Baseline

  1. Home
  2. Decision Support Tool
  3. Baseline

Individual Support Tool’s Variables

  • Timeframe 1 Year
  • Vaccine Bivalent
  • Populations 200
  • Health System Budget $1,000 Per Vaccine
  • Intervention Cost $10,000 Annually

In the model base case, estimates are calculated using current data on model parameters (e.g., vaccination rates, HPV cancer incidences, costs). Parameters that may be modified from the base case are provided below or can be accessed by clicking on Modifiable Parameters at any point as you’re exploring this page.

Modifiable Parameters

The following parameters that may be modified include:

Time Frame

This allows the user to see the effects in 1 year as compared to effects over the lifetime of vaccinated individuals. Since many cancer outcomes take place in later years, the main outcome that changes is vaccination.

Vaccinated Populations

This shows how the outcomes may alter if the number of vaccinated populations were to increase or decrease by 10% or 10%.

Health System Budget

This allows the user to implement budget constraints to see which interventions may be possible to implement within those budgets.

Intervention Costs

This alters the costs of the intervention to be 10% or 50% higher or lower to observe the effects of increasing/decreasing material costs and/or rising wages.

National-level Results

This table presents national-level estimates of incremental health outcomes and incremental costs for each strategy, relative to usual care.

Compared to Usual CareAATAAT + Standing OrdersAAT + Financial IncentivesAAT + Vaccine ChampionsAFIXSTOP HPV
Num. Additionally Vaccinated113,400134,400134,400134,40039,90079,800
Cancer Cases Averted9001,0001,0001,000300600
Cancer Deaths Averted300400400400100200
Short Term Productivity Losses Averted ($)$4,326,600$5,127,900$5,127,900$5,127,900$1,522,300$3,044,700
Long Term Productivity Losses Averted ($)$10,283,500$12,187,900$12,187,900$12,187,900$3,618,300$7,236,500
Treatment Costs Averted ($)$103,887,400$123,125,800$123,125,800$123,125,800$36,553,000$73,105,900
Intervention costs ($)$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000
Incremental
QALYs Gained		4,6005,4005,4005,4001,6003,200

Interpreting the Incremental Cost-Effectiveness Ratio (ICER) Plane

The Incremental Cost-Effectiveness Ratio (or ICER) plane below illustrates the relationship incremental costs (on the y-axis) and incremental effectiveness (on the x-axis) for each intervention, expressed as cost per additional vaccinated person. For example, an ICER of $50 means that intervention costs $50 for each additional person vaccinated compared with usual care. When interpreting these results, lower ICER values indicated greater cost-effectiveness.

Cancer cases averted

Compared to Usual CareAATAAT + Standing OrdersAAT + Financial IncentivesAAT + Vaccine ChampionsAFIXSTOP HPV
Cervical Cancer26031031031090180
Oropharyngeal Cancer330400400400120240
Vaginal Cancer202020201010
Vulvar Cancer708080802050
Anal Cancer17020020020060120
Penile Cancer202020201010

State-level Results

Click on a state in the three maps below to view the incremental costs, vaccination coverage changes, and quality-of-life gains associated with each Announcement Approach Training (AAT) intervention, relative to usual care.

