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

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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

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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