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Area Deprivation Index

Provider in Home with Senior Patients Provider

The Area Deprivation Index (ADI) allows for rankings of neighborhoods by socioeconomic status disadvantage in a region of interest (e.g. at the state or national level). Health systems and healthcare providers can use the ADI to target program delivery by geographic location based on the area of greatest disadvantage. For example, the Centers for Medicare & Medicaid Services (CMS) is currently using the ADI to target program delivery of the Everyone with Diabetes Counts program.

The ADI can also be used for research purposes. For example, using the ADI based on 2000 Census data, Kind et al (2014) found that the risk of living in a disadvantaged neighborhood is similar to that of having a chronic lung disease, like emphysema, and worse than that of health conditions such as diabetes when it comes to readmission risk.