BI-11 Is this person diagnosed with an intellectual disability (ID)? BI-9 Is this person diagnosed with an intellectual disability (ID)? No change BI-11a If yes, what level of ID? BI-9a If yes, what level of ID? No change BI-12 What other conditions are noted in this person’s record? BI-10 What other disabilities are noted in this person’s record? Changed word in question from “disabilities” to “conditions” BI-12a What health conditions are noted in this person’s record? BI-10a What health conditions are noted in this person’s record? No change BI-13 What is this person’s primary language? BI-11 What is this person’s primary language? No change BI-14 What is this person’s preferred means of communication? BI-14 What is this person’s primary means of expression? In 2015-16, used “preferred means of communication” as opposed to “primary means of expression” BI-15 How would you describe this person’s mobility? BI-13 How would you describe this person’s mobility? No change BI-16 Does this person have a primary care doctor or primary care practitioner? BI-15 Does this person have a primary care doctor or primary care doctor? In 15-16 used term “practitioner” instead of “doctor” BI-17 When was his/her last complete annual physical exam? BI-16 When was his/her last complete annual physical exam? No change BI-18 When was his/her last dentist exam? BI-17 When was his/her last dentist visit? 2015-16: “exam” BI-19 When was the last time this person had an eye exam/vision screening? BI-18 When was the last time this person had an eye exam/vision screening? No change BI-20 When was the last time this person had a hearing test? BI-19 When was the last time this person had a hearing test? No change
BI-30a If yes, how many medications to treat behavioral challenges does this person take? BI-31c If yes, how many medications to treat behavioral challenges does this person take? No change BI-31 Does this person have a behavior plan? BI-31d Does this person have a behavior plan? No change BI-32 How long has this person lived in his/her current home? BI-33 How long has this person lived in his/her current home? No change BI-33 How would you characterize the place where this person lives? BI-34 How would you characterize the place where this person lives? Response options changed BI-33a Is this person’s residence owned or controlled by a provider agency? New question BI-34 If this person lives in an Intermediate Care Facility for persons with ID/DD, a specialized institutional facility, or a group home, is it publicly or privately operated? BI-34a If this person lives in an Intermediate Care Facility for persons with ID/DD, a specialized institutional facility or a group home, is it publicly or privately operated? No change BI-35 Is this person named on the lease? New question BI-36 Does this person own his or her own home? New question BI-37 Has this person ever lived longer than a year in an institutional setting such as a nursing home or ICF? New question BI-38 What amount of paid support does this person receive at home? BI-36 What amount of paid support does this person receive at home? No change BI-39-BI-43 Employment matrix BI-37-BI-40 Added BI-40: Paid job in a community-based setting This allowed people to report being involved in individual and group jobs separately.
24a Do you get to do the things you like to do as much as you like? New Question 25 When you are at home, do you have enough things you like to do? (Do you have things to do so you are not bored at home?) New Question Rights and Privacy 26 Do people read your mail or email without asking you first? 64 Do people read your mail or email without asking you first? Moved to Section I Determined that only individuals should answer Comparisons to previous years’ data should be made with caution – specifically by looking only at surveys with a valid Section I and only answers given by the individual. 27 Can you be alone with friends or visitors at your home? 65 Can you be alone with friends or visitors at your home, or does someone have to be with you? Moved to Section I Determined that only individuals should answer Comparisons to previous years’ data should be made with caution – specifically by looking only at surveys with a valid Section I and only answers given by the individual. 27a Are there rules about having friends or visitors in your home? New question Gets at whether people can see friends but with rules/restrictions 28 Can you use the phone and Internet when you want to? 66 Can you use the phone and Internet when you want to? Moved to Section I Determined that only individuals should answer Comparisons to previous years’ data should be made with caution – specifically by looking only at surveys with a valid Section I and only answers given by the individual.
71 Can you make changes to your budget/services if you need to? 41 Can you make changes to your budget/services if you want to? No change 72 Do you have enough help deciding how to use your budget/services? 42 Do you want more help deciding how to use your budget/services, or do you have enough help? Modified Clearer question Comparisons to previous years’ data should be made with caution. 73 Do you get information about how much money is left in your budget/services? 43 Do you get information about how much money is left in your budget/services? No change 73a If yes, is the information easy to understand? 44 If yes, is the information easy to understand? No change Deleted and Replaced Questions - Self-Direction 39. Does someone talk with you about your budget and the services you can get? 40. Is there someone who helps you decide how to use your budget/services?
