Ranking Highlights

2018 RankChange from Baseline
Overall Ranking15+4
Access and Affordability39-5
Prevention and Treatment240
Avoidable Hospital Use and Cost5-1
Healthy Lives11+4
Medicaid ExpansionNo


Total Population1,663,785318,251,368
Median Household Income$55,417$62,470
Below 200% of Federal Poverty Level (FPL)35%32%
% White Race, Non-Hispanic82%61%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy12%18%
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Top Ranked Indicators

  • Central Line-associated Blood Stream Infection (CLABSI), SIR
  • Hospital patients discharged without instructions for home recovery
  • Admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees

Bottom Ranked Indicators

  • Adults without all age- and gender-appropriate cancer screenings
  • Adults with any mental illness reporting unmet need
  • Adults without all age-appropriate recommended vaccines

Most Improved Indicators

  • Individuals with high out-of-pocket medical spending
  • Home health patients who did not get better at walking or moving around
  • Children ages 0–18 uninsured

Indicators That Worsened the Most

  • Employee health insurance contributions as a share of median income
  • Hospital 30-day mortality
  • Adults without a dental visit in past year

Comparison with the U.S. Average

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