Table 14A: Outcome Indicators by County Supply of Health Care Providers

Assessing the Health and Welfare of the HCBS Population

Table 14: Outcome Indicators by County and State Supply of Health Care Providers, 2005a

Select for Table 14B: Outcome Indicators by State Supply of Health Care Providers.

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Table 14A: Outcome Indicators by County Supply of Health Care Providers

HCBS SubpopulationOutcome IndicatorSupply of Short-Term
Acute-Care Hospital
Beds per Capita
Supply of Nursing
Home Beds
(NFs and SNFs)
per 65+
Supply of Home Health
Agencies per Capita
Supply of ICFs-MR
per Capita
Supply of Psychiatric
Hospital Beds
per Capita
Underserved by Mental
Health Providers
Underserved by Primary
Care Providers
>Median≤Median>Median≤Median>Median≤Median>Median≤Median>Median≤MedianYesNoYesNo
National HCBS PopulationShort-Term Complications of Diabetes293287316279276305275336279321280327285329
Asthma or Chronic Obstructive Pulmonary Disease3,9583,7614,7703,4723,9763,8223,5704,7963,6114,6073,7554,3203,8064,441
Congestive Heart Failure5,2674,9785,9154,8165,3744,9964,8965,9464,8975,8695,1005,3995,1155,538
Composite: Potentially Preventable Infection7,8708,3909,0727,5398,2127,8847,3799,8717,3879,6747,6119,3467,7729,700
    Bacterial
    Pneumonia
4,7685,2515,7214,5395,0524,8114,4886,1354,4516,1124,6945,6274,7585,956
    Urinary     Tract
    Infection
3,1023,1393,3513,0003,1603,0742,8913,7362,9363,5622,9173,7193,0133,744
Infection Due to Device or Implant768749851719771754740823751789728865760773
Dehydration1,9411,8542,2261,7621,9031,9211,7742,2971,7852,2341,8182,2041,8592,246
Composite: ACSC Chronic Conditions12,30511,36213,80911,12812,27211,76111,29113,97511,35413,62711,77112,70411,83813,012
Composite: ACSC Acute Conditions7,1907,7078,5616,7767,5617,1776,6779,2496,6459,1477,0288,3627,1008,958
Composite: ACSC Overall19,49419,06822,37017,90319,83118,93717,96623,22317,99822,77318,79821,06518,93721,967
Pressure Ulcer3,6903,1263,6603,4353,6263,4043,3893,8403,4443,6693,3683,9363,4593,816
Injurious Falls279344376263328275233485250426288335284401
Dually Eligible HCBS ParticipantsShort-Term Complications of Diabetes233233252225216249221265227249222267228267
Asthma or Chronic Obstructive Pulmonary Disease4,1584,0505,0763,6604,2624,0013,7325,1353,7654,9933,9594,6144,0054,832
Congestive Heart Failure6,0105,8516,7975,5516,1685,7745,6206,8315,5766,8875,8606,2525,8726,473
Composite: Potentially Preventable Infection8,9119,55110,3108,5429,3638,9088,36811,0678,35010,9938,60710,6598,79311,080
    Bacterial
    Pneumonia
5,3565,9566,4965,0935,7425,3865,0406,8774,9776,9505,2676,4045,3506,759
    Urinary     Tract
    Infection
3,5553,5963,8143,4493,6213,5223,3284,1903,3734,0443,3404,2553,4434,321
Infection Due to Device or Implant758709806711747737730773737754718812743735
Dehydration2,1972,1022,4772,0152,1462,1832,0182,5502,0192,5242,0632,4772,1032,543
Composite: ACSC Chronic Conditions13,27312,53215,01412,06913,34412,75912,22115,13112,21615,01412,77313,80612,81414,334
Composite: ACSC Acute Conditions8,2098,8019,7937,7278,6668,1727,63410,3927,56710,4348,0169,5628,09110,269
Composite: ACSC Overall21,48021,33124,80619,79522,00820,92919,85325,52219,78125,44820,78723,36720,90324,602
Pressure Ulcer4,1333,5233,9123,9454,0353,8463,8584,1303,8884,0453,8354,2313,8964,165
