Assessing the Health and Welfare of the HCBS Population

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

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

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

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

>Median

≤Median

>Median

≤Median

>Median

≤Median

>Median

≤Median

>Median

≤Median

National
HCBS
Population
Short-Term Complications of Diabetes 332 248 289 288 320 268 267 347 298 279
Asthma or Chronic Obstructive Pulmonary Disease 4,773 3,039 4,590 3,155 4,485 3,462 3,765 4,143 4,729 3,007
Congestive Heart Failure 5,732 4,583 5,600 4,672 5,643 4,798 5,008 5,474 5,801 4,465
Composite: Potentially Preventable Infection 8,842 7,293 8,646 7,429 9,040 7,375 7,593 9,254 8,736 7,331
    Bacterial Pneumonia 5,485 4,423 5,417 4,451 5,598 4,494 4,690 5,597 5,456 4,405
    Urinary Tract Infection 3,358 2,869 3,229 2,978 3,441 2,881 2,903 3,657 3,279 2,926
Infection Due to Device or Implant 802 715 820 694 846 697 737 810 819 694
Dehydration 2,204 1,628 2,088 1,721 2,081 1,786 1,787 2,225 2,145 1,661
Composite: ACSC Chronic Conditions 13,774 10,201 13,370 10,467 13,195 11,064 11,636 12,648 13,761 10,059
Composite: ACSC Acute Conditions 8,183 6,565 8,085 6,602 8,331 6,689 6,980 8,327 8,116 6,561
Composite: ACSC Overall 21,956 16,765 21,455 17,068 21,525 17,751 18,616 20,974 21,876 16,619
Pressure Ulcer 3,799 3,199 3,745 3,230 3,858 3,242 3,356 3,845 3,772 3,200
Injurious Falls 334 265 324 272 342 269 259 406 342 254
Dually Eligible
HCBS Participants
Short-Term Complications of Diabetes 259 205 234 228 258 214 214 277 240 222
Asthma or Chronic Obstructive Pulmonary Disease 5,044 3,212 4,824 3,376 4,857 3,586 3,941 4,479 4,922 3,247
Congestive Heart Failure 6,659 5,212 6,476 5,350 6,537 5,490 5,749 6,313 6,636 5,165
Composite: Potentially Preventable Infection 10,083 8,214 9,883 8,357 10,320 8,315 8,628 10,375 9,886 8,322
    Bacterial Pneumonia 6,228 4,939 6,174 4,957 6,398 5,004 5,284 6,273 6,156 4,950
    Urinary Tract Infection 3,854 3,275 3,709 3,400 3,922 3,311 3,344 4,102 3,731 3,372
Infection Due to Device or Implant 782 692 793 679 820 680 722 769 783 687
Dehydration 2,471 1,862 2,337 1,975 2,315 2,047 2,039 2,456 2,390 1,915
Composite: ACSC Chronic Conditions 14,939 11,061 14,502 11,380 14,480 11,893 12,592 13,773 14,781 11,034
Composite: ACSC Acute Conditions 9,399 7,435 9,300 7,477 9,579 7,586 7,995 9,377 9,240 7,500
Composite: ACSC Overall 24,337 18,495 23,801 18,856 24,058 19,478 20,586 23,149 24,020 18,533
Pressure Ulcer 4,200 3,634 4,114 3,703 4,179 3,726 3,809 4,158 4,107 3,701
Injurious Falls 415 344 410 347 432 343 333 497 425 331
Medicaid-Only
HCBS
Participants
Short-Term Complications of Diabetes 548 371 444 464 503 423 413 589 472 437
Asthma or Chronic Obstructive Pulmonary Disease 3,975 2,543 3,928 2,500 3,390 3,107 3,285 2,991 4,151 2,334
