How is California Doing?
Together we are tracking and driving progress to improve the health of our state.
The progress indicators within the state health improvement plan (SHIP) are being updated to establish new baselines and 10-year targets. Historical data is available for most indicators, but progress evaluation will begin again when we have additional data points beyond the new baseline. Until then, the progress status for all indicators will be set to yellow to reflect neutrality.
Featured Indicators
Below are three examples of progress and opportunities for improvement for several featured indicators. Learn more about each of these indicators and more below.
Reducing Hospital Readmission
The number of readmissions is decreasing. Continuing progress will be important to reach the Let’s Get Healthy California 2022 target, especially to address geographic variation and improve outcomes for all subgroups.
Reducing Infant Mortality
The statewide rate has reached a record low, but is holding steady. Significant differences persist based on mothers’ race/ethnicity and age.
Increasing Access to Fruits and Vegetables
Fewer adults are able to find fruits and vegetables in their neighborhood. Significant differences persist based on race/ethnicity and education.
Check Out the Status of All the Indicators
The California statewide indicator outcomes for each goal area are included on the progress dashboard below. Further details (including data by county or by demographics) are included on each indicator’s individual page.
Indicator status (movement toward or away from the target) is indicated by color.
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Well Woman Visit
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Infant Mortality
In 2021 (baseline year), there were 4.1 deaths per 1,000 live births. The most recent rate available is 4.1 (2021). We hope to reach a target of 3.72 or lower by 2034.
Baseline
4.1
Target
3.72
Cesarean Births
In 2012 (baseline year), the NTSV Cesarean Birth Rate was 27.0%. The current value in 2018 was 23.4%. The updated 2034 target is to be determined (TBD).
Baseline
27.0%
Target
TBD
Child Vaccination Rates
In 2020 (baseline year), 74.5% of children were up-to-date on vaccinations by 35 months. The most recent data available show 74.5% (2020). We hope to reach a target of 82.7% or higher by 2034.
Baseline
74.5%
Target
82.7%
Obesity – Children Overweight or Obese (5th Graders)
In 2013 (baseline year), 40.5% of fifth grade students were overweight or obese for their age . The current value in 2017 was 40.1%. The updated 2034 target is to be determined (TBD).
Read More about Obesity – Children Overweight or Obese (5th Graders)
Baseline
40.5%
Target
TBD
Obesity – Children Overweight or Obese (7th Graders)
In 2013 (baseline year), 37.2% of seventh grade students were overweight or obese for their age The current value in 2017 was 38.2%. The updated 2034 target is to be determined (TBD).
Read More about Obesity – Children Overweight or Obese (7th Graders)
Baseline
37.2%
Target
TBD
Obesity – Children Overweight or Obese (9th Graders)
In 2013 (baseline year), 34.5% of ninth grade students were overweight or obese for their age. The current value in 2017 was 36.1%. The updated 2034 target is to be determined (TBD).
Read More about Obesity – Children Overweight or Obese (9th Graders)
Baseline
34.5%
Target
TBD
Physical Activity – Childhood Fitness (5th Graders)
In 2011 (baseline year), 25.2% of 5th graders scored 6 of 6 on the required California school FITNESSGRAM® test. The current value in 2019 was 23.1%. The updated 2034 target is to be determined (TBD).
Read More about Physical Activity – Childhood Fitness (5th Graders)
Baseline
25.2%
Target
TBD
Physical Activity – Childhood Fitness (7th Graders)
In 2011 (baseline year), 32.1% of 7th graders scored 6 of 6 on the required California school FITNESSGRAM® test. The current value in 2019 was 28.2%. The updated 2034 target is to be determined (TBD).
Read More about Physical Activity – Childhood Fitness (7th Graders)
Baseline
32.1%
Target
TBD
Physical Activity – Childhood Fitness (9th Graders)
In 2011 (baseline year), 36.8% of 9th graders scored 6 of 6 on the required California school FITNESSGRAM® test. The current value in 2019 was 33.0%. The updated 2034 target is to be determined (TBD).