Level of ID (Variable used for risk adjustment) LEVELMR08 Unknown and unspecified shown; filtered for those with a diagnosis of ID (DIAGMR=2) Other Disabilities Categories changed for 15-16 DXMIPDMD13 DXMIPDAD13 DXMIPDBC13 DXMIPDPD13 DXMIPDOTH13 DXAUTISM0813 DXCP13 DXBI13 DXNEURO13 DXCHEMDP13 DXDOWN0813 PRWISYND13 DXFETALALCH15 DXVISION15 DXHEARING15 DXNONE13 Don’t Know included in denominators Health variables Categories changed for 15-16 HCCARVAS HCDIAB HCCANCER HCHIBP HCHICHL HCDYSPH15 HCPRESULC HCALZHEIM15 Don’t Know included in denominators Preferred Means of Expression Wording of question changed 15-16 EXPRESS Don’t Know shown Language LANGUAGE
Choice and Proportion of people who reported they chose or had some input in choosing where they live if not living in the family home (Adjusted Variable) CHOSHOME2 Recoded variable in which response options are collapsed into the following: 0 no 1 had at least some input Filtered for Section II (INVL_CR2_15=0) and for residence type (typehome08 not equal to 5 (parent or relatives home) Risk adjusted Proportion of people who reported they chose or had some input in choosing their roommates if not living in the family home (Adjusted Variable) HOUSEMATES2 Recoded variable in which response options are collapsed into the following: 0 no 1 had at least some input Filtered for Section II (INVL_CR2_15=0) Risk adjusted Proportion of people reported to have a job in the community and who reported they chose or had some input in choosing their job* (Adjusted Variable) * reported for those who were determined to have a paid community job from Background section CHOSJOB2 Recoded variable in which response options are collapsed into the following: 0 no 1 had at least some input Filtered for Section II (INVL_CR2_15=0) and for PAIDCOMMJOB2=1 Risk adjusted Proportion of people who reported they have a day program or activity and chose or had some input in choosing their day program or activity (Adjusted Variable) CHOOSDAY2 Recoded variable in which response options are into the following: 0 no 1 had at least some input Filtered for Section II (INVL_CR2_15=0) Risk adjusted
Proportion of people who reported they chose or were aware they could request to change their staff (“yes” and “no, but can change” responses) CHOOSSTAF2 Recoded variable in which response options are collapsed into the following: 0 no 1 had at least some input Filtered for Section II (INVL_CR2_15=0) Risk adjusted YES Work Proportion of people who were reported to have a job in the community* * reported for those who were determined to have a paid community job from Background section Changed how asked and analyzed in 15-16 PAIDCOMMJOB2 Variable created indicating those who have at least one of the following marked “yes” PAIDCOMMJOBIND15 PAIDCOMMJOBGRP15 Creates and makes DK missing YES Proportion of people who were reported to have a job in the community by type of employment support* * reported for those who were determined to have a paid community job from Background section Changed how asked and analyzed in 15-16 commwork_type_Individual commwork_type_Group Variables created to identify types of paid jobs in the community and whether public support is received for that job. Variables created using 1) PAIDCOMMJOBIND15 and PCJISERV15 2) PAIDCOMMJOBGRP15 Filtered for PAIDCOMMJOB2=1
Proportion of people who were reported to have a job in community employment who worked 10 of the past 12 months in community employment No Longer in Survey Average length of employment in current job for people who were reported to have a job in the community Calculated variable using JOBYRS and JOBMOS to equal total months Proportion of people who were reported to have a job in the community and received paid time off Question changed in 15-16 PDTIMEOFF2 Recoded variable in which response options are into the following: 0 no 1 receives paid time off. YES Proportion of people who were reported to have a job in the community in the four most common types of employment JOBTYPE Proportion of people who were reported not to have a job in the community and who reported they would like a job in the community* (“yes” responses only) *reported for those who were determined to not have LIKEAJOB2 Recoded variable in which response options are collapsed into the following: 0 no, in-between 1 yes. Filtered for PAIDCOMMJOB2=0 and Section I valid (INVL_CR1_15=0) YES
