Executive HighlightsIntroductionFindingsState RankingsSuccessesChallengesInternational ComparisonPreview of 2020 ModelState SummariesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUS SummaryAppendixRankings Measures TableSupplemental Measures TableData Source DescriptionsThe Team
America’s Health Rankings Composite Measure
Composite measures are calculated from existing measures to provide summary information for multiple measures. Data are analyzed and a mean z score is calculated across respective measures.
American Dental Association
The association’s Health Policy Institute is a source for policy knowledge related to the U.S. dental care system. The institute provides information on issues including health policy reform, access to dental care, dental workforce, dental care use and benefits, dental education and oral health outcomes. Data are accessed at American Dental Association.
The Dartmouth Atlas of Health Care
This source uses Medicare data to provide information and analysis on how medical resources are distributed and used in the United States. Data are provided by request from the Dartmouth Atlas Project.
IPUMS National Historical Geographic Information System
This system from the Minnesota Population Center at the University of Minnesota provides summary statistics and geographic information system files for U.S. censuses and other nationwide surveys. Data are accessed at IPUMS NHGIS: VERSION 13.0.
Measure of America, Youth Disconnection Report
Measure of America is a project that provides tools for understanding the distribution of well-being and opportunity in America, particularly regarding health, education and living standards. The organization produces an annual report on youth disconnection using employment and enrollment data from the American Community Survey. Data are accessed at Measure of America.
Trust for America’s Health
This is a public health policy, research and advocacy organization. State public health funding data are obtained via a direct request to the organization.
U.S. Department of Commerce
U.S. Census Bureau
American Community Survey
This ongoing survey provides information about population demographics and housing in the nation. Data are accessed at data.census.gov and Health Insurance Publications. The Census Bureau’s annual Health Insurance Coverage in the United States Report publishes health insurance statistics by leveraging ACS data.
Current Population Survey
This ongoing survey is sponsored jointly by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics. The CPS survey provides information monthly about employment, earnings and education in the nation. CPS’ Annual Social and Economic Supplement produces annual income and migration statistics, including official poverty figures. Data are accessed at Historical Household Income Tables. Voting and registration data are available every two years following national elections. Data are accessed at Voting and Registration.
U.S. Department of Education
National Center for Education Statistics
This is the primary federal entity for collecting and analyzing data related to education in the nation. The survey, Common Core of Data, collects national, state and local data on public schools and school districts. Data are accessed at Common Core of Data.
U.S. Department of Health and Human Services
Centers for Disease Control and Prevention
Behavioral Risk Factor Surveillance System
This is the nation's largest phone-based population survey. The survey provides information about U.S. residents’ health-related risk behaviors, chronic health conditions and use of preventive services. Data files are accessed at Survey Data & Documentation.
CDC WONDER Natality
CDC Wide-ranging Online Data for Epidemiologic Research is a query system for analyzing public-use data. Natality files are derived from birth certificates and include counts and rates of births to U.S. residents occurring within the United States as well as demographic characteristics. Data are accessed at CDC WONDER Natality.
CDC WONDER Mortality
CDC Wide-ranging Online Data for Epidemiologic Research is a query system for analyzing public-use data. Multiple Cause of Death files contain counts, rates and causes of death, as well as demographic information for U.S. residents based on death certificates. Data are accessed at CDC WONDER Multiple Cause of Death.
National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Atlas
This interactive atlas allows users to create customized tables, maps and charts using more than 15 years of surveillance data on HIV/AIDS, viral hepatitis, sexually transmitted diseases, tuberculosis as well as social and economic data. Data are accessed at NCHHSTP Atlas.
National Immunization Surveys
National Notifiable Diseases Surveillance System
This is a public health program to monitor, control and prevent roughly 120 diseases, including infectious and non-infectious conditions. Data are accessed at Annual Tables of Infectious Disease, a CDC WONDER interface.
Water Fluoridation Reporting System
The Division of Oral Health monitors community water systems receiving optimally fluoridated drinking water through its Water Fluoridation Reporting System. The division provides national- and state-level water fluoridation statistics. Data are accessed at Water Fluoridation Reporting System.
Centers for Medicare & Medicaid Services National Plan and Provider Enumeration System
This is a system used to assign unique identifiers to health care providers and health plans as required by the Health Insurance Portability and Accountability Act of 1996. Data files are downloaded from the National Provider Identifier Registry, or NPI Registry.
Health Resources & Services Administration
Federal public health funding data allocated to states are obtained from the Health Resources & Services Administration (HRSA) and CDC. HRSA grants are awarded to states each year to ensure access to essential health care for underserved populations and to eliminate health disparities. States also receive annual CDC grants as well as federal funds for vaccines via the Vaccines for Children Program.
National Survey of Children's Health
This ongoing survey is funded by the Health Resources & Services Administration Maternal and Child Health Bureau and provides information about children's health and access to health care as well as children’s family, neighborhood, school and social contexts. Data are accessed via an indicator data set available by request from the Data Resource Center for Child & Adolescent Health — a project of the Child and Adolescent Health Measurement Initiative.
U.S. Department of Housing and Urban Development
Comprehensive Housing Affordability Strategy
The department’s Office of Policy Development and Research manages data from the American Community Survey. These data, known as CHAS (Comprehensive Housing Affordability Strategy), demonstrate the extent of housing problems and needs, particularly for low-income households. Data are accessed at CHAS.
U.S. Department of Justice
Federal Bureau of Investigation
The FBI manages the Uniform Crime Reporting Program, a nationwide effort of nearly 18,000 city, university and college, county, state, tribal and federal law enforcement agencies voluntarily reporting data on reported crimes. The program’s annual Crime in the United States report includes the number and rate of violent and property crime offenses in the nation and by state. Data are accessed at Crime in the U.S.
U.S. Department of Labor
Bureau of Labor Statistics
The bureau’s Local Area Unemployment Statistics program produces monthly and annual employment, unemployment and labor force data by residence. Data are accessed at Alternative Measures of Labor Underutilization for States.
Census of Fatal Occupational Injuries
The bureau’s Injuries, Illnesses, and Fatalities program produces information about workplace injuries and illnesses. Data are collected and reported annually through the Census of Fatal Occupational Injuries. Data are accessed at Injuries, Illnesses, and Fatalities.
U.S. Environmental Protection Agency
This agency performs a variety of federal research, monitoring, standard-setting and enforcement activities to ensure environmental protection. The agency publishes public and environmental health data. State-level data are obtained via a special request to the agency.
Redi-Data, Inc. provides health care professional, consumer and business postal and email lists, data services, and direct and digital marketing solutions. Active state-licensed physicians data were obtained via a special data request on September 23, 2019.