Assessing the Health and Welfare of the HCBS Population

Table 15A: Outcome Indicators by County Demographics

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 Diabetes 305 287 300 288 291 291 303 239 262 402
Asthma or Chronic Obstructive Pulmonary Disease 5,012 3,579 4,733 3,578 5,443 3,533 3,783 4,395 3,484 5,433
Congestive Heart Failure 5,745 5,013 5,679 4,983 5,635 5,066 5,275 4,716 4,819 6,507
Composite: Potentially Preventable Infection 9,562 7,608 9,130 7,625 10,003 7,580 7,841 8,928 7,425 10,339
    Bacterial Pneumonia 6,199 4,564 5,876 4,564 6,683 4,514 4,686 5,997 4,517 6,452
    Urinary Tract Infection 3,363 3,044 3,254 3,061 3,320 3,066 3,155 2,930 2,908 3,887
Infection Due to Device or Implant 751 765 761 763 740 767 786 656 735 864
Dehydration 2,202 1,831 2,196 1,806 2,064 1,877 1,946 1,761 1,774 2,433
Composite: ACSC Chronic Conditions 13,709 11,519 13,355 11,489 13,817 11,578 12,078 11,652 11,119 15,311
Composite: ACSC Acute Conditions 8,997 6,894 8,597 6,888 9,387 6,884 7,121 8,423 6,744 9,658
Composite: ACSC Overall 22,706 18,412 21,951 18,376 23,203 18,460 19,198 20,074 17,863 24,967
Pressure Ulcer 3,341 3,555 3,254 3,604 2,976 3,632 3,684 2,714 3,402 3,905
Injurious Falls 429 263 406 260 468 261 269 440 259 455
Dually Eligible
HCBS
Participants
Short-Term Complications of Diabetes 232 234 230 235 241 232 242 197 216 297
Asthma or Chronic Obstructive Pulmonary Disease 5,277 3,778 4,978 3,781 5,804 3,716 3,980 4,743 3,665 5,798
Congestive Heart Failure 6,589 5,769 6,507 5,738 6,619 5,798 6,033 5,631 5,543 7,475
Composite: Potentially Preventable Infection 10,766 8,628 10,299 8,649 11,359 8,578 8,863 10,236 8,418 11,690
    Bacterial Pneumonia 6,954 5,132 6,601 5,132 7,592 5,058 5,247 6,871 5,071 7,310
    Urinary Tract Infection 3,812 3,496 3,697 3,517 3,768 3,520 3,615 3,365 3,347 4,380
Infection Due to Device or Implant 683 759 709 755 660 762 771 617 727 797
Dehydration 2,460 2,078 2,447 2,054 2,307 2,132 2,208 1,984 2,016 2,717
Composite: ACSC Chronic Conditions 14,793 12,505 14,438 12,469 15,098 12,531 13,054 12,934 12,099 16,443
Composite: ACSC Acute Conditions 10,186 7,869 9,760 7,859 10,686 7,849 8,108 9,677 7,707 10,947
Composite: ACSC Overall 24,978 20,372 24,196 20,327 25,783 20,379 21,161 22,609 19,805 27,388
Pressure Ulcer 3,678 4,011 3,589 4,072 3,172 4,118 4,156 2,969 3,860 4,206
Injurious Falls 520 339 493 336 568 336 345 539 334 554
Medicaid-Only
HCBS
Participants
Short-Term Complications of Diabetes 559 434 540 432 454 459 473 380 390 731
Asthma or Chronic Obstructive Pulmonary Disease 4,088 3,032 3,893 3,024 4,262 3,020 3,231 3,245 2,973 4,290
Congestive Heart Failure 2,806 2,932 2,851 2,926 2,412 3,011 3,145 1,699 2,768 3,476
Composite: Potentially Preventable Infection 5,368 4,805 5,140 4,840 5,558 4,778 4,971 4,613 4,617 6,109
    Bacterial Pneumonia 3,569 3,002 3,400 3,018 3,704 2,987 3,109 3,115 2,949 3,764
    Urinary Tract Infection 1,799 1,803 1,739 1,822 1,854 1,791 1,862 1,498 1,668 2,345
Infection Due to Device or Implant 985 782 938 783 1,001 783 827 785 758 1,072
Dehydration 1,306 1,151 1,338 1,130 1,268 1,162 1,210 1,026 1,091 1,543
Composite: ACSC Chronic Conditions 9,936 8,808 9,658 8,820 9,618 8,900 9,336 7,426 8,346 11,767
Composite: ACSC Acute Conditions 4,856 4,215 4,625 4,246 5,133 4,172 4,347 4,287 4,020 5,622
Composite: ACSC Overall 14,792 13,022 14,282 13,066 14,751 13,071 13,683 11,713 12,366 17,386
Pressure Ulcer 2,167 2,303 2,110 2,330 2,332 2,266 2,356 1,874 2,109 2,960
Injurious Falls 113 54 110 52 137 51 56 114 47 142
I/DD
Subpopulation
Short-Term Complications of Diabetes 161 160 153 164 139 167 168 131 147 198
Asthma or Chronic Obstructive Pulmonary Disease 844 702 795 711 799 716 757 664 696 861
Congestive Heart Failure 684 660 628 683 609 685 715 487 635 757
Composite: Potentially Preventable Infection 4,444 4,288 4,385 4,301 4,702 4,197 4,405 4,039 4,115 4,962
    Bacterial Pneumonia 3,079 2,807 3,051 2,793 3,345 2,711 2,869 2,894 2,724 3,324
    Urinary Tract Infection 1,365 1,481 1,334 1,507 1,357 1,486 1,537 1,145 1,391 1,638
Infection Due to Device or Implant 281 323 293 321 258 331 331 245 316 300
Dehydration 698 693 711 687 685 697 728 571 660 797
