Assessing the Health and Welfare of the HCBS Population

Table 13D: I/DD Subpopulation

Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a

Select for:

Outcome Indicator No Medically Needy Program More Restrictive Eligibility Criteria Less Restrictive Eligibility Criteria Nursing Home Level of Care Eligibility Criteria for HCBS Percentage of State LTC Funds Spent on HCBS
High Mid Low >Median ≤Median
Short-Term Complications of Diabetes 178 168 128 269 129 158 152 159
Asthma or Chronic Obstructive Pulmonary Disease 767 752 674 989 670 669 762 686
Congestive Heart Failure 779 643 603 912 579 660 667 643
Composite: Potentially Preventable Infection 4,473 4,669 4,105 5,070 4,293 4,104 4,346 4,496
    Bacterial Pneumonia 2,971 3,035 2,861 3,132 2,872 2,763 2,997 2,915
    Urinary Tract Infection 1,502 1,634 1,244 1,938 1,422 1,341 1,349 1,582
Infection Due to Device or Implant 376 304 271 341 312 321 301 311
Dehydration 796 747 592 954 695 577 649 753
Composite: ACSC Chronic Conditions 2,331 2,113 1,943 2,920 1,870 2,067 2,151 2,032
Composite: ACSC Acute Conditions 3,585 3,496 3,165 3,777 3,285 3,281 3,329 3,456
Composite: ACSC Overall 5,916 5,609 5,108 6,697 5,155 5,348 5,480 5,488
Pressure Ulcer 1,490 1,499 1,251 1,746 1,431 1,216 1,326 1,488
Injurious Falls 98 66 67 72 74 64 61 85

Notes: 

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.

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Page last reviewed December 2012
Internet Citation: Table 13D: I/DD Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab13d.html