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.
Percent of At-Risk Adults Who Have Visited a Doctor for a Routine Checkup in the Past Two Years
2006 / 2007
91.3
84.1
91.5
93.0
3
1999 / 2000
93.2
87.0
3
-1.8
-1.9%
Percent of Adults Without a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost
2006 / 2007
92.7
87.5
92.5
93.1
2
2003 / 2004
92.6
87.6
3
0.1
0.1%
Prevention & Treatment
2009 Scorecard
5
Revised 2007 Scorecard
3
Change in Rate
Percent of Adults Age 50 and Older Received Recommended Screening and Preventive Care
2006
49.5
42.4
50.8
52.5
7
2004
46.7
39.7
7
2.8
6.0%
Percent of Adult Diabetics Received Recommended Preventive Care
2006 / 2007
N/A
44.8
57.1
66.9
N/A
2003 / 2004
53.8
44.4
4
N/A
N/A
Percent of Children Ages 19–35 Months Received All Recommended Doses of Five Key Vaccines
2007
83.9
80.1
90.0
93.2
8
2005
93.5
81.6
1
-9.6
-10.3%
Percent of Children with Both a Medical and Dental Preventive Care Visit in the Past Year
2007
82.6
71.0
82.7
85.3
2
2003
74.9
59.2
1
—
—
Percent of Children Who Received Needed Mental Health Care in the Past Year
2007
66.6
63.0
77.5
81.5
19
2003
67.6
61.9
8
-1.0
-1.5%
Percent of Hospitalized Patients Who Received Recommended Care for Heart Attack, Heart Failure, and Pneumonia
2007
91.8
91.6
95.2
95.6
25
2004
85.1
84.4
19
6.7
7.9%
Percent of Surgical Patients Who Received Appropriate Care to Prevent Complications
2007
90.3
85.3
91.3
92.7
6
2004
76.9
70.5
11
13.4
17.4%
Percent of Home Health Patients Who Get Better at Walking or Moving Around
2007
40.9
40.5
46.1
48.2
23
2005
35.1
36.2
36
5.8
16.5%
Percent of Adults with a Usual Source of Care
2006 / 2007
88.5
81.8
88.6
89.0
4
2003 / 2004
86.9
81.5
5
1.6
1.8%
Percent of Children with a Medical Home
2007
66.2
60.7
67.5
69.3
5
2003
60.3
47.6
3
—
—
Percent of Heart Failure Patients Given Written Instructions at Discharge
2007
75.1
75.1
86.8
91.4
26
2004
51.7
50.6
25
23.4
45.2%
Percent of Medicare Patients Whose Health Care Provider Always Listens, Explains, Shows Respect, and Spends Enough Time with Them
2007
75.1
74.5
77.7
78.0
13
2003
71.6
68.7
8
3.5
4.9%
Percent of Medicare Patients Giving a Best Rating for Health Care Received in the Past Year
2007
62.5
61.1
67.6
69.3
17
2003
71.8
70.2
8
-9.3
-13.0%
Percent of High-Risk Nursing Home Residents with Pressure Sores
2007
10.9
11.5
7.7
7.5
22
2004
13.3
13.2
29
2.4
18.0%
Percent of Long-Stay Nursing Home Residents Who Were Physically Restrained
2007
4.7
4.0
1.7
1.5
32
2004
6.7
6.2
31
2.0
29.8%
Percent of Long-Stay Nursing Home Residents Who Have Moderate to Severe Pain
