State Scorecard

Kentucky Tables (683k PDF)

Kentucky

Rankings

  • Overall : 45
  • Access: 34
  • Prevention & Treatment: 33
  • Avoidable Hospital Use & Costs: 43
  • Equityb: 26
  • Healthy Lives: 45

Number of indicators for which this state ranked in the:

  • Top 5: 1
  • Top Quartile: 2
  • 2nd Quartile: 5
  • 3rd Quartile: 17
  • Bottom Quartile: 14
  • Bottom 5: 8

Change in Rates

  • Total no. of indicators with trendsc: 35
  • State Rate Improved ≥5%: 17 (49%)
  • State Rate Worsened ≥5%: 6 (17%)
  • Little/No change in State Rate: 12 (34%)

Estimated Impact of Improvement*

  • *if this state improved to the level of the best-performing state
  • Number of adults who would be insured: 336,169
  • Children with a medical home: 75,313
  • Dollars that would be saved from reducing Medicare readmissions: $71,714,307

More Estimates »

Dimension and Indicator Year State Rate All States Median Top 5 States Average Best State Rate Rank Year State
Rate		 All States Median Rate Rank Actual Change in State Rate Percent Change in State Rate
Access 2009 Scorecard 34 Revised 2007 Scorecarda 29 Change in Rated
Percent of Nonelderly Adults (Ages 18–64) Insured 2007/2008 80.1 82.2 89.5 92.8 32 2004/2005 82.3 82.4 27 -2.2 -2.7%
Percent of Children (Ages 0–17) Insured 2007/2008 91.0 91.4 95.3 96.8 28 2004/2005 92.5 91.5 18 -1.5 -1.6%
Percent of At-Risk Adults Who Have Visited a Doctor for a Routine Checkup in the Past Two Years 2006/2007 83.3 84.1 91.5 93.0 30 1999/2000 85.8 87.0 31 -2.4 -2.8%
Percent of Adults Without a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost 2006/2007 82.5 87.5 92.5 93.1 48 2003/2004 82.2 87.6 48 0.3 0.4%
Prevention & Treatment 2009 Scorecard 33 Revised 2007 Scorecarda 36 Change in Rated
Percent of Adults Age 50 and Older Received Recommended Screening and Preventive Care 2006 40.3 42.4 50.8 52.5 35 2004 35.0 39.7 45 5.2 14.8%
Percent of Adult Diabetics Received Recommended Preventive Caree 2006/2007 40.2 44.8 57.1 66.9 36 2003/2004 36.3 44.4 42 3.9 10.7%
Percent of Children Ages 19–35 Months Received All Recommended Doses of Five Key Vaccines 2007 80.9 80.1 90.0 93.2 19 2005 79.7 81.6 29 1.2 1.5%
Percent of Children with Both a Medical and Dental Preventive Care Visit in the Past Yearf 2007 70.9 71.0 82.7 85.3 27 2003 60.5 59.2 23 — —
Percent of Children Who Received Needed Mental Health Care in the Past Year 2007 65.5 63.0 77.5 81.5 21 2003 62.5 61.9 25 3.0 4.8%
Percent of Hospitalized Patients Who Received Recommended Care for Heart Attack, Heart Failure, and Pneumonia 2007 91.1 91.6 95.2 95.6 29 2004 81.5 84.4 41 9.6 11.8%
Percent of Surgical Patients Who Received Appropriate Care to Prevent Complications 2007 81.8 85.3 91.3 92.7 41 2004 70.5 70.5 26 11.3 16.0%
Percent of Home Health Patients Who Get Better at Walking or Moving Around 2007 42.6 40.5 46.1 48.2 11 2005 38.0 36.2 17 4.6 12.1%
Percent of Adults with a Usual Source of Care 2006/2007 83.5 81.8 88.6 89.0 19 2003/2004 82.5 81.5 21 1.0 1.2%
Percent of Children with a Medical Homef 2007 61.8 60.7 67.5 69.3 20 2003 50.5 47.6 17 — —
Percent of Heart Failure Patients Given Written Instructions at Discharge 2007 71.4 75.1 86.8 91.4 35 2004 40.7 50.6 44 30.7 75.4%
