Health System Data Center

Explore Regional Performance

North Carolina

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 disparity outcomes.

  • 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.

35

2018 OVERALL RANKING
(out of 51)

  • Quintile
  • Rank
  • Access 3 37
  • Prevention & Treatment 2 16
  • Avoidable Hospital Use & Costs 2 24
  • Healthy Lives 3 33
  • Disparity 4 44

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

663,872

more adults would be insured.

697,234

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

71,236

fewer emergency department visits would occur among people with Medicare.

  • Dimension and Indicator
  • State Rate
  • U.S. Average
  • Best State Rate
  • Rank
  • State Rate
  • U.S. Average
  • Actual Change in State Rate
  • Compare to other States
  • Access
  • 2018 Scorecard Performance
  • 37
  • Baseline Performance
  • Change in Rate
  •  
  • Adults ages 19–64 uninsured
  • 15%
  • 12%
  • 4%
  • 40
  • 23%
  • 20%
  • -8
  • Children ages 0–18 uninsured
  • 5%
  • 5%
  • 1%
  • 26
  • 6%
  • 8%
  • -1
  • Adults without a usual source of care
  • 21%
  • 22%
  • 11%
  • 23
  • 27%
  • 24%
  • -6
  • Adults who went without care because of cost in past year
  • 16%
  • 13%
  • 7%
  • 43
  • 18%
  • 16%
  • -2
  • Individuals with high out-of-pocket medical spending
  • 18%
  • 14%
  • 9%
  • 49
  • 18%
  • 15%
  • 0
  • Employee contributions to employer-sponsored insurance premiums as a share of state median income
  • 6%
  • 6%
  • 4%
  • 23
  • 7%
  • 6%
  • -1
  • Adults without a dental visit in past year
  • 15%
  • 16%
  • 10%
  • 22
  • 15%
  • 15%
  • 0
  • Prevention & Treatment
  • 2018 Scorecard Performance
  • 16
  • Baseline Performance
  • Change in Rate
  •  
  • Adults without age- and gender-appropriate cancer screenings
  • 28%
  • 32%
  • 24%
  • 7
  • 29%
  • 31%
  • -1
  • Adults without age-appropriate vaccines
  • 58%
  • 63%
  • 54%
  • 6
  • 56%
  • 64%
  • 2
  • Diabetic adults ages 18-64, with employer-sponsored insurance, without an annual hemoglobin A1C test
  • 13%
  • 17%
  • 11%
  • 2
  • N/A
  • N/A
  • 0
  • Medicare beneficiaries who received at least one drug that should be avoided in the elderly
  • 15%
  • 13%
  • 7%
  • 41
  • 20%
  • 17%
  • -5
  • Children without all components of a medical home
  • 46%
  • 51%
  • 40%
  • 10
  • N/A
  • N/A
  • 0
  • Children without both a medical and dental preventive care visit in the past year
  • 27%
  • 32%
  • 20%
  • 11
  • N/A
  • N/A
  • 0
  • Children who did not receive needed mental health treatment
  • 30%
  • 18%
  • 5%
  • 50
  • N/A
  • N/A
  • 0
  • Children ages 19–35 months who did not receive all recommended vaccines
  • 22%
  • 29%
  • 15%
  • 4
  • 28%
  • 30%
  • -6
  • Hospital 30-day mortality
  • 14.5%
  • 14.1%
  • 13%
  • 31
  • 13.7%
  • 13.2%
  • 0.8
  • Central line-associated bloodstream infections (CLASBI)
  • 1.06
  • 0.99
  • 0.32
  • 32
  • N/A
  • N/A
  • 0
  • Hospitalized patients discharged without instructions for home recovery
  • 12%
  • 13%
  • 9%
  • 17
  • 13%
  • 14%
  • -1
  • Hospital patients who did not receive patient-centered care
  • 32%
  • 32%
  • 27%
  • 29
  • 31%
  • 32%
  • 1
  • Home health patients who did not get better at walking or moving around
  • 28%
  • 29%
  • 23%
  • 15
  • 39%
  • 39%
  • -11
  • Nursing home residents with an antipsychotic medication
  • 14%
  • 16%
  • 8%
  • 10
  • 16%
  • 21%
  • -2
  • Adults with any mental illness reporting unmet need
