How would you rate the quality of New York State’s healthcare? Well, according to the most recent data from the Agency for Healthcare Research and Quality (part of the Department of Health & Human Services), New York healthcare is of “Average” quality in comparison to other States, and has slightly declined in quality in recent years. Additionally, there are certain areas of care where the state clearly under-performs with a ranking of “Weak”.

State contextual factors, including demographics (e.g. proportion of population that is uninsured), health status (e.g. percent of population at risk of heart disease and stroke) and resources (e.g. specialist physicians per 100,000), don’t really explain New York’s areas of underperformance. For the most part, the state ranks middle-of-the-road on these factors with two exceptions: New York is over-indexed on the proportion of people on Medicaid and on the percent of people with poor mental health. However, neither one of these makes a strong case for why New York should be pre-disposed to lag its state peers in certain areas.

Types of Care

In terms of preventive measures, New York is “Strong” and has demonstrated some consistency in its ranking over time. However, for both acute care measures and chronic care measures, the state ranks “Weak”. While the trend in acute care measures has improved, the trend in chronic has declined.

Graph 1: Quality of care by type

Note: Baseline year varies by measure

Settings of Care

New York demonstrates “Strong” quality of care in nursing home settings, though the quality has meaningfully declined. In ambulatory care, New York is of average quality, with no trend information. Both home health care and hospital care quality proved to be “Weak”, with home health care deteriorating significantly over time.

Graph 2: Quality of care by setting

Note: Baseline year varies by measure

Care by Clinical Area

Unfortunately, New York did not perform above “Average” for any measure of care by clinical area. In terms of both cancer measures and maternal and child health measures, New York is “Average” and showing improvement. Regarding diabetes measures, the state is on the cusp of “Average” and “Weak”, but demonstrating a decline in quality. Both heart disease measures and respiratory disease measures quality of care are “Weak”, and either stable or declining in quality over time.

Graph 3: Quality of care by clinical area

Note: Baseline year varies by measure

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