Self-Directed Services In 15-16 moved to Section II Proportion of people who were reported to be using a self-directed supports option SELFDRCT2 Recoded variable in which response options are collapsed into the following: 0 no 1 yes. YES Proportion of people who reported they participate in decisions about using budget, hiring staff, or managing services (“yes” responses only) New for 15-16 moved to Section II BUDGDEC2 Recoded variable in which response options are collapsed into the following: 0 no 1 yes. Filtered for Section 2 (INVL_CR2_15=0)and SELFDRCT2=1 YES Proportion of people who reported they make decisions about how budget for services is used New for 15-16 moved to Section II WHOBUDDEC2 Recoded variable in which response options are collapsed into the following: 1 Individual mostly makes decisions, or has input but family friends also help with decisions 0 Someone else makes decisions. Filtered for BUDGDEC2=1 Section 2 (INVL_CR2_15=0) and SELFDRCT2=1 YES Proportion of people who reported they hire and manage their staff (“yes” responses only) New for 15-16 moved to Section II HIRESTAFF2 Recoded variable in which response options are collapsed into the following: 1 Yes 0 No, maybe Filtered for BUDGDEC2=1 Section 2 (INVL_CR2_15=0) and SELFDRCT2=1 YES
Proportion of people who reported they have enough help deciding how to use their budget/services (“yes” responses only) New for 15-16 moved to Section II ENUFHELP2 Recoded variable in which response options are collapsed into the following: 1 Yes, have enough help 0 No, want more help or maybe, not sure. Filtered for BUDGDEC2=1 Section 2 (INVL_CR2_15=0) and SELFDRCT2=1 YES Proportion of people who reported they receive information about money that’s left in budget (“yes” responses only) New for 15-16 moved to Section II ENUFINFO2 Recoded variable in which response options are collapsed into the following: 1 Yes 0 No, maybe, not sure. Filtered for BUDGDEC2=1 Section 2 (INVL_CR2_15=0) and SELFDRCT2=1 YES Proportion of people who report they get enough information about their budget/services and information is easy to understand (“yes” responses only) New for 15-16 moved to Section II INFOUNDERST2 Recoded variable in which response options are collapsed into the following: 1 Yes 0 No, maybe, not sure. Filtered for BUDGDEC2=1 Section 2 (INVL_CR2_15=0) and SELFDRCT2=1 and ENUFINFO15=2 or ENUFINFO15=3 YES Community Inclusion, Participation and Leisure (new name 15-16) Proportion of people who report being able to go out and do the things they like to do (yes responses only) New in 15-16 GOOUT2 Recoded variable in which response options are collapsed into the following: 0 No, in-between 1 yes. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who report being able to go out and do the things they like to do enough (yes responses only) New in 15-16 GOOUTENOUGH2 Recoded variable in which response options are collapsed into the following: 0 No 1 Yes. Filtered for Section I (INVL_CR1_15=0) YES
Proportion of people who report that they have enough things to do at home (yes only) New in 15-16 HOMETODO2 Recoded variable in which response options are collapsed into the following: 0 Not enough, in the middle 1 Yes Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported going shopping at least once in the past month Changed for 15-16 SHOPPING15_2 Recoded variable in which response options are collapsed into the following: 0 no, 0 times 1 at least once in past month. Filtered for Section II (INVL_CR2_15=0) YES Number of times people reported they went out shopping in the past month (Adjusted Variable) No longer in report 15-16 Proportion of people who reported going on errands at least once in the past month Changed for 15-16 ERRANDS15_2 Recoded variable in which response options are collapsed into the following: 0 no, 0 times 1 at least once in past month. Filtered for Section II (INVL_CR2_15=0) YES Number of times people reported they went out on errands in the past month (Adjusted Variable)
