title: Impact of an Electronic Health Record (EHR) Reminder on Human Papillomavirus (HPV) Vaccine Initiation and Timely Completion.
abstract: BACKGROUND
  The initiation and timely completion of the human papillomavirus (HPV) vaccine in young women is critical. We compared the initiation and completion of the HPV vaccine among women in 2 community-based networks with electronic health records: 1 with a prompt and reminder system (prompted cohort) and 1 without (unprompted cohort).
  
  
  METHODS
  Female patients aged 9 to 26 years seen between March 1, 2007, and January 25, 2010, were used as the retrospective cohort. Patient demographics and vaccination dates were extracted from the electronic health records.
  
  
  RESULTS
  Patients eligible for the vaccine included 6019 from the prompted cohort and 9096 from the unprompted cohort. Mean age at initiation was 17.3 years in the prompted cohort and 18.1 years in the unprompted cohort. Significantly more (P < .001) patients initiated the vaccine in the prompted cohort (34.9%) compared with the unprompted cohort (21.5%). African Americans aged 9 to 18 years with ≥3 visits during the observation period were significantly more likely to initiate in the prompted cohort (P < .001). The prompted cohort was significantly more likely (P < .001) to complete the vaccine series in a timely manner compared with the unprompted cohort.
  
  
  CONCLUSIONS
  More patients aged 9 to 26 years initiated and achieved timely completion of the HPV vaccine series in clinics using an electronic health record system with prompts compared with clinics without prompts.
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY). mruffin@umich.edu.
authors.forename: Mack T
authors.initials: MT
authors.lastname: Ruffin
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY).
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Plegue
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY).
authors.forename: Pamela G
authors.initials: PG
authors.lastname: Rockwell
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY).
authors.forename: Alisa P
authors.initials: AP
authors.lastname: Young
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY).
authors.forename: Divya A
authors.initials: DA
authors.lastname: Patel
authors.affiliation: From the Departments of Family Medicine (MTR, PGR, APY) and Obstetrics and Gynecology (DAP) and the Center for Statistical Consultation and Research (MAP), University of Michigan, Ann Arbor; and the Department of Family and Community Medicine, University of Minnesota, Minneapolis (MWY).
authors.forename: Mark W
authors.initials: MW
authors.lastname: Yeazel
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D053918:Papillomavirus Vaccines; D010349:Patient Compliance / Q000706:statistics & numerical data*; D017010:Reminder Systems; D012189:Retrospective Studies; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Papillomavirus Vaccines; Vaccination