Health System Data Center

Explore Regional Performance

Kentucky

State Health System Ranking

  • State Health System Ranking

    This data set assesses states' performance on health care for indicators of access, quality, costs, health, and equity outcomes.

  • Child Health System Ranking

    This data set examines states' performance on 20 key indicators of children's health care access, affordability of care, prevention and treatment, the potential to lead healthy lives, and health system equity.

  • Local Area Ranking

    This data set assesses the performance of the health systems in U.S. communities.

  • Low-Income Population Scorecard

    This data set uses 30 key indicators to measure health system performance for vulnerable populations, primarily focusing on low-income populations.

42

2014 OVERALL RANKING
(out of 51)

  • Quartile
  • Rank
  • Access 3 29
  • Prevention & Treatment 2 25
  • Avoidable Hospital Use & Costs 4 49
  • Healthy Lives 4 44
  • Equity 3 37

Estimated Impact of Improvement: (if this STATE improved to the level of the best-performing STATE)

424,601

more adults would be insured.

330,116

fewer adults would go without needed health care because of cost.

38,956

fewer emergency department visits would occur among people with Medicare.

Changes in Rates:
  • Total no. of indicators with trends 34
  • State rate improved ≥5% 12 (35%)
  • State rate worsened ≥5% 9 (26%)
  • Little/no change in state rate 13 (38%)
Number of Indicators for which this state ranked in the:
  • Top 5 1
  • Top Quartile 4
  • 2nd Quartile 5
  • 3rd Quartile 15
  • Bottom Quartile 18
  • Bottom 5 9
  • Dimension and Indicator
  • Data Year
  • State Rate
  • All-State Median
  • Best State Rate
  • Rank
  • Revised Data Year
  • State Rate
  • All-State Median
  • Rank
  • Actual Change in State Rate
  • Compare to other States
  • Access
  • 2014 Scorecard
  • 29
  • Revised 2009 Scorecard
  • 34
  • Change in Rate
  •  
  • Adults ages 19–64 uninsured
  • 2011 - 12
  • 21%
  • 19%
  • 5%
  • 32
  • 2007 - 08
  • 20%
  • 17%
  • 32
  • 1.0
  • Children ages 0–18 uninsured
  • 2011 - 12
  • 8%
  • 8%
  • 3%
  • 20
  • 2007 - 08
  • 9%
  • 9%
  • 25
  • -1.0
  • Adults who went without care because of cost in past year
  • 2012
  • 19%
  • 15%
  • 9%
  • 38
  • 2007
  • 16%
  • 12%
  • 42
  • 3.0
  • Individuals under age 65 with high out-of-pocket medical costs relative to their annual household income
  • 2011 - 12
  • 17%
  • 16%
  • 10%
  • 31
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • At-risk adults without a routine doctor visit in past two years
  • 2012
  • 14%
  • 14%
  • 6%
  • 24
  • 2007
  • 13%
  • 14%
  • 18
  • 1.0
  • Adults without a dental visit in past year
  • 2012
  • 16%
  • 15%
  • 10%
  • 32
  • 2006
  • 18%
  • 14%
  • 47
  • -2.0
  • Prevention & Treatment
  • 2014 Scorecard
  • 25
  • Revised 2009 Scorecard
  • 26
  • Change in Rate
  •  
  • Adults with a usual source of care
  • 2012
  • 81%
  • 78%
  • 89%
  • 19
  • 2007
  • 85%
  • 82%
  • 12
  • -4.0
  • Adults ages 50 and older who received recommended screening and preventive care
  • 2012
  • 41%
  • 43%
  • 52%