Number of times people reported they went out to religious services in the past month (Adjusted Variable) No longer in report 15-16 In the past month, did you (did this person) go out for exercise? No longer in report 15-16 Number of times people reported they went out for exercise in the past month (Adjusted Variable) No longer in report 15-16 Proportion of people who reported participating in community groups (yes response only) New 15-16 Commact2 Recoded variable in which response options are collapsed into the following: 0 no 1 yes Filtered for Section II (INVL_CR2_15=0) YES Proportion of people who reported having gone on vacation in the past year (yes only) VACATION2 Recoded variable in which response options are collapsed into the following: 0 no 1 yes Filtered for Section II (INVL_CR2_15=0) YES Number of times people reported they went on vacation in the past year (Adjusted Variable) No longer in report 15-16
Proportion of people who reported they can help other people if they want to at least some of the time (“yes” responses only) Not in survey 15-16 Satisfaction Proportion of people who reported they like their home (“yes” responses only) LIKEHOME2 Recoded variable in which response options are collapsed into the following: 0 no, in-between 1 yes. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who report disliking where they live for reasons indicated. New 15-16 DON’TLIKE15_1 DON’TLIKE15_2 DON’TLIKE15_3 DON’TLIKE15_4 DON’TLIKE15_5 DON’TLIKE15_6 DON’TLIKE15_7 DON’TLIKE15_10 DON’TLIKE15_11 DON’TLIKE15_99 Filtered for Section I (INVL_CR1_15=0) Proportion of people who reported they would like to live somewhere else (“yes” responses only) HOMEELSE2 Recoded variable in which response options are collapsed into the following: 0 no, in-between 1 yes. Filtered for Section I (INVL_CR1_15=0) YES
Proportion of people who were reported to have a job in the community and who reported they like where they work (“yes” responses only) * * reported for those who were determined to have a paid community job from Background section LIKEJOB2 Recoded variable in which response options are collapsed into the following: 0 no, in-between 1 yes. Filtered for Section I (INVL_CR1_15=0) and for PAIDCOMMJOB2=1 YES Proportion of people who were reported to have a job in the community and who reported they want to work somewhere else*(“yes” responses only) * reported for those who were determined to have a paid community job from Background section JOBELSE2 Recoded variable in which response options are collapsed into the following: 0 no, in-between 1 yes. Filtered for Section I (INVL_CR1_15=0) and for PAIDCOMMJOB2=1 YES Proportion of people who reported they attend a day program or activity and like their day program or activity (“yes” responses only) Not in 15-16 survey Proportion of people who reported they attend a day program or activity and want to go or do something different during the day (“yes” responses only) Not in 15-16 survey
Proportion of people who reported their service coordinator/case manager gets them back right away (”yes” responses only) Question wording changed 15-16 GETSBACK2 Recoded variable in which response options are collapsed into the following: 0 No, sometimes 1 Yes. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported taking part in the last service planning meeting (“yes” responses only) New in 15-16 MSPLAN2 Recoded variable in which response options are collapsed into the following: 0 No 1 Yes, or had option but chose not to. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported that they understood what was discussed in last service planning meeting (“yes” responses only) New in 15-16 PLANUNDRSTND2 Recoded variable in which response options are collapsed into the following: 0 No, in-between 1 Yes. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported that service planning meeting included people the person wanted to be there (“yes” responses only) New in 15-16 PLANPEOPLE2 Recoded variable in which response options are collapsed into the following: 0 No, in-between 1 Yes. Filtered for Section I (INVL_CR1_15=0) YES
