California

Overall rank: 39

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Overall and Dimension Ranking

  • Overall : 39
  • Access: 44
  • Quality: 50
  • Avoidable Hospital Use & Costs: 18
  • Equity*: 44
  • Healthy Lives: 3

Summary of Indicator Rankings

Total number of Indicators: 32

Number of indicators for which this state ranked in the:

  • Top 5: 3
  • Top Quartile: 6
  • 2nd Quartile: 5
  • 3rd Quartile: 7
  • Bottom Quartile: 14
  • Bottom 5: 6


















































































































































































































































Dimension and Indicator Year State Rate All States Median Top 5 States Average Best State Rate Rank
44 Access
Percent of adults (ages 18–64) insured 2004–2005 75.5 81.5 87.3 89.0 46

Percent of children (ages 0–17) insured 2004–2005 87.0 91.1 94.7 94.9 43

Percent of adults visited a doctor in the past two years 2000 76.7 83.4 89.9 91.5 48

Percent of adults without time in past year when they needed to see a doctor but could not because of cost 2004 87.7 87.2 93.1 96.6 22
50 Quality
Percent of adults age 50 and older received recommended screening and preventive care 2004 37.4 39.7 48.8 50.1 37

Percent of adult diabetics received recommended preventive carea 2004 36.6 42.4 58.5 65.4 40

Percent of children ages 19–35 months received all recommended doses of five key vaccines 2005 77.9 81.6 88.3 93.5 41

Percent of children with both a medical and dental preventive care visit in the past year 2003 53.2 59.2 72.6 74.9 39

Percent of children with emotional, behavioral, or developmental problems received some mental health care in the past year 2003 54.0 61.9 74.2 77.2 44

Percent of hospitalized patients received recommended care for acute myocardial infarction, congestive heart failure, and pneumoniab 2004 79.4 83.4 87.8 88.4 47

Percent of surgical patients received appropriate timing of antibiotics to prevent infections 2005 60.0 69.5 82.8 90.0 45

Percent of adults with a usual source of care 2004 71.1 81.1 88.3 89.4 49

Percent of children with a medical home 2003 37.5 47.6 59.7 61.0 48

Percent of heart failure patients given written instructions at discharge 2004–2005 43.0 49.0 63.6 67.0 36

Percent of Medicare patients whose health care provider always listens, explains, shows respect, and spends enough time with them 2003 66.6 68.7 73.2 74.9 44

Percent of Medicare patients giving a best rating for health care received in the past year 2003 67.9 70.2 73.7 74.4 38

Percent of high-risk nursing home residents with pressure sores 2004 13.6 13.2 8.1 7.6 33

Percent of nursing home residents who were physically restrained 2004 15.4 6.2 2.4 1.9 50
18 Avoidable Hospital Use & Costs
Hospital admissions for pediatric asthma per 100,000 childrenc 2002 154.4 176.7 81.3 54.9 12

Percent of asthmatics with an emergency room or urgent care visit in the past yeard 2001–2004 16.2 15.5 10.8 9.1 20

Medicare hospital admissions for ambulatory care sensitive conditions per 100,000 beneficiaries 2003 6,383 7,278 4,610 4,069 17

Medicare 30-day hospital readmissions as a percent of admissions 2003 18.2 17.6 13.8 13.2 32

Percent of long-stay nursing home residents with a hospital admissione 2000 16.2 16.1 8.7 8.3 26

Percent of nursing home residents with hospital readmission within 30 dayse 2000 7.5 11.7 7.5 6.7 3

Percent of home health patients with a hospital admission 2004 21.9 26.9 20.1 18.3 6

Total single premium per enrolled employee at private-sector establishments that offer health insurance 2004 3,534 3,706 3,216 3,034 12

Total Medicare (Parts A & B) reimbursements per enrollee 2003 7,424 6,070 4,828 4,530 47
3 Healthy Lives
Mortality amenable to health care, deaths per 100,000 population 2002 92.7 96.9 74.1 70.2 23
Infant mortality, deaths per 1,000 live births 2002 5.4 7.1 4.8 4.3 7
Breast cancer deaths per 100,000 female population 2002 23.9 25.3 19.9 16.2 14
Colorectal cancer deaths per 100,000 population 2002 17.1 20.0 16.3 15.3 5
Percent of adults under age 65 limited in any activities because of physical, mental, or emotional problems 2004 10.9 15.3 11.5 10.8 2
Dimension and Indicator Year State Rate All States Median Top 5 States Average Best State Rate Rank

a Data available for 47 states.
b Data available for 50 states.
c Data available for 33 states.
d Data available for 36 states.
e Data available for 48 states.
NA = Data value is not available.
* The equity dimension was ranked based on gaps between the most vulnerable group and the U.S. national average for selected indicators. Comparisons were made by income, insurance, and race/ethnicity. Refer to Equity section in State Scorecard Data Tables for these calculations.

Note: Refer to Appendices B1 and B2 in the State Scorecard for indicator descriptions and data sources.

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Estimated Impact of Improvement *

2,993,097 Number of adults who would be insured

2,225,873 Children with a medical home

$165,436,000 Dollars that would be saved from reducing Medicare readmissions

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*if this state improved to the level of the best-performing state