  • 24%
  • 20%
  • 14%
  • 43
  • 22%
  • 21%
  • 2
  • Adults with any mental illness who did not receive treatment
  • 50%
  • 56%
  • 41%
  • 9
  • 59%
  • 59%
  • -9
  • Avoidable Hospital Use & Costs
  • 2018 Scorecard Performance
  • 24
  • Baseline Performance
  • Change in Rate
  •  
  • Hospital admissions for pediatric asthma, per 100,000 children
  • 109
  • 106
  • 22
  • 24
  • 113
  • 143
  • -4
  • Potentially avoidable emergency department visits, ages 18–64, per 1,000 employer-insured enrollees
  • 159
  • 159
  • 130
  • 24
  • N/A
  • N/A
  • 0
  • Potentially avoidable emergency department visits, per 1,000 Medicare beneficiaries
  • 217
  • 197
  • 138
  • 42
  • 197
  • 188
  • 20
  • Hospital admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees
  • 4
  • 5
  • 3
  • 2
  • N/A
  • N/A
  • 0
  • Hospital admissions among for ambulatory care–sensitive conditions, ages 65–74, per 1,000 Medicare beneficiaries
  • 28
  • 26
  • 14
  • 29
  • 29
  • 29
  • -1
  • Hospital admissions for ambulatory care–sensitive conditions, age 75 and older, per 1,000 Medicare beneficiaries
  • 65
  • 66
  • 33
  • 23
  • 67
  • 70
  • -2
  • 30-day hospital readmissions among enrollees with employer-sponsored insurance, ages 18–64, per 1,000 enrollees
  • 2.6
  • 2.9
  • 1.2
  • 12
  • N/A
  • N/A
  • 0
  • 30-day hospital readmissions, rate per 1,000 Medicare beneficiaries
  • 40
  • 42
  • 21
  • 27
  • 45
  • 49
  • -5
  • Short-stay nursing home residents with a 30-day readmission to the hospital
  • 18%
  • 19%
  • 11%
  • 19
  • 20%
  • 20%
  • -2
  • Long-stay nursing home residents with a hospital readmission
  • 16%
  • 16%
  • 5%
  • 24
  • 18%
  • 17%
  • -2
  • Home health patients with a hospital admission
  • 16.1%
  • 16.4%
  • 14%
  • 15
  • 16%
  • 16%
  • 0.1
  • Adults ages 18–64, with low back pain who did had an imaging study at diagnosis 
  • 34%
  • 29%
  • 16%
  • 39
  • N/A
  • N/A
  • 0
  • Total employer-sponsored insurance spending per enrollee
  • $4,852
  • $4,736
  • $3,347
  • 31
  • $4,497
  • $4,697
  • $355
  • Total Medicare (Parts A & B) reimbursements per enrollee
  • $8,590
  • $9,025
  • $5,586
  • 23
  • $8,158
  • $8,854
  • $432
  • Healthy Lives
  • 2018 Scorecard Performance
  • 33
  • Baseline Performance
  • Change in Rate
  •  
  • Mortality amenable to health care, deaths per 100,000 population
  • 93.6
  • 84.3
  • 54.7
  • 36
  • 92.5
  • 83.7
  • 1.1
  • Breast cancer deaths per 100,000 female population
  • 20.1
  • 20.1
  • 13.6
  • 23
  • 20.4
  • 20.8
  • -0.3
  • Colorectal cancer deaths per 100,000 population
  • 12.4
  • 13.1
  • 10.1
  • 17
  • 13.3
  • 14.6
  • -0.9
  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • 41.8
  • 43.2
  • 28.5
  • 17
  • 34.5
  • 35.6
  • 7.3
  • Infant mortality, deaths per 1,000 live births
  • 7.4
  • 5.9
  • 4.1
  • 44
  • 7.4
  • 6
  • 0
  • Adults ages 18–64 who report fair/poor health
  • 17%
  • 16%
  • 10%
  • 34
  • 17%
  • 16%
  • 0
  • Adults who smoke
  • 18%
  • 16%
  • 9%
  • 28
  • 20%
  • 18%
  • -2
  • Adults ages 18–64 who are obese (BMI >= 30)
  • 33%
  • 30%
  • 22%
  • 38
  • 30%
  • 29%
  • 3
  • Children ages 10–17 who are overweight or obese (BMS>=85th percentile)
  • 31%
  • 31%
  • 19%
  • 25
  • N/A
  • N/A
  • 0
  • Percent of adults who have lost six or more teeth
  • 12%
  • 10%
  • 6%
  • 35
  • 13%
  • 10%
  • -1

Source

D. C. Radley, D. McCarthy, and S. L. Hayes, 2018 Scorecard on State Health System Performance, The Commonwealth Fund, May 2018.

