Table 14B: Outcome Indicators by State 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

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

HCBS
Subpopulation
Outcome 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

>Median

≤Median

>Median

≤Median

>Median

≤Median

>Median

≤Median

>Median

≤Median

National
HCBS
Population
Short-Term Complications of Diabetes332248289288320268267347298279
Asthma or Chronic Obstructive Pulmonary Disease4,7733,0394,5903,1554,4853,4623,7654,1434,7293,007
Congestive Heart Failure5,7324,5835,6004,6725,6434,7985,0085,4745,8014,465
Composite: Potentially Preventable Infection8,8427,2938,6467,4299,0407,3757,5939,2548,7367,331
    Bacterial Pneumonia5,4854,4235,4174,4515,5984,4944,6905,5975,4564,405
    Urinary Tract Infection3,3582,8693,2292,9783,4412,8812,9033,6573,2792,926
Infection Due to Device or Implant802715820694846697737810819694
Dehydration2,2041,6282,0881,7212,0811,7861,7872,2252,1451,661
Composite: ACSC Chronic Conditions13,77410,20113,37010,46713,19511,06411,63612,64813,76110,059
Composite: ACSC Acute Conditions8,1836,5658,0856,6028,3316,6896,9808,3278,1166,561
Composite: ACSC Overall21,95616,76521,45517,06821,52517,75118,61620,97421,87616,619
Pressure Ulcer3,7993,1993,7453,2303,8583,2423,3563,8453,7723,200
Injurious Falls334265324272342269259406342254
Dually Eligible
HCBS Participants
Short-Term Complications of Diabetes259205234228258214214277240222
Asthma or Chronic Obstructive Pulmonary Disease5,0443,2124,8243,3764,8573,5863,9414,4794,9223,247
Congestive Heart Failure6,6595,2126,4765,3506,5375,4905,7496,3136,6365,165
Composite: Potentially Preventable Infection10,0838,2149,8838,35710,3208,3158,62810,3759,8868,322
    Bacterial Pneumonia6,2284,9396,1744,9576,3985,0045,2846,2736,1564,950
    Urinary Tract Infection3,8543,2753,7093,4003,9223,3113,3444,1023,7313,372
Infection Due to Device or Implant782692793679820680722769783687
Dehydration2,4711,8622,3371,9752,3152,0472,0392,4562,3901,915
Composite: ACSC Chronic Conditions14,93911,06114,50211,38014,48011,89312,59213,77314,78111,034
Composite: ACSC Acute Conditions9,3997,4359,3007,4779,5797,5867,9959,3779,2407,500
Composite: ACSC Overall24,33718,49523,80118,85624,05819,47820,58623,14924,02018,533
Pressure Ulcer4,2003,6344,1143,7034,1793,7263,8094,1584,1073,701
Injurious Falls415344410347432343333497425331
Medicaid-Only
HCBS
Participants
Short-Term Complications of Diabetes548371444464503423413589472437
Asthma or Chronic Obstructive Pulmonary Disease3,9752,5433,9282,5003,3903,1073,2852,9914,1512,334
Congestive Heart Failure3,0052,7913,1132,6693,0132,8152,9802,6013,3032,504
Composite: Potentially Preventable Infection5,1924,6665,1364,6895,2744,6844,7625,4155,2924,556
    Bacterial Pneumonia3,2962,9553,2712,9583,2473,0323,0653,2813,3642,881
    Urinary Tract Infection1,8961,7111,8651,7312,0271,6521,6962,1341,9291,675
Infection Due to Device or Implant860778896737926747776952926713
Dehydration1,4169631,3819701,3931,0381,0991,4321,415951
Composite: ACSC Chronic Conditions10,3467,74910,1597,7749,4158,6889,0248,79610,7077,330
Composite: ACSC Acute Conditions4,6044,0834,6374,0184,6614,1174,2064,7334,7513,929
Composite: ACSC Overall14,94911,83214,79611,79014,07612,80413,22913,52915,45811,258
Pressure Ulcer2,6191,9572,6981,8362,9151,8572,1162,7752,7711,795
Injurious Falls96388050775857959339
I/DD SubpopulationShort-Term Complications of Diabetes164144144169145163153159137180
Asthma or Chronic Obstructive Pulmonary Disease791648781651710738750675795629
Congestive Heart Failure724575674631622683694576684617
Composite: Potentially Preventable Infection4,5224,2954,7074,0304,4854,3634,5004,2484,7873,906
    Bacterial Pneumonia3,0482,8493,2322,5873,0252,9013,0482,7693,2752,516
