State Level Health Datasets


Multiple Measures

Data Title:      Sortable Stats
Year(s):           Depends on indicator (see below)
Level:              State, regional, and national
Source:           Centers for Disease Control and Prevention (CDC)
File Format:   .csv
Description:    CDC created this helpful interactive dataset that includes information on health risk behaviors, health outcomes, health insurance, demographics, and preventive healthcare use.  Data are available for all 50 states and D.C.  Users may sort and analyze the data from different views.  The “Summary View” allows users to analyze 33 indicators for each state that are divided into four categories:  death rates, health burden, risk factors, and preventive services.  The “Indicator View” allows users to analyze the 33 indicators for each state by total/rate, race/ethnicity, age, gender and trend (rate), when possible.  Users may download the data into a CSV file by clicking on “Export to CSV file” at the bottom of each viewed page.  The indicators include the following and show the years available:

Death rates: infant mortality (2000-2011), heart disease (2000-2011), stroke (2000-2011), suicide (2000-2011), homicide (2000-2011), drug poisoning (2007-2011), motor vehicle (2001-2012), and cancer (2000-2011) 

Health burden:  HIV diagnosis (2008-2011), Hepatitis B and C cases (2005-2011), CLABSI – standardized infection ratio (2009-2012), adult obesity (2001-2012), youth obesity (2001-2013; biannual), medicated hypertension (2001-2011; biannual), teen birth rate (2001-2012), diagnosed diabetes (2000-2012), diagnosed high cholesterol (2001-2011; biannual), and diagnosed hypertension (2001-2011; biannual)

Risk factors:  adult smoking (2001-2012), youth smoking (2005-2013; biannual), adult physical activity (2001-2011; biannual), youth physical activity (2005-2013; biannual), adult nutrition (2002, 2003-2009; biannual), youth nutrition (2001-2013; biannual), adult binge drinking (2006-2012), youth binge drinking (2003-2013; biannual), observed seat belt use (2003-2012), youth seat belt use (2005-2013; biannual), youth marijuana use (2001-2013; biannual)

Preventive services – colorectal cancer screening (2002-2012; biannual), influenza vaccination coverage (2009/10-2012/13), and child vaccination coverage (2007-2013)  
Links:
Website:                http://sortablestats.cdc.gov/#/
Data Files:
Summary View:     http://sortablestats.cdc.gov/#/summary
Indicator View:      http://sortablestats.cdc.gov/#/indicator


Data Title
:      Health Status
Level:              State
Year(s):           Depends on indicator (see website for details)
Source:           Kaiser Family Foundation
File Format:   .csv
Description: Data include information on births, infant deaths, children, childhood immunizations, adulthood immunizations, deaths, life expectancy, child deaths, teen deaths, cancer, diabetes, heart disease, smoking, asthma, obesity, physical activity, mental health, sexually transmitted diseases, oral health, deaths due to firearms, firearms and children, disability, and influenza and pneumonia.  Each of these categories has its own subcategories providing information on each state.

To download multiple years of data for each state, users need to click on the website/data file link below, click on the appropriate indicator, select year under “Timeframe” on the left if available, click on the “Trend Graph” tab if available, and click on “Download Raw Data” tab.  In some case, the user will only be able to download one year of data; in other cases, multiple years are available.
Links:
Website/Data Files:     Health Status
  

Mortality Measures

Data Title:      Linked Birth/Infant Death Records
Year(s):           1995-2013
Level:              State and county
Source:           CDC Wonder
Description:   These data provide count and rates of deaths for children under 1 year of age, occurring within the United States. Information from death certificates is linked to corresponding birth certificates. Data are available by county of mother's residence, child's age, underlying cause of death, gender, birth weight, birth plurality, birth order, gestational age at birth, period of prenatal care, maternal race and ethnicity, maternal age, maternal education and marital status. The data are produced by the National Center for Health Statistics.  

