Assessing the Health and Welfare of the HCBS Population

Table 13G: HCBS Population Age 65+

Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a</4>

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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 150 158 109 177 152 77 114 169
Asthma or Chronic Obstructive Pulmonary Disease 6,648 5,474 3,596 5,270 5,576 3,280 4,002 6,249
Congestive Heart Failure 9,587 9,531 6,045 9,070 9,568 5,569 6,504 10,408
Composite: Potentially Preventable Infection 14,434 13,125 8,228 13,974 13,096 8,011 9,475 13,962
    Bacterial Pneumonia 9,058 7,835 5,064 8,064 7,936 5,075 5,899 8,331
    Urinary Tract Infection 5,376 5,290 3,165 5,910 5,160 2,936 3,576 5,630
Infection Due to Device or Implant 608 599 407 590 603 396 432 651
Dehydration 3,424 3,340 1,856 3,756 3,244 1,628 2,183 3,524
Composite: ACSC Chronic Conditions 19,478 18,495 12,326 17,796 18,594 10,894 13,266 20,272
Composite: ACSC Acute Conditions 13,786 12,476 7,767 12,667 12,688 7,427 8,999 13,250
Composite: ACSC Overall 33,261 30,970 20,092 30,462 31,280 18,320 22,265 33,519
Pressure Ulcer 4,497 4,649 3,696 5,077 4,632 2,818 3,647 5,097
Injurious Falls 708 596 386 463 713 390 404 719

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 13G: HCBS Population Age 65+. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab13g.html