The Road to a Healthier Washington

View Quality by AreaGreater ColumbiaSWACHElevate HealthCascade Pacific Action AllianceHealthierHereOlympicBetter Health TogetherNorth CentralNorth Sound

Better health at lower costs – Washington is at work to improve the health and quality of life of all of its residents through a huge undertaking that is anchored in nine Accountable Communities for Health (ACH). For more information about the Healthier Washington work visit the methodology section.

Click the map or scroll below to compare the cost and quality across ACHs. Most performance results are based on the Medicaid population; some measures include people across private and public health insurance programs. ACH and statewide results are compared to the 90th percentile performance among all Medicaid plans nationwide (Target).

Click on the right-hand tab above to see performance results organized by residents with coverage through private insurers, Medicaid Apple Health, and the Washington Health Benefits Exchange.

Better Health Together ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 609.81

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 13%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 15%
Adults Who SmokeNo Result 14% 17%
Unintended PregnanciesNo Result 34% 34%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 58%
Appropriate Testing for Cause of Back Pain 82% 71% 70%
Avoidable Emergency Room VisitsNo Result 73.98 76.74
Checking Patients on Blood Pressure Medications 87% 85% 84%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 11%
Testing Children with Throat Infections 87% 78% 76%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 83%
Check for Kidney Disease 93% 85% 85%
Eye Exam to Check for Vision Loss 70% 44% 45%
Getting Medications to Control Blood SugarNo Result 71% 67%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 77%
Getting Anti-depressant Medications 64% 53% 52%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 45%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 26%
Getting the Right Medications for Asthma 51% 35% 38%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 2.56
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 82%
Getting Medications to Lower Blood PressureNo Result 68% 66%
Getting Medications to Lower CholesterolNo Result 66% 64%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 78%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 92%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 68%
Well-Child Visits in the First 15 Months of Life 78% 51% 55%
Getting Substance Abuse Services - MedicaidNo Result 29% 31%
Getting Mental Health Services No Result 67% 72%
Adults Get Care
Access to Care for AdultsNo Result 75% 76%
Getting Mental Health Services No Result 50% 53%
Getting Substance Abuse Services - MedicaidNo Result 39% 40%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 33%
Teenagers Get Immunization Shots No Result 28% 24%
Tobacco Smoking by YouthNo Result 5% 6%
Vaping by Young PeopleNo Result 21% 27%
Youth ObesityNo Result 14% 13%
Children Get Flu ShotNo Result 23% 19%
Testing Hearing Loss in InfantsNo Result 34% 42%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 46%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 44%
Checking for Cancer
Breast Cancer Screening 69% 51% 53%
Cervical Cancer Screening 73% 53% 54%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 29%
Adults Get Flu ShotNo Result 40% 36%
Chlamydia Screening in Women 71% 50% 49%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 77%

Cascade Pacific Action Alliance ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 639.71

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 13%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 12%
Adults Who SmokeNo Result 14% 18%
Unintended PregnanciesNo Result 34% 36%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 59%
Appropriate Testing for Cause of Back Pain 82% 71% 67%
Avoidable Emergency Room VisitsNo Result 73.98 80.92
Checking Patients on Blood Pressure Medications 87% 85% 86%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 9%
Testing Children with Throat Infections 87% 78% 79%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 81%
Check for Kidney Disease 93% 85% 84%
Eye Exam to Check for Vision Loss 70% 44% 45%
Getting Medications to Control Blood SugarNo Result 71% 70%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 71%
Getting Anti-depressant Medications 64% 53% 55%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 43%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 25%
Getting the Right Medications for Asthma 51% 35% 36%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 2.92
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 83%
Getting Medications to Lower Blood PressureNo Result 68% 66%
Getting Medications to Lower CholesterolNo Result 66% 64%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 71%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 91%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 65%
Well-Child Visits in the First 15 Months of Life 78% 51% 56%
Getting Substance Abuse Services - MedicaidNo Result 29% 36%
Getting Mental Health Services No Result 67% 67%
Adults Get Care
Access to Care for AdultsNo Result 75% 73%
Getting Mental Health Services No Result 50% 49%
Getting Substance Abuse Services - MedicaidNo Result 39% 38%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 35%
Teenagers Get Immunization Shots No Result 28% 25%
Tobacco Smoking by YouthNo Result 5% 7%
Vaping by Young PeopleNo Result 21% 23%
Youth ObesityNo Result 14% 16%
Children Get Flu ShotNo Result 23% 19%
Testing Hearing Loss in InfantsNo Result 34% 20%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 48%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 48%
Checking for Cancer
Breast Cancer Screening 69% 51% 48%
Cervical Cancer Screening 73% 53% 51%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 33%
Adults Get Flu ShotNo Result 40% 37%
Chlamydia Screening in Women 71% 50% 49%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 73%