To access the data, agree to the terms and conditions.  Then use the search function to select which variables for which you wish to obtain data.  After sending the request, the data should appear in a table, which can then be exported into a text file.
Links:
Website:
Linked Birth/Infant Death Records Overview
Data Files:
Linked Birth/Infant Death Records, 2007-2013 with ICD 10 codes
Linked Birth/Infant Death Records, 2003-2006 with ICD 10 codes
Linked Birth/Infant Death Records, 1999-2002 with ICD 10 codes
Linked Birth/Infant Death Records, 1995-1998 with ICD 9 codes
Linked Birth/Infant Death Records Data Description


Data Title
:      Medicare Mortality Rates
Year(s):           1999-2014
Level:              State
Source:           Dartmouth Atlas of Health Care
File Format:   .xls
Description:   Data provide information on the mortality rates among Medicare enrollees in all states for each year from 1999-2013.  Some of the variables included are state, number of Medicare enrollees, total mortality (ASR-adjusted % of deaths among Medicare enrollees), and non-HMO mortality (ASR-adjusted % of deaths among Medicare enrollees without HMO coverage).
Links:
Website:          Medicare Mortality Rates
Data Files:
2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999


Data Title
:      Multiple Cause of Death
Year(s):           1999-2015
Level:              State and county
Source:           CDC Wonder
Description:   In discussing mortality data from the National Vital Statistics System, the CDC notes:  “Cause-of-death data are traditionally presented in terms of one underlying cause for each death. However, underlying-cause data can be augmented with additional information on the other conditions that the medical certifier reported as contributing to death…Because several chronic conditions are often reported, multiple-cause data may be important in chronic disease surveillance.”

The Multiple Cause of Death dataset contains information on both the underlying cause of death as well as other contributing causes of death for U.S. counties.  Data are based on death certificates for U.S. residents. Each death certificate contains a single underlying cause of death, up to 20 additional multiple causes, and demographic data. The number of deaths, crude death rates, age-adjusted death rates and 95% confidence intervals for death rates can be obtained by cause of death (4 digit ICD-10 codes, 113 selected causes of death, 130 selected causes of infant death, drug and alcohol related causes of death, injury intent and injury mechanism categories), place of residence (national, region, division, state, and county), age (single-year-of age, 5-year age groups, 10-year age groups and infant age groups), race (American Indian or Alaskan Native, Asian/Pacific Islander, Black or African American, White), Hispanic ethnicity, gender and year. Data are also available by place of death, month and week day of death, and whether an autopsy was performed.

To access the data, agree to the terms and conditions.  Then, use the search function to select the variables of interest.  After sending the request, the data should appear in a table, which can then be exported into a text file.
Links:
Website/Data Files:
Multiple Cause of Death Overview
Multiple Cause of Death, 1999-2015
Multiple Cause of Death Data Description


Data Title
:      Underlying Cause of Death (Detailed Mortality)
Level:              State and county
Year(s):           1999-2015
Source:           CDC Wonder
File Format:   .txt
Description:   The National Vital Statistics Reports notes:  “Cause-of-death statistics are based on the underlying cause of death.”  Unlike the dataset immediately preceding this one, this database provides detailed information only on the Underlying Cause of Death (and does not include multiple causes of death) for residents in U.S. counties.  Data are based on death certificates.  Each death certificate identifies a single underlying cause of death and demographic data. The number of deaths, crude death rates or age-adjusted death rates, and 95% confidence intervals and standard errors for death rates can be obtained by place of residence (total U.S., region, state and county), age group (single-year-of age, 5-year age groups, 10-year age groups and infant age groups), race, Hispanic ethnicity, gender, year, cause-of-death (4-digit ICD-10 code or group of codes), injury intent and injury mechanism, drug/alcohol induced causes and urbanization categories. Data are also available for place of death, month and week day of death, and whether an autopsy was performed. 

