Fact Sheet:
The HPV Project 2016

In October 2015, the Snohomish Health District's Vaccine Preventable Disease (VPD) Program applied to the Group Health Foundation for a grant to increase Human Papillomavirus (HPV) vaccination rates in Snohomish County.  The grant was awarded in January 2016 and nine Snohomish County healthcare provider offices were recruited to work on the project.  

Our focus was to initiate the HPV vaccine series at 11 to 12 years of age along with the Tdap and first dose of MCV4 and complete the HPV series before the patient's 13 birthday.  Each clinic chose vaccine improvement strategies from best practice guidelines and by tapping into their individual strengths and the knowledge used to deal with their unique patient populations. 

This presentation reports the aggregate results of the HPV Project 2016. The final data cohort represents 2,771 11 and 12 year old patients.

In terms of productive life saved, getting kids fully vaccinated-including HPV vaccine at age 11 that protects boys and girls against cancer-is the single most important thing I do on any given day.

—Dr. John Dunn,  
Group Health Cooperative 

The Data


• 8.8% increase in 1 dose HPV
• 7.8% increase in HPV series completion
• 8.3% increase in Tdap
• 9% increase in MCV4

Our Strategies

• Utilized the EMR system's flag and pop-up capabilities to follow up on patients who had begun the adolescent vaccine series

• Created a Reminder/Recall system to send letters to adolescent patients due for well check-ups and vaccines

• Strongly recommended all adolescent vaccines

• Inactivated patients no longer seen from clinic rosters in the Washington State Immunization Information System (WAIIS)

• Peer to peer education about the importance of adolescent vaccines

• Engaged clinic staff with clear direction on how to attain immunization rate goals/HEDIS measure standards

• Compared EMR profile with WAIIS to determine immunization needs for each patient on the next day's schedule

• Allowed MA-only visits for booster or series completion doses

• Checked each patient's immunization status at every clinic visit

Missed Opportunities to administer HPV dose 1 at the patient's last immunization visit....


Every visit is an opportunity to vaccinate.