Elevate Health ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 635.37

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 14%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 12%
Adults Who SmokeNo Result 14% 17%
Unintended PregnanciesNo Result 34% 38%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 68%
Appropriate Testing for Cause of Back Pain 82% 71% 69%
Avoidable Emergency Room VisitsNo Result 73.98 79.49
Checking Patients on Blood Pressure Medications 87% 85% 85%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 11%
Testing Children with Throat Infections 87% 78% 84%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 84%
Check for Kidney Disease 93% 85% 84%
Eye Exam to Check for Vision Loss 70% 44% 41%
Getting Medications to Control Blood SugarNo Result 71% 69%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 71%
Getting Anti-depressant Medications 64% 53% 54%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 40%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 21%
Getting the Right Medications for Asthma 51% 35% 35%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 4.08
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 85%
Getting Medications to Lower Blood PressureNo Result 68% 66%
Getting Medications to Lower CholesterolNo Result 66% 63%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 68%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 90%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 63%
Well-Child Visits in the First 15 Months of Life 78% 51% 58%
Getting Substance Abuse Services - MedicaidNo Result 29% 30%
Getting Mental Health Services No Result 67% 66%
Adults Get Care
Access to Care for AdultsNo Result 75% 73%
Getting Mental Health Services No Result 50% 47%
Getting Substance Abuse Services - MedicaidNo Result 39% 37%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 32%
Teenagers Get Immunization Shots No Result 28% 26%
Tobacco Smoking by YouthNo Result 5% 6%
Vaping by Young PeopleNo Result 21% 23%
Youth ObesityNo Result 14% 16%
Children Get Flu ShotNo Result 23% 20%
Testing Hearing Loss in InfantsNo Result 34% 42%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 48%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 47%
Checking for Cancer
Breast Cancer Screening 69% 51% 47%
Cervical Cancer Screening 73% 53% 50%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 31%
Adults Get Flu ShotNo Result 40% 42%
Chlamydia Screening in Women 71% 50% 52%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 79%

Greater Columbia ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 788.01

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 12%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 12%
Adults Who SmokeNo Result 14% 13%
Unintended PregnanciesNo Result 34% 34%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 64%
Appropriate Testing for Cause of Back Pain 82% 71% 74%
Avoidable Emergency Room VisitsNo Result 73.98 96.83
Checking Patients on Blood Pressure Medications 87% 85% 84%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 10%
Testing Children with Throat Infections 87% 78% 72%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 84%
Check for Kidney Disease 93% 85% 83%
Eye Exam to Check for Vision Loss 70% 44% 47%
Getting Medications to Control Blood SugarNo Result 71% 73%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 75%
Getting Anti-depressant Medications 64% 53% 53%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 45%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 23%
Getting the Right Medications for Asthma 51% 35% 37%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 2.51
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 84%
Getting Medications to Lower Blood PressureNo Result 68% 74%
Getting Medications to Lower CholesterolNo Result 66% 72%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 75%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 93%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 69%
Well-Child Visits in the First 15 Months of Life 78% 51% 50%
Getting Substance Abuse Services - MedicaidNo Result 29% 27%
Getting Mental Health Services No Result 67% 65%
Adults Get Care
Access to Care for AdultsNo Result 75% 76%
Getting Mental Health Services No Result 50% 49%
Getting Substance Abuse Services - MedicaidNo Result 39% 34%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 39%
Teenagers Get Immunization Shots No Result 28% 33%
Tobacco Smoking by YouthNo Result 5% 5%
Vaping by Young PeopleNo Result 21% 20%
Youth ObesityNo Result 14% 18%
Children Get Flu ShotNo Result 23% 21%
Testing Hearing Loss in InfantsNo Result 34% 24%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 53%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 52%
Checking for Cancer
Breast Cancer Screening 69% 51% 52%
Cervical Cancer Screening 73% 53% 54%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 33%
Adults Get Flu ShotNo Result 40% 39%
Chlamydia Screening in Women 71% 50% 53%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 76%

HealthierHere ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 584.95

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 10%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 14%
Adults Who SmokeNo Result 14% 11%
Unintended PregnanciesNo Result 34% 34%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 69%
Appropriate Testing for Cause of Back Pain 82% 71% 75%
Avoidable Emergency Room VisitsNo Result 73.98 64.72
Checking Patients on Blood Pressure Medications 87% 85% 86%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 7%
Testing Children with Throat Infections 87% 78% 80%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 86%
Check for Kidney Disease 93% 85% 85%
Eye Exam to Check for Vision Loss 70% 44% 42%
Getting Medications to Control Blood SugarNo Result 71% 71%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 67%
Getting Anti-depressant Medications 64% 53% 51%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 37%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 27%
Getting the Right Medications for Asthma 51% 35% 30%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 3.09
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 86%
Getting Medications to Lower Blood PressureNo Result 68% 68%
Getting Medications to Lower CholesterolNo Result 66% 65%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 77%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 92%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 68%
Well-Child Visits in the First 15 Months of Life 78% 51% 45%
Getting Substance Abuse Services - MedicaidNo Result 29% 23%
Getting Mental Health Services No Result 67% 63%
Adults Get Care
Access to Care for AdultsNo Result 75% 73%
Getting Mental Health Services No Result 50% 50%
Getting Substance Abuse Services - MedicaidNo Result 39% 37%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 51%
Teenagers Get Immunization Shots No Result 28% 32%
Tobacco Smoking by YouthNo Result 5% 4%
Vaping by Young PeopleNo Result 21% 16%
Youth ObesityNo Result 14% 11%
Children Get Flu ShotNo Result 23% 28%
Testing Hearing Loss in InfantsNo Result 34% 44%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 56%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 54%
Checking for Cancer
Breast Cancer Screening 69% 51% 52%
Cervical Cancer Screening 73% 53% 56%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 22%
Adults Get Flu ShotNo Result 40% 44%
Chlamydia Screening in Women 71% 50% 53%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 80%

