Table 15A: Outcome Indicators by County Demographics

Assessing the Health and Welfare of the HCBS Population

Table 15: Outcome Indicators by County and State Demographics, 2005a

Select for Table 15B: Outcome Indicators by State Demographics.

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Table 15A: Outcome Indicators by County Demographics

HCBS
Subpopulation
Outcome 
Indicator
Percent
Age 65+
Percent
Age 85+
Percent
White
Percent
African
American
Percent
Hispanic
>Median≤Median>Median≤Median>Median≤Median>Median≤Median>Median≤Median
National HCBS
Population
Short-Term Complications of Diabetes305287300288291291303239262402
Asthma or Chronic Obstructive Pulmonary Disease5,0123,5794,7333,5785,4433,5333,7834,3953,4845,433
Congestive Heart Failure5,7455,0135,6794,9835,6355,0665,2754,7164,8196,507
Composite: Potentially Preventable Infection9,5627,6089,1307,62510,0037,5807,8418,9287,42510,339
    Bacterial Pneumonia6,1994,5645,8764,5646,6834,5144,6865,9974,5176,452
    Urinary Tract Infection3,3633,0443,2543,0613,3203,0663,1552,9302,9083,887
Infection Due to Device or Implant751765761763740767786656735864
Dehydration2,2021,8312,1961,8062,0641,8771,9461,7611,7742,433
Composite: ACSC Chronic Conditions13,70911,51913,35511,48913,81711,57812,07811,65211,11915,311
Composite: ACSC Acute Conditions8,9976,8948,5976,8889,3876,8847,1218,4236,7449,658
Composite: ACSC Overall22,70618,41221,95118,37623,20318,46019,19820,07417,86324,967
Pressure Ulcer3,3413,5553,2543,6042,9763,6323,6842,7143,4023,905
Injurious Falls429263406260468261269440259455
Dually Eligible
HCBS
Participants
Short-Term Complications of Diabetes232234230235241232242197216297
Asthma or Chronic Obstructive Pulmonary Disease5,2773,7784,9783,7815,8043,7163,9804,7433,6655,798
Congestive Heart Failure6,5895,7696,5075,7386,6195,7986,0335,6315,5437,475
Composite: Potentially Preventable Infection10,7668,62810,2998,64911,3598,5788,86310,2368,41811,690
    Bacterial Pneumonia6,9545,1326,6015,1327,5925,0585,2476,8715,0717,310
    Urinary Tract Infection3,8123,4963,6973,5173,7683,5203,6153,3653,3474,380
Infection Due to Device or Implant683759709755660762771617727797
Dehydration2,4602,0782,4472,0542,3072,1322,2081,9842,0162,717
Composite: ACSC Chronic Conditions14,79312,50514,43812,46915,09812,53113,05412,93412,09916,443
Composite: ACSC Acute Conditions10,1867,8699,7607,85910,6867,8498,1089,6777,70710,947
Composite: ACSC Overall24,97820,37224,19620,32725,78320,37921,16122,60919,80527,388
Pressure Ulcer3,6784,0113,5894,0723,1724,1184,1562,9693,8604,206
Injurious Falls520339493336568336345539334554
Medicaid-Only
HCBS
Participants
Short-Term Complications of Diabetes559434540432454459473380390731
Asthma or Chronic Obstructive Pulmonary Disease4,0883,0323,8933,0244,2623,0203,2313,2452,9734,290
Congestive Heart Failure2,8062,9322,8512,9262,4123,0113,1451,6992,7683,476
Composite: Potentially Preventable Infection5,3684,8055,1404,8405,5584,7784,9714,6134,6176,109
    Bacterial Pneumonia3,5693,0023,4003,0183,7042,9873,1093,1152,9493,764
    Urinary Tract Infection1,7991,8031,7391,8221,8541,7911,8621,4981,6682,345
Infection Due to Device or Implant9857829387831,0017838277857581,072
Dehydration1,3061,1511,3381,1301,2681,1621,2101,0261,0911,543
Composite: ACSC Chronic Conditions9,9368,8089,6588,8209,6188,9009,3367,4268,34611,767
Composite: ACSC Acute Conditions4,8564,2154,6254,2465,1334,1724,3474,2874,0205,622
Composite: ACSC Overall14,79213,02214,28213,06614,75113,07113,68311,71312,36617,386
Pressure Ulcer2,1672,3032,1102,3302,3322,2662,3561,8742,1092,960
Injurious Falls1135411052137515611447142
I/DD
Subpopulation
Short-Term Complications of Diabetes161160153164139167168131147198
Asthma or Chronic Obstructive Pulmonary Disease844702795711799716757664696861
Congestive Heart Failure684660628683609685715487635757
Composite: Potentially Preventable Infection4,4444,2884,3854,3014,7024,1974,4054,0394,1154,962
