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Methodology


 

Health-Care Indicators

Weights*
Indicator
Methodology
Year
100 large
252 small
Number of doctors
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2011 0.096 0.106
Number of hospital beds
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.144 0.155
Number of long-term hospitals
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.018 0.033
Number of hospitals with geriatric services
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.085 0.078
Number of hospitals with rehabilitation services
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.055 0.072
Number of hospitals with Alzheimer's units
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.016 0.036
Number of hospitals with hospice services
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.022 0.036
Number of orthopedic surgeons
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2011 0.065 0.066
Number of psychologists
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data sources: Bureau of Labor Statistics, Department of Health and Human Services, Milken Institute
2013 0.030 0.026
Number of dialysis centers**
Normalized by composite score from average per capita and per population 65+ calculations,
NAICS code 621492
The highest value receives a score of 100
Data sources: Census Bureau, city websites
2012 0.041 -
Number of medical and diagnostic centers (including X-ray, MRI, and ultrasound imaging)**
Normalized by composite score from average per capita and per population 65+ calculations,
NAICS code 6215
The highest value receives a score of 100
Data source: Census Bureau
2012 0.027 -
Number of nurses
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data sources: Bureau of Labor Statistics, Milken Institute
2013 0.148 0.154
Number of physical therapists
Normalized by composite score from average per capita and per population 65+ calculations
The highest value receives a score of 100
Data source: Department of Health and Human Services
2009 0.031 0.045
Expenses per inpatient day
Average expenses per inpatient day divided by U.S. value (state-level data)
The lowest value receives a score of 100
Data source: Kaiser Family Foundation
2011 0.046 0.032
% of hospitals with JCAHO accreditation
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.054 0.050
% of hospitals with medical school affiliation
The highest value receives a score of 100
Data source: Department of Health and Human Services
2010 0.033 0.034
% of magnet hospitals
The highest value receives a score of 100
Data source: American Nurses Credentialing Center
2014 0.047 0.046
ER wait time***
Average time spent before being seen by a healthcare professional, divided by U.S. value
The lowest value receives a score of 100
Data sources: Centers for Medicare and Medicaid Services, Milken Institute
2012 0.040 0.030
* Figures may not add up to 1 due to rounding.
** Used only for large metros.
*** New indicator.

Access to health care, and the quality of that health care, are growing concerns, particularly for older adults. One measure of quality of care is whether health services are delivered in a timely and efficient manner. The Centers for Medicare and Medicaid Services provides information on hospital providers and the length of time patients spend in emergency departments before being seen by a health professional. We include average ER wait times (in minutes) as a new indicator that measures quality of care.

Quality of care differs slightly in the updated index also due to fluctuation in some individual indicators. For example, the percentage of magnet hospitals in a metro may change because hospitals are reviewed every few years to maintain accreditation. Hospitals must meet the highest standards in nursing excellence to maintain magnet accreditation. While we are using the latest data available, some hospitals may be under review for various accreditations, thus affecting their standing in the quality-of-care indicators.

Go to Wellness Indicators