AAT + Standing Orders

Alaska
  • Incremental Cost of Intervention:$1,022.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:10
Alabama
  • Incremental Cost of Intervention:$981.0K
  • Incremental Vaccination Coverage Gain (%):4.7
  • Incremental QALYs Gained:100
Arkansas
  • Incremental Cost of Intervention:$214.0K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:60
Arizona
  • Incremental Cost of Intervention:$1,111.6K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
California
  • Incremental Cost of Intervention:$12,775.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:550
Colorado
  • Incremental Cost of Intervention:$710.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:70
Connecticut
  • Incremental Cost of Intervention:$227.5K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:50
Delaware
  • Incremental Cost of Intervention:$800.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:20
Florida
  • Incremental Cost of Intervention:$11,097.3K
  • Incremental Vaccination Coverage Gain (%):4.6
  • Incremental QALYs Gained:480
Georgia
  • Incremental Cost of Intervention:$3,339.4K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:190
Hawaii
  • Incremental Cost of Intervention:$806.4K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:20
Iowa
  • Incremental Cost of Intervention:$88.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:50
Idaho
  • Incremental Cost of Intervention:$620.5K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:20
Illinois
  • Incremental Cost of Intervention:$4,269.1K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Indiana
  • Incremental Cost of Intervention:$1,270.9K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:90
Kansas
  • Incremental Cost of Intervention:$57.5K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:50
Kentucky
  • Incremental Cost of Intervention:$1,220.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:100
Louisiana
  • Incremental Cost of Intervention:$968.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:90
Massachusetts
  • Incremental Cost of Intervention:$1,506.6K
  • Incremental Vaccination Coverage Gain (%):3.6
  • Incremental QALYs Gained:100
Maryland
  • Incremental Cost of Intervention:$1,108.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:90
Maine
  • Incremental Cost of Intervention:$562.0K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:30
Michigan
  • Incremental Cost of Intervention:$3,103.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:150
Minnesota
  • Incremental Cost of Intervention:$766.9K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:70
Missouri
  • Incremental Cost of Intervention:$1,762.7K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:120
Mississippi
  • Incremental Cost of Intervention:$209.5K
  • Incremental Vaccination Coverage Gain (%):5.7
  • Incremental QALYs Gained:70
Montana
  • Incremental Cost of Intervention:$836.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:20
North Carolina
  • Incremental Cost of Intervention:$3,501.1K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:180
North Dakota
  • Incremental Cost of Intervention:$1,056.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:10
Nebraska
  • Incremental Cost of Intervention:$553.4K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:30
New Hampshire
  • Incremental Cost of Intervention:$662.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:20
New Jersey
  • Incremental Cost of Intervention:$2,488.1K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:150
New Mexico
  • Incremental Cost of Intervention:$539.7K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:30
Nevada
  • Incremental Cost of Intervention:$101.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:50
New York
  • Incremental Cost of Intervention:$7,021.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:340
Ohio
  • Incremental Cost of Intervention:$4,312.3K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Oklahoma
  • Incremental Cost of Intervention:$591.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:80
Oregon
  • Incremental Cost of Intervention:$597.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:60
Pennsylvania
  • Incremental Cost of Intervention:$4,733.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:230
Rhode Island
  • Incremental Cost of Intervention:$822.0K
  • Incremental Vaccination Coverage Gain (%):3.4
  • Incremental QALYs Gained:20
South Carolina
  • Incremental Cost of Intervention:$1,153.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
South Dakota
  • Incremental Cost of Intervention:$961.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:10
Tennessee
  • Incremental Cost of Intervention:$2,094.0K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:130
Texas
  • Incremental Cost of Intervention:$9,405.8K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:450
Utah
  • Incremental Cost of Intervention:$595.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:30
Virginia
  • Incremental Cost of Intervention:$1,996.2K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:120
Vermont
  • Incremental Cost of Intervention:$997.9K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:10
Washington
  • Incremental Cost of Intervention:$1,702.7K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:110
Wisconsin
  • Incremental Cost of Intervention:$1,110.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:90
West Virginia
  • Incremental Cost of Intervention:$202.8K
  • Incremental Vaccination Coverage Gain (%):5.1
  • Incremental QALYs Gained:40
Wyoming
  • Incremental Cost of Intervention:$1,079.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:10

