South Dakota

Ranking Highlights

2020 RankChange from Baseline
Overall Ranking29-19
Access and Affordability31-8
Prevention and Treatment19-15
Avoidable Hospital Use and Cost20-9
Healthy Lives28+3
Medicaid Expansion (as of Jan. 2018)No


South DakotaAverage
Total Population864,740322,324,172
Median Household Income$59,064$67,877
Below 200% of Federal Poverty Level (FPL)31%30%
% White Race, Non-Hispanic82%60%
% Black Race, Non-Hispanic2%12%
% Other Race, Non-Hispanic12%9%
% Hispanic Ethnicity4%18%
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Top Ranked Indicators

  • Drug poisoning deaths
  • Potentially avoidable emergency department visits age 65 and older
  • Children who did not receive needed mental health care

Bottom Ranked Indicators

  • Infant mortality
  • Alcohol deaths
  • Adults with inappropriate lower back imaging

Most Improved Indicators

  • Home health patients without improved mobility
  • Colorectal cancer deaths
  • Children who did not receive needed mental health care

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18–64
  • Hospital 30-day mortality
  • Adults without all recommended vaccines

Comparison with the U.S. Average

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Estimated Gains South Dakota Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Plains regionGains for South Dakota
56,23341,718more adults and children would be insured
26,06519,549fewer adults would skip needed care because of its cost
41,71226,544more adults would receive age- and gender-appropriate cancer screenings
2,7252,362more children (ages 19–35 months) would receive all recommended vaccines
13,0627,537fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
197197fewer 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 ( Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).