2016 Value High percentage of hospital readmissions. High prevalence of falls $

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1 Metric Overall Rank.9 26 No 1 State Rank Rank Strengths percentage of dental visits Challenges prevalence of obesity Ready availability of homedelivered meals percentage of hospital readmissions percentage of seniors with dedicated provider prevalence of falls Behaviors Smoking (% of adults aged 6+) Excessive Drinking (% of adults aged 6+) Obesity () Underweight (% of adults aged 6+ in fair or better health) Physical Inactivity (% of adults aged 6+ in fair or better health) Dental Visit (% of adults aged 6+) Pain Management (% of adults aged 6+ with arthritis) Behaviors Total* Community & Environment Poverty (% of adults aged 6+) Volunteerism (% of adults aged 6+) Nursing Home Quality (% of beds rated 4 or stars) Community & EnvironmentMacro Total* HomeDelivered Meals (participants as a % of adults aged 6+ in poverty) Food Insecurity (% of adults aged 6+) Community Support (dollars per adults aged 6+ in poverty) Community & EnvironmentMicro Total* Community & Environment Total* Policy LowCare Nursing Home Residents (% of residents) Prescription Drug Coverage (% of adults aged 6+) Geriatrician Shortfall (% of required geriatricians) SP Reach (participants as a % of adults aged 6+ in poverty) Policy Total* Clinical Care Dedicated Health Care Provider (% of adults aged 6+) Flu Vaccine (% of adults aged 6+) Health Screenings (% of adults aged 6 to 74) Recommended Hospital Care (% of hospitalized patients aged 6+) Diabetes Management (% of Medicare beneficiaries aged 6 to 7) Home Health Care (number of workers per 1, adults age 7+) Preventable Hospitalizations (discharges per 1, Medicare beneficiaries) Hospital Readmissions (% of hospitalized patients aged 6+) Hospice Care (% of decedents aged 6+) Hospital Deaths (% of decedents aged 6+) Clinical Care Total All Determinants* Outcomes ICU Use (% of decedents aged 6+) Falls (% of adults aged 6+) Hip Fractures (hospitalizations per 1, Medicare beneficiaries) Health Status (% of adults aged 6+ with very good or excellent health) Ablebodied (% of adults aged 6+) Premature Death (deaths per, adults aged 6 to 74) Teeth Extractions (% of adults aged 6+) Frequent Mental Distress (% of adults aged 6+) All Outcomes* Supplemental Measures Education (% of adults aged 6+) Clinical OveruseMammography 7+ Clinical OverusePSA Test 7+ Multiple Chronic Conditions (% of Medicare beneficiaries aged 6+) Cognition (% of adults aged 6+) Depression (% of adults aged 6+) Suicide (deaths per, adults aged 6+) * Negative value denotes below US average; positive value denotes above US average $ $6, $8 $1, United Health Foundation Page 1 America's Health Rankings Senior Report

2 MiddleAged Cohort Health Estimates Obesity (% of adults aged 74) Diabetes (% of adults aged 74) Smoking (% of adults aged 74) Health Status (% of adults aged 74 with very good or excellent health) 1999 Prevalence (%) 14 Prevalence (%) Change (%)** **Percent change in prevalence from 1999 to 14 Senior Projected Population Growth to Projected Total Population Growth Seniors 6 and older State US State (%) 42.4 US (%) 49. Smoking Edition US Smoking Percentage of adults aged 6 and older who are selfreported smokers (smoked at least cigarettes in their lifetime and currently smoke every day or some days) United States >= $7, $, to $, to $49,999 < $, Prevalence of Smoking () Non Non Less Than Graduate % CI Min Less Than $, $, to $49,999 $, to $7, or More % CI Min Urban Suburban Rural United Health Foundation Page 2 America's Health Rankings Senior Report

3 Obesity Edition US Obesity Percentage of adults aged 6 and older estimated to be obese (body mass index [B] of. or higher) based on selfreported height and weight United States 7 6 >= $7, $, to 4 $, to $49,999 < $, Prevalence of Obesity () 9% CI Min Non Less Than $, Non $, to $49, $, to $7, or More Less Than Graduate % CI Min Urban Suburban Rural United Health Foundation Page 3 America's Health Rankings Senior Report

4 Physical Inactivity Edition US Percentage of adults aged 6 and older with fair or better health status who selfreport doing no physical activity or exercise other than their regular job in the last days 4 3 Physical Inactivity United States 6 4 >= $7, $, to $, to $49,999 < $, Prevalence of Physical Inactivity () 9% CI Min Non Less Than $, Non $, to $49, $, to $7, or More Less Than Graduate % CI Min Urban Suburban Rural United Health Foundation Page 4 America's Health Rankings Senior Report

5 Frequent Mental Distress Edition 7. US 7.4 Edition Percentage of adults aged 6 and older who selfreport their mental health was not good 14 or more days during the past days >= $7, $, to $, to $49,999 < $, Prevalence of Frequent Mental Distress () 9% CI Min 9% CI Min Non Less Than $, Non $, to $49, $, to Less Than $7, or More Graduate Urban Suburban Rural United Health Foundation Page America's Health Rankings Senior Report

6 Dedicated Health Care Provider Edition US Edition Percentage of adults aged 6 and older who selfreport having a personal doctor or health care provider >= $7, $, to $, to $49,999 < $, Dedicated Health Care Provider (% of adults aged 6+) 8% CI Best Worse Non Less Than $, Non $, to $49, $, to $7, or More Less Than Graduate Urban Suburban Rural United Health Foundation Page 6 America's Health Rankings Senior Report

7 Dental Visit Edition US Edition Percentage of adults aged 6 and older who selfreport visiting the dentist or dental clinic within the past year for any reason >= $7, $, to $, to $49,999 < $, Dental Visit (% of adults aged 6+) 9% CI Min 9% CI Min Non Less Than $, Non $, to $49, $, to $7, or More Less Than Graduate Urban Suburban Rural United Health Foundation Page 7 America's Health Rankings Senior Report

8 Community & Environment Food Insecurity % of adults 6+ Edition US Percentage of adults aged 6 and older who face the threat of hunger in the last 12 months Food Insecurity United States Community Support dollars per adults aged 6+ in poverty Edition US 13 $1,213 $1, $1,213 $1,147 $8 $873 $638 $811 Total expenditures captured by the Administration on Aging per adult aged 6 and older living in poverty Community Support United States Volunteerism Edition US Percentage of adults aged 6 and older who report volunteering through or for an organization in the past 12 months Volunteerism United States United Health Foundation Page 8 America's Health Rankings Senior Report

9 Clinical Care Preventable Hospitalizations discharges per Medicare beneficiaries Edition US Number of discharges for ambulatory caresensitive conditions per 1, Medicare beneficiaries Preventable Hospitalizations United States Hospice Care Edition US Percentage of decedents aged 6 and older who were enrolled in hospice during the last 6 months of life after diagnosis of condition with high probability of death 6 4 Hospice Care United States Hospital Deaths Edition US Percentage of decedents aged 6 and older who died in a hospital 3 Hospital Deaths United States United Health Foundation Page 9 America's Health Rankings Senior Report