  • 29
  • 2006
  • 43%
  • 44%
  • 27
  • -2.0
  • Children with a medical home
  • 2011 - 12
  • 56%
  • 57%
  • 69%
  • 30
  • 2007
  • 62%
  • 61%
  • 18
  • -6.0
  • Children with a medical and dental preventive care visit in the past year
  • 2011 - 12
  • 68%
  • 69%
  • 81%
  • 27
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Children with emotional, behavioral, or developmental problems who received needed mental health care in the past year
  • 2011 - 12
  • 66%
  • 63%
  • 86%
  • 13
  • 2007
  • 66%
  • 63%
  • 20
  • 0.0
  • Children ages 19–35 months who received all recommended doses of seven key vaccines
  • 2012
  • 68%
  • 69%
  • 80%
  • 28
  • 2009
  • 43%
  • 43%
  • 23
  • 25.0
  • Medicare beneficiaries who received at least one drug that should be avoided in the elderly
  • 2011
  • 26%
  • 19%
  • 12%
  • 46
  • 2007
  • 36%
  • 28%
  • 42
  • -10.0
  • Medicare beneficiaries with dementia, hip/pelvic fracture, or chronic renal failure who received a prescription drug that is contraindicated for that condition
  • 2011
  • 27%
  • 20%
  • 14%
  • 48
  • 2007
  • 26%
  • 19%
  • 48
  • 1.0
  • Medicare fee-for-service patients whose health provider always listens, explains, shows respect, and spends enough time with them
  • 2013
  • 77%
  • 76%
  • 80%
  • 10
  • 2007
  • 73%
  • 75%
  • 35
  • 4.0
  • Risk-adjusted 30-day mortality among Medicare beneficiaries hospitalized for heart attack, heart failure, or pneumonia
  • 07 / 2008 - 06 / 2011
  • 13.0%
  • 12.8%
  • 11.9%
  • 35
  • 07 / 2005 - 06 / 2008
  • 12.5%
  • 12.6%
  • 16
  • 0.5
  • Hospitalized patients given information about what to do during their recovery at home
  • 2011
  • 83%
  • 84%
  • 89%
  • 28
  • 2007
  • 79%
  • 80%
  • 28
  • 4.0
  • Hospitalized patients who reported hospital staff always managed pain well, responded when needed help to get to bathroom or pressed call button, and explained medicines and side effects
  • 2011
  • 68%
  • 66%
  • 71%
  • 10
  • 2007
  • 64%
  • 63%
  • 13
  • 4.0
  • Home health patients who get better at walking or moving around
  • 04 / 2012 - 03 / 2013
  • 62%
  • 59%
  • 63%
  • 5
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Home health patients whose wounds improved or healed after an operation
  • 04 / 2012 - 03 / 2013
  • 91%
  • 89%
  • 95%
  • 9
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • High-risk nursing home residents with pressure sores
  • 07 / 2012 - 03 / 2013
  • 7%
  • 6%
  • 3%
  • 30
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Long-stay nursing home residents with an antipsychotic medication
  • 04 / 2012 - 03 / 2013
  • 24.0%
  • 21%
  • 12%
  • 34
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Avoidable Hospital Use & Costs
  • 2014 Scorecard
  • 49
  • Revised 2009 Scorecard
  • 48
  • Change in Rate
  •  
  • Hospital admissions for pediatric asthma, per 100,000 children
  • 2010
  • 184
  • 113
  • 26
  • 40
  • 2004
  • 213
  • 131
  • 36
  • -29
  • Hospital admissions among Medicare beneficiaries for ambulatory care–sensitive conditions, ages 65–74, per 1,000 beneficiaries
  • 2012
  • 50
  • 27
  • 13
  • 51
  • 2008
