Assessing the Health and Welfare of the HCBS Population Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005aTable 13B: Dually Eligible HCBS ParticipantsSelect for:Table 13A: National HCBS Population.Table 13C: Medicaid-Only HCBS Participants.Table 13D: I/DD Subpopulation.Table 13E: SMI Subpopulation.Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI.Table 13G: HCBS Population Age 65+.Outcome IndicatorNo Medically Needy ProgramMore Restrictive Eligibility CriteriaLess Restrictive Eligibility CriteriaNursing Home Level of Care Eligibility Criteria for HCBSPercentage of State LTC Funds Spent on HCBSHighMidLow>Median≤MedianShort-Term Complications of Diabetes279265177407233158203272Asthma or Chronic Obstructive Pulmonary Disease5,3344,3243,2614,5524,2593,1563,5744,841Congestive Heart Failure6,7866,6104,8126,6486,3774,8215,1037,074Composite: Potentially Preventable Infection11,10410,1437,16410,5149,9627,3578,05310,649 Bacterial Pneumonia6,8776,0294,4676,0806,0194,6315,0256,331 Urinary Tract Infection4,2274,1142,6974,4343,9422,7263,0284,318Infection Due to Device or Implant873807600902785618661844Dehydration2,5772,4991,6232,8042,3891,5471,8362,616Composite: ACSC Chronic Conditions15,26914,04110,71514,67913,64410,26011,42115,100Composite: ACSC Acute Conditions10,3649,2766,5599,3579,2846,6807,4319,753Composite: ACSC Overall25,63023,31517,27324,03422,92616,93918,85124,850Pressure Ulcer4,3064,2213,4134,5234,1553,0583,4544,564Injurious Falls479395313320460331310477Notes:ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.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 persons in the States of Arizona, Maine, Washington, and Wisconsin.Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.Median is defined as the value at which half of States are below and half of States are above.Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.Sources for column heading data are described in the Appendix.Return to ContentsReturn to Do cument Current as of December 2012 Internet Citation: 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/hcbsfindtab13b.html