HPV Vaccine Workgroup - Michigan Cancer€¦ · As a part of the HPV-focused AFIX (Assessment, Feedback, Incentives, eXchange) activity: 1. Conduct initial provider assessment HPV

HPV Vaccine Workgroup

Chairperson: Dr. Carolyn Johnston, [email protected]

Staff Person: Courtney Cole, [email protected]: Dr. Haley Thompson

These slides are the property of the presenters. Do not duplicate without consent.

mailto:[email protected]

mailto:[email protected]

25 Workgroup MembersCarolyn Johnston, Content ExpertUniversity of Michigan Comprehensive Cancer Center

Courtney Cole, Staff LiaisonCancer Prevention and Control Section (MDHHS)

Lori Pearl-KrausMary Free Bed Rehabilitation Hospital

Cristi BramerMDHHS

Sara CoatesMichigan Primary Care Association

Thomas RichAmerican Cancer Society, Inc. Lakeshore Division

Jacqueline ColemanMDHHS

Susan DemingMDHHS

Barry RosenTroy Gynecology Oncology

Rajita DnyateMedicaid Policy

David EggliAmerican Cancer Society, Inc. Lakeshore Division

Stephanie SanchezMDHHS

Sabrina FordMichigan State University

Chelsea HarmellSoutheastern Michigan Health Association

Sarah StrawbridgeMerck

Pete HayekMerck

Josh KellemsAmerican Cancer Society, Inc. Lakeshore Division

Hayley ThompsonBarbara Ann Karmanos Cancer Institute / Wayne State University

Sara KimBarbara Ann Karmanos Cancer Institute / Wayne State University

Nina LaviMichigan Primary Care Association

Mary Jo VoelpelMichigan Osteopathic Association

Alyssa NowakMDHHS

Jennifer NagyAmerican Cancer Society, Inc. Lakeshore Division

May YassineMichigan Public Health Institute

Melissa OttingerMerck


Current Data


MCIR Adolescent Data Limitations• Denominators

• Inflation when using MCIR denominator• The number of adolescents in MCIR is greater than the number of adolescents in Michigan,

according to the US Census Population estimates.• Results when persons move out of the state, but their address is not updated in MCIR.

• US Census limitations1

• Limitations to HPV coverage estimates for persons 19 through 26 years of age• Adult immunization data entry (persons 20 years of age and above) is highly

recommended but not required.• Limitations to the race data in MCIR

• Based on the mother’s race• MCIR has received the data from vital records since 2004

• Incomplete adolescent data• Race variable in MCIR is not modifiable (providers can not correct the field.)

1. https://www.census.gov/prod/1/gen/95statab/app3.pdf





Michigan HPV Coverage by Mother’s Race, MCIR, March 2019Mother’s Race (n) 11 through 12 yrs of age 13 through 15 years of age

Initiation (%) Completion(%) Initiation(%) Completion(%)

American Indian 38.7 14.6 62.9 40.3

Asian/Pacific Islander 37.9 14.7 56.2 39.3

Black 42.0 13.3 67.7 39.4

White 36.9 12.9 56.4 38.1

Multiple races 46.1 13.9 70.6 38.2

Other 48.7 19.8 61.8 44.3

Unknown 36.9 10.8 57.3 36.6

Missing* 25.5 9.0 55.6 42.7

*21% of 11 through 12 year olds and 66% of 13 through 15 year old had missing race information. Coverage foradditional, older age groups were not calculated as the limitations to the race data increase with increasing age.


Priority Area: Prevention

Statewide Project: The workgroups project for 2018-2019 is to evaluate provider performance in

offering and administering the HPV vaccine to clients 9-26 years old according to the current ACIP

recommended schedule (assessment), and encourage the dialogue surrounding HPV related

cancers and the HPV vaccine by providing the Someone You Love: The HPV Epidemic documentary

for health-care settings that have an adolescent client/patient base in five regions of Michigan.

Cancer Plan Objective: By 2020, increase the proportion of females and males ages 13-17 years who

have completed the recommended series of HPV vaccine to 80%.


Partners

Who are the main partners that the workgroup has worked with so far?

• Wayne State University/ Karmanos CancerInstitute

• Michigan Department of Health and HumanServices – Division of Immunizations

Question for the Board: Can you suggest any partners that would benefit the workgroup?


Workgroup meetings

1-hour Conference Calls – Workgroup Members• Wednesday, February, 21, 2018• Thursday, September 13, 2018• Wednesday, December 5, 2018

Email – Workgroup Members


Accomplishments to-date

• 40 health clinics throughout Michigan were identified:1) 20 Large population (>2000 adolescents) with low coverage

AND2) 20 Sites with over 200 adolescents with the lowest coverage in the state

• Michigan Care Improvement Registry (MCIR) data was used to identifyclinics with low HPV Vaccine Uptake

• Sites identified include pediatric and family practices within Wayne, Oakland,Genesee, Livingston, Ottawa, Ingham, Berrien, Muskegon, Jackson, St. Clair,Lapeer, and Delta county.