To access the data, first agree to the terms and conditions.  Then, use the search function to select which the variables of interest.  After sending the request, the data should appear in a table, which can then be exported into a text file.
Links:
Website/Data Files: Underlying Cause of Death, 1999-2015
Full data description and instructions: Detailed Mortality Data Description


Health Insurance Coverage

Data Title:      Health Coverage and Uninsured
Level:              State
Year(s):           Depends on indicator (see below)
Source:           Kaiser Family Foundation
File Format:   .csv
Description:  Data include information on health coverage status by age, gender, and various income levels. The data are broken into many categories, which include: health insurance status (2013-2014), health insurance status by FPL (2014), health insurance status by gender (2014), nonelderly uninsured (2013 or 2014), nonelderly with employer coverage (2013 or 2014), nonelderly with Medicaid (2013 or 2014), Medicare coverage (2014), and private sector coverage (2012 or 2013).  Each of these categories has its own subcategories providing information on each state.

To download multiple years of data for each state, users need to click on the data file link below, click on the appropriate indicator, select year under “Timeframe” on the left if available, click on “Trend Graph” if available, and click on “Download Raw Data” tab.  In some case, the user will only be able to download one year of data; in other cases, multiple years are available.
Links:
Website/Data Files:     Health Coverage and Uninsured

Healthcare Spending

Data Title:      Employer-Based and Individual Health Insurance Premiums
Level:              State
Year(s):           Depends on indicator (see below)
Source:           Kaiser Family Foundation
File Format:   .csv
Description:    Downloadable trend data on health insurance premiums are available for all 50 states and the District of Columbia.  Information is available on the following:

Employer-Based Health Insurance Premiums (per enrolled employee):  average single premium (2013-2014), average family premium (2013-2014), and average employee-plus-one premium (2013-2014)

Individual Health Insurance Premiums (per person in the individual market):  average monthly premium (2010-2013)

To download multiple years of data for each state, click on the data file links below, click on the “Trend Graph” tab, and click on the “Download Raw Data” tab.
Links:
Website:            Health Costs and Budgets
Data Files:
Average Single Premium per Enrolled Employee For Employer-Based Health Insurance
Average Family Premium per Enrolled Employee For Employer-Based Health Insurance
Average Employee-Plus-One Premium per Enrolled Employee For Employer-Based Health Insurance
Average Monthly Premiums Per Person in the Individual Market
 

Data Title:      Health Expenditures by State of Provider
Year(s):           1980-2009
Level:              State
Source:           Centers for Medicare & Medicaid Services
File Format:   .csv
Description:  Health Expenditures by State of Provider present estimates of health care spending by type of establishment delivering care (hospitals, physicians and clinics, nursing homes, etc.) and for medical products (prescription drugs, over-the-counter medicines, and sundries and for durable medical products such as eyeglasses and hearing aids) purchased in retail outlets. Source of funding estimates by state are also provided for Medicare and Medicaid. These estimates are useful in measuring health spending's role in a state's economy. These estimates should not be used to calculate estimates of spending per person in a state (see state of residence estimates).
Link:
Website:          Health Expenditures by State of Provider
Data files:        Health Expenditures by State of Provider, 1980-2009 [ZIP, 561KB]


Data Title:      Health Expenditures by State of Residence
Year(s):           1991-2009
Level:              State
Source:           Centers for Medicare & Medicaid Services
File Format:   .csv, .xls
Description:  Health Expenditures by State of Residence present aggregate and per capita estimates of health care spending by type of establishment delivering care (hospitals, physicians and clinics, nursing homes, etc.) and for medical products (prescription drugs, over-the-counter medicines and sundries and durable medical products such as eyeglasses and hearing aids) purchased in retail outlets. Source of funding aggregate and per enrollee estimates by state are also provided for Medicare, Medicaid, and private health insurance.
Links:
Website:         Health Expenditures by State of Residence
Data files:
Health Expenditures by State of Residence, 1991-2009 [ZIP, 653KB]
Private Health Insurance Expenditures by State of Residence - Highlights, Methodology and Tables [ZIP, 458KB]


Data Title
:      Hospital Inpatient Day Expenses
Level:              State
Year(s):           1999-2014
Source:           Kaiser Family Foundation
File Format:   .csv
Description:    Downloadable trend data are available related to hospital adjusted expenses per inpatient day generally and by ownership.

