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High Regional Income

For Policy Makers

Healthcare spending in the US is increasing dramatically as a percentage of our country’s GDP. But does the spending improve the healthcare we receive? To explore the answer, we looked at how healthcare spending impacts healthcare quality.

    • Our approach

      We looked at how healthcare spending impacts healthcare quality, using the ten measures used by the Delmarva Foundation’s Award for Excellence. The above visualization shows how spending affects care and how this differs from region to region

      Data Source
      Centers of Medicare and Medicaid Service. Feb 2014.

    • Yes,
      but not much.

      As shown in both our visualzation and statistics, hospitals that spend more do tend to have a greater probability of meeting a high standard of healthcare quality, according to the criteria for the Delmarva Awarda Foundation’s Award for Excellence.

    • Objective



      healthcare quality

      We measure healthcare quality by both objective (e.g. Influenza immunization rates) and subjective measures(e.g.Patients' perception of cleanliness).

      Data Source:
      Centers of Medicare and Medicaid Service

      • Do poorer regions
        pay more?

      The X-axis shows regional income
      level from low to high. The yellow areas
      show the regions with more high quality hospitals
      than lower ones.

    • Region to Region

      We also compared the poverty level among area without a hospital, with 1 hospital and with multiple hospitals.

    • MONEY

      Perception of Quality

    Medicare Spending


    Medicare Hospital Spending by Claim
    Centers for Medicare & Medicaid Services



    Individual Income Tax Statistics
    US IRS (Internal Revenue Service)Tax Center
    Mar 2014

    Healthcare Quality

    Objective Measures

    Percentage of heart failure patients given discharge instructions
    Percentage of heart failure patients whose left ventricular systolic function was evaluated
    Percentage of non-immunized patients who received an influenza immunization
    Percentage of cases where prophylactic antibiotic was initiated within one hour prior to surgical incision
    Selection of prophylactic antibiotics for surgical patients
    Prophylactic antibiotics discontinued 24 hours after surgery time
    Surgery Patients on a Beta Blocker Prior to Arrival Who Received a Beta Blocker During the Perioperative Period
    Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery
    Postoperative Urinary Catheter Removal
    Initial antibiotic selection for community acquired pneumonia (CAP) in immunocompetent patient

    Subjective Measures

    Patient satisfaction and recommendation ratings
    Respondents = 300 | Jun 2014.
    via Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey conducted by Centers for Medicare & Medicaid Services