  • 56
  • 34
  • 51
  • -6.0
  • Hospital admissions among Medicare beneficiaries for ambulatory care–sensitive conditions, age 75 and older, per 1,000 beneficiaries
  • 2012
  • 100
  • 68
  • 41
  • 51
  • 2008
  • 110
  • 80
  • 48
  • -10.0
  • Medicare 30-day hospital readmissions, rate per 1,000 beneficiaries
  • 2012
  • 63.0
  • 45
  • 26
  • 49
  • 2008
  • 71.0
  • 51
  • 47
  • -8.0
  • Short-stay nursing home residents readmitted within 30 days of hospital discharge to nursing home
  • 2010
  • 21%
  • 20%
  • 12%
  • 27
  • 2006
  • 21%
  • 20%
  • 28
  • 0.0
  • Long-stay nursing home residents hospitalized within a six-month period
  • 2010
  • 24%
  • 19%
  • 7%
  • 39
  • 2006
  • 26%
  • 20%
  • 42
  • -2.0
  • Home health patients also enrolled in Medicare with a hospital admission
  • 2012
  • 18%
  • 17%
  • 14%
  • 42
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Potentially avoidable emergency department visits among Medicare beneficiaries, per 1,000 beneficiaries
  • 2011
  • 215
  • 183
  • 129
  • 44
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Total single premium per enrolled employee at private-sector establishments that offer health insurance
  • 2012
  • $6,255
  • 5504
  • 4180
  • 49
  • 2008
  • $4,646
  • 4511
  • 35
  • $1,609
  • Total Medicare (Parts A & B) reimbursements per enrollee
  • 2012
  • $9,344
  • 8513
  • 5406
  • 43
  • 2008
  • $8,563
  • 7918
  • 37
  • $781
  • Healthy Lives
  • 2014 Scorecard
  • 44
  • Revised 2009 Scorecard
  • 46
  • Change in Rate
  •  
  • Mortality amenable to health care, deaths per 100,000 population
  • 2009 - 10
  • 106
  • 82
  • 57
  • 43
  • 2004 - 05
  • 110
  • 90
  • 40
  • -4.0
  • Years of potential life lost before age 75
  • 2010
  • 8,619
  • 6594
  • 4900
  • 44
  • 2005
  • 8,655
  • 7280
  • 42
  • -36.0
  • Breast cancer deaths per 100,000 female population
  • 2010
  • 21.9
  • 22.2
  • 14.8
  • 25
  • 2005
  • 23.8
  • 23.8
  • 25
  • -1.9
  • Colorectal cancer deaths per 100,000 population
  • 2010
  • 17.6
  • 16.3
  • 12
  • 43
  • 2005
  • 20.9
  • 18.1
  • 50
  • -3.3
  • Suicide deaths per 100,000 population
  • 2010
  • 14.2
  • 13.5
  • 6.9
  • 34
  • 2005
  • 13.4
  • 11.8
  • 36
  • 0.8
  • Infant mortality, deaths per 1,000 live births
  • 2009
  • 6.8
  • 6.3
  • 4.6
  • 28
  • 2004
  • 6.8
  • 6.7
  • 27
  • 0.0
  • Adults ages 18–64 who report fair/poor health or activity limitations because of physical, mental, or emotional problems
  • 2012
  • 33%
  • 27%
  • 19%
  • 47
  • 2007
  • 29%
  • 24%
  • 48
  • 4
  • Adults who smoke
  • 2012
  • 28%
  • 19%
  • 10%
  • 50
  • 2007
  • 28%
  • 19%
  • 51
  • 0.0
  • Adults ages 18–64 who are obese (BMI >= 30)
  • 2012
  • 32%
  • 28%
  • 21%
  • 41
  • 2007
  • 30%
  • 27%
  • 42
  • 2.0
  • Children ages 10–17 who are overweight or obese (BMI >= 85th percentile)
  • 2011 - 12
  • 36%
  • 30%
  • 22%
  • 45
  • 2007
  • 37%
  • 31%
  • 48
  • -1.0
  • Percent of adults ages 18–64 who have lost six or more teeth because of tooth decay, infection, or gum disease
  • 2012
  • 16%
  • 10%
  • 5%
  • 45
  • 2006
  • 19%
  • 10%
  • 50
  • -3.0
Source