Notes

Refer 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 2018 Scorecard evaluates performance differences within states associated with individuals’ income level for a subset of 19 indicators that span the other four dimensions of performance. For each state and indicator, we evaluate the difference in rates for the state’s low-income population (generally under 200% of the federal poverty level) and higher-income population (generally over 400% of the federal poverty level). States are ranked on the relative magnitude of the resulting disparities in performance. This method represents a change from that used in previous scorecard editions. Racial and ethnic disparities in state health system performance will be evaluated separately in a forthcoming report.

  • Dimension and Indicator
  • Low-Income Population Rate
  • U.S. Average
  • Disparity
  • Rank
  • Low-Income Population Rate
  • U.S. Average
  • Disparity
  • Change in Low-Income Population Rate
  • Change in Disparity
  • Disparity
  • 2018 Scorecard Performance
  • 44
  • Baseline Performance
  • Change in Rates
Income
  • Adults ages 19–64 uninsured
  • 29%
  • 23%
  • -25
  • 45
  • 42%
  • 38%
  • -36
  • 11
  • 26
  • Children ages 0-18 uninsured
  • 6%
  • 6%
  • -4
  • 27
  • 8%
  • 10%
  • -6
  • 2
  • 6
  • Adults without a usual source of care
  • 27%
  • 27%
  • -11
  • 31
  • 31%
  • 30%
  • -17
  • 6
  • 9
  • Adults who went without care because of cost in past year
  • 31%
  • 23%
  • -22
  • 43
  • 34%
  • 28%
  • -29
  • 7
  • 12
  • Adults without a dental visit in the past year
  • 19%
  • 24%
  • -7
  • 4
  • 25%
  • 23%
  • -17
  • 10
  • 9
  • Adults without age- and gender-appropriate cancer screenings
  • 33%
  • 35%
  • -11
  • 29
  • 38%
  • 36%
  • -20
  • 9
  • 10
  • Adults without all age-appropriate recommended vaccines
  • 63%
  • 67%
  • -11
  • 38
  • 62%
  • 68%
  • -14
  • 3
  • 4
  • Children without all components of a medical home
  • 53%
  • 63%
  • -20
  • 11
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Children without both a medical and dental preventive care visit in the past year
  • 29%
  • 38%
  • -10
  • 14
  • N/A
  • N/A
  • N/A
  • N/A
  • N/A
  • Children ages 19 to 35 months who did not receive all recommended vaccines
  • 25%
  • 33%
  • -13
  • 29
  • 35%
  • 34%
  • -17
  • 4
  • 5
  • Medicare beneficiaries who received a high-risk drug
  • 19%
  • 16%
  • -6
  • 36
  • 25%
  • 20%
  • -8
  • 2
  • 6
  • Hospital admission for pediatric asthma, per 100,000 children
  • 131
  • N/A
  • -85
  • 12
  • 146
  • 214
  • -94
  • 9
  • N/A
  • Admissions for ambulatory care-sensitive conditions, Medicare duals age 65 and older, per 1,000 beneficaries
  • 108
  • 99
  • -66
  • 36
  • 103
  • 96
  • -50
  • -16
  • -19
  • 30-day hospital readmissions, Medicare dual eligibles age 65 and older, per 1,000 beneficiaries
  • 66
  • 63
  • -39
  • 40
  • 82
  • 77
  • -49
  • 10
  • 24
  • Potentially avoidable ED visits, Medicare dual eligibles age 65 and older, per 1,000 beneficiaries
  • 445
  • 366
  • -265
  • 48
  • 405
  • 337
  • -243
  • -22
  • -51
  • Adults who smoke
  • 27%
  • 23%
  • -15
  • 23
  • 27%
  • 24%
  • -16
  • 1
  • 2
  • Adults who are obese
  • 47%
  • 38%
  • -15
  • 47
  • 41%
  • 36%
  • -16
  • 1
  • -1
  • Adults who have lost six or more teeth
  • 19%
  • 17%
  • -13
  • 25
  • 21%
  • 17%
  • -15
  • 2
  • 2
  • Adults who report fair/poor health
  • 39%
  • 29
  • -33
  • 51
  • 32%
  • 29
  • -26
  • -7
  • -7
Notes

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

Source

D. C. Radley, D. McCarthy, and S. L. Hayes, 2018 Scorecard on State Health System Performance, The Commonwealth Fund, May 2018.

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