Ranking Highlights

2019 RankChange from Baseline
Overall Ranking10
Access and Affordability2+1
Prevention and Treatment5+2
Avoidable Hospital Use and Cost10
Healthy Lives3-2
Medicaid ExpansionYes


Total Population1,370,850320,842,721
Median Household Income$75,030$65,727
Below 200% of Federal Poverty Level (FPL)22%31%
% White Race, Non-Hispanic21%61%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic68%9%
% Hispanic Ethnicithy10%18%
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Top Ranked Indicators

  • Nursing home residents with an antipsychotic medication
  • Medicare spending per beneficiary
  • Potentially avoidable emergency department visits age 65 and older

Bottom Ranked Indicators

  • Adults with inappropriate lower back imaging
  • Home health patients without improved mobility
  • Adults with any mental illness who did not receive treatment

Most Improved Indicators

  • Home health patients without improved mobility
  • Colorectal cancer deaths
  • Children who did not receive needed mental health care

Indicators That Worsened the Most

  • Central line-associated blood stream infection (CLABSI)
  • Children who are overweight or obese
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

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Estimated Gains Hawaii Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the West regionGains for Hawaii
11,6690more adults and children, beyond those who already gained coverage through the ACA, would be insured
00fewer adults would skip needed care because of its cost
12,9430more adults would receive age- and gender-appropriate cancer screenings
2,584258more children (ages 19-35 months) would receive all recommended vaccines
5,5013,954fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
282181fewer premature deaths (before age 75) would occur from causes that are potentially treatable or preventable with timely and appropriate care

Estimated impact if this state’s performance improved to the rate of two benchmark levels — a national benchmark set at the level of the best-performing state and a regional benchmark set at the level of the top-performing state in region (www.bea.gov: Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).