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, 2005^a

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

Click on the table to see a larger version ↓

HCBS Subpopulation	Outcome Indicator	Supply 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	≤Median	Yes	No	Yes	No
National HCBS Population	Short-Term Complications of Diabetes	293	287	316	279	276	305	275	336	279	321	280	327	285	329
	Asthma or Chronic Obstructive Pulmonary Disease	3,958	3,761	4,770	3,472	3,976	3,822	3,570	4,796	3,611	4,607	3,755	4,320	3,806	4,441
	Congestive Heart Failure	5,267	4,978	5,915	4,816	5,374	4,996	4,896	5,946	4,897	5,869	5,100	5,399	5,115	5,538
	Composite: Potentially Preventable Infection	7,870	8,390	9,072	7,539	8,212	7,884	7,379	9,871	7,387	9,674	7,611	9,346	7,772	9,700
	Bacterial     Pneumonia	4,768	5,251	5,721	4,539	5,052	4,811	4,488	6,135	4,451	6,112	4,694	5,627	4,758	5,956
	Urinary     Tract     Infection	3,102	3,139	3,351	3,000	3,160	3,074	2,891	3,736	2,936	3,562	2,917	3,719	3,013	3,744
	Infection Due to Device or Implant	768	749	851	719	771	754	740	823	751	789	728	865	760	773
	Dehydration	1,941	1,854	2,226	1,762	1,903	1,921	1,774	2,297	1,785	2,234	1,818	2,204	1,859	2,246
	Composite: ACSC Chronic Conditions	12,305	11,362	13,809	11,128	12,272	11,761	11,291	13,975	11,354	13,627	11,771	12,704	11,838	13,012
	Composite: ACSC Acute Conditions	7,190	7,707	8,561	6,776	7,561	7,177	6,677	9,249	6,645	9,147	7,028	8,362	7,100	8,958
	Composite: ACSC Overall	19,494	19,068	22,370	17,903	19,831	18,937	17,966	23,223	17,998	22,773	18,798	21,065	18,937	21,967
	Pressure Ulcer	3,690	3,126	3,660	3,435	3,626	3,404	3,389	3,840	3,444	3,669	3,368	3,936	3,459	3,816
	Injurious Falls	279	344	376	263	328	275	233	485	250	426	288	335	284	401
Dually Eligible HCBS Participants	Short-Term Complications of Diabetes	233	233	252	225	216	249	221	265	227	249	222	267	228	267
	Asthma or Chronic Obstructive Pulmonary Disease	4,158	4,050	5,076	3,660	4,262	4,001	3,732	5,135	3,765	4,993	3,959	4,614	4,005	4,832
	Congestive Heart Failure	6,010	5,851	6,797	5,551	6,168	5,774	5,620	6,831	5,576	6,887	5,860	6,252	5,872	6,473
	Composite: Potentially Preventable Infection	8,911	9,551	10,310	8,542	9,363	8,908	8,368	11,067	8,350	10,993	8,607	10,659	8,793	11,080
	Bacterial     Pneumonia	5,356	5,956	6,496	5,093	5,742	5,386	5,040	6,877	4,977	6,950	5,267	6,404	5,350	6,759
	Urinary     Tract     Infection	3,555	3,596	3,814	3,449	3,621	3,522	3,328	4,190	3,373	4,044	3,340	4,255	3,443	4,321
	Infection Due to Device or Implant	758	709	806	711	747	737	730	773	737	754	718	812	743	735
	Dehydration	2,197	2,102	2,477	2,015	2,146	2,183	2,018	2,550	2,019	2,524	2,063	2,477	2,103	2,543
	Composite: ACSC Chronic Conditions	13,273	12,532	15,014	12,069	13,344	12,759	12,221	15,131	12,216	15,014	12,773	13,806	12,814	14,334
	Composite: ACSC Acute Conditions	8,209	8,801	9,793	7,727	8,666	8,172	7,634	10,392	7,567	10,434	8,016	9,562	8,091	10,269
	Composite: ACSC Overall	21,480	21,331	24,806	19,795	22,008	20,929	19,853	25,522	19,781	25,448	20,787	23,367	20,903	24,602
	Pressure Ulcer	4,133	3,523	3,912	3,945	4,035	3,846	3,858	4,130	3,888	4,045	3,835	4,231	3,896	4,165
	Injurious Falls	355	435	467	339	418	349	305	579	322	524	370	412	363	490
Medicaid-Only HCBS Participants	Short-Term Complications of Diabetes	462	449	505	436	443	471	420	590	424	551	442	511	447	534
	Asthma or Chronic Obstructive Pulmonary Disease	3,391	2,887	3,869	2,932	3,168	3,293	3,133	3,581	3,180	3,381	3,176	3,419	3,246	3,148
