Dimension and Indicator |
Baseline Scorecard |
2020 Scorecard |
Change in Performance |
Compare |
Data Year |
State Rate |
Data Year |
State Rate |
US Average |
Best State Rate |
Rank |
Affordability and Access |
16 |
|
Median annual nursing home private pay cost as a percentage of median household income ages 65+ |
2015-16 |
238% |
2018-19 |
229% |
245% |
168% |
24 |
|
Compare |
Median annual home care private pay cost as a percentage of median household income ages 65+ |
2015-16 |
84% |
2018-19 |
77% |
80% |
51% |
13 |
|
Compare |
Private long-term care insurance policies in effect per 1,000 people ages 40+ |
2015 |
33 |
2018 |
29 |
43 |
138 |
43 |
|
Compare |
Percentage of adults ages 21+ with ADL disability at or below 250% of poverty receiving Medicaid or other government assistance health insurance |
2014-15 |
57.9% |
2016-18 |
58.0% |
56.7% |
79.2% |
16 |
|
Compare |
Estimated Medicaid LTSS users per 100 population with ADL disability |
2014 |
40 |
2017 |
38 |
46 |
100 |
29 |
|
Compare |
ADRC/No Wrong Door Functions (Composite Indicator, scale 0-100%) |
2016 |
72% |
2019 |
83% |
66% |
96% |
12 |
|
Compare |
Choice of Setting and Provider |
36 |
|
Percentage of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities |
2013 |
23.1% |
2016 |
25.5% |
45.1% |
73.5% |
41 |
|
Compare |
Estimated percentage of Medicaid aged/disabled LTSS users receiving HCBS |
2014 |
51.0% |
2017 |
50.7% |
64.2% |
83.9% |
34 |
|
Compare |
Number of people self-directing services per 1,000 population with disabilities |
* |
* |
2019 |
6.8 |
30.4 |
149.1 |
33 |
* |
Compare |
Home health and personal care aides per 100 population ages 18+ with an ADL disability |
2013-15 |
10 |
2016-18 |
10 |
22 |
47 |
49 |
|
Compare |
Assisted living and residential care units per 1,000 population ages 75+ |
2014 |
36 |
2016 |
33 |
49 |
102 |
41 |
|
Compare |
Adult day services total licensed capacity per 10,000 population ages 65+ |
2014 |
120 |
2016 |
67 |
61 |
171 |
9 |
|
Compare |
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units |
2015 |
7.9% |
2017-18 |
7.8% |
6.2% |
18.6% |
6 |
|
Compare |
Quality of Life & Quality of Care |
46 |
|
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 |
2013-15 |
16.5% |
2016-18 |
19.8% |
21.4% |
38.1% |
37 |
|
Compare |
Percentage of high-risk nursing home residents with pressure sores |
* |
* |
2018 |
9.3% |
7.3% |
4.8% |
48 |
* |
Compare |
Percentage of long-stay nursing home residents who inappropriately receive antipsychotic medication |
2015 |
21.1% |
2018 |
18.2% |
14.6% |
7.8% |
47 |
|
Compare |
HCBS quality cross-state benchmarking capability |
* |
* |
2015-19 |
2.0 |
1.3 |
3.6 |
12 |
* |
Compare |
Support for Family Caregivers |
37 |
|
Supporting working caregivers (maximum possible score 17.0) |
2014-16 |
0.00 |
2019 |
0.00 |
3.17 |
13.50 |
38 |
|
Compare |
Family responsibility protected classification |
2014 |
0.00 |
2019 |
0.00 |
0.29 |
2.00 |
|
|
Compare |
Exceeds Federal FMLA |
2016 |
0.00 |
2019 |
0.00 |
0.29 |
3.00 |
|
|
Compare |
Paid Family Leave |
2016 |
0.00 |
2019 |
0.00 |
0.50 |
3.50 |
|
|
Compare |
Mandatory Paid Sick Days |
2016 |
0.00 |
2019 |
0.00 |
0.85 |
3.00 |
|
|
Compare |
Flexible Sick Days |
2016 |
0.00 |
2019 |
0.00 |
0.75 |
3.00 |
|
|
Compare |
Unemployment insurance for family caregivers |
2016 |
0.00 |
2019 |
0.00 |
0.49 |
1.00 |
|
|
Compare |
Person- and family-centered care (maximum possible score 5.5) |
2016 |
4.00 |
2019 |
5.50 |
3.04 |
5.50 |
1 |
|
Compare |
Spousal impoverishment protections |
2015 |
2.00 |
2019 |
2.00 |
0.90 |
2.00 |
|
|
Compare |
Having caregiver assessment |
2016 |
1.00 |
2019 |
2.50 |
1.34 |
2.50 |
|
|
Compare |
CARE Act legislation |
2016 |
1.00 |
2019 |
1.00 |
0.80 |
1.00 |
|
|
Compare |
Nurse delegation and scope of practice (maximum possible score 5.0) |
2016 |
1.75 |
2019 |
1.75 |
3.30 |
5.00 |
39 |
|
Compare |
Nursing tasks able to be delegated |
2016 |
1.25 |
2019 |
1.25 |
2.69 |
4.00 |
|
|
Compare |
Nurse practitioner scope of practice |
2016 |
0.50 |
2019 |
0.50 |
0.61 |
1.00 |
|
|
Compare |
Transportation policies (maximum possible score 1.0) |
2015-16 |
0.00 |
2019 |
0.00 |
0.14 |
1.00 |
8 |
|
Compare |
Volunteer driver protection |
2015-16 |
0.00 |
2019 |
0.00 |
0.14 |
1.00 |
|
|
Compare |
Effective Transitions |
51 |
|
Percentage of nursing home residents with low care needs |
* |
* |
2017 |
11.8% |
8.9% |
2.1% |
34 |
* |
Compare |
Percentage of home health patients with a hospital admission |
2014 |
17.2% |
2017 |
16.8% |
15.8% |
13.8% |
44 |
|
Compare |
Percentage of long-stay nursing home residents hospitalized within a six-month period |
2014 |
28.2% |
2016 |
28.0% |
16.8% |
4.7% |
51 |
|
Compare |
Percentage of nursing home residents with one or more potentially burdensome transitions at end of life |
2013 |
36.9% |
2016 |
35.7% |
28.6% |
16.2% |
50 |
|
Compare |
Percentage of short-stay residents who were successfully discharged to the community |
* |
* |
2017-18 |
49.7% |
53.9% |
68.5% |
50 |
* |
Compare |