AAT + Financial Incentives

Alaska
  • Incremental Cost of Intervention:$1,022.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:10
Alabama
  • Incremental Cost of Intervention:$981.0K
  • Incremental Vaccination Coverage Gain (%):4.7
  • Incremental QALYs Gained:100
Arkansas
  • Incremental Cost of Intervention:$214.0K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:60
Arizona
  • Incremental Cost of Intervention:$1,111.6K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
California
  • Incremental Cost of Intervention:$12,775.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:550
Colorado
  • Incremental Cost of Intervention:$710.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:70
Connecticut
  • Incremental Cost of Intervention:$227.5K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:50
  • Incremental Cost of Intervention:$1,020.0K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:10
Delaware
  • Incremental Cost of Intervention:$800.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:20
Florida
  • Incremental Cost of Intervention:$11,097.3K
  • Incremental Vaccination Coverage Gain (%):4.6
  • Incremental QALYs Gained:480
Georgia
  • Incremental Cost of Intervention:$3,339.4K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:190
Hawaii
  • Incremental Cost of Intervention:$806.4K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:20
Iowa
  • Incremental Cost of Intervention:$88.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:50
Idaho
  • Incremental Cost of Intervention:$620.5K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:20
Illinois
  • Incremental Cost of Intervention:$4,269.1K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Indiana
  • Incremental Cost of Intervention:$1,270.9K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:90
Kansas
  • Incremental Cost of Intervention:$57.5K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:50
Kentucky
  • Incremental Cost of Intervention:$1,220.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:100
Louisiana
  • Incremental Cost of Intervention:$968.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:90
Massachusetts
  • Incremental Cost of Intervention:$1,506.6K
  • Incremental Vaccination Coverage Gain (%):3.6
  • Incremental QALYs Gained:100
Maryland
  • Incremental Cost of Intervention:$1,108.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:90
Maine
  • Incremental Cost of Intervention:$562.0K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:30
Michigan
  • Incremental Cost of Intervention:$3,103.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:150
Minnesota
  • Incremental Cost of Intervention:$766.9K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:70
Missouri
  • Incremental Cost of Intervention:$1,762.7K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:120
Mississippi
  • Incremental Cost of Intervention:$209.5K
  • Incremental Vaccination Coverage Gain (%):5.7
  • Incremental QALYs Gained:70
Montana
  • Incremental Cost of Intervention:$836.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:20
North Carolina
  • Incremental Cost of Intervention:$3,501.1K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:180
North Dakota
  • Incremental Cost of Intervention:$1,056.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:10
Nebraska
  • Incremental Cost of Intervention:$553.4K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:30
New Hampshire
  • Incremental Cost of Intervention:$662.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:20
New Jersey
  • Incremental Cost of Intervention:$2,488.1K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:150
New Mexico
  • Incremental Cost of Intervention:$539.7K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:30
Nevada
  • Incremental Cost of Intervention:$101.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:50
New York
  • Incremental Cost of Intervention:$7,021.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:340
Ohio
  • Incremental Cost of Intervention:$4,312.3K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Oklahoma
  • Incremental Cost of Intervention:$591.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:80
Oregon
  • Incremental Cost of Intervention:$597.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:60
Pennsylvania
  • Incremental Cost of Intervention:$4,733.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:230
Rhode Island
  • Incremental Cost of Intervention:$822.0K
  • Incremental Vaccination Coverage Gain (%):3.4
  • Incremental QALYs Gained:20
South Carolina
  • Incremental Cost of Intervention:$1,153.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
South Dakota
  • Incremental Cost of Intervention:$961.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:10
Tennessee
  • Incremental Cost of Intervention:$2,094.0K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:130
Texas
  • Incremental Cost of Intervention:$9,405.8K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:450
Utah
  • Incremental Cost of Intervention:$595.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:30
Virginia
  • Incremental Cost of Intervention:$1,996.2K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:120
Vermont
  • Incremental Cost of Intervention:$997.9K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:10
Washington
  • Incremental Cost of Intervention:$1,702.7K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:110
Wisconsin
  • Incremental Cost of Intervention:$1,110.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:90
West Virginia
  • Incremental Cost of Intervention:$202.8K
  • Incremental Vaccination Coverage Gain (%):5.1
  • Incremental QALYs Gained:40
Wyoming
  • Incremental Cost of Intervention:$1,079.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:10

