Ranking Highlights

2018 RankChange from Baseline
Overall Ranking90
Access and Affordability50
Prevention and Treatment14+10
Avoidable Hospital Use and Cost32-3
Healthy Lives6-1
Medicaid ExpansionYes


Total Population3,525,220318,251,368
Median Household Income$80,607$62,470
Below 200% of Federal Poverty Level (FPL)22%32%
% White Race, Non-Hispanic68%61%
% Black Race, Non-Hispanic10%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy16%18%
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Top Ranked Indicators

  • Adults without a dental visit in past year
  • Adults without all age- and gender-appropriate cancer screenings
  • Colorectal cancer deaths per 100,000 population

Bottom Ranked Indicators

  • Central Line-associated Blood Stream Infection (CLABSI), SIR
  • Diabetic adults ages 18-64 without a hemoglobin A1C test
  • Hospital patients who did not receive patient-centered care

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Hospital patients discharged without instructions for home recovery
  • Nursing home residents with an antipsychotic medication

Indicators That Worsened the Most

  • Home health patients with a hospital admission
  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries

Comparison with the U.S. Average

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