    Urinary Tract Infection1,4741,4461,4751,4431,4601,4611,4521,4791,5121,391
Infection Due to Device or Implant320289317291338279319279289330
Dehydration752636756622739666697703743638
Composite: ACSC Chronic Conditions2,2851,8672,1552,0122,0292,1462,1841,9072,1721,985
Composite: ACSC Acute Conditions3,5123,2453,6533,0373,4963,3033,4843,1953,6513,029
Composite: ACSC Overall5,7975,1125,8085,0485,5265,4505,6685,1015,8235,014
Pressure Ulcer1,4771,3181,4491,3441,5421,2911,4261,3591,4141,390
Injurious Falls86568458786863928654
SMI
Subpopulation
Short-Term Complications of Diabetes517491465569552475459637467564
Asthma or Chronic Obstructive Pulmonary Disease5,3674,4595,2984,5135,5604,6024,7895,5405,4964,234
Congestive Heart Failure3,5223,2213,4113,3733,8423,0973,3323,5763,5233,208
Composite: Potentially Preventable Infection7,4207,1787,2657,4018,2746,6786,8348,6797,4897,067
    Bacterial Pneumonia4,8004,5714,8124,5395,2874,3134,4565,3994,9754,304
    Urinary Tract Infection2,6212,6072,4532,8622,9872,3652,3783,2802,5142,764
Infection Due to Device or Implant711783742740919622706839738745
Dehydration2,0281,9211,9582,0212,2361,8141,8462,3682,0251,921
Composite: ACSC Chronic Conditions12,33510,71711,99911,13712,89010,82911,37312,45412,39910,561
Composite: ACSC Acute Conditions7,0966,8637,0556,9127,9336,3716,6088,0937,2536,623
Composite: ACSC Overall19,42917,58019,05418,04820,82317,19917,97920,54819,65117,183
Pressure Ulcer2,7132,6422,6092,7963,0402,4442,5033,1882,6372,751
Injurious Falls255223259215307198200359266206
HCBS
Population
Ages 18-64
Without
I/DD or SMI
Short-Term Complications of Diabetes755528592661687586562843648612
Asthma or Chronic Obstructive Pulmonary Disease6,4633,6496,0753,8205,3234,5774,7925,2156,5503,528
Congestive Heart Failure5,7464,5765,6714,5685,2674,9655,0855,1196,0754,285
Composite: Potentially Preventable Infection7,7846,4847,7216,4587,7056,5856,5388,7347,9986,286
    Bacterial Pneumonia4,5053,6424,4073,6754,3273,8013,8104,7094,5793,566
    Urinary Tract Infection3,2802,8423,3142,7833,3782,7842,7284,0253,4192,720
Infection Due to Device or Implant1,9621,5721,9571,5521,8041,7011,6482,0562,0921,459
Dehydration2,1281,4531,9971,5291,9291,6221,5802,3042,1331,438
Composite: ACSC Chronic Conditions17,86412,34416,93112,83515,60814,17814,38116,07618,15312,009
Composite: ACSC Acute Conditions6,8705,4996,9425,3466,7765,6135,7037,3997,1105,278
Composite: ACSC Overall24,73317,84123,87218,17922,38319,78920,08223,47325,26217,286
Pressure Ulcer5,5364,4025,7594,1275,8654,1984,5116,1645,8684,109
Injurious Falls18996161116160120120190175105
HCBS Population Age 65+Short-Term Complications of Diabetes167108159114150126123170171102
Asthma or Chronic Obstructive Pulmonary Disease6,3973,6066,1893,7536,2904,0664,5285,7966,2693,604
Congestive Heart Failure9,6706,6079,6126,6319,7816,9907,4609,4929,7506,414
Composite: Potentially Preventable Infection13,2549,48312,9119,73213,7239,77510,27613,81212,7929,731
    Bacterial
    Pneumonia
8,1435,7478,0565,8008,5435,8786,2808,4117,9335,832
    Urinary Tract
    Infection
5,1113,7364,8553,9325,1803,8973,9965,4014,8583,899
Infection Due to Device or Implant566472588454607464492579580457
Dehydration3,3152,1833,1642,2963,1382,4412,4783,3093,2052,232
Composite: ACSC Chronic Conditions19,73412,82619,55412,92019,48313,95814,97818,64119,76512,520
Composite: ACSC Acute Conditions12,7298,88712,5718,98613,1549,2149,80612,96312,4019,017
Composite: ACSC Overall32,46121,71232,12421,90432,63623,17024,78331,60132,16321,535
Pressure Ulcer4,9323,5994,7123,7674,5623,9904,0134,7244,7783,679
Injurious Falls608453613448665445444756630428
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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: 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/hcbsfindtab14b.html