D.C. Radley, D. McCarthy, J.A. Lippa, S.L. Hayes, and C. Schoen, Results from a Scorecard on State Health System Performance, 2014, The Commonwealth Fund, April 2014.

Notes

Refer to Appendix B in the State Scorecard for indicator descriptions, data sources, and other notes about methodology.

N/A: Data was not available for this state. See PDF for more detail.

The equity profile displays gaps in performance for vulnerable populations for selected indicators. An equity gap is defined as the difference between the U.S. national average for a particular indicator and the rate for the state's most vulnerable group by income and race/ethnicity. For all equity indicators, lower rates are better; therefore, a positive or negative gap value indicates that the state's most vulnerable group is better or worse than the U.S. average for a particular indicator.

  • Dimension and Indicator
  • Year
  • U.S. Average
  • Vulnerable Group Rate
  • Gap
  • Rank
  • Year
  • U.S. Average
  • Vulnerable Group Rate
  • Gap
  • Rank
  • Change in Gap
  • Change in Vulnerable Group Rate
  • Equity
  • 2014 Scorecard
  • 37.0
  • Revised 2009 Scorecard
  • 17.0
  • Change in Rate and Vulnerable Group Rate
Income
  • Uninsured ages 0–64
  • 2011 - 12
  • 18.0
  • 31.0
  • -13
  • 33
  • 2007 - 08
  • 17.0
  • 29.0
  • -12
  • 26
  • -1
  • -2.0
  • Adults who went without care because of cost in past year
  • 2012
  • 17.0
  • 33.0
  • -16
  • 41
  • 2007
  • 13.0
  • 33.0
  • -20
  • 46
  • 4
  • 0.0
  • At-risk adults without a routine doctor visit in past two years
  • 2012
  • 14.0
  • 16.0
  • -2
  • 23
  • 2007
  • 14.0
  • 17.0
  • -3
  • 18
  • 1
  • 1.0
  • Adults without a usual source of care
  • 2012
  • 22.0
  • 22.0
  • 0.0
  • 15
  • 2007
  • 20.0
  • 20.0
  • 0.0
  • 9
  • 0.0
  • -2.0
  • Adults ages 50 and older who did not receive recommended screening and preventive care
  • 2012
  • 58.0
  • 70.0
  • -12.0
  • 26
  • 2006
  • 56.0
  • 71.0
  • -15.0
  • 37
  • 3.0
  • 1.0
  • Children without a medical home
  • 2011 - 12
  • 46.0
  • 52.0
  • -6.0
  • 16
  • 2007
  • 42.0
  • 44.0
  • -2.0
  • 7
  • -4.0
  • -8.0
  • Children without a medical and dental preventive care visit in the past year
  • 2011 - 12
  • 32.0
  • 37.0
  • -5.0
  • 20
  • N / A
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Medicare beneficiaries who received at least one drug that should be avoided in the elderly
  • 2010
  • 25.0
  • 39.0
  • -14.0
  • 43
  • N / A
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Adults with poor health-related quality of life
  • 2012
  • 27.0
  • 49.0
  • -22.0
  • 47
  • 2007
  • 24.0
  • 45.0
  • -21.0
  • 50
  • -1.0
  • -4.0
Race/Ethnicity
  • Uninsured ages 0–64
  • 2011 - 12
  • 18.0
  • 37.0
  • -19.0
  • 39
  • 2007 - 08
  • 17.0
  • 40.0
  • -23.0
  • 40
  • 4.0
  • 3.0
  • Adults who went without care because of cost in past year
  • 2012
  • 17.0
  • 33.0
  • -16.0
  • 44
  • 2007
  • 13.0
  • 20.0
  • -7.0
  • 9
  • -9.0
  • -13.0
  • At-risk adults without a routine doctor visit in past two years
  • 2012
  • 14.0
  • 16.0
  • -2.0
  • 14
  • 2007
  • 14.0
  • 11.0
  • 3.0
  • 3
  • -5.0
  • -5.0
  • Adults without a usual source of care
  • 2012
  • 22.0
  • 35.0
  • -13.0
  • 20
  • 2007
  • 20.0
  • 24.0
  • -4.0
  • 10
  • -9.0
  • -11.0
  • Adults ages 50 and older who did not receive recommended screening and preventive care
  • 2012
  • 58.0
  • 68.0
  • -10.0
  • 28
  • 2006
  • 56.0
  • 50.0
  • 6.0
  • 4
  • -16.0
  • -18.0
  • Children without a medical home
  • 2011 - 12
  • 46.0
  • 54.0
  • -8.0
  • 8
  • 2007
  • 42.0
  • 56.0
  • -14.0
  • 10
  • 6.0
  • 2.0
  • Children without a medical and dental preventive care visit in the past year
  • 2011 - 12
  • 32.0
  • 49.0
  • -17.0
  • 47
  • 2007
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Mortality amenable to health care, deaths per 100,000 population
  • 2009 - 10
  • 86.0
  • 175.0
  • -89.0
  • 28
  • 2004 - 05
  • 96.0
  • 176.0
  • -80.0
  • 24
  • -9.0
  • 1.0
  • Infant mortality, deaths per 1,000 live births
  • 2008 - 09
  • 6.5
  • 10.7
  • -4.2
  • 11
  • 2003 - 04
  • 6.8
  • 10.8
  • -4.0
  • 11
  • -0.2
  • 0.1
  • Adults with poor health-related quality of life
  • 2012
  • 27.0
  • 46.0
  • -19.0
  • 51
  • 2007
  • 24.0
  • 29.0
  • -5.0
  • 12
  • -14.0
  • -17.0
Notes

N/A: Data was not available for this state.

The Scorecard evaluates states on the equity of their health systems along two dimensions: race and ethnicity (10 indicators) and income (nine indicators). Equity indicators are a subset of indicators chosen to represent care across three of four performance domains. For each state, health system performance on each indicator as it pertains to low-income populations (under 200% of the federal poverty level) and racial or ethnic minority groups (black/other race or Hispanic ethnicity) is compared with the national average. The resulting difference in performance is the "equity gap," which forms the basis of our state rankings for this domain.

To assess change over time, we count how often the equity gap narrowed across indicators for each state during the five years of data available for this Scorecard. We consider improvement to have occurred only if the equity gap narrowed and health care for the states' vulnerable group improved.

Source

D.C. Radley, D. McCarthy, J.A. Lippa, S.L. Hayes, and C. Schoen, Results from a Scorecard on State Health System Performance, 2014, The Commonwealth Fund, April 2014.

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