Table 13D: I/DD Subpopulation

Assessing the Health and Welfare of the HCBS Population

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

Select for:

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 HCBS
Short-Term Complications of Diabetes178168128269129158152159
Asthma or Chronic Obstructive Pulmonary Disease767752674989670669762686
Congestive Heart Failure779643603912579660667643
Composite: Potentially Preventable Infection4,4734,6694,1055,0704,2934,1044,3464,496
    Bacterial Pneumonia2,9713,0352,8613,1322,8722,7632,9972,915
    Urinary Tract Infection1,5021,6341,2441,9381,4221,3411,3491,582
Infection Due to Device or Implant376304271341312321301311
Composite: ACSC Chronic Conditions2,3312,1131,9432,9201,8702,0672,1512,032
Composite: ACSC Acute Conditions3,5853,4963,1653,7773,2853,2813,3293,456
Composite: ACSC Overall5,9165,6095,1086,6975,1555,3485,4805,488
Pressure Ulcer1,4901,4991,2511,7461,4311,2161,3261,488
Injurious Falls9866677274646185


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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Current as of December 2012
Internet Citation: Table 13D: I/DD Subpopulation: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.