Injurious Falls355435467339418349305579322524370412363490
Medicaid-Only HCBS ParticipantsShort-Term Complications of Diabetes462449505436443471420590424551442511447534
Asthma or Chronic Obstructive Pulmonary Disease3,3912,8873,8692,9323,1683,2933,1333,5813,1803,3813,1763,4193,2463,148
Congestive Heart Failure3,1652,3433,3292,7093,1402,6952,9482,7693,0072,6332,9472,7832,9752,441
Composite: Potentially Preventable Infection4,9244,8855,4424,6614,9724,8574,7205,5784,7075,4824,7875,3194,8825,126
    Bacterial
    Pneumonia
3,1043,1233,4502,9493,1113,1093,0063,4722,9883,4513,0693,2433,0843,296
    Urinary     Tract
    Infection
1,8201,7621,9931,7111,8611,7481,7142,1061,7192,0311,7182,0761,7981,830
Infection Due to Device or Implant7988719817448378057671,0057929007571,028809899
Dehydration1,2151,1031,4881,0341,2191,1441,1201,3891,1321,3151,1231,3661,1681,264
Composite: ACSC Chronic Conditions9,5667,82710,2768,4289,2558,8118,7929,8248,9539,2188,9309,3259,0798,630
Composite: ACSC Acute Conditions4,3064,4064,9494,0474,4494,2354,1045,1444,0795,0544,2304,6854,2984,613
Composite: ACSC Overall13,87112,23415,22512,47413,70313,04512,89514,96813,03114,27113,16014,00913,37713,240
Pressure Ulcer2,4351,9292,9221,9712,4772,0942,1272,7982,2062,4742,0443,0332,2232,658
Injurious Falls63721074676574214848115569760107
I/DD SubpopulationShort-Term Complications of Diabetes174135141173157163155173140207153176154187
Asthma or Chronic Obstructive Pulmonary Disease757703795700793692725768715791725762748689
Congestive Heart Failure729553668664697640671653681630682632683587
Composite: Potentially Preventable Infection4,3194,3404,6224,1364,5244,1664,2364,5454,1894,6554,1354,7314,3024,440
    Bacterial
    Pneumonia
2,8102,9893,1652,6863,0112,7622,8203,0062,7573,1552,7513,1342,8393,036
    Urinary     Tract
    Infection
1,5091,3511,4571,4501,5131,4031,4171,5401,4331,5011,3841,5971,4631,404
Infection Due to Device or Implant329282319308352280309320322290318301322268
Dehydration723642757653754646665765665764682719695691
Composite: ACSC Chronic Conditions2,3071,8212,1512,1222,2402,0462,1472,0992,1142,1782,1402,1202,1781,927
Composite: ACSC Acute Conditions3,3763,2753,6123,1643,5253,1893,2583,5373,2073,6583,2393,5513,3023,513
Composite: ACSC Overall5,6845,0965,7635,2865,7645,2355,4055,6365,3215,8365,3795,6715,4805,440
Pressure Ulcer1,5241,2481,3801,4551,5691,3071,4051,4741,4051,4741,3901,4981,4641,246
Injurious Falls74709359826560104698167847178
SMI SubpopulationShort-Term Complications of Diabetes503534515511494526492572490578501541484666
Asthma or Chronic Obstructive Pulmonary Disease5,1424,7935,4264,7885,3604,7854,7185,9694,9135,3874,9825,1625,0225,096
Congestive Heart Failure3,5503,1723,6223,3153,7903,1623,3533,6713,3653,6323,4523,3853,4673,242
Composite: Potentially Preventable Infection7,0677,9087,8876,9787,8446,9366,9018,5937,0578,1206,9188,3427,1948,069
    Bacterial
    Pneumonia
4,4825,1725,1654,4035,0244,4474,4125,5394,5125,2344,4435,3234,6195,119
    Urinary     Tract
    Infection
2,5852,7372,7222,5752,8202,4892,4903,0542,5452,8862,4753,0192,5742,951
Infection Due to Device or Implant728801857684852674716853731808708857755729
Dehydration1,9832,0202,1761,8812,1421,8821,9252,1991,9592,0981,9532,0972,0011,956
Composite: ACSC Chronic Conditions12,17310,90712,24511,48912,63311,13111,35413,04411,62912,22211,78711,76211,81411,590