Read More about Physical Activity – Childhood Fitness (9th Graders)
Baseline
36.8%
Target
TBD
Sugar-Sweetened Beverage Consumption – Adolescent
The 2009 (baseline year) for the percentage of teens (ages 12-17) drinking two or more sugar-sweetened beverages daily is 27.3%. The current value in 2016 was 29.4%. The updated 2034 target is to be determined (TBD).
Read More about Sugar-Sweetened Beverage Consumption – Adolescent
Baseline
27.3%
Target
TBD
Fruit and Vegetable Consumption – Adolescent
In 2009 (baseline year), 19.9% of adolescents aged 12-17 met the recommended intake of fruits and vegetables (at least 5 servings per day). The current value in 2018 was 24.0%. The updated 2034 target is to be determined (TBD).
Read More about Fruit and Vegetable Consumption – Adolescent
Baseline
19.9%
Target
TBD
Childhood Asthma ED Visits
In 2016 (baseline year), there were 75.3 childhood asthma-related ED visits per 10,000 residents. The current value in 2019 was 63.4. The updated 2034 target is to be determined (TBD).
Read More about Childhood Asthma ED Visits
Childhood Asthma ED Visits
Baseline
75.3
Target
TBD
Tobacco Use – Adolescent
In 2009-2010 (baseline year), 13.8% of adolescents smoked cigarettes in the 30 days prior to the survey. The current value in 2015 was 4.3%. The updated 2034 target is to be determined (TBD).
Baseline
13.8%
Target
TBD
Child Maltreatment
In 2011 (baseline year), there were 9.0 instances of child maltreatment per 1,000 children. The current value in 2019 was 7.5. The updated 2034 target is to be determined (TBD).
Baseline
9.0
Target
TBD
Adverse Childhood Experiences – Parent Reported
In 2016-2019 (baseline year), 36.0% of children are exposed to one or more adverse experience (parent reported). The current value from 2016-2019 was 36.0%. The updated 2034 target is to be determined (TBD).
Read More about Adverse Childhood Experiences – Parent Reported
Baseline
36.0%
Target
TBD
Adverse Childhood Experiences – Adult Retrospective
In 2008-2009 (baseline year), 59.0% of adults reported having been exposed to one or more adverse childhood experience before the age of 18. The current aggregated value in 2011, 2013, 2015, and 2017 was 62.0%. This indicator serves to inform and consequently does not have a target.
Read More about Adverse Childhood Experiences – Adult Retrospective
Baseline
59.0%
Target
-
Depression – Sad or Hopeless Feelings (7th Graders)
In 2008-2010 (baseline period), 28.0% of 7th graders had constant feelings of sadness or hopelessness. The current value from 2017-2019 was 30.4%. The updated 2034 target is to be determined (TBD).
Read More about Depression – Sad or Hopeless Feelings (7th Graders)
Baseline
28.0%
Target
TBD
Depression – Sad or Hopeless Feelings (9th Graders)
In 2008-2010 (baseline period), 31.0% of 9th graders had constant feelings of sadness or hopelessness. The current value from 2017-2019 was 32.6%. The updated 2034 target is to be determined (TBD).
Read More about Depression – Sad or Hopeless Feelings (9th Graders)
Baseline
31.0%
Target
TBD
Depression – Sad or Hopeless Feelings (11th Graders)
In 2008-2010 (baseline period), 32.0% of 11th graders had constant feelings of sadness or hopelessness. The current value from 2017-2019 was 36.6%. The updated 2034 target is to be determined (TBD).
Read More about Depression – Sad or Hopeless Feelings (11th Graders)
Baseline
32.0%
Target
TBD
Early Learning – Early Reading Levels
In 2015 (baseline year), 37.0% of 3rd graders were at proficient reading levels. The current value in 2019 was 48.5%. The updated 2034 target is to be determined (TBD).
Read More about Early Learning – Early Reading Levels
Early Reading Levels
The data source for this indicator changed in 2015. The baseline will therefore change to 2015 for this indicator.
Baseline
37.0%
Target
TBD
School Readiness
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Overall Health Status
In 2009 (baseline year), 51.8% of adults reported very good or excellent health. The current value in 2018 was 46.1%. The updated 2034 target is to be determined (TBD).
Baseline
51.8%
Target
TBD
Obesity – Adult Obesity
In 2009 (baseline year), 22.7% of adults were obese. The current value in 2018 was 27.1%. The updated 2034 target is to be determined (TBD).
