annual report - America's Health Rankings

ANNUAL REPORT

EXECUTIVE SUMMARY DECEMBER 2016

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EXECUTIVE SUMMARY OVERVIEW For 27 years, America’s Health Rankings® Annual Report has served as the nation’s source for trends in nationwide public health and state-bystate rankings. The report analyzes a comprehensive set of behaviors, community and environment, policy, clinical care, and outcomes data to provide a holistic view of the health of the nation. It also offers a benchmark to compare each state’s progress and declines over the past 27 years against national performance, offering insights into the success of public health efforts. All information is available in a single, easy-to-use web platform that allows users to explore health measures and state data for custom comparisons. In the 2016 edition, the report looks at historical trends and finds that the health of the nation is at a critical crossroad between making encouraging progress against long-standing public health challenges, while treading into dangerous territory on other key health indicators. For instance, the nation has experienced successes in reducing the prevalence of smoking, the number of preventable hospitalizations, and the percentage of the population without health insurance. However, the nation faces health concerns with drug and cardiovascular deaths and a continued high prevalence of obesity. With these observations, the United Health Foundation continues its commitment to providing valuable information to policymakers, public health officials, and communities with the goal of stimulating a dialogue on strategies to improve the health of our communities. The longevity of the report and wealth of credible data from trusted sources provide a unique opportunity for America’s Health Rankings to track both short-term successes and challenges, and identify emerging areas of interest that indicate improvement or decline since 1990.

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AMONG U.S. ADULTS

DECREASED BY

17%

HOSPITALIZATIONS

HOSPITALIZATIONS REPORT IN 1990,THE PREVALENCE AMONG MEDICARE ENROLLEES OF SMOKING AMONG U.S. ADULTS

DECREASED BY DECREASED BY

41% 13%

AMONG MEDICARE ENROLLEES

DECREASED BY

35%

CONTINUES TO EXPERIENCE DECLINES IN PREVALENCE OF SMOKING, NG-TERMNATION HEALTH IMPROVEMENTS

RATE OF PREVENTABLE HOSPITALIZATIONS, AND PERCENTAGE OF THE FROM 77.0 IN 2006 TO 49.9 IN 2016 FROM 57.6 IN IN 1990 2015 TO TO 17.5% 49.9 ININ2016 FROM 29.5% 2016 POPULATION WHO ARE UNINSURED DISCHARGES PER 1,000 MEDICARE ENROLLEES

mprovements in theirFROM overall health andTOwell-being, with 21.2% IN 2012 17.5% IN 2016 he prevalence of smoking, the rate of preventable he percentage of the uninsured population.

Highlighting key national successes, the report finds that the United States has made notable SMOKINGlong-term improvements across key indicators of health, including smoking, preventable PREVENTABLE HOSPITALIZATIONS AMONG MEDICARE ENROLLEES hospitalizations, and health insurance coverage. HEALTH CHALLENGES RATENATIONAL OF UNINSURED

S

Y

DISCHARGES PER 1,000 MEDICARE ENROLLEES

Rising rates of cardiovascular and drug deaths and a continued high prevalence of obesity highlight serious health challenges for the country that are eroding hard-won health gains.

OVER THE PAST DECADE,

IN THESINCE PAST YEAR, THE START OF

PREVENTABLE AMERICA’S HEALTH RANKINGS ANNUAL HOSPITALIZATIONS

AMONG MEDICARE ENROLLEES REPORT IN 1990,THE PREVALENCE OF SMOKING AMONG U.S. ADULTS

DECREASED BY DECREASED BY

13% 41%

PREVENTABLE

IN THE PAST YEAR, THE PERCENTAGE OF HOSPITALIZATIONS AMONG MEDICARE ENROLLEES THE POPULATION THAT IS UNINSURED

DECREASED DECREASED BY BY

35% 19%

EES

ED

BY

DECREASED BY

CARDIOVASCULAR DEATHS

INCREASED

FROM 77.0 IN 2006 TO 49.9 IN 2016 FROM 13.1% IN 2015 TO 10.6% IN 2016

FROM 57.6 IN 2015 TO 49.9 IN 2016 FROM 29.5% IN 1990 TO 17.5% IN 2016

NATIONAL HEALTH CHALLENGES

35%

IN THE PAST YEAR

DISCHARGES PER 1,000 MEDICARE ENROLLEES

2015

250.8

FROM 16.2% IN 2011 TO

over the past four years.

•

2016

10.6% IN251.7 2016

DEATHS PER 100,000 POPULATION

Rising rates of cardiovascular and drug deaths and a continued high prevalence of obesity DISCHARGES PER 1,000 MEDICARE ENROLLEES highlight serious health challenges for the country that are eroding hard-won health gains.

