You will see these two measures in your weekly run chart reports:

#4 HPV Recommend-Well
WELL visits with documented provider recommendation (given or refused) (% of visits, ages 11-17)

#5 HPV Recommend-All
ALL visits with documented provider recommendation (given or refused) (% of visits, ages 11-17)

For these two measures, VHealth counts a “provider recommendation” as the visits in which the vaccine was administered OR it was documented as refused by the patient/parent (among visits in which the patient was due for any dose of HPV vaccine). If your changes are making an impact, you should see an increase in one or both of these measures over time (depending on whether you are focusing on well visits or all visits).

You can also compare the two recommendation measures with measure #1 HPV Dose Due (Well) and measure #3 HPV Dose Due (All). These two track only the visits in which HPV vaccine is administered (among those with a dose due). In other words, the difference between measure #1 versus #4 and measure #3 versus #5 is the number of documented refusals.

If you see a small difference when comparing these measures:
Providers and clinical staff may need refresher training and reminders about the procedures for documenting refusals.

If you see very little or no difference in these measures:
a) If providers have been documenting refusals but they are not showing up in the data, please submit a Technical Assistance Request for VHealth to check if adjustments need to be made for your specific EHR when counting refusals.
b) If providers have not been documenting refusals, refresher training and reminders are suggested.
c) Or you may need to do both.