Composite: ACSC Chronic Conditions 2,188 2,115 2,072 2,161 1,939 2,200 2,271 1,630 2,064 2,339
Composite: ACSC Acute Conditions 3,483 3,293 3,410 3,308 3,570 3,260 3,396 3,134 3,156 3,890
Composite: ACSC Overall 5,671 5,408 5,482 5,469 5,509 5,461 5,667 4,764 5,221 6,229
Pressure Ulcer 1,184 1,504 1,154 1,549 1,112 1,533 1,544 990 1,399 1,503
Injurious Falls 102 63 102 59 96 64 71 77 63 100
SMI
Subpopulation
Short-Term Complications of Diabetes 587 491 525 507 507 514 539 384 475 641
Asthma or Chronic Obstructive Pulmonary Disease 6,002 4,761 5,510 4,825 6,142 4,727 4,956 5,398 4,690 6,216
Congestive Heart Failure 3,624 3,379 3,355 3,467 3,275 3,477 3,565 2,808 3,236 4,112
Composite: Potentially Preventable Infection 8,167 7,092 7,778 7,132 8,724 6,942 7,231 7,786 6,858 8,943
    Bacterial Pneumonia 5,405 4,496 5,250 4,455 6,027 4,328 4,564 5,322 4,354 5,871
    Urinary Tract Infection 2,761 2,595 2,528 2,677 2,698 2,614 2,667 2,465 2,504 3,072
Infection Due to Device or Implant 807 735 766 744 798 738 748 765 724 844
Dehydration 2,107 1,963 2,103 1,948 1,977 1,999 2,044 1,760 1,905 2,301
Composite: ACSC Chronic Conditions 12,973 11,444 11,986 11,689 12,288 11,640 12,023 10,632 11,159 13,914
Composite: ACSC Acute Conditions 7,968 6,752 7,567 6,782 8,487 6,614 6,891 7,626 6,551 8,629
Composite: ACSC Overall 20,938 18,196 19,552 18,470 20,776 18,252 18,913 18,258 17,709 22,543
Pressure Ulcer 2,456 2,774 2,238 2,907 2,566 2,742 2,770 2,395 2,604 3,047
Injurious Falls 345 217 327 209 331 221 232 308 213 354
HCBS
Population
Ages 18-64
Without I/DD
or SMI
Short-Term Complications of Diabetes 655 621 638 625 647 625 652 528 536 970
Asthma or Chronic Obstructive Pulmonary Disease 6,321 4,488 6,085 4,476 7,240 4,373 4,797 5,288 4,341 6,905
Congestive Heart Failure 4,860 5,151 5,074 5,092 5,021 5,102 5,402 3,691 4,787 6,196
Composite: Potentially Preventable Infection 8,223 6,726 7,857 6,775 8,878 6,653 6,994 7,313 6,521 9,012
    Bacterial Pneumonia 5,029 3,739 4,719 3,780 5,424 3,714 3,918 4,474 3,713 5,154
    Urinary Tract Infection 3,194 2,986 3,138 2,995 3,454 2,939 3,075 2,839 2,808 3,858
Infection Due to Device or Implant 1,726 1,750 1,834 1,714 1,774 1,738 1,811 1,449 1,679 1,985
Dehydration 1,944 1,698 2,024 1,658 1,991 1,700 1,785 1,607 1,644 2,150
Composite: ACSC Chronic Conditions 16,180 14,382 16,171 14,292 17,321 14,217 15,080 13,419 13,548 19,300
Composite: ACSC Acute Conditions 7,379 5,743 7,065 5,768 8,302 5,618 5,934 6,835 5,528 8,210
Composite: ACSC Overall 23,559 20,123 23,234 20,059 25,623 19,833 21,013 20,253 19,075 27,506
Pressure Ulcer 5,013 4,865 4,992 4,865 5,107 4,851 5,038 4,275 4,612 5,950
Injurious Falls 213 116 218 109 230 117 121 210 108 244
HCBS Population Age 65+ Short-Term Complications of Diabetes 128 137 150 130 140 134 138 117 131 153
Asthma or Chronic Obstructive Pulmonary Disease 6,631 4,386 6,351 4,333 8,055 4,261 4,597 6,170 4,244 7,485
Congestive Heart Failure 9,780 7,512 9,745 7,372 10,942 7,437 7,864 8,610 7,231 11,238
Composite: Potentially Preventable Infection 14,255 10,322 13,766 10,228 16,309 10,185 10,600 13,913 10,046 15,872
    Bacterial Pneumonia 9,235 6,151 8,810 6,092 10,966 6,021 6,278 9,428 6,061 9,954
    Urinary Tract Infection 5,021 4,171 4,956 4,137 5,344 4,164 4,322 4,485 3,984 5,918
Infection Due to Device or Implant 512 517 527 512 512 517 528 453 496 603
Dehydration 3,337 2,516 3,312 2,470 3,368 2,562 2,685 2,706 2,427 3,810
Composite: ACSC Chronic Conditions 19,577 14,968 19,392 14,723 22,163 14,774 15,591 17,664 14,467 22,234
Composite: ACSC Acute Conditions 13,889 9,716 13,414 9,601 15,785 9,623 10,019 13,484 9,503 15,261
Composite: ACSC Overall 33,465 24,682 32,805 24,322 37,946 24,395 25,609 31,146 23,968 37,491
Pressure Ulcer 4,049 4,237 4,031 4,256 3,540 4,320 4,407 3,134 4,076 4,721
Injurious Falls 778 456 729 451 973 440 458 854 445 861
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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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Page last reviewed December 2012
Internet Citation: Table 15A: Outcome Indicators by County Demographics. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab15.html