Composite: ACSC Acute Conditions6,7727,5717,7246,5797,5866,5886,5788,3276,7187,9006,6987,8156,8957,705
Composite: ACSC Overall18,94318,47719,96918,06620,21817,71817,93121,37118,34620,12218,48419,57718,70819,295
Pressure Ulcer2,7442,6152,6122,7622,8932,5602,5853,0582,7182,6632,6152,9252,7162,636
Injurious Falls228282305207280218200379220317245246240272
HCBS Population Ages 18-64 Without I/DD or SMIShort-Term Complications of Diabetes626634674607612645575784599696601720621682
Asthma or Chronic Obstructive Pulmonary Disease5,0264,6006,1404,2824,7355,0344,5515,8564,6425,4394,6835,5724,7835,609
Congestive Heart Failure5,4264,3875,7664,7595,2404,9415,0405,2245,1284,9954,9725,4745,0625,259
Composite: Potentially Preventable Infection7,0057,1508,0326,5787,0307,0746,5048,6296,6467,9666,6928,2566,8368,551
    Bacterial
    Pneumonia
4,0034,0574,6263,7283,9994,0423,7324,8513,7564,6163,8914,4553,8954,891
    Urinary     Tract
    Infection
3,0023,0933,4062,8503,0313,0322,7723,7792,8903,3502,8013,8022,9413,660
Infection Due to Device or Implant1,7451,7441,9611,6401,6651,8211,6701,9601,7681,6911,6272,1401,7052,017
Dehydration1,7971,6582,1501,5591,7251,7781,6462,0581,6931,8851,6452,1101,6862,211
Composite: ACSC Chronic Conditions15,40313,47217,19513,60414,73414,81314,04616,87114,37815,66514,22516,61214,54816,343
Composite: ACSC Acute Conditions5,9736,3627,3525,4946,2016,0025,5247,7565,5427,3555,8177,0475,8727,672
Composite: ACSC Overall21,37419,83424,54619,09620,93320,81519,56924,62619,91923,01820,04023,65720,41924,013
Pressure Ulcer5,0974,4846,0804,3255,2124,5964,5665,8524,7705,1844,4256,4784,6956,297
Injurious Falls141129184115165110106226114189128169128199
HCBS Population Age 65+Short-Term Complications of Diabetes138128155127110157127156140121129155132154
Asthma or Chronic Obstructive Pulmonary Disease4,7805,0266,5924,1694,9074,8104,3256,3804,3806,1154,4946,2104,6266,501
Congestive Heart Failure7,8168,37210,4227,0248,0967,8887,3169,9147,3309,7277,5219,7297,69710,062
Composite: Potentially Preventable Infection10,66412,23213,91710,04811,16811,12310,00614,4189,97614,24210,18114,74910,54915,411
    Bacterial
    Pneumonia
6,4217,6438,7976,0046,8816,7186,0209,0265,9419,0606,2508,8396,4389,359
    Urinary     Tract
    Infection
4,2434,5895,1194,0444,2874,4053,9865,3934,0355,1813,9325,9104,1116,052
Infection Due to Device or Implant523499598484512520506544500559492606517511
Dehydration2,6632,7443,4162,4002,5842,7822,4363,4122,4423,3402,4523,5712,5583,619
Composite: ACSC Chronic Conditions15,81016,20620,59214,08915,95315,91314,61719,71114,70319,19015,05219,22215,35420,067
Composite: ACSC Acute Conditions10,12211,64213,6199,39110,63010,5529,41713,9569,35813,8529,75413,71110,01714,681
Composite: ACSC Overall25,93127,84734,20923,47826,58226,46224,03333,66624,05833,04124,80532,93125,36934,746
Pressure Ulcer4,4013,7404,2834,1644,0814,3034,1064,4624,1464,3354,0094,9064,1044,872
Injurious Falls468649729442560490401874425784486662486793
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Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; NF = nursing facility; SNF = skilled nursing facility; ICFs-MR = intermediate care facilities for the mentally retarded.

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 14A: Outcome Indicators by County Supply of Health Care Providers: 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/hcbsfindtab14.html