Recruitment Packet


Challenges• No challenges to report at this time

• Was the work plan modified at any point?Language in the original workplan was changed to reflect updated activities.

As a part of the HPV-focused AFIX (Assessment, Feedback, Incentives, eXchange) activity:1. Conduct initial provider assessment HPV Vaccine Uptake Environmental Scan2. Provide Someone You Love: The HPV Epidemic documentary materials for filmscreenings3. Conduct final provider assessment

• Question for the Board: Are there any suggestions to addressthe challenges described by the workgroup?


Future Activities

• What future activities are planned for the workgroup by the end of 2017?• Recruitment Packets will be sent at the end of March• The workgroup will be tracking and monitoring project participation for each clinic involved.• The workgroup will be submitting and IRB application to the Michigan Department of Health

and Human Services to evaluate vaccination coverage for clinics who choose to participate inthis project.

• Question for the Board: Do you have any concerns with the progress made sofar or future activities?


Colorectal Cancer Priority Workgroup

Chairperson: Dr. Kim TurgeonStaff Person: Sharde’ Burton

Presenter: Chris Bissell


Workgroup Members

1. Kim Turgeon, Content Expert2. Sharde’ Burton, Staff Liaison3. Fuad Azrak4. Debra Batterbee5. Chris Bissell6. Helen Burns7. Julee Campbell8. Elise DeYoung9. Ernesto Drelichman10. Josh Kellems11. Thomas Lanni, Jr12. Nina Lavi

13. Tesia Looper14. Abby Moler15. Keith Naylor16. Theresa Pruder17. Thomas Rich18. Latonya Riddle-Jones19. Gerri Roobol20. Mack Ruffin21. Tsu-Yin Wu22. Julie Zenger-Hain


Priority Area: Early Detection• Cancer Plan Objective: By 2020,

increase the proportion of adultsaged 50 to 75 years who are up-to-date on appropriate colorectalcancer screening to 80%.

• Statewide Project: By December2019, engage MCC members tosend colorectal cancer screeningreminders to adults aged 50-59years old.


Partners

• Main partners• UnitedHealthcare Community Plan • Muskegon Family Care• Catherine’s Health Center • Calhoun County Cancer Coalition

• Question for the Board: Can you suggest any partners that would benefit the workgroup?


Workgroup meetings

• October 2018 Meeting• Who: Entire Workgroup• What: Presentation by U-M Rogel Cancer Center on Tips4Health text

messaging for CRC screening and 50th birthday project update and ideas

• May 2018 Meeting• Who: Sub-group of workgroup• What: Developed 50th birthday project resources/outline for email requesting

participation


Current Status

• Email requesting participation by MCC member organizations in the 50th Birthday project went out September 11, 2018.

• Four organizations have joined the 50th Birthday project. • United Healthcare Community Plan has sent out 4,197 client

reminders since 1/3/19, as a result 273 individuals have completed CRC screening!


Challenges• What challenges did/is the workgroup facing?

• Finding organizations that have the capacity/staff time to identify and reach out to patients in the eligible population

• Ability of organizations to track results from mailings sent

• Was the work plan modified at any point? • No modifications to the work plan have been made

• Question for the Board: Are there any suggestions to address the challenges described by the workgroup?


Future Activities• Continued technical assistance to agencies participating in the 50th Birthday

project • Quarterly tracking and monitoring of agencies that are participating in the project

• Collecting data on the # of reminders sent, the # of calls received as a result of the reminders sent, and the # of completed screenings as a results of the reminders sent

• Collecting agency CRC screening rates at completion of project

• Question for the Board: Do you have any concerns with the progress made so far or future activities?


Clinical Trials Workgroup

Chairpersons : Elisabeth Heath & Anas Al-JanadiStaff Liaison: Audra Putt


Workgroup Members

1. Teri Albrecht2. Wali Altahif3. Sam Beusterien4. Julie Brabbs5. Sally Cory6. Susan Eggly7. Valerie Fraser8. Joan Gilbert-Gargaro9. Lauren Hamel

14. Gordan Srkalovic15. Connie Szczepanek16. Steve Springer17. Harsha Trivedi18. Mary Jo Voelpel19. Vikki Walton20. Ding Wang21. Joan Westendorp

10. Matt Innes11. Beth LaVasseur12. Angela McFall13. Marcie Paul14. Lori Pearl-Kraus15. Vicki Rakowski16. Jennifer Roye17. Samuel Silver


Priority Area: Treatment• Cancer Plan Objective:By 2020, increase percentage of Michigan adults participating in cancer treatment clinical trials from 4.4% to 4.8%.

