Ranking Highlights

2018 RankChange from Baseline
Overall Ranking49+1
Access and Affordability47-3
Prevention and Treatment470
Avoidable Hospital Use and Cost50+1
Healthy Lives47+2
Medicaid ExpansionNo


Total Population4,577,761318,251,368
Median Household Income$48,868$62,470
Below 200% of Federal Poverty Level (FPL)39%32%
% White Race, Non-Hispanic59%61%
% Black Race, Non-Hispanic32%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicithy5%18%
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Top Ranked Indicators

  • Hospital patients who did not receive patient-centered care
  • Hospital 30-day mortality
  • Employer-sponsored insurance spending per enrollee

Bottom Ranked Indicators

  • Medicare beneficiaries received a high-risk drug
  • Central Line-associated Blood Stream Infection (CLABSI), SIR
  • Short-stay nursing home residents with a 30-day readmission to the hospital

Most Improved Indicators

  • Nursing home residents with an antipsychotic medication
  • Home health patients who did not get better at walking or moving around
  • Hospital admissions for pediatric asthma, per 100,000 children

Indicators That Worsened the Most

  • Adults without all age-appropriate recommended vaccines
  • Employee health insurance contributions as a share of median income
  • Home health patients with a hospital admission

Comparison with the U.S. Average

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