CSG/ERC region scores well in health care quality, but significant disparity challenges

The latest National Healthcare Quality and Disparities Report from HHS finds significant improvement in access to health care across groups in 2014, likely due to the Affordable Care Act. Released earlier this month, the annual report tracks over 250 measures of quality and disparities in health care. ERC states generally performed better than the nation on quality measures but varied considerably in eliminating disparities. Among ERC states, only Maine performed among the best in both categories. Americans’ quality of care has improved across most metrics. Improvement in patient safety was remarkable with 17% fewer hospital-acquired conditions saving an estimated $12 billion. However few disparities were eliminated; poor Americans continue to experience less access to care and poorer quality. Two bright spots were the elimination of disparities in some childhood immunization rates and rates of adverse events. However some disparities in hospice care and chronic disease management got worse. Challenges remain. Click here for the report chartbooks, here for the State Snapshot Tool and here to spend some time Mapping Medicare Disparities by state or county and by condition, year, sex, age, and race. Warning – it is very easy to spend an entire afternoon in the data without realizing it.

 

Quartile for quality performance

First = highest quality

Quartile for disparities performance

First = fewest disparities

Connecticut First Second
Delaware First Fourth
Maine First First
Maryland Third Second
Massachusetts First Fourth
New Hampshire First Third
New Jersey Second Fourth
New York Second Fourth
Pennsylvania Second Third
Rhode Island First Fourth
Vermont First Second