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Executive SummarySenior Report SpotlightIntroductionFindingsOverviewState RankingsSuccessesChallengesDisparities in Rural HealthCore MeasuresBehaviorsCommunity & EnvironmentPolicyClinical CareOutcomesSupplemental MeasuresState Summaries
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
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New Jersey
New Mexico
New York
North Carolina
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Ohio
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Pennsylvania
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
United StatesAppendixCore Measures TableSupplemental Measures TableThe Team
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesAppendixCore Measures TableSupplemental Measures TableThe Team
Behaviors
Dental Visit
Percentage of adults aged 65 and older who reported visiting a dental health professional within the past 12 months
Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System, 2016
Excessive Drinking
Percentage of adults aged 65 and older who reported either binge drinking (having four or more [women] or five or more [men] drinks on one occasion in the past 30 days) or chronic drinking (having eight or more [women] or 15 or more [men] drinks per week)
CDC, Behavioral Risk Factor Surveillance System, 2016
Obesity
Percentage of adults aged 65 and older with a body mass index of 30.0 or higher based on reported height and weight
CDC, Behavioral Risk Factor Surveillance System, 2016
Pain Management*
Percentage of adults aged 65 and older with arthritis who reported that arthritis or joint pain does not limit their usual activities
CDC, Behavioral Risk Factor Surveillance System, 2015
Physical Inactivity
Percentage of adults aged 65 and older in fair or better health who reported doing no physical activity or exercise other than their regular job in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2016
Smoking
Percentage of adults aged 65 and older who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke every or some days)
CDC, Behavioral Risk Factor Surveillance System, 2016
Community & Environment
Community Support
Expenditures captured by the Administration on Aging per adult aged 60 and older living in poverty
U.S. Department of Health and Human Services (HHS), Administration on Aging, State Program Reports; U.S. Census Bureau, American Community Survey, 2015
Food Insecurity
Percentage of adults aged 60 and older who faced the threat of hunger in the past 12 months
National Foundation to End Senior Hunger, The State of Senior Hunger in America, 2015
Home-delivered Meals
Number of meals served per 100 adults aged 60 and older with independent living difficulty
U.S. HHS, Administration on Aging, State Program Reports; U.S. Census Bureau, American Community Survey, 2015
Nursing Home Quality
Percentage of certified nursing home beds rated four- or five-stars over a three-month period
U.S. HHS, Centers for Medicare & Medicaid Services, Nursing Home Compare, Dec 2017 - Feb 2018
Poverty
Percentage of adults aged 65 and older who live in households at or below 100 percent of the poverty threshold
U.S. Census Bureau, American Community Survey, 2016
Volunteerism*
Percentage of adults aged 65 and older who reported volunteering in the past 12 months
Corporation for National & Community Service, 2013-2015
Policy
Geriatrician Shortfall*
Percentage of geriatricians required to meet estimated need
American Geriatrics Society, 2016
Health Care Associated Infection (HAI) Policies*
Percentage of 24 reporting and validation policies implemented in the state to monitor health care associated infections in hospitals
CDC, 2016 National and State Healthcare Associated Infections Progress Report, 2014
Low-care Nursing Home Residents*
Percentage of nursing home residents who do not require physical assistance for late-loss activities of daily living
Brown University, Shaping Long Term Care in America Project, 2015
Prescription Drug Coverage*
Percentage of Medicare enrollees aged 65 and older who have a creditable prescription drug plan
The Henry J. Kaiser Family Foundation, State Health Facts, 2014
SNAP Reach
Number of adults aged 60 and older who participate in the Supplemental Nutrition Assistance Program (SNAP) per 100 adults aged 60 and older living in poverty
U.S. Department of Agriculture, Food and Nutrition Service; U.S. Census Bureau, American Community Survey, 2016
Clinical Care
Dedicated Health Care Provider
Percentage of adults aged 65 and older who reported having one or more people they think of as their personal doctor or health care provider
CDC, Behavioral Risk Factor Surveillance System, 2016
Diabetes Management
Percentage of Medicare enrollees aged 65 to 75 with diabetes receiving a blood lipids test
The Dartmouth Atlas of Health Care, 2015
Flu Vaccine
Percentage of adults aged 65 and older who reported receiving a flu vaccine in the past year
CDC, Behavioral Risk Factor Surveillance System, 2016
Health Screenings
Percentage of women aged 65 to 74 who reported receiving a mammogram in the past two years and the percentage of adults aged 65 to 75 who reported receiving colorectal cancer screening within the recommended time period
CDC, Behavioral Risk Factor Surveillance System, 2016
Home Health Care
Number of personal care and home health aides per 1,000 adults aged 75 years and older
U.S. Department of Labor, Bureau of Labor Statistics; U.S. Census Bureau, American Community Survey, 2016
Hospice Care*
Percentage of Medicare decedents aged 65 and older who were enrolled in hospice during the last six months of life after diagnosis of a condition with a high probability of death
The Dartmouth Atlas of Health Care, 2014
Hospital Deaths*
Percentage of deaths occurring in a hospital among chronically ill Medicare decedents aged 65 and older
The Dartmouth Atlas of Health Care, 2014
Hospital Readmissions
Percentage of Medicare enrollees aged 65 and older who were readmitted within 30 days of hospital discharge
The Dartmouth Atlas of Health Care, 2015
Preventable Hospitalizations
Number of discharges for ambulatory care-sensitive conditions per 1,000 Medicare enrollees aged 65 and older
The Dartmouth Atlas of Health Care, 2015
Outcomes
Able-bodied
Percentage of adults aged 65 and older with no cognitive, visual, auditory, ambulatory, self-care and/or independent living difficulty disability
U.S. Census Bureau, American Community Survey, 2016
Early Death
Deaths per 100,000 adults aged 65 to 74
CDC, National Vital Statistics System, 2016
Falls
Percentage of adults aged 65 and older who reported they had fallen in the past 12 months
CDC, Behavioral Risk Factor Surveillance System, 2016
Frequent Mental Distress
Percentage of adults aged 65 and older who reported their mental health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2016
High Health Status
Percentage of adults aged 65 and older who reported their health is very good or excellent
CDC, Behavioral Risk Factor Surveillance System, 2016
Hip Fractures
Number of hospitalizations for hip fracture per 1,000 Medicare enrollees aged 65 and older
The Dartmouth Atlas of Health Care, 2015
ICU Use
Percentage of Medicare decedents aged 65 and older spending seven or more days in the intensive care unit (ICU)/critical care unit during the last six months of life
The Dartmouth Atlas of Health Care, 2015
Teeth Extractions
Percentage of adults aged 65 and older who reported having had all teeth removed due to tooth decay or gum disease
CDC, Behavioral Risk Factor Surveillance System, 2016
*The data appearing in this edition are the same that appeared in the 2017 edition. A data update was not available at the time of this publication.