Table 15B: Outcome Indicators by State Demographics Assessing the Health and Welfare of the HCBS Population Table 15: Outcome Indicators by County and State Demographics, 2005aClick on the table to see a larger version ↓HCBS SubpopulationOutcome IndicatorPercentAge 65+PercentAge 85+PercentWhitePercentAfricanAmericanPercentHispanic>Median≤Median>Median≤Median>Median≤Median>Median≤Median>Median≤MedianNational HCBS PopulationShort-Term Complications of Diabetes319265286291277292338208263352Asthma or Chronic Obstructive Pulmonary Disease4,7383,1844,5253,2184,7773,5534,5302,7873,4354,947Congestive Heart Failure5,6744,7075,5054,7645,5204,9986,0483,6444,7056,201Composite: Potentially Preventable Infection8,7147,4988,3257,7429,6847,4659,0686,3507,13910,277 Bacterial Pneumonia5,4794,5005,2584,6076,1254,5205,4034,1604,4496,139 Urinary Tract Infection3,2352,9983,0683,1363,5592,9463,6652,1892,6904,138Infection Due to Device or Implant747763776737879714854597687929Dehydration2,1041,7462,0491,7592,1611,8142,3011,2571,6992,415Composite: ACSC Chronic Conditions13,63010,55713,11010,72113,08911,49813,9828,53510,91514,392Composite: ACSC Acute Conditions8,0406,7867,7026,9768,8556,8168,2755,8136,5559,302Composite: ACSC Overall21,66917,34120,81217,69621,94318,31322,25514,34817,46923,692Pressure Ulcer3,4813,4883,4583,5123,6403,4324,2022,3233,0724,524Injurious Falls365245338259347281322257252414Dually Eligible HCBS ParticipantsShort-Term Complications of Diabetes254213235227224234268169214274Asthma or Chronic Obstructive Pulmonary Disease4,9513,3844,7233,4555,0243,7594,7772,9403,6055,276Congestive Heart Failure6,5525,3746,3475,4616,4295,7196,9404,1735,3997,144Composite: Potentially Preventable Infection9,8798,4779,4528,76410,9938,44410,2677,1718,08811,612 Bacterial Pneumonia6,1705,0545,9415,1706,9325,0716,0954,6544,9956,932 Urinary Tract Infection3,7103,4243,5113,5944,0613,3734,1722,5173,0934,680Infection Due to Device or Implant730740753717781719834570683863Dehydration2,3312,0092,2772,0302,3962,0682,5641,4671,9352,691Composite: ACSC Chronic Conditions14,74911,41814,21111,62214,16912,47515,1189,23811,84715,543Composite: ACSC Acute Conditions9,1707,7248,8217,92910,0587,7829,4506,5777,49610,533Composite: ACSC Overall23,91819,14023,03119,55024,22720,25624,56715,81519,34226,074Pressure Ulcer3,9123,8993,8183,9923,8943,9094,6072,7333,5034,893Injurious Falls448321423333422363404335323514Medicaid-Only HCBS ParticipantsShort-Term Complications of Diabetes530403438469445457550312402595Asthma or Chronic Obstructive Pulmonary Disease4,0512,6503,9292,5573,9952,9733,7842,3752,9573,922Congestive Heart Failure2,8472,9232,9702,8202,6502,9683,3432,2222,7523,270Composite: Potentially Preventable Infection4,9634,8804,9364,8935,5544,7125,4364,1374,4666,126 Bacterial Pneumonia3,2543,0213,2023,0353,5792,9703,3072,8312,9103,672 Urinary Tract Infection1,7081,8591,7331,8581,9751,7422,1291,3061,5562,454Infection Due to Device or Implant8028268447921,1887009146726991,135Dehydration1,3741,0421,3631,0041,4221,0991,5026921,0361,558Composite: ACSC Chronic Conditions10,0288,2539,7988,2059,6808,74810,5386,6448,29010,816Composite: ACSC Acute Conditions4,4024,2794,3384,3205,0614,0984,7163,7533,9065,474Composite: ACSC Overall14,42912,53114,13512,52514,74012,84615,25210,39712,19616,288Pressure Ulcer2,0942,3882,3732,1722,8402,0902,9751,2201,8603,376Injurious Falls9943815111350765052103I/DD SubpopulationShort-Term Complications of Diabetes149162137180132168175118155155Asthma or Chronic Obstructive Pulmonary Disease759692747696736720798588729720Congestive Heart Failure662649632688624673730516630701Composite: Potentially Preventable Infection4,4154,4214,4154,4224,5784,3324,7993,6984,2444,728 Bacterial Pneumonia3,0362,8773,0602,8133,1232,8683,1542,5842,8993,061 Urinary Tract