Improving HPV Vaccination Rates Using Maintenance-of-Certification Requirements.

BACKGROUND: Many pediatricians are now required to participate in

American Board of Pediatrics Maintenance of Certification (MOC)

Part IV programs focused on improving health care quality, but the

benefits of participation are unproven. METHODS: Twenty-seven

primary care pediatricians from 11 primary care practices

participated in a 1-year MOC program for human papillomavirus (HPV)

vaccine. Participants received education and electronic health

record (EHR)-generated performance feedback reports with their

rates of captured HPV immunization opportunities (dose given at

eligible visit) and those of peers. In each of 3 cycles, clinicians

collectively identified a goal for improvement. Rates of captured

opportunities among adolescents 11 to