Access Proportion of people who reported they always they have a way to get places when they want to do something for fun (“yes” responses only) New 15-16 GETPLACES2 Recoded variable in which response options are collapsed into the following: 0 No almost never, sometimes 1 Yes, almost always. Proportion of people who use various types of transportation (multiple responses allowed) Not in survey 15-16 Proportion of people who reported their staff have adequate training to meet their needs (“yes” responses only) STFTRN2 Recoded variable in which response options are collapsed into the following: 1 yes 0 no, maybe. Filtered for Section II (INVL_CR2_15=0) YES Proportion of people who report getting the services they need Not in survey 15-16 Proportion of people who report needing additional services Options and wordings changed 15-16 ADDSERVEDSCCM ADDSERVEDRESFAM ADDSERVEDTR ADDSERVEDJOBS13 ADDSERVEDDAY ADDSERVEDEDU ADDSERVEDHC ADDSERVEDDC13 ADDSERVEDHOUS ADDSERVEDRES ADDSERVEDSOC ADDSERVEDCOMM ADDSERVEDENV ADDSERVEDBENE ADDSERVEDOTH Filtered for Section II (INVL_CR2_15=0)
Proportion of people 50 or over who were reported to have had a colorectal cancer screening in the past year (“within the past year” responses) CCSCREEN2 Recoded variable in which response options are collapsed into the following: 1 in past year 0 more than 1 year. Filtered for AGE>=50 AZ DC WI not included YES Proportion of people who were reported to have had a flu vaccine in the past year (“within the past year “responses) FLUVACC2 Recoded variable in which response options are collapsed into the following: 0 not in the past year 1 flu vaccine in the past year. WI not included in 15-16 YES Proportion of people who were reported to have had a pneumonia vaccine Not in 15-16 Proportion of people who take at least one med for mood disorder, anxiety, psychotic disorder, behavioral challenges Totmeds Recoded variable using MEDS15 and MEDBEHAV 0 No meds 1 At least one kind. WI not included 15-16 YES Proportion of people who were reported to take medication for at least one of the following: mood disorders, anxiety, psychotic disorders** meds_mood Recoded variable in which response options are collapsed into the following: 0 No meds for mood, anxiety, psychotic 1 Takes meds for mood, anxiety, psychotic. WI not included 15-16 YES
Rights and Respect Proportion of people who reported people always knock before entering home (“yes” responses only) ENTERHM2 Recoded variable in which response options are collapsed into the following: 1 yes 0 sometimes, no. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported people always knock before entering bedroom (“yes” responses only) ENTERBRM2 Recoded variable in which response options are collapsed into the following: 1 yes 0 sometimes, no. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported they could be alone at home with visitors (“yes” responses only) Moved to Section I in 15-16 ALONEGST2 Recoded variable in which response options are collapsed into the following: 1 yes 0 no. Filtered for Section 1 (INVL_CR1_15=0) YES
1 yes 0 no, sometimes, some staff. Proportion of people who reported they have attended a self-advocacy event, or chose not to (“yes” and “chose not to” responses) SELFADVO2 Recoded variable in which response options are collapsed into the following: 0 no 1 had opportunity, yes. Filtered for Section II (INVL_CR2_15=0) YES Proportion of people who report having a key to their home (“yes” responses only) New 15-16 KEY2 Recoded variable in which response options are collapsed into the following: 1 Yes 0 No, maybe not sure. Filtered for Section II (INVL_CR2_15=0) YES Proportion of people who report they can lock their bedroom (“yes” responses only) New 15-16 LOCK2 Recoded variable in which response options are collapsed into the following: 1 Yes 0 No, maybe not sure. Filtered for Section II (INVL_CR2_15=0) YES Proportion of people who report having voted (“yes” and “had opportunity” only) New 15-16 VOTE2 Recoded variable in which response options are collapsed into the following: 1 Yes or had opportunity to register to Filtered for Section II (INVL_CR2_15=0) YES
Safety Proportion of people who report that there is at least one place where s/he feels afraid. New 15-16 Afraid_yes Recoded variable in which response options are collapsed into the following: 0 No 1 Yes, either in home, day program, work, community, transport, or other. Filtered for Section I (INVL_CR1_15=0) YES Proportion of people who reported they have someone to go to for help if they feel scared (“yes” responses only) AFRAIDHELP2 Recoded variable in which response options are collapsed into the following: 0 no, maybe 1 yes. Filtered for Section I (INVL_CR1_15=0) YES