Read More about Obesity – Adult Obesity
Adult Obesity
Note: The data source has changed from the original LGHC 2012 Task Force Report as the original data source is no longer available.
Baseline
22.7%
Target
TBD
Diabetes Prevalence
In 2012 (baseline year), the number of adults with diabetes per 100 was 9.2. The current value in 2018 was 10.4. The updated 2034 target is to be determined (TBD).
Read More about Diabetes Prevalence
Diabetes Prevalence
Note: The baseline has changed from the original LGHC 2012 Task Force Report due to changes in survey methodology of the data source in 2012.
Baseline
9.2
Target
TBD
Hypertension
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
High Cholesterol
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Physical Activity – Adult Aerobic Activity
In 2013 (baseline year), 69.1% of adults met physical activity recommendations. The current value in 2017 was 70.5%. The updated 2034 target is to be determined (TBD).
Baseline
69.1%
Target
TBD
Sugary Beverage Consumption – Adult
In 2013 (baseline year), 7.1% of adults drank two or more sugar-sweetened beverages daily. The current value in 2015 was 7.8%. The updated 2034 target is to be determined (TBD).
Read More about Sugary Beverage Consumption – Adult
Adult Sugary Beverage Consumption
Note: The baseline has changed from the original LGHC 2012 Task Force Report due to changes in survey methodology of the data source in 2011.
Baseline
7.1%
Target
TBD
Fruit and Vegetable Consumption – Adult
In 2012 (baseline year), 28.0% of adults met the recommended intake of fruits and vegetables. Current data is pending. The updated 2034 target is to be determined (TBD).
Baseline
28.0%
Target
TBD
Tobacco Use – Adult
In 2012 (baseline year), 12.7% of adults are current smokers. The current value in 2018 was 9.7%. The updated 2034 target is to be determined (TBD).
Read More about Tobacco Use – Adult
Adult Tobacco Use
Note: The baseline has changed from the original LGHC 2012 Task Force Report due to changes in survey methodology of the data source in 2012.
Baseline
12.7%
Target
TBD
Sexually Transmitted Disease
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Depression – Adult Depression
In 2012 (baseline year), 11.7% of adults were told they had a depressive disorder. The current value in 2018 was 17.8% (2018). The updated 2034 target is to be determined (TBD).
Baseline
11.7%
Target
TBD
Substance Use – Seventh Grade
The 2013-2015 (baseline year) average of seventh graders who used alcohol or drugs in the last 30 days (excluding tobacco) was 10.4%. The current value from 2017-2019 was 6.9%. The updated 2034 target is to be determined (TBD).
Baseline
10.4%
Target
TBD
Substance Use – Ninth Grade
The 2013-2015 (baseline year) average of ninth graders who used alcohol or drugs in the last 30 days (excluding tobacco) was 23.2%. The current value from 2017-2019 was 14.6%. The updated 2034 target is to be determined (TBD).
Baseline
23.2%
Target
TBD
Substance Use – Eleventh Grade
The 2013-2015 (baseline year) average of eleventh graders who used alcohol or drugs in the last 30 days (excluding tobacco) was 33.4%. The current value from 2017-2019 was 23.2%. The updated 2034 target is to be determined (TBD).
Baseline
33.4%
Target
TBD
Substance Use – Non-Traditional
The 2013-2015 (baseline year) average of non-traditional students who used alcohol or drugs in the last 30 days (excluding tobacco) was 60.2%. The current value from 2017-2019 was 28.6%. The updated 2034 target is to be determined (TBD).
Baseline
60.2%
Target
TBD
Suicide
In 2010 (baseline year), there were 10.0 suicides per 100,000 people. The current value in 2019 was 10.6. The updated 2034 target is to be determined (TBD).
Baseline
10.0
Target
TBD
Adult Maltreatment
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Cognitive Difficulty
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Older Adult Falls
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Access to Hospital Based Palliative Care
In 2012 (baseline year), 37.3% of California hospitals provided in-patient palliative care. The current value in 2016 was 48.4%. The updated 2034 target is to be determined (TBD).