Percent of Medicare Patients Whose Health Care Provider Always Listens, Explains, Shows Respect, and Spends Enough Time with Themg 2007 73.0 74.5 77.7 78.0 36 2003 68.7 68.7 27 4.3 6.3%
Percent of Medicare Patients Giving a Best Rating for Health Care Received in the Past Yearg 2007 58.9 61.1 67.6 69.3 40 2003 68.5 70.2 36 -9.6 -14.0%
Percent of High-Risk Nursing Home Residents with Pressure Sores 2007 12.5 11.5 7.7 7.5 38 2004 13.7 13.2 35 1.3 9.5%
Percent of Long-Stay Nursing Home Residents Who Were Physically Restrained 2007 5.4 4.0 1.7 1.5 36 2004 6.9 6.2 32 1.5 21.7%
Percent of Long-Stay Nursing Home Residents Who Have Moderate to Severe Pain 2007 4.7 4.2 2.1 0.9 30 2004 7.0 6.3 32 2.3 32.9%
Avoidable Hospital Use & Costs 2009 Scorecard 43 Revised 2007 Scorecarda 42 Change in Rated
Hospital Admissions for Pediatric Asthma per 100,000 Childrenh 2005 203.6 125.5 63.5 48.6 34 2003 230.5 152.6 32 26.9 11.7%
Percent of Adult Asthmatics with an Emergency Room or Urgent Care Visit in the Past Yeari 2001-2004 19.2 16.3 11.8 10.8 26 2001-2004 19.2 16.3 26 — —
Medicare Hospital Admissions for Ambulatory Care Sensitive Conditions per 100,000 Beneficiaries 2006/2007 8,576 6,291 4,136 3,725 48 2003/2004 9,989 6,845 49 1,413 14.1%
Medicare 30-Day Hospital Readmissions as a Percent of Admissions 2006/2007 20.2 17.5 13.8 12.9 43 2003/2004 19.3 17.1 42 -0.9 -4.7%
Percent of Long-Stay Nursing Home Residents with a Hospital Admissionj 2006 25.7 18.7 9.0 6.9 44 2000 23.9 16.6 42 -1.7 -7.1%
Percent of Nursing Home Residents with Hospital Readmission Within 30 Daysj 2006 22.6 20.8 14.6 13.2 36 2000 20.5 18.2 39 -2.0 -9.7%
Percent of Home Health Patients with a Hospital Admission 2007 34.2 28.7 22.0 21.2 41 2004 36.1 26.9 48 1.9 5.3%
Hospital Care Intensity Index, Based on Inpatient Days and Inpatient Physician Visits Among Chronically Ill Medicare Beneficiaries in the Last Two Years of Life 2005 1.008 0.958 0.556 0.509 35 2003 1.011 0.959 36 0.003 0.3%
Total Single Premium per Enrolled Employee at Private Sector Establishments that Offer Health Insurance 2008 4,009 4,360 3,904 3,830 5 2004 3,542 3,706 13 -467 -13.2%
Total Medicare (Part A & Part B) Reimbursements per Enrollee 2006 8,260 7,698 6,027 5,311 37 2003 6,707 6,371 29 -1,553 -23.2%
Healthy Lives 2009 Scorecard 45 Revised 2007 Scorecarda 51 Change in Rated
Mortality Amenable to Health Care, Deaths per 100,000 2004/2005 110.1 89.9 68.2 63.9 40 2001/2002 120.3 95.6 42 10.2 8.5%
Infant Mortality, Deaths per 1,000 Live Births 2005 6.7 6.8 5.0 4.5 25 2002 7.2 7.1 27 0.5 6.9%
Breast Cancer Deaths per 100,000 Female Population 2005 23.8 23.7 19.5 17.7 27 2002 27.4 25.3 44 3.6 13.1%
Colorectal Cancer Deaths per 100,000 Population 2005 21.0 17.8 14.3 13.3 50 2002 23.9 20.0 50 2.9 12.1%
Suicide Deaths per 100,000 Population 2005 13.3 11.8 6.2 5.5 36 2003 13.5 11.7 37 0.2 1.5%
Percent of Nonelderly Adults (Ages 18–64) Limited in Any Activities Because of Physical, Mental, or Emotional Problems 2006/2007 23.2 17.0 13.5 12.0 50 2003/2004 21.4 15.7 50 -1.8 -8.4%
Percent of Adults Who Smoke 2006/2007 28.3 20.1 15.1 10.7 51 2003/2004 29.0 21.4 51 0.7 2.4%
Percent of Children Ages 10–17 Who are Overweight 2007 37.2 30.6 24.7 23.1 48 2003 38.2 29.9 50 1.0 2.6%

