District of Columbia

Ranking Highlights

2020 RankChange from Baseline
Overall Ranking16+13
Access and Affordability2+9
Prevention and Treatment16+1
Avoidable Hospital Use and Cost42+6
Healthy Lives25+5
Medicaid Expansion (as of Jan. 2018)Yes


District of ColumbiaAverage
Total Population693,418322,324,172
Median Household Income$91,179$67,877
Below 200% of Federal Poverty Level (FPL)27%30%
% White Race, Non-Hispanic37%60%
% Black Race, Non-Hispanic44%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicity11%18%
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Top Ranked Indicators

  • Adults without all recommended vaccines
  • High out-of-pocket medical spending
  • Suicide deaths

Bottom Ranked Indicators

  • Infant mortality
  • Potentially avoidable emergency department visits age 65 and older
  • Breast cancer deaths

Most Improved Indicators

  • Colorectal cancer deaths
  • Home health patients with a hospital admission
  • Central line-associated blood stream infection (CLABSI)

Indicators That Worsened the Most

  • Children without a medical home
  • Hospital 30-day mortality
  • Drug poisoning deaths

Comparison with the U.S. Average

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Estimated Gains District of Columbia Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Mid-Atlantic regionGains for District of Columbia
00more adults and children would be insured
5,6590fewer adults would skip needed care because of its cost
6,2560more adults would receive age- and gender-appropriate cancer screenings
1,364868more children (ages 19–35 months) would receive all recommended vaccines
7,6405,655fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
456339fewer 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 (www.bea.gov: Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).