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Tennessee 3- Star Program for HPV Vaccination in preteens aged 11-13 years

Friday, July 26, 2013  
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Program Pulse- HPV Initiative in Tennessee

  • All children entering 7th grade in a Tennessee school must have one dose of Tdap. To capitalize on this requirement and reduce missed opportunities, Tennessee encourages local health department clinics to give all VFC-eligible preteens and teens the three recommended vaccines (Tdap, MCV4 and HPV) for their age group when a student comes in for a Tdap vaccination. Clinics are now receiving feedback through new monthly "3-Star” performance reports.
  • Each immunization visit to the LHD by a VFC-eligible child aged 11 through 13 is categorized as 1-Star (one vaccine), 2-Star (2 of 3 vaccines), or 3-Star (Tdap, MCV4 and HPV given). LHD clinics now receive a short monthly report showing the number of eligible visits and the proportion of 1-, 2- and 3- star visits in their county, their public health region, other regions and the entire state. A simple chart also tracks their region’s monthly results over time, going back to October 2012, to help them evaluate their performance trends.
  • Since introducing the report in April 2013, Tennessee has seen improvement each month in the proportion of 3-Star immunization visits among VFC-eligible 11-13 year olds immunized in LHD clinics, from 14.8% in April 2013 to 23.8% in June 2013.  Field staff response has been very positive.
  • For more information on the 3-Star Program, please contact Melissa Fankhauser, MPH, Immunization Program Epidemiologist at or 615-741-3904.

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