Read More about Access to Hospital Based Palliative Care
Access to Hospital Based Palliative Care
Note: The data source has changed from the original LGHC 2012 Task Force Report as the original data source is no longer available.
Baseline
37.3%
Target
TBD
Increasing Use of Hospice Care
In 2010 (baseline year), 39.0% of decedents with terminal conditions utilized hospice care. The current value in 2014 was 43.3%. The updated 2034 target is to be determined (TBD).
Baseline
39.0%
Target
TBD
Terminal Hospital Stays that Include Intensive Care Unit (ICU) Days
In 2010 (baseline year), 22.0% of terminal hospital stays included ICU stays. The current value in 2012 was 21.0%. The updated 2034 target is to be determined (TBD).
Read More about Terminal Hospital Stays that Include Intensive Care Unit (ICU) Days
Baseline
22.0%
Target
TBD
Advance Care Planning
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Access to Primary Care Providers
In 2018 (baseline year), 44.8% of Californians had insufficient access to a primary care provider (more than 2000 People per 1 Provider). The current value in 2018 was 44.8. The updated 2034 target is to be determined (TBD).
Baseline
44.8
Target
TBD
Timely Care (Primary Care)
In 2012 (baseline year), 54.1% of patients received primary outpatient care in a timely manner. The current value in 2018 was 57.3%. The updated 2034 target is to be determined (TBD).
Read More about Timely Care (Primary Care)
Timely Care (Primary Care)
Caution: The baseline has changed from the original LGHC 2012 Task Force Report due to changes in survey methodology of the data source in 2012.
Baseline
54.1%
Target
TBD
Timely Care (Specialty Care)
In 2012 (baseline year), 58.1% of patients received specialty outpatient care in a timely manner. The current value in 2018 was 61.2%. The updated 2034 target is to be determined (TBD).
Read More about Timely Care (Specialty Care)
Timely Care (Specialty Care)
Caution: The baseline has changed from the original LGHC 2012 Task Force Report due to changes in survey methodology of the data source in 2012.
Baseline
58.1%
Target
TBD
Increasing Access to Culturally and Linguistically Appropriate Services
In 2022 (baseline year), 7.4% of adults who speak a language other than English in the home and do not speak English very well reported difficulty understanding their doctor at their last visit. The most recent data available show 7.4% (2022). We hope to reach a target of 5.6% or lower by 2034.
Read More about Increasing Access to Culturally and Linguistically Appropriate Services
Baseline
7.5%
Target
5.6%
Coordinated Outpatient Care for Adults
In 2011 (baseline year), 67.0% of patients had a doctor’s office who helped coordinate care with other providers and services. The current value in 2018 was 62.9%. The updated 2034 target is to be determined (TBD).
Baseline
67.0%
Target
TBD
Preventable Hospitalizations
In 2022 (baseline year), there were 972 preventable hospitalizations for selected conditions per 100,000 population. The most recent rate available is 972 (2022). We hope to reach a target of 727 or lower by 2034.
Read More about Preventable Hospitalizations
Preventable Hospitalizations
Note: Due to changes in the way this indicator is calculated each year, the baseline value must also be re-calculated in order to be appropriately compared to the current value. Therefore, the baseline value may slightly change with each year.
Baseline
972
Target
727
Hospital Readmissions
In 2022 (baseline year), 14.5% of hospital discharges resulted in unplanned readmissions within 30 days. The most recent data available show 14.5% (2022). We hope to reach a target of 11.9% or lower by 2034.
Read More about Hospital Readmissions
Hospital Readmissions
Note: The target has changed from the original LGHC 2012 Task Force Report; see footnote on indicator page.
Baseline
14.5%
Target
11.9%
Hospital Acquired Conditions
In 2021 (baseline year), there were 0.84 hospital-acquired conditions per 1,000 discharges. The most recent rate available is 0.84 (2021). We hope to reach a target of 0.50 or lower by 2034.
Read More about Hospital Acquired Conditions
Hospital Acquired Conditions
Note: Due to the incorporation of ICD-10 codes and other factors into the measure composition, values for this indicator (include baseline) will likely change next year.
Baseline
0.84
Target
0.50
Poverty
In the first quarter of 2023 (baseline time range), 13.2% of Californians lived in poverty. The most recent rate available is 13.2% (first quarter of 2023). The target is to be determined (TBD) for this indicator.