	Congestive Heart Failure	3,165	2,343	3,329	2,709	3,140	2,695	2,948	2,769	3,007	2,633	2,947	2,783	2,975	2,441
	Composite: Potentially Preventable Infection	4,924	4,885	5,442	4,661	4,972	4,857	4,720	5,578	4,707	5,482	4,787	5,319	4,882	5,126
	Bacterial     Pneumonia	3,104	3,123	3,450	2,949	3,111	3,109	3,006	3,472	2,988	3,451	3,069	3,243	3,084	3,296
	Urinary     Tract     Infection	1,820	1,762	1,993	1,711	1,861	1,748	1,714	2,106	1,719	2,031	1,718	2,076	1,798	1,830
	Infection Due to Device or Implant	798	871	981	744	837	805	767	1,005	792	900	757	1,028	809	899
	Dehydration	1,215	1,103	1,488	1,034	1,219	1,144	1,120	1,389	1,132	1,315	1,123	1,366	1,168	1,264
	Composite: ACSC Chronic Conditions	9,566	7,827	10,276	8,428	9,255	8,811	8,792	9,824	8,953	9,218	8,930	9,325	9,079	8,630
	Composite: ACSC Acute Conditions	4,306	4,406	4,949	4,047	4,449	4,235	4,104	5,144	4,079	5,054	4,230	4,685	4,298	4,613
	Composite: ACSC Overall	13,871	12,234	15,225	12,474	13,703	13,045	12,895	14,968	13,031	14,271	13,160	14,009	13,377	13,240
	Pressure Ulcer	2,435	1,929	2,922	1,971	2,477	2,094	2,127	2,798	2,206	2,474	2,044	3,033	2,223	2,658
	Injurious Falls	63	72	107	46	76	57	42	148	48	115	56	97	60	107
I/DD Subpopulation	Short-Term Complications of Diabetes	174	135	141	173	157	163	155	173	140	207	153	176	154	187
	Asthma or Chronic Obstructive Pulmonary Disease	757	703	795	700	793	692	725	768	715	791	725	762	748	689
	Congestive Heart Failure	729	553	668	664	697	640	671	653	681	630	682	632	683	587
	Composite: Potentially Preventable Infection	4,319	4,340	4,622	4,136	4,524	4,166	4,236	4,545	4,189	4,655	4,135	4,731	4,302	4,440
	Bacterial     Pneumonia	2,810	2,989	3,165	2,686	3,011	2,762	2,820	3,006	2,757	3,155	2,751	3,134	2,839	3,036
	Urinary     Tract     Infection	1,509	1,351	1,457	1,450	1,513	1,403	1,417	1,540	1,433	1,501	1,384	1,597	1,463	1,404
	Infection Due to Device or Implant	329	282	319	308	352	280	309	320	322	290	318	301	322	268
	Dehydration	723	642	757	653	754	646	665	765	665	764	682	719	695	691
	Composite: ACSC Chronic Conditions	2,307	1,821	2,151	2,122	2,240	2,046	2,147	2,099	2,114	2,178	2,140	2,120	2,178	1,927
	Composite: ACSC Acute Conditions	3,376	3,275	3,612	3,164	3,525	3,189	3,258	3,537	3,207	3,658	3,239	3,551	3,302	3,513
	Composite: ACSC Overall	5,684	5,096	5,763	5,286	5,764	5,235	5,405	5,636	5,321	5,836	5,379	5,671	5,480	5,440
	Pressure Ulcer	1,524	1,248	1,380	1,455	1,569	1,307	1,405	1,474	1,405	1,474	1,390	1,498	1,464	1,246
	Injurious Falls	74	70	93	59	82	65	60	104	69	81	67	84	71	78
SMI Subpopulation	Short-Term Complications of Diabetes	503	534	515	511	494	526	492	572	490	578	501	541	484	666
	Asthma or Chronic Obstructive Pulmonary Disease	5,142	4,793	5,426	4,788	5,360	4,785	4,718	5,969	4,913	5,387	4,982	5,162	5,022	5,096
	Congestive Heart Failure	3,550	3,172	3,622	3,315	3,790	3,162	3,353	3,671	3,365	3,632	3,452	3,385	3,467	3,242
	Composite: Potentially Preventable Infection	7,067	7,908	7,887	6,978	7,844	6,936	6,901	8,593	7,057	8,120	6,918	8,342	7,194	8,069
	Bacterial     Pneumonia	4,482	5,172	5,165	4,403	5,024	4,447	4,412	5,539	4,512	5,234	4,443	5,323	4,619	5,119
	Urinary     Tract     Infection	2,585	2,737	2,722	2,575	2,820	2,489	2,490	3,054	2,545	2,886	2,475	3,019	2,574	2,951
	Infection Due to Device or Implant	728	801	857	684	852	674	716	853	731	808	708	857	755	729
	Dehydration	1,983	2,020	2,176	1,881	2,142	1,882	1,925	2,199	1,959	2,098	1,953	2,097	2,001	1,956
	Composite: ACSC Chronic Conditions	12,173	10,907	12,245	11,489	12,633	11,131	11,354	13,044	11,629	12,222	11,787	11,762	11,814	11,590
