Assessing the Health and Welfare of the HCBS Population

Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005

Go to a below for notes.

Outcome Indicator Person Used Service Personal Care Case Management Adult Day/Health Care Residential Care Durable

Medical Equipment/

Supplies
Transportation
Short-Term Complications of Diabetes Yes 340 216 71 65 301 170
No 286 291 304 314 286 291
Asthma or Chronic Obstructive Pulmonary Disease Yes 5,230 3,549 920 743 6,626 1,445
No 3,793 3,878 4,079 4,219 3,418 3,921
Congestive Heart Failure Yes 6,886 4,334 1,335 1,070 9,162 1,641
No 5,038 5,163 5,407 5,592 4,478 5,211
Composite: Potentially Preventable Infection Yes 11,406 8,395 4,785 4,811 14,350 5,855
No 7,853 8,016 8,267 8,396 7,008 8,081
    Bacterial Pneumonia Yes 6,351 5,230 3,207 3,423 8,145 3,474
No 4,854 4,917 5,054 5,100 4,408 4,963
    Urinary Tract Infection Yes 5,055 3,165 1,578 1,388 6,204 2,381
No 2,999 3,099 3,213 3,296 2,599 3,119
Infection Due to Device or Implant Yes 1,191 680 166 144 1,078 500
No 733 759 799 826 704 762
Dehydration Yes 3,101 2,087 869 765 3,332 1,074
No 1,839 1,895 1,978 2,032 1,671 1,922
Composite: ACSC Chronic Conditions Yes 16,094 10,212 3,036 2,360 19,976 4,422
No 11,683 11,971 12,549 12,987 10,596 12,076
Composite: ACSC Acute Conditions Yes 10,424 7,473 3,993 3,873 13,129 4,397
No 7,173 7,330 7,579 7,729 6,397 7,404
Composite: ACSC Overall Yes 26,515 17,685 7,028 6,233 33,102 8,819
No 18,855 19,300 20,127 20,714 16,992 19,479
Pressure Ulcer Yes 6,274 3,455 1,049 1,013 6,793 2,359
No 3,338 3,486 3,662 3,765 2,949 3,511
Injurious Falls Yes 369 299 126 157 543 138
No 294 298 310 314 258 301

Notes:

ACSC = ambulatory care-sensitive condition.

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.

Return to Contents

Return to Document

Page last reviewed December 2012
Internet Citation: Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab12.html