--Assistive --Financial Assistance - AWC ME Random selection of 1,000 consumers to produce a final sample of 400 surveys. Case management (Medicaid): Medicaid State Plan Case Management is an entitlement for all persons who qualify for developmental services. Case management is not available to any other (adult) population. 6,263 Person needs to receive one other service in addition to Case Management services. Sample selected from MaineCare DSS database MI Random sample of adults 18 and over. BHDDA enrollment: State/DDI funding source: 34,509 Medicaid and non-Medicaid individuals receiving at least 3 services (service outside of case management, assessment, crisis and respite) MN The population includes any adult 18 years or over noted in state records as a person with developmental disabilities on a DD, or a long-term care screening document who Home Care only, State Plan funded: 19,000 Waivers (DD, TBI, CADI, CAC) 1915c 34,500
ICFs/ID 2,913 RI Sample comes from Medicaid database. Stratified by the 9 agencies under the consent decree with percent of sample based on agency size, and the remaining agencies as a group Adults served through BHDDH/DDD (Global Waiver (1115)) Total population of both programs: 3,800 ICFs (managed by Department of Health) State plan SC SCDDSN will use a random sample of all adults 18 and over receiving at least one service (in addition to case management). The sample is drawn from the names included in the QIO Quality Assurance review of provider agencies. The QIO includes representation from each agency that is selected for review, but not each agency is reviewed each calendar year. Based on compliance scores. If they score over 75% in QA review (largely based on waiver reviews) they have 18-month review, if less, annual. ~ 75%-80% of state agencies are included in each NCI data cycle Residential Services: HCB Waiver 1915(c) and State Funded: Residential services in a DDSN contracted residential setting. (The number in the State funded category will be limited.) 10,980 ICFs Day and Employment Services HCB Waiver (1915(c)) and State Funded: Day and Employment Services through a DDSN contracted provider. (The number in the State funded category will be limited.) In-home supports: HCB Waiver (1915(c)) and State Funded: In-home supports through a DDSN contracted provider. (The number in the State funded category will be limited.)
NCI Average 2% 32% 6% 15% 1% 3% Table . Able to go out and do the things like to do in the community State Yes In-between No N AL 83% 13% 4% 334 AR 91% 7% 1% 219 AZ 93% 6% 1% 412 CO 78% 19% 3% 304 CT 89% 8% 2% 244 DC 87% 12% 2% 189 DE 70% 23% 7% 232 FL 84% 14% 1% 836 GA 90% 9% 1% 299 HI 86% 9% 6% 188 IL 85% 13% 2% 252 IN 92% 5% 3% 571 KS 84% 13% 3% 255 KY 92% 6% 2% 299 LA 86% 12% 2% 287 MA 88% 9% 3% 311 ME 80% 18% 2% 280 MI 77% 21% 2% 273 MN 89% 8% 2% 251 MO 85% 14% 1% 265 MS 79% 15% 6% 283 NC 85% 13% 2% 428 NV 81% 15% 4% 339 NY 83% 14% 3% 303 OH 89% 9% 2% 386 OK 86% 10% 4% 207 PA 92% 6% 2% 432 RI 82% 14% 3% 340 SD 82% 14% 4% 285 TN 89% 9% 2% 330 UT 88% 10% 2% 243 VA 90% 8% 2% 499 VT 65% 29% 5% 252 WA 91% 7% 1% 257 WI 78% 19% 3% 285 WY 80% 15% 5% 237 NCI Average 85% 12% 3% 11,407
WY 83% 9% 9% 233 NCI Average 77% 14% 9% 11,581 Table . Wants more help to meet or keep in contact with friends State Yes Maybe, Not Sure No N AL 49% 12% 39% 327 AR 38% 7% 55% 216 AZ 14% 2% 84% 418 CO 37% 14% 49% 295 CT 45% 8% 47% 239 DC 36% 9% 54% 180 DE 45% 4% 51% 220 FL 35% 11% 54% 800 GA 27% 16% 57% 282 HI 44% 3% 53% 185 IL 25% 6% 69% 251 IN 36% 5% 59% 529 KS 32% 9% 60% 240 KY 16% 8% 76% 293 LA 35% 12% 53% 288 MA 44% 12% 45% 286 ME 34% 6% 59% 270 MI 38% 9% 53% 271 MN 39% 8% 53% 241 MO 35% 10% 55% 233 MS 40% 3% 56% 280 NC 31% 9% 61% 413 NV 58% 7% 35% 333 NY 32% 9% 59% 296 OH 37% 5% 59% 374 OK 67% 5% 28% 195 PA 25% 4% 72% 388 RI 49% 9% 41% 331 SD 46% 8% 47% 270 TN 25% 2% 73% 328 UT 52% 5% 43% 220 VA 35% 11% 54% 470 VT 34% 12% 54% 242 WA 25% 9% 66% 255 WI 30% 4% 66% 274 WY 23% 7% 70% 225 NCI Average 36% 8% 56% 10,958