    Bacterial Pneumonia3,0792,8073,0512,7933,3452,7112,8692,8942,7243,324
    Urinary Tract Infection1,3651,4811,3341,5071,3571,4861,5371,1451,3911,638
Infection Due to Device or Implant281323293321258331331245316300
Dehydration698693711687685697728571660797
Composite: ACSC Chronic Conditions2,1882,1152,0722,1611,9392,2002,2711,6302,0642,339
Composite: ACSC Acute Conditions3,4833,2933,4103,3083,5703,2603,3963,1343,1563,890
Composite: ACSC Overall5,6715,4085,4825,4695,5095,4615,6674,7645,2216,229
Pressure Ulcer1,1841,5041,1541,5491,1121,5331,5449901,3991,503
Injurious Falls10263102599664717763100
SMI
Subpopulation
Short-Term Complications of Diabetes587491525507507514539384475641
Asthma or Chronic Obstructive Pulmonary Disease6,0024,7615,5104,8256,1424,7274,9565,3984,6906,216
Congestive Heart Failure3,6243,3793,3553,4673,2753,4773,5652,8083,2364,112
Composite: Potentially Preventable Infection8,1677,0927,7787,1328,7246,9427,2317,7866,8588,943
    Bacterial Pneumonia5,4054,4965,2504,4556,0274,3284,5645,3224,3545,871
    Urinary Tract Infection2,7612,5952,5282,6772,6982,6142,6672,4652,5043,072
Infection Due to Device or Implant807735766744798738748765724844
Dehydration2,1071,9632,1031,9481,9771,9992,0441,7601,9052,301
Composite: ACSC Chronic Conditions12,97311,44411,98611,68912,28811,64012,02310,63211,15913,914
Composite: ACSC Acute Conditions7,9686,7527,5676,7828,4876,6146,8917,6266,5518,629
Composite: ACSC Overall20,93818,19619,55218,47020,77618,25218,91318,25817,70922,543
Pressure Ulcer2,4562,7742,2382,9072,5662,7422,7702,3952,6043,047
Injurious Falls345217327209331221232308213354
HCBS
Population
Ages 18-64
Without I/DD
or SMI
Short-Term Complications of Diabetes655621638625647625652528536970
Asthma or Chronic Obstructive Pulmonary Disease6,3214,4886,0854,4767,2404,3734,7975,2884,3416,905
Congestive Heart Failure4,8605,1515,0745,0925,0215,1025,4023,6914,7876,196
Composite: Potentially Preventable Infection8,2236,7267,8576,7758,8786,6536,9947,3136,5219,012
    Bacterial Pneumonia5,0293,7394,7193,7805,4243,7143,9184,4743,7135,154
    Urinary Tract Infection3,1942,9863,1382,9953,4542,9393,0752,8392,8083,858
Infection Due to Device or Implant1,7261,7501,8341,7141,7741,7381,8111,4491,6791,985
Dehydration1,9441,6982,0241,6581,9911,7001,7851,6071,6442,150
Composite: ACSC Chronic Conditions16,18014,38216,17114,29217,32114,21715,08013,41913,54819,300
Composite: ACSC Acute Conditions7,3795,7437,0655,7688,3025,6185,9346,8355,5288,210
Composite: ACSC Overall23,55920,12323,23420,05925,62319,83321,01320,25319,07527,506
Pressure Ulcer5,0134,8654,9924,8655,1074,8515,0384,2754,6125,950
Injurious Falls213116218109230117121210108244
HCBS Population Age 65+Short-Term Complications of Diabetes128137150130140134138117131153
Asthma or Chronic Obstructive Pulmonary Disease6,6314,3866,3514,3338,0554,2614,5976,1704,2447,485
Congestive Heart Failure9,7807,5129,7457,37210,9427,4377,8648,6107,23111,238
Composite: Potentially Preventable Infection14,25510,32213,76610,22816,30910,18510,60013,91310,04615,872
    Bacterial Pneumonia9,2356,1518,8106,09210,9666,0216,2789,4286,0619,954
    Urinary Tract Infection5,0214,1714,9564,1375,3444,1644,3224,4853,9845,918
Infection Due to Device or Implant512517527512512517528453496603
Dehydration3,3372,5163,3122,4703,3682,5622,6852,7062,4273,810
Composite: ACSC Chronic Conditions19,57714,96819,39214,72322,16314,77415,59117,66414,46722,234
Composite: ACSC Acute Conditions13,8899,71613,4149,60115,7859,62310,01913,4849,50315,261
Composite: ACSC Overall33,46524,68232,80524,32237,94624,39525,60931,14623,96837,491
Pressure Ulcer4,0494,2374,0314,2563,5404,3204,4073,1344,0764,721
Injurious Falls778456729451973440458854445861
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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.

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 15A: Outcome Indicators by County Demographics: 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/hcbsfindtab15.html