Assessing the Health and Welfare of the HCBS Population

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

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Outcome Indicator Person Used Service Home Health Therapies Private Duty Nursing Personal Care Services Targeted Case Management Hospice Care Transp-
ortation
Adult Day Care Residential Care
Short-Term Complications of Diabetes Yes 219 243 259 187 469 683 155 221
No 290 289 307 304 287 135 301 290
Asthma or Chronic Obstructive Pulmonary Disease Yes 2,593 4,933 3,707 1,680 9,644 8,391 1,802 3,187
No 3,901 3,862 3,964 4,192 3,821 2,099 4,059 3,883
Congestive Heart Failure Yes 3,272 6,415 5,266 2,053 12,935 11,011 2,391 4,673
No 5,183 5,127 5,045 5,592 5,071 2,836 5,388 5,143
Composite: Potentially Preventable Infection Yes 6,980 15,163 7,214 4,929 27,009 16,176 4,334 13,540
No 8,060 8,010 8,545 8,496 7,886 4,853 8,378 7,886
    Bacterial Pneumonia Yes 4,528 9,428 4,466 3,243 17,298 9,655 2,846 8,692
No 4,940 4,916 5,221 5,182 4,835 3,085 5,124 4,830
    Urinary Tract Infection Yes 2,453 5,735 2,749 1,686 9,711 6,521 1,488 4,848
No 3,120 3,094 3,324 3,314 3,052 1,768 3,253 3,056
Infection Due to Device or Implant Yes 801 2,794 714 345 1,665 1,802 240 467
No 755 750 783 818 749 348 805 764
Dehydration Yes 1,359 2,794 1,772 1,040 8,285 3,843 991 2,499
No 1,918 1,900 1,984 2,032 1,854 1,146 1,988 1,887
Composite: ACSC Chronic Conditions Yes 8,156 16,354 11,910 5,057 27,190 25,972 5,938 9,484
No 12,009 11,890 11,899 12,929 11,787 6,414 12,463 11,967
Composite: ACSC Acute Conditions Yes 6,021 11,858 6,879 4,314 23,593 14,581 4,034 10,517
No 7,373 7,322 7,623 7,788 7,212 4,509 7,646 7,252
Composite: ACSC Overall Yes 14,177 28,212 18,788 9,372 50,783 40,549 9,972 20,001
No 19,380 19,211 19,521 20,716 18,997 10,923 20,108 19,218
Pressure Ulcer Yes 2,730 11,421 3,150 1,840 12,696 8,204 883 4,475
No 3,506 3,461 3,696 3,731 3,415 1,644 3,729 3,459
Injurious Falls Yes 280 219 335 191 469 607 194 275
No 298 298 274 314 296 177 307 298
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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. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab11.html