Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005

Assessing the Health and Welfare of the HCBS Population

a

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Outcome IndicatorPerson Used ServiceHome Health TherapiesPrivate Duty NursingPersonal Care ServicesTargeted Case ManagementHospice CareTransp-
ortation
Adult Day CareResidential Care
Short-Term Complications of DiabetesYes219243259187469683155221
No290289307304287135301290
Asthma or Chronic Obstructive Pulmonary DiseaseYes2,5934,9333,7071,6809,6448,3911,8023,187
No3,9013,8623,9644,1923,8212,0994,0593,883
Congestive Heart FailureYes3,2726,4155,2662,05312,93511,0112,3914,673
No5,1835,1275,0455,5925,0712,8365,3885,143
Composite: Potentially Preventable InfectionYes6,98015,1637,2144,92927,00916,1764,33413,540
No8,0608,0108,5458,4967,8864,8538,3787,886
    Bacterial PneumoniaYes4,5289,4284,4663,24317,2989,6552,8468,692
No4,9404,9165,2215,1824,8353,0855,1244,830
    Urinary Tract InfectionYes2,4535,7352,7491,6869,7116,5211,4884,848
No3,1203,0943,3243,3143,0521,7683,2533,056
Infection Due to Device or ImplantYes8012,7947143451,6651,802240467
No755750783818749348805764
DehydrationYes1,3592,7941,7721,0408,2853,8439912,499
No1,9181,9001,9842,0321,8541,1461,9881,887
Composite: ACSC Chronic ConditionsYes8,15616,35411,9105,05727,19025,9725,9389,484
No12,00911,89011,89912,92911,7876,41412,46311,967
Composite: ACSC Acute ConditionsYes6,02111,8586,8794,31423,59314,5814,03410,517
No7,3737,3227,6237,7887,2124,5097,6467,252
Composite: ACSC OverallYes14,17728,21218,7889,37250,78340,5499,97220,001
No19,38019,21119,52120,71618,99710,92320,10819,218
Pressure UlcerYes2,73011,4213,1501,84012,6968,2048834,475
No3,5063,4613,6963,7313,4151,6443,7293,459
Injurious FallsYes280219335191469607194275
No298298274314296177307298
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Notes: 

ACSC = ambulatory care-sensitive condition.

Table includes any use of these State plan services, including those provided in the home. Use defined as positive Medicaid payment for the service at any point during the year. An individual can use more than one service.

a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and people in the States of Arizona, Maine, Washington, and Wisconsin.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

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Page last reviewed December 2012
Internet Citation: Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab11.html