a Some state rates from the 2007 edition have been revised to match methodology used in the 2009 edition.
b The equity dimension was ranked based on gaps between the most vulnerable group and the U.S. national average for selected indicators. Refer to state equity profiles for information on changes in the gaps.
c Count does not include indicators for which data could not be updated or do not allow assessment of trends.
d Change in rate is expressed such that a positive value indicates performance has improved and a negative value indicates performance has worsened.
e Data available for 45 states in 2006-07; 47 states in 2003-04.
f Data for 2003 and 2007 are not comparable because of changes in survey design.
g Data available for 50 states in 2007.
h Data available for 35 states in 2005; 33 states in 2003.
i Data available for 36 states in 2001-04. Data presented here are used for both past and current ranking.
j Data available for 48 states.
* Data could not be updated for this state.
Note: Refer to Appendix B in the State Scorecard for indicator descriptions, data sources, and other notes about methodology.

The equity profile displays gaps in performance for vulnerable populations for selected indicators. An equity gap is defined as the difference between the U.S. national average for a particular indicator and the rate for the state's most vulnerable group by income, insurance coverage, and race/ethnicity. For all equity indicators, lower rates are better; therefore, a positive or negative gap value indicates that the state's most vulnerable group is better or worse than the U.S. average for a particular indicator.