To download multiple years of data for each state, click on the website/data link below, click on “Hospital Inpatient Day Expenses” on the left, click on the link for the indicator of interest, click on the “Trend Graph” tab, and click on “Download Raw Data” tab.
Links:
Website/Data Files:     Health Costs and Budgets


Data Title
:      Medicaid and CHIP
Level:              State
Year(s):           Depends on indicator (see website for details)
Source:           Kaiser Family Foundation
File Format:   .csv
Description:  Data provide information about states’ health coverage programs for the low-income, including Medicaid and the Children's Health Insurance Program (CHIP). Includes topics such as enrollment, eligibility requirements, managed care participation, spending and federal matching amounts, and enrollment practices.  There are three main categories of data: Medicaid and CHIP indicators, Medicaid Managed Care Market Tracker, and Medicaid Benefits.  Each of these categories has its own subcategories noted below.

Medicaid and CHIP: Medicaid spending, Medicaid spending per enrollee, Medicaid budget actions, current Medicaid and CHIP enrollment, Medicaid enrollment trend data, Medicaid/CHIP eligibility limits, Medicaid and marketplace coordination, application and enrollment systems, streamlined enrollment and renewal practices, premium and cost-sharing requirements, Medicaid beneficiaries, Medicaid physician fees, SSI beneficiaries, Medicaid medically needy, dual eligible, and Medicaid managed care

Medicaid Managed Care Market Tracker: Medicaid managed care state-level data, Medicaid MCO-level data, patient firm-level data, births financed by Medicaid, CHIP, CHIPRA, home and community-based services, and Medicaid coverage of preventive services

Medicaid Benefits: institutional and clinic services, practitioner services, prescription drugs, physical therapy and other services, products and devices, transportation services, other services, long-term care: home and community based care, and long-term care: institutional care 

In many cases, data are available for a single year for each state and D.C.  However, in some cases trend data are available for multiple years; examples of those are included in the “Data Files” links below (in some cases, the user will need to click on a “Trend Graph” tab). 
Links:
Website:  Medicaid and CHIP
Data Files (examples of where multiple years of data are available for each state and D.C.):
Medicaid and CHIP Income Eligibility Limits for Pregnant Women, 2003-2016
Medicaid Income Eligibility Limits for Parents, 2002-2016
Medicaid Income Eligibility Limits for Other Non-Disabled Adults, 2011-2016
Total Medicaid Managed Care Enrollment, 2007-2014
Medicaid Enrollment in Managed Care by Plan Type, 2003-2014
Dual Eligible Enrollment in Medicaid Managed Care, by Plan Type, 2004-2014
Medicaid Enrollment in Comprehensive Risk-Based Managed Care, 2003-2014


Data Title
:      Medicare
Level:              State
Year(s):           Depends on indicator (see website for details)
Source:           Kaiser Family Foundation
File Format:   .csv
Description: Downloadable data provide information about states' aged and disabled Medicare beneficiaries, such as enrollment, demographics (such as age, gender, and race/ethnicity), spending, other sources of health coverage, managed care participation, and use of services.  There are three main categories: Medicare Indicators, Medicare Advantage, and Prescription Drug Plans, each of which includes its own subcategories shown below:

Medicare indicators:  Medicare enrollment, Medicare spending, dual eligibles, Medicare service use, and SSDI beneficiaries 

Medicare Advantage: enrollment, plan availability, and plan payment rates 

Prescription Drug Plans: enrollment, low-income subsidies (LIS), plan availability, and premiums.  Each of these subcategories has additional subcategories of data

To download multiple years of data for each state and D.C., click on the website/data file link below, click on the link for the indicator of interest, click on the “Trend Graph” tab, and click on “Download Raw Data” tab.

