Boosting HPV Vaccination Rates: Post Webinar Survey

Please fill out the following survey for the Amercian Cancer Society (ACS) and Minnesota Department of Health (MDH) Immunization Quality Improvement Project (IQIP) team. Based on your responses, the team may reach out to you to follow up on quality improvement activities, and/or ask for your participation and presentation of your work in future webinars. Thank you!

Contact information

Name

Position title

Clinic/organization affiliation

Main location of work

Are you a prescriber?

What type?

NP
MD/DO
PA
Other

Are you interested in participating in the ACS/IQIP HPV Improvement Project? Participation would involve implementing improvement activities, reporting progress to ACS/MDH, and attending future HPV related webinars.

What improvement activities are you willing to implement in your clinic?
(select all that apply)

MDH text messaging project
Physician audits using MIIC functions or clinic EMR functionality
Regular immunization coverage rate calculation using MIIC or EMR
Creating and practicing a script for presumptive HPV recommendations to patients
Other

Do you wish to hear about more opportunities to learn about HPV vaccination?

What other issues about HPV vaccination would you like to hear more about?

Creating a script for a strong HPV recommendation
Combating misinformation on HPV vaccine
Implementing HPV vaccination starting at age 9 in your clinic
Other

Would you like to implement HPV vaccine recommendation starting at age 9-10?

Yes, I already have
I am interested but have not yet
No, I am not interested

Why not?
(select all that apply)

Health system/clinic policy
Patient population not open to HPV vaccination
Difficult to adjust and manage clinic operations
Other

Why not?
(select all that apply)

Health system/clinic policy
Patient population not open to HPV vaccination
No capacity to adjust and manage clinic operations
Other