Assessing the Health and Welfare of the HCBS Population

Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI

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 867 659 481 1,192 571 476 522 801
Asthma or Chronic Obstructive Pulmonary Disease 6,088 4,755 4,425 5,268 4,706 3,868 4,255 5,928
Congestive Heart Failure 5,445 5,372 4,663 5,842 5,103 4,405 4,341 6,316
Composite: Potentially Preventable Infection 8,752 7,632 5,695 7,451 7,833 5,797 5,920 8,912
    Bacterial Pneumonia 4,899 4,125 3,495 4,116 4,248 3,564 3,543 4,804
    Urinary Tract Infection 3,853 3,507 2,199 3,335 3,586 2,233 2,377 4,108
Infection Due to Device or Implant 2,058 1,987 1,367 2,093 1,853 1,407 1,481 2,174
Dehydration 2,170 2,045 1,276 2,050 2,016 1,232 1,376 2,363
Composite: ACSC Chronic Conditions 17,249 15,265 13,118 17,499 14,629 12,006 12,791 18,023
Composite: ACSC Acute Conditions 7,842 6,462 4,916 6,411 6,761 5,053 5,187 7,598
Composite: ACSC Overall 25,088 21,726 18,033 23,910 21,388 17,059 17,977 25,619
Pressure Ulcer 6,180 6,029 3,239 5,537 6,191 3,067 3,636 6,965
Injurious Falls 198 133 110 142 163 103 113 176

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 13F: HCBS Population Ages 18-64 Without I/DD or SMI. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab13f.html