The United Health Foundation factors preventable hospitalizations as a sign of overuse of the hospital as a primary source of care to calculate its annual “America’s Health Rankings” report, the longest-running annual assessment of the nation’s health on a state-by-state basis.
Here are the complete state-by-state rankings the foundation used to calculate’ 2021 overall health scores, the most recent available.
Values reflect the number of 2019 discharges per 1,000 Medicare enrollees for ambulatory care-sensitive conditions, such as diabetes with short- or long-term complications, chronic obstructive pulmonary disease, angina without a procedure, asthma, dehydration and urinary tract infection. Some hospital admissions related to those chronic conditions can be prevented through adequate management and treatment in outpatient settings.
1. Hawaii – 18.41
2. Utah – 20.48
3. Idaho – 20.57
4. Colorado – 21.6
5. Alaska – 22.36
6. Oregon – 22.53
7. Arizona – 24.82
8. Washington – 24.91
9. Montana – 25.34
10. New Mexico – 26.37
11. Vermont – 29.72
12. Wyoming – 30.33
13. California – 30.45
14. Minnesota – 31.38
15. Nebraska – 31.51
16. Maine – 31.95
17. Iowa – 31.98
18. Wisconsin – 32.02
19. South Dakota – 34.21
20. New Hampshire – 34.37
21. Nevada – 34.96
22. Maryland – 35.47
23. North Dakota – 36.09
24. South Carolina – 36.77
25. Kansas – 36.83
26. Connecticut – 37.26
27. Rhode Island – 37.84
28. Virginia – 38.34
29. New York – 38.87
30. Pennsylvania – 39.43
31. New Jersey – 40.16
32. North Carolina – 40.78
33. Texas – 41.34
34. Missouri – 41.97
35. Arkansas – 41.98
36. Tennessee – 42.29
37. Georgia – 42.45
38. Florida – 42.69
39. Ohio – 42.92
40. Massachusetts – 43.1
41. Oklahoma – 43.22
42. Indiana – 43.37
43. Delaware – 43.78
44. Michigan – 43.97
45. Illinois – 44.76
46. Washington, D.C. – 46.4
47. Alabama – 49.12
48. Louisiana – 49.14
49. Kentucky – 49.85
50. Mississippi – 50.04
51. West Virginia – 53.59