translate to an improvement rate of 7% which would meet our goal.