Infection1,3791,5441,3551,6081,4551,4641,6441,1141,3451,667Infection Due to Device or Implant271341275349315301323274282349Dehydration700698691711715691795518645795Composite: ACSC Chronic Conditions2,1192,0682,0642,1351,9682,1612,3221,6622,0912,098Composite: ACSC Acute Conditions3,3983,3823,3853,3973,4823,3413,6702,8603,2673,610Composite: ACSC Overall5,5175,4505,4495,5325,4505,5025,9924,5225,3585,708Pressure Ulcer1,2831,5271,2801,5781,2901,4651,5991,0351,2921,604Injurious Falls91538457866582556094SMI SubpopulationShort-Term Complications of Diabetes533477463568465524571378481560Asthma or Chronic Obstructive Pulmonary Disease5,5884,3485,3664,4385,8104,6275,4264,1234,6025,834Congestive Heart Failure3,6013,1793,4073,3803,5773,3173,7622,6773,1303,982Composite: Potentially Preventable Infection7,5597,0647,3067,3378,7976,6727,8346,3066,5698,970 Bacterial Pneumonia4,9864,4044,8614,4775,8024,2244,9144,2904,2845,628 Urinary Tract Infection2,5732,6602,4452,8602,9962,4482,9192,0162,2853,341Infection Due to Device or Implant660827706792944652765695642958Dehydration2,0261,9382,0141,9392,1341,9172,2351,4881,8482,281Composite: ACSC Chronic Conditions12,67710,57412,08911,03312,40311,33112,8319,34710,93913,239Composite: ACSC Acute Conditions7,2026,7827,0046,9908,3216,4207,4546,1026,3638,397Composite: ACSC Overall19,87917,35419,09218,02220,72417,74920,28415,44917,30021,635Pressure Ulcer2,6122,7592,5052,9403,0432,5262,9212,2162,3203,483Injurious Falls295185271200282224256214202329HCBS Population Ages 18-64 Without I/DD or SMIShort-Term Complications of Diabetes726571591658621631725480545859Asthma or Chronic Obstructive Pulmonary Disease6,5103,9466,1503,8886,6114,4025,7693,5454,2926,548Congestive Heart Failure5,4504,8845,5344,7415,3395,0225,9803,7294,7546,028Composite: Potentially Preventable Infection7,7096,6797,4646,7359,0386,4947,9015,7656,1669,521 Bacterial Pneumonia4,5083,7394,3693,7475,1673,6974,3463,5273,6245,123 Urinary Tract Infection3,2002,9393,0952,9883,8712,7973,5542,2392,5424,398Infection Due to Device or Implant1,9481,6261,9621,5712,2571,5982,0081,3401,5842,189Dehydration2,1241,5332,0871,4842,2821,6002,1161,1921,5482,312Composite: ACSC Chronic Conditions17,49613,19616,74113,22017,43814,02517,28610,93613,34418,751Composite: ACSC Acute Conditions6,7185,7466,4905,7978,1635,5186,7535,1085,2938,343Composite: ACSC Overall24,21418,94023,23019,01525,60019,54124,03716,04418,63627,092Pressure Ulcer4,9324,8865,1934,6716,4204,4706,0643,1184,0387,289Injurious Falls189106166114199119147122111208HCBS Population Age 65+Short-Term Complications of Diabetes17810117310115812817178123169Asthma or Chronic Obstructive Pulmonary Disease6,2623,7706,0673,7916,9184,2675,8973,2454,1077,021Congestive Heart Failure9,4406,8499,3656,76110,3657,2999,7235,2986,92311,047Composite: Potentially Preventable Infection12,7919,91612,32310,14915,4119,97213,0558,2729,54715,910 Bacterial Pneumonia7,9585,9407,7026,0419,7625,9897,7275,4165,8879,537 Urinary Tract Infection4,8333,9764,6214,1085,6493,9835,3272,8563,6596,374Infection Due to Device or Implant554483564471629482605376452699Dehydration3,0642,3983,0332,3863,4142,4823,3681,6482,3053,807Composite: ACSC Chronic Conditions19,41413,22219,09113,13420,45214,62119,42410,52513,93921,654Composite: ACSC Acute Conditions12,2589,32911,9309,43914,5439,49312,4257,8079,13614,893Composite: ACSC Overall31,67122,54931,01922,57134,99324,11331,84718,33123,07436,543Pressure Ulcer4,5943,8844,4813,9404,4774,1105,2132,6383,6985,646Injurious Falls644430625433685477579435425808Notes: 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 .Return to ContentsReturn to Document Current as of December 2012 Internet Citation: Table 15B: Outcome Indicators by State 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/hcbsfindtab15b.html