Links:
Website/Data Files:     Medicare


Data Title
:      Medicare Spending
Year(s):           2003-2014
Level:              State and county
Source:           Dartmouth Atlas of Health Care
File Format:   .xls
Description:   Data on Medicare spending are claims-based and adjusted for price, age, sex, and race (20% sample for 2003-2009, 100% sample for 2010-2013). The variables included are: state, number of Medicare enrollees, total Medicare reimbursements per enrollee, hospital and skilled nursing facility reimbursements per enrollee, physician reimbursements per enrollee, outpatient facility reimbursements per enrollee, home health agency reimbursements per enrollee, hospice reimbursements per enrollee, and durable medical equipment per enrollee.
Links:
Website:          Medicare Spending
Data Files:
State-level:      2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003
County-level:  2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003

 

Healthcare Utilization

Data Title:      Care of Chronically Ill Patients During the Last Two Years of Life
Year(s):           2001-2014
Level:              State
Source:           Dartmouth Atlas of Health Care
File Format:   .xls
Description:   Data include information on the care of individuals with end-of-life chronic illnesses in each state from 2001-2014.  The data are separated into all chronically ill patients and those with cancer.  A few of the variables included in the data are: number of deaths among chronically ill patients living in the state, hospital care intensity index (standardized ratio of inpatient days and inpatient visits), total Medicare spending, total Part B spending, and total standardized FTE physician labor.
Link:
Website/Data Files:     End-of-life Chronic Illness Care


Data Title
:      Hospital Discharges and Post-acute Care
Year(s):           1992-2014 (for discharges) and 2004, 2008-2014 (for post-discharges)
Level:              State and county
Source:           Dartmouth Atlas of Health Care
File Format:   .xls
Description: The discharge data include information on selected surgical discharge rates and selected medical discharge rates.  For the dataset on selected surgical discharge rates, a few of the operations included are: abdominal aortic aneurysm, back surgery, coronary angiography, coronary artery bypass grafting, hip replacement, knee replacement.  For the dataset on selected medical discharges, a few of the medical conditions included are: convulsions, asthma, congestive heart failure, kidney/urinary infection, and diabetes.

Data on post-acute care provide information on individuals upon being discharged from hospitals.  The data include 30-day readmission rates, emergency room visits within 30 days of discharge, and follow-up visits within 14 days of discharge. 
Links:
Website/Data Files:     Hospital Discharges and Post-acute Care
Example papers:
Health System Characteristics and Rates of Readmission After Acute Myocardial Infarction in the United States


Data Title
:      Selected Measures of Primary Care Access and Quality
Year(s):           2003-2014
Level:              State and county
Source:           Dartmouth Atlas of Health Care
File Format:   .xls
Description:  Data include measures of primary care utilization, quality of care for diabetes, mammography, leg amputation, and preventable hospitalizations for different age groups and different races.  All variables have three categories: total (indicating all individuals), black (indicating individuals who are African-American), and white (indicating individuals who are white).  The variables included are state/county, number of health care beneficiaries (Part B eligible), average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician, number of diabetic Medicare enrollees age (65-75), average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test, average annual percent of diabetic Medicare enrollees age 65-75 having eye examination, average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test, number of female Medicare enrollees age 67-69, average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year period, number of Medicare beneficiaries (Part A eligible), leg amputations per 1,000 Medicare enrollees, discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees.
Links:
Website:          Selected Measures of Primary Care and Quality
Data Files:
State-level:      2014 2013 2012 2011 2010 2009 2008 2003-07
County-level:  2014 2013 2012 2011 2010 2009 2008 2003-07

 

Demographic and Economic Data

Data Title:      State Variable Longitudinal Data
Level:              State
Year(s):           1980-2014
Source:           Compiled from the U.S. Bureau of Labor Statistics Local Area Statistics Project, U.S. Census Bureau Small Area Income and Poverty Estimates, and U.S. Census Bureau Population and Housing Estimates
File Format:   .xls and .dta
Description:   The State demographic panel data-set is an unbalanced panel of select variables.  Variables include state, population, age, gender, race/ethnicity, median household income, poverty level, and unemployment rate. 
Links:
Documentation:  State Variable Longitudinal Dataset (1980-2014) 
Data Files:
State Variable Longitudinal Dataset, 1980-2014 (.xls)
State Variable Longitudinal Dataset, 1980-2014 (.dta)