NATIONAL HEALTH CHALLENGES

DRUGincluding DEATHS United StatesRising has decreased 41%, a 17% decline rates of cardiovascular and drug deaths and a continued high prevalence of obesity highlight serious health challenges for the country that are eroding hard-won health gains.

During the last decade, the rate of preventable hospitalizations among Medicare www.americashealthrankings.org enrollees has declined 2015 DEATHS 2016 CARDIOVASCULAR 2016 FOR THE FIRST TIME IN THE13% in2015 35% and declined the past year alone. IN THE PAST YEAR, 27-YEAR HISTORY OF THE

OVER THE PAST DECADE,

HEALTH RANKINGS • AMERICA’S The of the population PREVENTABLE IN THE percentage PAST YEAR, OF ANNUAL REPORT, THETHE RATEPERCENTAGE OF

THE RATE OF

IN THE PAST FIVE YEARS,

DRUGthe DEATHS that is uninsured declined 35% over past five years and is now at the THE PERCENTAGE OF THE POPULATION THAT IS UNINSURED HOSPITALIZATIONS THE POPULATION THAT IS UNINSURED CARDIOVASCULAR DEATHS INCREASED 2015 2016 lowest point in the Annual Report’s 27-year history. FOR THE FIRST TIME IN THE AMONG MEDICARE ENROLLEES 27-YEAR HISTORY OF THE 14.0 13.5 INCREASED BY 4% 251.7 250.8 AMERICA’S HEALTH RANKINGS IN THE PAST YEAR

DECREASED BY BY DECREASED

19% 35%

DECREASED BY

35%


ANNUAL REPORT, THE RATE OF



RISING RATES OF CARDIOVASCULAR AND DRUG DEATHS AND HIGH INCREASED 250.8 IN THE PAST YEAR NATIONAL HEALTH CHALLENGES PREVALENCE OF OBESITY PRESENT NATIONAL HEALTH CHALLENGES PREMATURE DEATHS FROM 16.2% IN 2011 TO FROM IN 2015 TO 10.6% IN 2016 Rising rates 13.1% of cardiovascular and drug deaths and a continued high prevalence of obesity DRUG FROM 77.0 IN 2006 TO 49.9 IN DEATHS 2016 highlight serious health challenges for the country that are eroding hard-won health gains.

10.6% IN 2016

251.7


AsDISCHARGES the nation celebrates encouraging progress on key indicators of health, the report also highlights PER 1,000 MEDICARE ENROLLEES serious challenges for the country that are eroding hard-won health gains. This year, the rates of 2015 2016 DRUG DEATHS CARDIOVASCULAR DEATHS 2016 cardiovascular and drug2015 deaths increased nationally and the prevalence of obesity remained high. THE PREMATURE IN THE PAST YEAR, THE RATE OF

ATE OF UNINSURED

OF

THE PERCENTAGE OF THE POPULATION THAT IS UNINSURED

FOR THE FIRST TIME IN THE 27-YEAR HISTORY OF THE AMERICA’S HEALTH RANKINGS ANNUAL REPORT, THE RATE OF

• Since 1990, ENROLLEES the prevalence of smoking in the IZATIONS AMONG MEDICARE CARDIOVASCULAR DEATHS RATE OF UNINSURED