Congestive Heart Failure 3,005 2,791 3,113 2,669 3,013 2,815 2,980 2,601 3,303 2,504
Composite: Potentially Preventable Infection 5,192 4,666 5,136 4,689 5,274 4,684 4,762 5,415 5,292 4,556
    Bacterial Pneumonia 3,296 2,955 3,271 2,958 3,247 3,032 3,065 3,281 3,364 2,881
    Urinary Tract Infection 1,896 1,711 1,865 1,731 2,027 1,652 1,696 2,134 1,929 1,675
Infection Due to Device or Implant 860 778 896 737 926 747 776 952 926 713
Dehydration 1,416 963 1,381 970 1,393 1,038 1,099 1,432 1,415 951
Composite: ACSC Chronic Conditions 10,346 7,749 10,159 7,774 9,415 8,688 9,024 8,796 10,707 7,330
Composite: ACSC Acute Conditions 4,604 4,083 4,637 4,018 4,661 4,117 4,206 4,733 4,751 3,929
Composite: ACSC Overall 14,949 11,832 14,796 11,790 14,076 12,804 13,229 13,529 15,458 11,258
Pressure Ulcer 2,619 1,957 2,698 1,836 2,915 1,857 2,116 2,775 2,771 1,795
Injurious Falls 96 38 80 50 77 58 57 95 93 39
I/DD Subpopulation Short-Term Complications of Diabetes 164 144 144 169 145 163 153 159 137 180
Asthma or Chronic Obstructive Pulmonary Disease 791 648 781 651 710 738 750 675 795 629
Congestive Heart Failure 724 575 674 631 622 683 694 576 684 617
Composite: Potentially Preventable Infection 4,522 4,295 4,707 4,030 4,485 4,363 4,500 4,248 4,787 3,906
    Bacterial Pneumonia 3,048 2,849 3,232 2,587 3,025 2,901 3,048 2,769 3,275 2,516
    Urinary Tract Infection 1,474 1,446 1,475 1,443 1,460 1,461 1,452 1,479 1,512 1,391
Infection Due to Device or Implant 320 289 317 291 338 279 319 279 289 330
Dehydration 752 636 756 622 739 666 697 703 743 638
Composite: ACSC Chronic Conditions 2,285 1,867 2,155 2,012 2,029 2,146 2,184 1,907 2,172 1,985
Composite: ACSC Acute Conditions 3,512 3,245 3,653 3,037 3,496 3,303 3,484 3,195 3,651 3,029
Composite: ACSC Overall 5,797 5,112 5,808 5,048 5,526 5,450 5,668 5,101 5,823 5,014
Pressure Ulcer 1,477 1,318 1,449 1,344 1,542 1,291 1,426 1,359 1,414 1,390
Injurious Falls 86 56 84 58 78 68 63 92 86 54
SMI
Subpopulation
Short-Term Complications of Diabetes 517 491 465 569 552 475 459 637 467 564
Asthma or Chronic Obstructive Pulmonary Disease 5,367 4,459 5,298 4,513 5,560 4,602 4,789 5,540 5,496 4,234
Congestive Heart Failure 3,522 3,221 3,411 3,373 3,842 3,097 3,332 3,576 3,523 3,208
Composite: Potentially Preventable Infection 7,420 7,178 7,265 7,401 8,274 6,678 6,834 8,679 7,489 7,067
    Bacterial Pneumonia 4,800 4,571 4,812 4,539 5,287 4,313 4,456 5,399 4,975 4,304
    Urinary Tract Infection 2,621 2,607 2,453 2,862 2,987 2,365 2,378 3,280 2,514 2,764
Infection Due to Device or Implant 711 783 742 740 919 622 706 839 738 745
Dehydration 2,028 1,921 1,958 2,021 2,236 1,814 1,846 2,368 2,025 1,921
Composite: ACSC Chronic Conditions 12,335 10,717 11,999 11,137 12,890 10,829 11,373 12,454 12,399 10,561
Composite: ACSC Acute Conditions 7,096 6,863 7,055 6,912 7,933 6,371 6,608 8,093 7,253 6,623