• Statewide Project:By December 2019, develop two infographics (one for patients and one for primary care providers) which contain Michigan specific cancer clinical trial data and promote clinical trials and their benefits. To support health equity, the infographics will meet accessibility guidelines.


Workgroup Meetings

February 2018: The workgroup met to discuss project ideas related to cancer clinical trial enrollment in Michigan.

July 2018: The workgroup met to identify topics that should be included in a patient infographic and provider infographic.

August 2018 - January 2019: A literature review was conducted and the patient infographic was drafted.

February 2019: The workgroup met to review the patient infographic and discuss topics to be included in the provider infographic.


Current Status

• The patient infographic has been drafted.Edits are being made based on workgroup feedback.Current infographic topics include:

o Clinical trial overviewo Benefits of clinical trialso Questions to ask providerso How to find a clinical trial

• The provider infographic is currently being drafted.


Partners

Question for the Board: Can you suggest any partners that would benefit the workgroup?

• The workgroup is looking into potential partners to host focusgroups in the fall for the patient and provider infographic.


Challenges

• The workgroup does not have any challenges at this time.

• There have not been any modifications to the workplan.


Future Activities THE PATIENT AND

PROVIDER INFOGRAPHICS WILL

BE FOCUS GROUP TESTED IN FALL 2019.

A PROMOTION PLAN FOR THE

INFOGRAPHICS WILL BE CREATED.

A WEBINAR ON A CLINICAL TRIAL TOPIC

WILL BE HELD IN SUMMER 2019.

Question for the Board: Do you have any concerns with the progress made so far or future activities?


Cancer Survivorship Workgroup

Chairperson: Deb DohertyStaff Liaison: Audra Putt


Workgroup Members

1. Teri Albrecht2. Sam Beusterien3. Erica Bills4. Jacqueline Coleman5. Trish Currie6. Megan Flanigan7. Carie Francis8. Joan Gargaro9. Josephine Garnoc10. Sarah Hockin

21. Samantha Raad22. Geri Roobol23. Alexis Schneider24. Steve Springer25. Sandy Waddell26. Linda Vanni27. Heather Wallace28. Debbie Webster29. Joan Westendorp30. Laura Zubeck

11. Kathleen LaRaia12. Catherine Lennemann-Sandin13. Angela McFall14. Andrew Muskovitz15. Jennifer Nagy16. Jennifer Nicodemus17. Gwendolyn Parker18. Jeanne Parzuchowski19. Lori Pearl-Kraus20. Noel Pingatore


Priority Area: Quality of Life • Cancer Plan Objective: By 2020, decrease the percent of Michigan adults diagnosed with cancer who report physical pain due to cancer treatment from 6.9% to 6.8%.

• Statewide Project: By December 2019, create a shared decision making document for cancer survivors that provides education on physical pain management and various methods of pain control related to cancer treatment. The document will include questions patients can ask providers about pain

management.

To support health equity, the document will meet accessibility guidelines.


Workgroup Meetings

February 2018: The workgroup met to discuss project ideas related to physical pain management and control.

June 2018: The workgroup met to identify pain management topics/questions to address in a shared decision making document for survivors.

July 2018 - January 2019: Focus groups with survivors were organized and held to collect input on content and formatting for this type of document.

February 2019: The workgroup met to review the focus group data and finalize topics to address in the shared decision making document.


Current Status

• Two focus groups were held (one rural, one urban)1) December 2018 - Big Rapids, MI2) January 2019 - Grand Ledge, MI

• Participants were asked about: 1) Document topics2) Document formatting and design

• The workgroup has reviewed the focus group data and finalized topics for the document.

• The document is being draftedThese slides are the property of the presenters. Do not duplicate without consent.

Partners

Question for the Board: Can you suggest any partners that could help us promote the document?


Modifications & Challenges

• The addition of survivor focus groups before drafting the document was a change to the project.The workgroup learned from their 2016-2018 project the value of incorporating

survivor input at the beginning of this type of activity.

• Although focus groups take time to coordinate and organize, the workgroup has strived to keep to the project timeline established in their workplan.

• Question for the Board: Are there any suggestions to address the challenges described by the workgroup?


Future Activities

The document will be drafted throughout spring 2019.

Focus groups will be held in early fall to review the document for usability and readability.

A promotion plan for the document will be created.

Question for the Board: Do you have any concerns with the progress made so far or future activities?These slides are the property of the presenters. Do not duplicate without consent.

Thank you for the opportunity to serve!


Documents

HPV Vaccine Workgroup - Michigan Cancer€¦ · As a part of the HPV-focused AFIX (Assessment, Feedback, Incentives, eXchange) activity: 1. Conduct initial provider assessment HPV