BY

CARDIOVASCULAR DEATHS IN THE PAST FIVE YEARS,

DEATH RATE

DRUG DEATHS

FOR THE FIRST TIME IN THE INCREASED 27-YEAR HISTORY OF THE AMERICA’S HEALTH BYRANKINGS 4% ANNUAL REPORT, THE RATE OF

2015

13.5

www.americashealthrankings.org

14.0



IN THE PAST FIVE YEARS, INCREASED THE PERCENTAGE OF THE 250.8 IN THE PAST YEAR

POPULATION THAT IS

2016

UNINSURED

INCREASED

251.7

FOR THE SECOND IN THE PAST YEAR YEAR, CONSECUTIVE THE RATE OF

DRUG DEATHS

INCREASED BY 4%

DECREASED BY


PREMATURE DEATHS

35%

DRUG DEATHS 2015

2016

THE PREMATURE

FROM 16.2%DEATH IN 2011 TO 10.6% IN 2016 RATE

INCREASED FOR SECOND IN THETHE PAST YEAR, CONSECUTIVE YEAR THE RATE OF

DRUG DEATHS

INCREASED BY 4%

2015

6,997

2016

7,054

NUMBER OF YEARS OF POTENTIAL LIFE LOST BEFORE AGE 75 YEARS PER 100,000 POPULATION

13.5

14.0



OBESITY

2015

2016

7,054

6,997

NUMBER OF YEARS OF POTENTIAL LIFE LOST BEFORE AGE 75 YEARS PER 100,000 POPULATION

14.0

13.5 OBESITY


SINCE THE START OF PREMATURE DEATHS AMERICA’S HEALTH RANKINGS 1990 ANNUAL REPORT IN 1990, THE PREVALENCE OF

OBESITY AMONG U.S. ADULTS

INCREASED THE PREMATURE RATE BY DEATH 157% INCREASED FOR THE SECOND CONSECUTIVE YEAR

2016

2015

2016

29.8%

11.6%

6,997

7,054 3

NUMBER OF YEARS OF POTENTIAL LIFE LOST BEFORE AGE 75 YEARS PER 100,000 POPULATION www.americashealthrankings.org

•

This year marks the end of a 26-year decline in the rate of cardiovascular deaths. In the past year, the national cardiovascular death rate increased from 250.8 to 251.7 deaths per 100,000.

•

The report also finds that in the past five years, the rate of drug deaths has increased 9%, rising 4% in the past year alone.

•

Premature death, the years of potential life lost before age 75, increased for the second consecutive year.

•

Since the start of America’s Health Rankings Annualassessment Report in of 1990, the prevalence of obesity among the nation’s health on a state-by-state basis. adults has increased 157%. 2016 ANNUAL REPORT RANKINGS

2016 ANNUAL REPORT RANKINGS

America’s Health Rankings® Annual Report is the longest-running annual

America’s Health Rankings® Annual Report is the longest-running annual assessment of the nation’s health on a state-by-state basis.

2016 RANKING OF THE HEALTHIEST OVERALL STATES

VT NH

WA

OR

The report ranks each state across 34 measures of behaviors, community and environment, policy, clinical care, and outcomes. This year, northeastern states

WA ID

OR

NV

CA

ID

UT UT

NE MN IA

SD

CO

PA

TX TX

MA RI MA

MI

KY

ME

VT NH NY ME

SC

RI

NJ DE

DE

NC GA

CT

CT NJ

VA

MS TN AL ARLA SC MS AL GA LA

OK

NM

MI

IN OH NY VA KY PA IN OH NC TN

WI IL

IA MO IL KS OK MOAR

AK

Hawaii ranks as the healthiest state for the fifth straight year. The state has held the top spot eight times in the 27-year history of the Annual Report. Massachusetts (second), Connecticut (third), Minnesota (fourth), and Vermont (fifth) round out the top five states for overall health.

WI

NE KS

NM

AZ

MN

SD

ND

WY CO

AZ

AK

ND

WY MT

NV

CA

generally rank among the healthiest overall states, while southeastern states generally rank among those states with the greatest challenges.

Mississippi ranks as the state with the greatest opportunity for improvement, dropping from 49th to 50th this year. Louisiana improved to 49th, while

MT

MD DC

MD DC

WV

WV

FL

FL

HI HI

RANK:

RANK:

1 to 10

1 to 10

11 to 20

11 to 20

21 to 30

21 to 30

31 to 40

31 to 40

41 to 50

41 to 50

THE HEALTHIESTSTATES STATES THE HEALTHIEST

11 22 HAWAII

HAWAII Arkansas (48th), Alabama (47th), and Oklahoma (46th) round out the states with greatest opportunities for improvement.

MASSACHUSETTS

MASSACHUSETTS

3 3 44 55

CONNECTICUT

CONNECTICUT

MINNESOTA

MINNESOTA

VERMONT

VERMONT

THE STATES WITH THE BIGGEST CHALLENGES

THE STATES WITH THE BIGGEST CHALLENGES

50 49 48 47 46

INFORMING CONVERSATIONS ABOUT IMPROVING THE HEALTH OF OUR NATION

50 49 48 47 46

With this report, United Health Foundation contributes 27 years worth of data to ongoing conversations among policymakers, public health officials, and community leaders about how they can collaborate to LOUISIANA OKLAHOMA ARKANSAS promote and achieve better health for all. MISSISSIPPI Our nation has experienced impressive publicALABAMA health achievements since the launch of the first America’s Health Rankings Annual Report in 1990, but this year’s findings highlight LOUISIANA ALABAMA OKLAHOMA MISSISSIPPI ARKANSAS that the country still faces critical challenges that may undermine progress in other key areas of health. Those working to improve the health of our nation are encouraged to use the report as a call to action for positive change in their communities.



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For more information, contact: L.D. Platt United Health Foundation (202) 654-8830 [email protected]

To read the full version of America’s Health Rankings® Annual Report or explore more research from America’s Health Rankings®, visit www.americashealthrankings.org

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