Baseline
13.2%
Target
TBD
Unemployment
In 2011, 11.7% of Californian’s were unemployed. The current value in 2018 was 4.2%. The updated 2034 target is to be determined (TBD).
Baseline
11.7%
Target
TBD
Housing Cost Burden
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Food Insecurity
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Healthy Food Access
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Access to Fruits and Vegetables
In 2011 (baseline year), an estimated 78.9% of California adults could always find fresh fruits and vegetables in their neighborhood. The current value in 2018 was 89.0%. The updated 2034 target is to be determined (TBD).
Read More about Access to Fruits and Vegetables |
Access to Fruits and Vegetables
Note: The indicator and data source have changed from the original LGHC 2012 Task Force Report as the original data source is no longer available. The baseline has been updated but the target will need to be developed for the new source.
Baseline
78.9%
Target
TBD
Walk Trips
In 2006-2010 (baseline period), 2.8% of Californians reported walking to work. The current value from 2011-2015 was 2.7%. The updated 2034 target is to be determined (TBD).
Walk Trips
Note: The indicator and data source have changed from the original LGHC 2012 Task Force Report as the original data source is no longer available. Walk to Work data is included as a proxy measure, but only represents a subset of walk trips. A new baseline and target will need to be developed for the new source.
Baseline
2.8%
Target
TBD
Park Access
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Neighborhood Safety
In 2007 (baseline year), 92.4% of Californians adults reported feeling safe in their neighborhoods most or all of the time. The current value in 2018 was 88.7%. The updated 2034 target is to be determined (TBD).
Baseline
92.4%
Target
TBD
Violent Crimes
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Community Support
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Volunteering
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Uninsured – Point in Time
In 2009 (baseline year), 14.5% of Californians (adults, adolescents and children combined) reported not having health insurance at the time the survey was conducted. The current value in 2019 was 7.2%. The updated 2034 target is to be determined (TBD).
Baseline
14.5%
Target
TBD
Uninsured – Some Point in the Past Year
In 2009 (baseline year), 8.7% of Californians (adults, adolescents and children combined) had a gap in health insurance over the course of the previous year. The current value in 2019 was 3.0%. The updated 2034 target is to be determined (TBD).
Baseline
8.7%
Target
TBD
Uninsured – For a Year or More
In 2009 (baseline year), 11.3% of Californians (adults, adolescents and children combined) were without health insurance for a year or more. The current value in 2019 was 5.7%. The updated 2034 target is to be determined (TBD).
Baseline
11.3%
Target
TBD
Total Out-of-Pocket Cost (Individuals)
The 2012 Baseline for total out-of-pocket costs for individuals is $894. The current value in 2018 was $834. The updated 2034 target is to be determined (TBD).
Baseline
$894
Target
TBD
Total Out-of-Pocket Cost (Families)
The 2012 Baseline for total out-of-pocket costs for families is $6,884. The current value in 2018 was $7,545. The updated 2034 target is to be determined (TBD).
Read More about Total Out-of-Pocket Cost (Families)
Total Out of Pocket Cost (Families)
Caution: The data source has changed from the original LGHC 2012 Task Force Report as the original data source is no longer available.
Baseline
$6,884
Target
TBD
Bending the Health Care Cost Curve, Compound Annual Growth Rate (CAGR) by Total Health Expenditures
In 2012 (baseline year), the rate of increase of total healthcare cost was 7.0%. The current value in 2015 was 5.5%. The updated 2034 target is to be determined (TBD).
Baseline
7.0%
Target
TBD
Health Care in an Integrated System
In 2013 (baseline year), 50.9% of Californians received care in an integrated system. The current value in 2018 was 59.8%. The updated 2034 target is to be determined (TBD).
Read More about Health Care in an Integrated System
Integrated System
Caution: The data source has changed from the original LGHC 2012 Task Force Report as the original data source is no longer available.
Baseline
50.9%
Target
TBD
Transparent Information on Cost and Quality
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD
Value-Based Payment
This indicator is under development and the baseline, current rate, and target are to be determined (TBD).
Baseline
TBD
Target
TBD