The meter represents Iowa's balance of below average, average, and above average measures compared to all States. The performance meter has five categories: very weak, weak, average, strong, and very strong. An arrow pointing to "very weak" means all or nearly all included measures for a State are below average within a given data year. An arrow pointing to "very strong" indicates that all or nearly all available measures for a State are above average within a given data year. A solid arrow describes results for the most recent data year; a dashed arrow describes the baseline year. A missing arrow means there were insufficient data to create the summary measure for this State. Compared to all States, for the most recent data year, the performance for Iowa for chronic care measures is in the strong range. Performance for the baseline year is not available because of insufficient data.