The Commonwealth Fund has developed a Scorecard on Local Health System Performance. Some U.S. communities perform consistently well. Four geographically diverse communities were studied to learn how they improved the most on trending indicators of health care access, quality, cost, and outcomes.
The 2016 Scorecard can be obtained at http://www.commonwealthfund.org/interactives/2016/jul/local-scorecard/ and the report on the four communities can be obtainedat http://www.commonwealthfund.org/publications/other/2017/sep/all-health-care-is-local-revisited.