North Central ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 466.19

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 11%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 6%
Adults Who SmokeNo Result 14% 17%
Unintended PregnanciesNo Result 34% 32%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65% 63% 72%
Appropriate Testing for Cause of Back Pain 82% 71% 70%
Avoidable Emergency Room VisitsNo Result 73.98 50.11
Checking Patients on Blood Pressure Medications 87% 85% 86%
Getting Prescriptions for Both Opioids and Sedatives
(Rate per 1,000 Persons)
No Result 9% 8%
Testing Children with Throat Infections 87% 78% 68%

Get the Right Care

How is this measured?
TargetWashington ScoreACH Score
Diabetes Care
Blood Sugar Testing 93% 85% 89%
Check for Kidney Disease 93% 85% 88%
Eye Exam to Check for Vision Loss 70% 44% 49%
Getting Medications to Control Blood SugarNo Result 71% 70%
Mental Health Care
Follow-up Visit After Hospital Stay 76% 71% 86%
Getting Anti-depressant Medications 64% 53% 51%
Getting Care for Attention Deficit/Hyperactivity Disorder 68% 42% 36%
Asthma and Lung Care
Testing for Lung Disease 40% 25% 24%
Getting the Right Medications for Asthma 51% 35% 31%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
No Result 2.96 1.25
Heart Care
Getting and Taking Medications for Heart DiseaseNo Result 84% 80%
Getting Medications to Lower Blood PressureNo Result 68% 65%
Getting Medications to Lower CholesterolNo Result 66% 64%

Getting In to See the Doctor

How is this measured?
TargetWashington ScoreACH Score
Children Get Care
Care During First Three Months of PregnancyNo Result 74% 72%
Having a Primary Care Visit Yearly: Children and AdolescentsNo Result 92% 95%
Regular Check-Ups for 3-6 Year-Olds 84% 67% 75%
Well-Child Visits in the First 15 Months of Life 78% 51% 49%
Getting Substance Abuse Services - MedicaidNo Result 29% 23%
Getting Mental Health Services No Result 67% 67%
Adults Get Care
Access to Care for AdultsNo Result 75% 79%
Getting Mental Health Services No Result 50% 50%
Getting Substance Abuse Services - MedicaidNo Result 39% 32%

Preventing Illness

How is this measured?
TargetWashington ScoreACH Score
Help Children Stay Healthy
Children Get Immunization ShotsNo Result 40% 39%
Teenagers Get Immunization Shots No Result 28% 33%
Tobacco Smoking by YouthNo Result 5% 6%
Vaping by Young PeopleNo Result 21% 24%
Youth ObesityNo Result 14% 14%
Children Get Flu ShotNo Result 23% 23%
Testing Hearing Loss in InfantsNo Result 34% 32%
Girls Get HPV Shot to Prevent Infection and DiseaseNo Result 51% 58%
Boys Get HPV Shot to Prevent Infection and DiseaseNo Result 49% 55%
Checking for Cancer
Breast Cancer Screening 69% 51% 54%
Cervical Cancer Screening 73% 53% 55%
Right Care to Prevent Illness
Adult ObesityNo Result 28% 33%
Adults Get Flu ShotNo Result 40% 37%
Chlamydia Screening in Women 71% 50% 45%
Older Adults Get Pneumonia Vaccine ShotNo Result 78% 77%

North Sound ACH

Cost and Value

How is this measured?
TargetWashington ScoreACH Score
Emergency Room Visits Per 1,000 Persons 956.52 617.75 522.36

Good Treatment Results

How is this measured?
TargetWashington ScoreACH Score
Poor Mental, Emotional Health
(Lower Percentage is Better)
No Result 12% 11%
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No Result 15% 14%
Adults Who SmokeNo Result 14% 14%
Unintended PregnanciesNo Result 34% 33%

Keeping Patients Safe

How is this measured?
TargetWashington ScoreACH Score
Avoid Wrong Medication for Bronchitis 65%