AAT + Vaccine Champions

Alaska
  • Incremental Cost of Intervention:$1,022.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:10
Alabama
  • Incremental Cost of Intervention:$981.0K
  • Incremental Vaccination Coverage Gain (%):4.7
  • Incremental QALYs Gained:100
Arkansas
  • Incremental Cost of Intervention:$214.0K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:60
Arizona
  • Incremental Cost of Intervention:$1,111.6K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
California
  • Incremental Cost of Intervention:$12,775.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:550
Colorado
  • Incremental Cost of Intervention:$710.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:70
Connecticut
  • Incremental Cost of Intervention:$227.5K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:50
Delaware
  • Incremental Cost of Intervention:$800.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:20
Florida
  • Incremental Cost of Intervention:$11,097.3K
  • Incremental Vaccination Coverage Gain (%):4.6
  • Incremental QALYs Gained:480
Georgia
  • Incremental Cost of Intervention:$3,339.4K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:190
Hawaii
  • Incremental Cost of Intervention:$806.4K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:20
Iowa
  • Incremental Cost of Intervention:$88.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:50
Idaho
  • Incremental Cost of Intervention:$620.5K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:20
Illinois
  • Incremental Cost of Intervention:$4,269.1K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Indiana
  • Incremental Cost of Intervention:$1,270.9K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:90
Kansas
  • Incremental Cost of Intervention:$57.5K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:50
Kentucky
  • Incremental Cost of Intervention:$1,220.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:100
Louisiana
  • Incremental Cost of Intervention:$968.0K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:90
Massachusetts
  • Incremental Cost of Intervention:$1,506.6K
  • Incremental Vaccination Coverage Gain (%):3.6
  • Incremental QALYs Gained:100
Maryland
  • Incremental Cost of Intervention:$1,108.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:90
Maine
  • Incremental Cost of Intervention:$562.0K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:30
Michigan
  • Incremental Cost of Intervention:$3,103.2K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:150
Minnesota
  • Incremental Cost of Intervention:$766.9K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:70
Missouri
  • Incremental Cost of Intervention:$1,762.7K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:120
Mississippi
  • Incremental Cost of Intervention:$209.5K
  • Incremental Vaccination Coverage Gain (%):5.7
  • Incremental QALYs Gained:70
Montana
  • Incremental Cost of Intervention:$836.5K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:20
North Carolina
  • Incremental Cost of Intervention:$3,501.1K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:180
North Dakota
  • Incremental Cost of Intervention:$1,056.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:10
Nebraska
  • Incremental Cost of Intervention:$553.4K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:30
New Hampshire
  • Incremental Cost of Intervention:$662.3K
  • Incremental Vaccination Coverage Gain (%):3.9
  • Incremental QALYs Gained:20
New Jersey
  • Incremental Cost of Intervention:$2,488.1K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:150
New Mexico
  • Incremental Cost of Intervention:$539.7K
  • Incremental Vaccination Coverage Gain (%):4.1
  • Incremental QALYs Gained:30
Nevada
  • Incremental Cost of Intervention:$101.2K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:50
New York
  • Incremental Cost of Intervention:$7,021.4K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:340
Ohio
  • Incremental Cost of Intervention:$4,312.3K
  • Incremental Vaccination Coverage Gain (%):4.2
  • Incremental QALYs Gained:220
Oklahoma
  • Incremental Cost of Intervention:$591.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:80
Oregon
  • Incremental Cost of Intervention:$597.9K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:60
Pennsylvania
  • Incremental Cost of Intervention:$4,733.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:230
Rhode Island
  • Incremental Cost of Intervention:$822.0K
  • Incremental Vaccination Coverage Gain (%):3.4
  • Incremental QALYs Gained:20
South Carolina
  • Incremental Cost of Intervention:$1,153.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:90
South Dakota
  • Incremental Cost of Intervention:$961.1K
  • Incremental Vaccination Coverage Gain (%):3.8
  • Incremental QALYs Gained:10
Tennessee
  • Incremental Cost of Intervention:$2,094.0K
  • Incremental Vaccination Coverage Gain (%):4.4
  • Incremental QALYs Gained:130
Texas
  • Incremental Cost of Intervention:$9,405.8K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:450
Utah
  • Incremental Cost of Intervention:$595.3K
  • Incremental Vaccination Coverage Gain (%):4.5
  • Incremental QALYs Gained:30
Virginia
  • Incremental Cost of Intervention:$1,996.2K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:120
Vermont
  • Incremental Cost of Intervention:$997.9K
  • Incremental Vaccination Coverage Gain (%):3.7
  • Incremental QALYs Gained:10
Washington
  • Incremental Cost of Intervention:$1,702.7K
  • Incremental Vaccination Coverage Gain (%):4.3
  • Incremental QALYs Gained:110
Wisconsin
  • Incremental Cost of Intervention:$1,110.3K
  • Incremental Vaccination Coverage Gain (%):4.0
  • Incremental QALYs Gained:90
West Virginia
  • Incremental Cost of Intervention:$202.8K
  • Incremental Vaccination Coverage Gain (%):5.1
  • Incremental QALYs Gained:40
Wyoming
  • Incremental Cost of Intervention:$1,079.9K
  • Incremental Vaccination Coverage Gain (%):4.9
  • Incremental QALYs Gained:10