2007
2.5
4.2
2.1
0.9
4
2004
4.5
6.3
7
2.0
44.4%
Avoidable Hospital Use & Costs
2009 Scorecard
33
Revised 2007 Scorecard
36
Change in Rate
Hospital Admissions for Pediatric Asthma per 100,000 Children
2005
125.5
125.5
63.5
48.6
18
2003
175.3
152.6
24
49.8
28.4%
Percent of Adult Asthmatics with an Emergency Room or Urgent Care Visit in the Past Year
2001 - 2004
13.7
16.3
11.8
10.8
10
2001 - 2004
13.7
16.3
10
—
—
Medicare Hospital Admissions for Ambulatory Care Sensitive Conditions per 100,000 Beneficiaries
2006 / 2007
7,262
6,291
4,136
3,725
39
2003 / 2004
7,393
6,845
31
131
1.8%
Medicare 30-Day Hospital Readmissions as a Percent of Admissions
2006 / 2007
19.4
17.5
13.8
12.9
37
2003 / 2004
19.3
17.1
42
-0.1
-0.5%
Percent of Long-Stay Nursing Home Residents with a Hospital Admission
2006
14.8
18.7
9.0
6.9
17
2000
15.3
16.6
21
0.6
3.9%
Percent of Nursing Home Residents with Hospital Readmission Within 30 Days
2006
19.5
20.8
14.6
13.2
21
2000
17.9
18.2
22
-1.6
-8.9%
Percent of Home Health Patients with a Hospital Admission
2007
34.1
28.7
22.0
21.2
40
2004
29.0
26.9
35
-5.1
-17.6%
Hospital Care Intensity Index, Based on Inpatient Days and Inpatient Physician Visits Among Chronically Ill Medicare Beneficiaries in the Last Two Years of Life
2005
0.962
0.958
0.556
0.509
27
2003
0.972
0.959
29
0.010
1.0%
Total Single Premium per Enrolled Employee at Private Sector Establishments that Offer Health Insurance
2008
4,836
4,360
3,904
3,830
44
2004
4,141
3,706
48
-695
-16.8%
Total Medicare (Part A & Part B) Reimbursements per Enrollee
2006
9,379
7,698
6,027
5,311
47
2003
8,197
6,371
49
-1,182
-14.4%
Healthy Lives
2009 Scorecard
6
Revised 2007 Scorecard
8
Change in Rate
Mortality Amenable to Health Care, Deaths per 100,000
2004 / 2005
78.0
89.9
68.2
63.9
17
2001 / 2002
87.3
95.6
16
9.3
10.7%
Infant Mortality, Deaths per 1,000 Live Births
2005
5.1
6.8
5.0
4.5
2
2002
4.8
7.1
3
-0.3
-6.3%
Breast Cancer Deaths per 100,000 Female Population
2005
23.2
23.7
19.5
17.7
20
2002
26.2
25.3
35
3.0
11.5%
Colorectal Cancer Deaths per 100,000 Population
2005
17.6
17.8
14.3
13.3
22
2002
21.3
20.0
39
3.7
17.4%
Suicide Deaths per 100,000 Population
2005
7.2
11.8
6.2
5.5
5
2003
6.5
11.7
3
-0.7
-10.8%
Percent of Nonelderly Adults (Ages 18–64) Limited in Any Activities Because of Physical, Mental, or Emotional Problems
Refer to Appendix B in the State Scorecard for indicator descriptions, data sources, and other notes about methodology.
* Data could not be updated for this state.
—Data presented are used for past and current rankings.
