Ranking Highlights

2019 RankChange from Baseline
Overall Ranking29-9
Access and Affordability30-13
Prevention and Treatment23-13
Avoidable Hospital Use and Cost22+3
Healthy Lives19-5
Medicaid ExpansionNo


Total Population8,257,571320,842,721
Median Household Income$76,446$65,727
Below 200% of Federal Poverty Level (FPL)25%31%
% White Race, Non-Hispanic62%61%
% Black Race, Non-Hispanic19%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy9%18%
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Top Ranked Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Adults without all recommended vaccines
  • Alcohol deaths

Bottom Ranked Indicators

  • Breast cancer deaths
  • Children who did not receive needed mental health care
  • Children without all recommended vaccines

Most Improved Indicators

  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication
  • Central line-associated blood stream infection (CLABSI)

Indicators That Worsened the Most

  • Hospital 30-day readmission rate ages 18-64
  • Preventable hospitalizations ages 18-64
  • Children who did not receive needed mental health care

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Virginia
485,205293,224more adults and children, beyond those who already gained coverage through the ACA, would be insured
381,815127,272fewer adults would skip needed care because of its cost
192,77038,554more adults would receive age- and gender-appropriate cancer screenings
28,19817,809more children (ages 19-35 months) would receive all recommended vaccines
227,78780,307fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
1,9920fewer 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 ( Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).