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Behaviors

Smoking

Percentage of adults aged 65 and older who are self-reported smokers (smoked at least 100 cigarettes in their lifetime and currently smoke every day or some days)
Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System, 2014

Excessive Drinking

Percentage of adults aged 65 and older who self-report either binge drinking (having five or more [men] or four or more [women] drinks on one occasion in the last month) or chronic drinking (having more than two drinks [men] or more than one drink [women] per day)
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Obesity

Percentage of adults aged 65 and older estimated to be obese (body mass index [BMI] of 30.0 or higher) based on self-reported height and weight
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Underweight

Percentage of adults aged 65 and older with fair or better health status estimated to be underweight (BMI of 18.5 or less) based on self-reported height and weight
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Physical Inactivity

Percentage of adults aged 65 and older with fair or better health status who self-report doing no physical activity or exercise other than their regular job in the last 30 days
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Dental Visit

Percentage of adults aged 65 and older who self-report visiting the dentist or dental clinic within the past year for any reason
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Pain Management*

Percentage of adults aged 65 and older with arthritis who self-report arthritis or joint pain does not limit their usual activities
Source: CDC. Behavioral Risk Factor Surveillance System, 2013

Community & Environment: Macro

Poverty

Percentage of adults aged 65 and older who live in households at or below 100% of the poverty threshold
Source: US Census Bureau. American Community Survey, 2014

Volunteerism

Percentage of adults aged 65 and older who report volunteering through or for an organization in the past 12 months
Source: Corporation for National & Community Service, 2012-2014

Nursing Home Quality

Percentage of certified nursing home beds rated 4- or 5-stars (2015 revised CMS definition)
Source: Centers for Medicare & Medicaid Services (CMS). Nursing Home Compare, 2016

Community & Environment: Micro

Home-Delivered Meals

Number of persons served a home-delivered meal as a percentage of adults aged 65 and older living in poverty
Source: Numerator: Administration on Aging (AoA). State Program Reports, 2013; Denominator: US Census Bureau. American Community Survey, 2013**

Food Insecurity

Percentage of adults aged 60 and older who faced the threat of hunger in the last 12 months
Source: National Foundation to End Senior Hunger. The State of Senior Hunger in America 2013: An Annual Report, April 2015

Community Support

Total expenditures captured by the Administration on Aging per adult aged 65 and older living in poverty
Source: Numerator: AoA. State Program Reports, 2013; Denominator: US Census Bureau. American Community Survey, 2013**

Policy

Low-Care Nursing Home Residents

Percentage of nursing home residents who were low-care, according to the broad definition (no physical assistance required for late-loss activities of daily living)
Source: Brown University, Shaping Long Term Care in America Project, 2014

Prescription Drug Coverage

Percentage of adults aged 65 and older who have a creditable prescription drug plan
Source: The Henry J. Kaiser Family Foundation, State Health Facts, 2012

SNAP Reach

Number of adults aged 60 and older who participate in Supplemental Nutrition Assistance Program (SNAP) as a percentage of adults aged 60 and older living in poverty
Source: Numerator: US Department of Agriculture, Food and Nutrition Service, 2014; Denominator: US Census Bureau. American Community Survey, 2014**

Geriatrician Shortfall*

Percentage of geriatricians required to meet estimated need
Source: The American Geriatrics Society, 2015

Clinical Care

Dedicated Health Care Provider

Percentage of adults aged 65 and older who self-report having a personal doctor or health care provider
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Flu Vaccine

Percentage of adults aged 65 and older who self-report receiving a flu vaccine in the last year
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Health Screenings

Percentage of adults aged 65 to 74 who self-report having a mammogram and/or fecal occult/colonoscopy/sigmoidoscopy screens within the recommended time period
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Recommended Hospital Care

Percentage of hospitalized patients aged 65 and older who received the recommended care for heart attack, heart failure, pneumonia, and surgical procedures
Source: Improving Healthcare for the Common Good. WhyNotTheBest.org, March 1, 2016 (based on data from Q1/2014-Q4/2014)

Diabetes Management

Percentage of Medicare beneficiaries aged 65 to 75 with diabetes receiving a blood lipids test
Source: The Dartmouth Atlas of Health Care, 2013

Home Health Care

Number of personal care and home health aides per 1,000 adults aged 75 and older
Source: Numerator: Bureau of Labor Statistics, 2015; Denominator: US Census Bureau. American Community Survey, 2014

Preventable Hospitalizations

Number of discharges for ambulatory care-sensitive conditions per 1,000 Medicare beneficiaries
Source: The Dartmouth Atlas of Health Care, 2013

Hospital Readmissions

Percentage of patients aged 65 and older who were readmitted within 30 days of discharge
Source: The Dartmouth Atlas of Health Care, 2013

Hospice care

Percentage of decedents aged 65 and older who were enrolled in hospice during the last 6 months of life after diagnosis of condition with high probability of death
Source: The Dartmouth Atlas of Health Care, 2013

Hospital Deaths

Percentage of decedents aged 65 and older who died in a hospital
Source: The Dartmouth Atlas of Health Care, 2013

Outcomes

ICU Use

Percentage of decedents aged 65 and older spending 7 or more days in the intensive care or critical care unit during the last 6 months of life
Source: The Dartmouth Atlas of Health Care, 2013

Hip Fracture

Rate of hospitalization for hip fracture per 1,000 Medicare beneficiaries
Source: The Dartmouth Atlas of Health Care, 2013

Falls

Percentage of adults aged 65 and older who self-report having had a fall in the past 12 months (2012 definition)
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Health Status

Percentage of adults aged 65 and older who self-report very good or excellent health
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Able-Bodied**

Percentage of adults aged 65 and older with no disability
Source: US Census, American Community Survey, 2014

Premature Death

Number of deaths per 100,000 adults aged 65 to 74
Source: CDC. National Center for Health Statistics, 2014

Teeth Extractions

Percentage of adults aged 65 and older who self-report having had all teeth removed due to tooth decay or gum disease
Source: CDC. Behavioral Risk Factor Surveillance System, 2014

Frequent Mental Distress

Percentage of adults aged 65 and older who self-report their mental health was not good 14 or more days during the past 30 days
Source: CDC. Behavioral Risk Factor Surveillance System, 2014
* The data appearing in this edition are the same that appeared in the 2015 edition. An update was not available at the time of this publication.
** American Community Survey discontinued 3-year estimates; the data used in this edition are based on single-year data estimates.


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