Dimension and Indicator Year U.S. Average Vulnerable Group Rate Gap Rank Year U.S. Average Vulnerable Group Rate Rate Gap Rank Change in Gap Change in Vulnerable Group Rate
Equity 2009 Scorecard 26 Revised 2007 Scorecardb 18 Change in Gap and Vulnerable Group Ratec
Income
Percent Uninsured, Ages 0–64 by Federal Poverty Leveld 2006/2007 17.5 31.6 -14.1 27 2004/2005 17.1 29.8 -12.7 26 -1.3 -1.7
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Federal Poverty Level 2006/2007 15.4 21.0 -5.6 31 1999/2000 13.1 15.9 -2.8 25 -2.9 -5.2
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Federal Poverty Level 2006/2007 13.4 35.4 -22.0 50 2003/2004 13.1 33.5 -20.4 51 -1.5 -1.8
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Federal Poverty Level 2006 57.7 72.7 -15.0 43 2004 60.3 69.5 -9.2 28 -5.8 -3.2
Percent of Adult Diabetics Did Not Receive Recommended Preventive Care by Federal Poverty Levele 2006/2007 55.7 66.9 -11.2 39 2003/2004 59.0 66.8 -7.8 36 -3.4 -0.0
Percent of Children Without Both a Medical and Dental Preventive Care Visit in the Past Year by Federal Poverty Levelf 2007 28.4 33.0 -4.6 17 2003 41.2 46.5 -5.3 12 — —
Percent of Adults Without a Usual Source of Care by Federal Poverty Level 2006/2007 20.3 23.4 -3.1 15 2003/2004 20.7 23.3 -2.6 16 -0.5 -0.1
Percent of Children Without a Medical Home by Federal Poverty Levelf 2007 42.5 49.5 -7.0 7 2003 53.9 61.0 -7.1 11 — —
Percent of Adult Asthmatics with an Emergency Room or Urgent Care Visit in the Past Year by Federal Poverty Levelg 2001-2004 17.6 28.0 -10.4 28 2001-2004 17.6 28.0 -10.4 28 — —
Insurance Coverage
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Whether Insured 2006/2007 15.4 41.8 -26.4 33 1999/2000 13.1 32.4 -19.3 27 -7.1 -9.4
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Whether Insured 2006/2007 13.4 55.1 -41.7 51 2003/2004 13.1 52.3 -39.2 50 -2.5 -2.8
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Whether Insured 2006 57.7 76.8 -19.1 31 2004 60.3 77.5 -17.2 36 -1.8 0.8
Percent of Children Ages Without Both a Medical and Dental Preventive Care Visit in the Past Year by Health Insurance Typef 2007 28.4 37.1 -8.7 11 2003 41.2 55.7 -14.5 18 — —
Percent of Adults without a Usual Source of Care by Whether Insured 2006/2007 20.3 46.0 -25.7 11 2003/2004 20.7 42.8 -22.0 7 -3.6 -3.2
Percent of Children Without a Medical Home by Health Insurance Typef 2007 42.5 65.6 -23.1 34 2003 53.9 67.2 -13.3 15 — —
Race/Ethnicity
Percent Uninsured, Ages 0-64 by Race/Ethnicityd 2006/2007 17.5 39.4 -21.9 31 2004/2005 17.1 23.6 -6.5 7 -15.4 -15.8
Percent of At-Risk Adults Who Have Not Visited a Doctor for a Routine Checkup in the Past Two Years by Race/Ethnicity 2006/2007 15.4 25.4 -10.0 34 1999/2000 13.1 13.3 -0.2 15 -9.8 -12.1
Percent of Adults with a Time in the Past Year When They Needed to See a Doctor but Could Not Because of Cost by Race/Ethnicity 2006/2007 13.4 23.6 -10.2 27 2003/2004 13.1 23.3 -10.2 34 -0.1 -0.3
Percent of Adults Age 50 and Older Did Not Receive Recommended Screening and Preventive Care by Race/Ethnicityh 2006 57.7 64.9 -7.2 17 2004 60.3 71.8 -11.5 32 4.3 6.9
Percent of Children Without Both a Medical and Dental Preventive Care Visit in the Past Year by Race/Ethnicityf 2007 28.4 33.5 -5.1 19 2003 41.2 49.6 -8.4 13 — —
Percent of Adults Without a Usual Source of Care by Race/Ethnicity 2006/2007 20.3 26.7 -6.5 11 2003/2004 20.7 21.6 -0.9 4 -5.6 -5.1
Percent of Children Without a Medical Home by Race/Ethnicityf 2007 42.5 55.6 -13.1 10 2003 53.9 66.9 -13.0 19 — —
Mortality Amenable to Health Care, Deaths per 100,000 Population by Racei 2004/2005 95.6 176.5 -80.9 25 2001/2002 105.2 201.1 -95.9 31 15.0 24.6
Infant Mortality, Deaths per 1,000 Live Births by Race/Ethnicity 2002-2004 6.9 11.6 -4.7 14 2000-2002 6.9 10.8 -3.9 8 -0.8 -0.8

a Count does not include indicators for which data could not be updated or do not allow assessment of trends.
b Some state rates from the 2007 edition have been revised to match methodology used in the 2009 edition.
c Change in the gap or vulnerable group is expressed such that a positive sign indicates performance has improved and a negative sign indicates performance has worsened.
d Data by income available for 50 states. Data by race/ethnicity available for 43 states.
e Data by income available for 45 states in 2006–07; 47 states in 2003–04.
f Data for 2003 and 2007 are not comparable because of changes in survey design.
g Data by income available for 36 states in 2001–04. Data presented here are used for both past and current ranking.
h Data by race/ethnicity available for 48 states in 2006; 47 states in 2004.
i Data by race/ethnicity available for 44 states in 2004–05; 43 states for 2001–02.
j Vulnerable group by insurance is always the uninsured group for all indicators.
* Data could not be updated for this state.
Note: An equity gap is defined as the difference between the U.S. national average for a particular indicator and the rate for the state's most vulnerable group by income, insurance coverage, and race/ethnicity. For all equity indicators, lower rates are better; therefore, a positive or negative gap value indicates that the state's most vulnerable group is better or worse than the U.S. average for a particular indicator. State Scorecard Data Tables display current data by all subgroups. Refer to Appendix B in the State Scorecard for indicator descriptions, data sources, and other notes about methodology.

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