South Dakota

Ranking Highlights

2018 RankChange from Baseline
Overall Ranking16-6
Access and Affordability25-4
Prevention and Treatment10-5
Avoidable Hospital Use and Cost12-1
Healthy Lives26+5
Medicaid ExpansionNo


South DakotaAverage
Total Population849,383318,251,368
Median Household Income$60,657$62,470
Below 200% of Federal Poverty Level (FPL)31%32%
% White Race, Non-Hispanic83%61%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic12%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Adults without all age-appropriate recommended vaccines
  • Hospital patients who did not receive patient-centered care
  • Adults ages 18–64 with low back pain who had an imaging study at diagnosis

Bottom Ranked Indicators

  • Children without both a medical and dental preventive care visit in the past year
  • 30-day hospital readmissions, ages 18–64, per 1,000 employer-insured enrollees
  • Infant mortality, deaths per 1,000 live births

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Colorectal cancer deaths per 100,000 population
  • Hospital patients discharged without instructions for home recovery

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Adults with any mental illness reporting unmet need
  • Adults without a dental visit in past year

Comparison with the U.S. Average

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