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, insurance coverage, 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
2009 Scorecard
7
Revised 2007 Scorecard
1
Change in Rate and Vulnerable Group Rate
Income
Percent Uninsured, Ages 0–64 by Federal Poverty Level
2006 / 2007
17.5
15.1
2.4
1
2004 / 2005
17.1
23.3
-6.2
6
8.6
8.2
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Federal Poverty Level
2006 / 2007
15.4
11.1
4.3
4
1999 / 2000
13.1
8.2
4.9
4
-0.6
-2.9
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Federal Poverty Level
2006 / 2007
13.4
16.7
-3.3
4
2003 / 2004
13.1
16.4
-3.3
4
0.0
-0.3
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Federal Poverty Level
2006
57.7
63.6
-5.9
8
2004
60.3
66.4
-6.1
9
0.2
2.8
Percent of Adult Diabetics Did Not Receive Recommended Preventive Care by Federal Poverty Level
2006 / 2007
55.7
N/A
N/A
N/A
2003 / 2004
59.0
52.5
6.5
6
*
*
Percent of Children Without Both a Medical and Dental Preventive Care Visit in the Past Year by Federal Poverty Level
2007
28.4
28.8
-0.4
7
2003
41.2
40.2
1.0
3
—
—
Percent of Adults Without a Usual Source of Care by Federal Poverty Level
2006 / 2007
20.3
19.0
1.2
6
2003 / 2004
20.7
22.7
-2.0
12
3.2
3.7
Percent of Children Without a Medical Home by Federal Poverty Level
2007
42.5
55.3
-12.8
18
2003
53.9
58.2
-4.3
9
—
—
Percent of Adult Asthmatics with an Emergency Room or Urgent Care Visit in the Past Year by Federal Poverty Level
2001 - 2004
17.6
21.8
-4.2
12
2001 - 2004
17.6
21.8
-4.2
12
—
—
Insurance Coverage
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Whether Insured
2006 / 2007
15.4
34.5
-19.1
12
1999 / 2000
13.1
24.4
-11.3
6
-7.8
-10.1
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Whether Insured
2006 / 2007
13.4
35.9
-22.5
11
2003 / 2004
13.1
31.5
-18.4
3
-4.1
-4.4
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Whether Insured
2006
57.7
76.9
-19.2
32
2004
60.3
68.1
-7.8
8
-11.4
-8.8
Percent of Children Ages Without Both a Medical and Dental Preventive Care Visit in the Past Year by Health Insurance Type
2007
28.4
28.1
0.3
5
2003
41.2
37.3
3.9
1
—
—
Percent of Adults without a Usual Source of Care by Whether Insured
2006 / 2007
20.3
53.1
-32.9
33
2003 / 2004
20.7
52.7
-31.9
30
-0.9
-0.5
Percent of Children Without a Medical Home by Health Insurance Type
2007
42.5
74.0
-31.5
50
2003
53.9
58.3
-4.4
5
—
—
Race/Ethnicity
Percent Uninsured, Ages 0-64 by Race/Ethnicity
2006 / 2007
17.5
13.8
3.7
3
2004 / 2005
17.1
22.1
-5.0
5
8.7
8.3
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Race/Ethnicity
2006 / 2007
15.4
11.4
4.0
2
1999 / 2000
13.1
15.2
-2.1
21
6.1
3.8
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Race/Ethnicity
2006 / 2007
13.4
17.7
-4.3
6
2003 / 2004
13.1
15.8
-2.7
3
-1.6
-1.8
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Race/Ethnicity
2006
57.7
65.0
-7.3
18
2004
60.3
61.1
-0.8
5
-6.5
-3.9
Percent of Children Without Both a Medical and Dental Preventive Care Visit in the Past Year by Race/Ethnicity
2007
28.4
28.1
0.3
7
2003
41.2
40.5
0.7
4
—
—
Percent of Adults Without a Usual Source of Care by Race/Ethnicity
2006 / 2007
20.3
29.0
-8.8
13
2003 / 2004
20.7
34.0
-13.2
25
4.5
4.9
Percent of Children Without a Medical Home by Race/Ethnicity
2007
42.5
66.4
-23.9
43
2003
53.9
61.2
-7.3
10
—
—
Mortality Amenable to Health Care, Deaths per 100,000 Population by Race
2004 / 2005
95.6
125.3
-29.7
7
2001 / 2002
105.2
127.4
-22.2
4
-7.4
2.2
Infant Mortality, Deaths per 1,000 Live Births by Race/Ethnicity
2002 - 2004
6.9
10.2
-3.3
8
2000 - 2002
6.9
10.5
-3.6
6
0.3
0.3
Notes
* Data could not be updated for this state.
—Data presented are used for past and current rankings.
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, insurance coverage, 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. State Scorecard Data Tables display current data by all subgroups. Refer to Appendix B in the State Scorecard for indicator descriptions, data sources, and other notes about methodology