	Composite: ACSC Acute Conditions	6,772	7,571	7,724	6,579	7,586	6,588	6,578	8,327	6,718	7,900	6,698	7,815	6,895	7,705
	Composite: ACSC Overall	18,943	18,477	19,969	18,066	20,218	17,718	17,931	21,371	18,346	20,122	18,484	19,577	18,708	19,295
	Pressure Ulcer	2,744	2,615	2,612	2,762	2,893	2,560	2,585	3,058	2,718	2,663	2,615	2,925	2,716	2,636
	Injurious Falls	228	282	305	207	280	218	200	379	220	317	245	246	240	272
HCBS Population Ages 18-64 Without I/DD or SMI	Short-Term Complications of Diabetes	626	634	674	607	612	645	575	784	599	696	601	720	621	682
	Asthma or Chronic Obstructive Pulmonary Disease	5,026	4,600	6,140	4,282	4,735	5,034	4,551	5,856	4,642	5,439	4,683	5,572	4,783	5,609
	Congestive Heart Failure	5,426	4,387	5,766	4,759	5,240	4,941	5,040	5,224	5,128	4,995	4,972	5,474	5,062	5,259
	Composite: Potentially Preventable Infection	7,005	7,150	8,032	6,578	7,030	7,074	6,504	8,629	6,646	7,966	6,692	8,256	6,836	8,551
	Bacterial     Pneumonia	4,003	4,057	4,626	3,728	3,999	4,042	3,732	4,851	3,756	4,616	3,891	4,455	3,895	4,891
	Urinary     Tract     Infection	3,002	3,093	3,406	2,850	3,031	3,032	2,772	3,779	2,890	3,350	2,801	3,802	2,941	3,660
	Infection Due to Device or Implant	1,745	1,744	1,961	1,640	1,665	1,821	1,670	1,960	1,768	1,691	1,627	2,140	1,705	2,017
	Dehydration	1,797	1,658	2,150	1,559	1,725	1,778	1,646	2,058	1,693	1,885	1,645	2,110	1,686	2,211
	Composite: ACSC Chronic Conditions	15,403	13,472	17,195	13,604	14,734	14,813	14,046	16,871	14,378	15,665	14,225	16,612	14,548	16,343
	Composite: ACSC Acute Conditions	5,973	6,362	7,352	5,494	6,201	6,002	5,524	7,756	5,542	7,355	5,817	7,047	5,872	7,672
	Composite: ACSC Overall	21,374	19,834	24,546	19,096	20,933	20,815	19,569	24,626	19,919	23,018	20,040	23,657	20,419	24,013
	Pressure Ulcer	5,097	4,484	6,080	4,325	5,212	4,596	4,566	5,852	4,770	5,184	4,425	6,478	4,695	6,297
	Injurious Falls	141	129	184	115	165	110	106	226	114	189	128	169	128	199
HCBS Population Age 65+	Short-Term Complications of Diabetes	138	128	155	127	110	157	127	156	140	121	129	155	132	154
	Asthma or Chronic Obstructive Pulmonary Disease	4,780	5,026	6,592	4,169	4,907	4,810	4,325	6,380	4,380	6,115	4,494	6,210	4,626	6,501
	Congestive Heart Failure	7,816	8,372	10,422	7,024	8,096	7,888	7,316	9,914	7,330	9,727	7,521	9,729	7,697	10,062
	Composite: Potentially Preventable Infection	10,664	12,232	13,917	10,048	11,168	11,123	10,006	14,418	9,976	14,242	10,181	14,749	10,549	15,411
	Bacterial     Pneumonia	6,421	7,643	8,797	6,004	6,881	6,718	6,020	9,026	5,941	9,060	6,250	8,839	6,438	9,359
	Urinary     Tract     Infection	4,243	4,589	5,119	4,044	4,287	4,405	3,986	5,393	4,035	5,181	3,932	5,910	4,111	6,052
	Infection Due to Device or Implant	523	499	598	484	512	520	506	544	500	559	492	606	517	511
	Dehydration	2,663	2,744	3,416	2,400	2,584	2,782	2,436	3,412	2,442	3,340	2,452	3,571	2,558	3,619
	Composite: ACSC Chronic Conditions	15,810	16,206	20,592	14,089	15,953	15,913	14,617	19,711	14,703	19,190	15,052	19,222	15,354	20,067
	Composite: ACSC Acute Conditions	10,122	11,642	13,619	9,391	10,630	10,552	9,417	13,956	9,358	13,852	9,754	13,711	10,017	14,681
	Composite: ACSC Overall	25,931	27,847	34,209	23,478	26,582	26,462	24,033	33,666	24,058	33,041	24,805	32,931	25,369	34,746
	Pressure Ulcer	4,401	3,740	4,283	4,164	4,081	4,303	4,106	4,462	4,146	4,335	4,009	4,906	4,104	4,872
	Injurious Falls	468	649	729	442	560	490	401	874	425	784	486	662	486	793

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.

Return to Contents
Return to Document