US Rural and Urban Results

The following tables present estimates of incremental health outcomes and incremental costs for each strategy, relative to usual care, stratified by rural and urban U.S. populations.

Rural

Compared to Usual CareAATAAT + Standing OrdersAAT + Financial IncentivesAAT + Vaccine ChampionsAFIXSTOP HPV
Num. Additionally Vaccinated98,500116,700116,700116,70034,60069,300
Cancer Cases Averted700900900900300500
Cancer Deaths Averted300300300300100200
Short Term Productivity Losses Averted ($)$3,621,700$4,292,400$4,292,400$4,292,400$1,274,300$2,548,600
Long Term Productivity Losses Averted ($)$8,623,700$10,220,700$10,220,700$10,220,700$3,034,300$6,068,500
Treatment Costs Averted ($)$86,463,400$102,475,200$102,475,200$102,475,200$30,422,300$60,844,600
Intervention costs ($)$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000
Incremental
QALYs Gained		3,8004,5004,5004,5001,3002,700

Urban

Compared to Usual CareAATAAT + Standing OrdersAAT + Financial IncentivesAAT + Vaccine ChampionsAFIXSTOP HPV
Num. Additionally Vaccinated14,90017,70017,70017,7005,20010,500
Cancer Cases Averted100200200200100100
Cancer Deaths Averted10010010010000
Short Term Productivity Losses Averted ($)$704,900$835,500$835,500$835,500$248,000$496,100
Long Term Productivity Losses Averted ($)$1,659,800$1,967,200$1,967,200$1,967,200$584,000$1,168,000
Treatment Costs Averted ($)$17,424,000$20,650,600$20,650,600$20,650,600$6,130,600$12,261,300
Intervention costs ($)$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000$1,300,000
Incremental
QALYs Gained		800900900900300500

Modifiable Parameters

The following parameters that may be modified include:

Time Frame

This allows the user to see the effects in 1 year as compared to effects over the lifetime of vaccinated individuals. Since many cancer outcomes take place in later years, the main outcome that changes is vaccination.

Vaccinated Populations

This shows how the outcomes may alter if the number of vaccinated populations were to increase or decrease by 10% or 10%.

Health System Budget

This allows the user to implement budget constraints to see which interventions may be possible to implement within those budgets.

Intervention Costs

This alters the costs of the intervention to be 10% or 50% higher or lower to observe the effects of increasing/decreasing material costs and/or rising wages.