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Pennsylvania

State Rankings

  • Overall: 36
  • Affordability and Access: 37
  • Choice of Setting and Provider: 23
  • Quality of Life & Quality of Care: 25
  • Support for Family Caregivers: 43
  • Effective Transitions: 28

Number of indicators for which this state ranked in the:

  • Top Quartile: 3
  • 2nd Quartile: 10
  • 3rd Quartile: 7
  • Bottom Quartile: 5

Estimated Impact of Improvement

...if this state improved its performance to the level of the average of the top-five-performing states

  • 346,571 more place-based subsidized units and vouchers would be available to help low-income people with LTSS needs afford housing.
  • 154,387 more people of all ages would receive Medicaid LTSS to help them with daily activities.
  • 37,990 more home health and personal care aides would be available to provide care in the community.
  • 45,478 more low-/moderate-income adults with disabilities would have Medicaid coverage.
  • $1,848,000,000 more would go to home- and community-based services instead of nursing homes.
* State's performance is at or above the level of the top-five-performing states.
Dimension and Indicator Baseline Scorecard 2017 Scorecard Change in Performance Compare
Data Year State Rate Data Year State Rate All States Median Best State Rate Rank
Affordability and Access 37
Median annual nursing home private pay cost as a percentage of median household income age 65+ 2012-13 311% 2015-16 305% 233% 164% 45
Median annual home care private pay cost as a percentage of median household income age 65+ 2012-13 93% 2015-16 88% 81% 46% 39
Private long-term care insurance policies in effect per 1,000 people age 40+ 2012 48 2015 44 48 164 33
Percent of adults age 21+ with ADL disabilities at or below 250% of poverty receiving Medicaid 2011-12 51.6% 2014-15 52.6% 53.4% 78.1% 29
Medicaid LTSS beneficiaries per 100 people with ADL disabilities 2010 51 2012 55 54 111 20
ADRC/No Wrong Door Functions (composite indicator, scale 0-100%) * * 2016 79% 60% 92% 11 *
Choice of Setting and Provider 23
Percent of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2011 24.8% 2014 31.0% 33.1% 68.5% 30
Percent of new Medicaid aged/disabled LTSS users first receiving services in the community 2009 39.1% 2012 59.3% 55.4% 83.6% 21
Number of people participant-directing services per 1,000 people with disabilities * * 2016 11.5 9.6 131.9 25 *
Home health and personal care aides per 100 adults age 18+ with ADL disabilities 2010-12 19 2013-15 21 19 41 19
Assisted living and residential care units per 1,000 population age 75+ 2010 62 2014 64 52 121 12
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units 2011 4.8% 2015 5.1% 5.8% 17.7% 36
Quality of Life & Quality of Care 25
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 2011-12 21.9% 2014-15 21.1% 21.9% 43.3% 33
Percent of high-risk nursing home residents with pressure sores 2013 5.7% 2015-16 5.2% 5.5% 3.4% 21
Percent of long-stay nursing home residents who are receiving an antipsychotic medication 2013 19.9% 2015 16.4% 16.8% 8.0% 19
Support for Family Caregivers 43
Supporting working caregivers (composite indicator, scale 0-9.0) 2012-13 1.30 2014-16 1.60 1.00 6.50 14
Person- and Family-Centered Care (composite indicator, scale 0-5.5) 2012-13 0.80 2016 2.70 2.41 4.30 19
Nurse Delegation and Nurse Practitioner Scope of Practice (composite indicator, scale 0-5.0) 2013 0.50 2016 0.50 4.00 5.00 45
Transportation Policies (composite indicator, scale 0-5.0) 2010-12 0.50 2012-16 0.50 1.00 4.00 28
Effective Transitions 28
Percent of nursing home residents with low care needs 2012 7.0% 2014 7.4% 11.2% 4.1% 8
Percent of home health patients with a hospital admission 2012 25.1% 2015 24.8% 24.4% 18.3% 31
Percent of long-stay nursing home residents hospitalized within a six-month period 2012 15.5% 2014 13.6% 15.7% 5.0% 16
Percent of nursing home residents with moderate to severe dementia with one or more potentially burdensome transitions at end of life 2011 26.4% 2013 22.2% 23.8% 9.1% 19
Percent of new nursing home stays lasting 100 days or more 2009 23.1% 2012 21.6% 18.3% 8.9% 42
Percent of people with 90+ day nursing home stays successfully transitioning back to the community 2009 6.1% 2012 5.5% 7.4% 14.9% 45

Export Indicators

* Comparable data not available for baseline and/or current year. Rank cannot be calculated without current data. Change in performance cannot be calculated without both baseline and current data.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home- and Community-Based Services; LTSS = Long-Term Services and Supports.