Ranking Highlights

2020 RankChange from Baseline
Overall Ranking8+6
Access and Affordability12+10
Prevention and Treatment26+13
Avoidable Hospital Use and Cost60
Healthy Lives9+1
Medicaid Expansion (as of Jan. 2018)Yes


Total Population7,429,065322,324,172
Median Household Income$81,048$67,877
Below 200% of Federal Poverty Level (FPL)25%30%
% White Race, Non-Hispanic68%60%
% Black Race, Non-Hispanic4%12%
% Other Race, Non-Hispanic16%9%
% Hispanic Ethnicity13%18%
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Top Ranked Indicators

  • Employee insurance costs as a share of median income
  • Infant mortality
  • Potentially avoidable emergency department visits ages 18–64

Bottom Ranked Indicators

  • Hospital 30-day mortality
  • Adults with inappropriate lower back imaging
  • Children without all recommended vaccines

Most Improved Indicators

  • Home health patients without improved mobility
  • Potentially avoidable emergency department visits ages 18–64
  • Central line-associated blood stream infection (CLABSI)

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Hospital 30-day readmission rate ages 18–64
  • Preventable hospitalizations ages 18–64

Comparison with the U.S. Average

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Estimated Gains Washington Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the West regionGains for Washington
261,879136,153more adults and children would be insured
230,853230,853fewer adults would skip needed care because of its cost
272,225238,197more adults would receive age- and gender-appropriate cancer screenings
25,1739,274more children (ages 19–35 months) would receive all recommended vaccines
47,76447,764fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
6130fewer 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).