Composite: ACSC Overall 19,429 17,580 19,054 18,048 20,823 17,199 17,979 20,548 19,651 17,183
Pressure Ulcer 2,713 2,642 2,609 2,796 3,040 2,444 2,503 3,188 2,637 2,751
Injurious Falls 255 223 259 215 307 198 200 359 266 206
HCBS
Population
Ages 18-64
Without
I/DD or SMI
Short-Term Complications of Diabetes 755 528 592 661 687 586 562 843 648 612
Asthma or Chronic Obstructive Pulmonary Disease 6,463 3,649 6,075 3,820 5,323 4,577 4,792 5,215 6,550 3,528
Congestive Heart Failure 5,746 4,576 5,671 4,568 5,267 4,965 5,085 5,119 6,075 4,285
Composite: Potentially Preventable Infection 7,784 6,484 7,721 6,458 7,705 6,585 6,538 8,734 7,998 6,286
    Bacterial Pneumonia 4,505 3,642 4,407 3,675 4,327 3,801 3,810 4,709 4,579 3,566
    Urinary Tract Infection 3,280 2,842 3,314 2,783 3,378 2,784 2,728 4,025 3,419 2,720
Infection Due to Device or Implant 1,962 1,572 1,957 1,552 1,804 1,701 1,648 2,056 2,092 1,459
Dehydration 2,128 1,453 1,997 1,529 1,929 1,622 1,580 2,304 2,133 1,438
Composite: ACSC Chronic Conditions 17,864 12,344 16,931 12,835 15,608 14,178 14,381 16,076 18,153 12,009
Composite: ACSC Acute Conditions 6,870 5,499 6,942 5,346 6,776 5,613 5,703 7,399 7,110 5,278
Composite: ACSC Overall 24,733 17,841 23,872 18,179 22,383 19,789 20,082 23,473 25,262 17,286
Pressure Ulcer 5,536 4,402 5,759 4,127 5,865 4,198 4,511 6,164 5,868 4,109
Injurious Falls 189 96 161 116 160 120 120 190 175 105
HCBS Population Age 65+ Short-Term Complications of Diabetes 167 108 159 114 150 126 123 170 171 102
Asthma or Chronic Obstructive Pulmonary Disease 6,397 3,606 6,189 3,753 6,290 4,066 4,528 5,796 6,269 3,604
Congestive Heart Failure 9,670 6,607 9,612 6,631 9,781 6,990 7,460 9,492 9,750 6,414
Composite: Potentially Preventable Infection 13,254 9,483 12,911 9,732 13,723 9,775 10,276 13,812 12,792 9,731
    Bacterial
    Pneumonia
8,143 5,747 8,056 5,800 8,543 5,878 6,280 8,411 7,933 5,832
    Urinary Tract
    Infection
5,111 3,736 4,855 3,932 5,180 3,897 3,996 5,401 4,858 3,899
Infection Due to Device or Implant 566 472 588 454 607 464 492 579 580 457
Dehydration 3,315 2,183 3,164 2,296 3,138 2,441 2,478 3,309 3,205 2,232
Composite: ACSC Chronic Conditions 19,734 12,826 19,554 12,920 19,483 13,958 14,978 18,641 19,765 12,520
Composite: ACSC Acute Conditions 12,729 8,887 12,571 8,986 13,154 9,214 9,806 12,963 12,401 9,017
Composite: ACSC Overall 32,461 21,712 32,124 21,904 32,636 23,170 24,783 31,601 32,163 21,535
Pressure Ulcer 4,932 3,599 4,712 3,767 4,562 3,990 4,013 4,724 4,778 3,679
Injurious Falls 608 453 613 448 665 445 444 756 630 428
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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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Page last reviewed December 2012
Internet Citation: Table 14B: Outcome Indicators by State Supply of Health Care Providers. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab14b.html