Assessing the Health and Welfare of the HCBS Population

Table 15B: Outcome Indicators by State Demographics

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

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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 319 265 286 291 277 292 338 208 263 352
Asthma or Chronic Obstructive Pulmonary Disease 4,738 3,184 4,525 3,218 4,777 3,553 4,530 2,787 3,435 4,947
Congestive Heart Failure 5,674 4,707 5,505 4,764 5,520 4,998 6,048 3,644 4,705 6,201
Composite: Potentially Preventable Infection 8,714 7,498 8,325 7,742 9,684 7,465 9,068 6,350 7,139 10,277
    Bacterial Pneumonia 5,479 4,500 5,258 4,607 6,125 4,520 5,403 4,160 4,449 6,139
    Urinary Tract Infection 3,235 2,998 3,068 3,136 3,559 2,946 3,665 2,189 2,690 4,138
Infection Due to Device or Implant 747 763 776 737 879 714 854 597 687 929
Dehydration 2,104 1,746 2,049 1,759 2,161 1,814 2,301 1,257 1,699 2,415
Composite: ACSC Chronic Conditions 13,630 10,557 13,110 10,721 13,089 11,498 13,982 8,535 10,915 14,392
Composite: ACSC Acute Conditions 8,040 6,786 7,702 6,976 8,855 6,816 8,275 5,813 6,555 9,302
Composite: ACSC Overall 21,669 17,341 20,812 17,696 21,943 18,313 22,255 14,348 17,469 23,692
Pressure Ulcer 3,481 3,488 3,458 3,512 3,640 3,432 4,202 2,323 3,072 4,524
Injurious Falls 365 245 338 259 347 281 322 257 252 414
Dually Eligible HCBS Participants Short-Term Complications of Diabetes 254 213 235 227 224 234 268 169 214 274
Asthma or Chronic Obstructive Pulmonary Disease 4,951 3,384 4,723 3,455 5,024 3,759 4,777 2,940 3,605 5,276
Congestive Heart Failure 6,552 5,374 6,347 5,461 6,429 5,719 6,940 4,173 5,399 7,144
Composite: Potentially Preventable Infection 9,879 8,477 9,452 8,764 10,993 8,444 10,267 7,171 8,088 11,612
    Bacterial Pneumonia 6,170 5,054 5,941 5,170 6,932 5,071 6,095 4,654 4,995 6,932
    Urinary Tract Infection 3,710 3,424 3,511 3,594 4,061 3,373 4,172 2,517 3,093 4,680
Infection Due to Device or Implant 730 740 753 717 781 719 834 570 683 863
Dehydration 2,331 2,009 2,277 2,030 2,396 2,068 2,564 1,467 1,935 2,691
Composite: ACSC Chronic Conditions 14,749 11,418 14,211 11,622 14,169 12,475 15,118 9,238 11,847 15,543
Composite: ACSC Acute Conditions 9,170 7,724 8,821 7,929 10,058 7,782 9,450 6,577 7,496 10,533
Composite: ACSC Overall 23,918 19,140 23,031 19,550 24,227 20,256 24,567 15,815 19,342 26,074
Pressure Ulcer 3,912 3,899 3,818 3,992 3,894 3,909 4,607 2,733 3,503 4,893
Injurious Falls 448 321 423 333 422 363 404 335 323 514
Medicaid-Only HCBS Participants Short-Term Complications of Diabetes 530 403 438 469 445 457 550 312 402 595
Asthma or Chronic Obstructive Pulmonary Disease 4,051 2,650 3,929 2,557 3,995 2,973 3,784 2,375 2,957 3,922
Congestive Heart Failure 2,847 2,923 2,970 2,820 2,650 2,968 3,343 2,222 2,752 3,270
Composite: Potentially Preventable Infection 4,963 4,880 4,936 4,893 5,554 4,712 5,436 4,137 4,466 6,126
    Bacterial Pneumonia 3,254 3,021 3,202 3,035 3,579 2,970 3,307 2,831 2,910 3,672
    Urinary Tract Infection 1,708 1,859 1,733 1,858 1,975 1,742 2,129 1,306 1,556 2,454
Infection Due to Device or Implant 802 826 844 792 1,188 700 914 672 699 1,135
Dehydration 1,374 1,042 1,363 1,004 1,422 1,099 1,502 692 1,036 1,558
Composite: ACSC Chronic Conditions 10,028 8,253 9,798 8,205 9,680 8,748 10,538 6,644 8,290 10,816
Composite: ACSC Acute Conditions 4,402 4,279 4,338 4,320 5,061 4,098 4,716 3,753 3,906 5,474
Composite: ACSC Overall 14,429 12,531 14,135 12,525 14,740 12,846 15,252 10,397 12,196 16,288
Pressure Ulcer 2,094 2,388 2,373 2,172 2,840 2,090 2,975 1,220 1,860 3,376
Injurious Falls 99 43 81 51 113 50 76 50 52 103
I/DD Subpopulation Short-Term Complications of Diabetes 149 162 137 180 132 168 175 118 155 155
Asthma or Chronic Obstructive Pulmonary Disease 759 692 747 696 736 720 798 588 729 720
Congestive Heart Failure 662 649 632 688 624 673 730 516 630 701
Composite: Potentially Preventable Infection 4,415 4,421 4,415 4,422 4,578 4,332 4,799 3,698 4,244 4,728
    Bacterial Pneumonia 3,036 2,877 3,060 2,813 3,123 2,868 3,154 2,584 2,899 3,061
    Urinary Tract Infection 1,379 1,544 1,355 1,608 1,455 1,464 1,644 1,114 1,345 1,667
Infection Due to Device or Implant 271 341 275 349 315 301 323 274 282 349
Dehydration 700 698 691 711 715 691 795 518 645 795
Composite: ACSC Chronic Conditions 2,119 2,068 2,064 2,135 1,968 2,161 2,322 1,662 2,091 2,098
Composite: ACSC Acute Conditions 3,398 3,382 3,385 3,397 3,482 3,341 3,670 2,860 3,267 3,610
Composite: ACSC Overall 5,517 5,450 5,449 5,532 5,450 5,502 5,992 4,522 5,358 5,708
Pressure Ulcer 1,283 1,527 1,280 1,578 1,290 1,465 1,599 1,035 1,292 1,604
Injurious Falls 91 53 84 57 86 65 82 55 60 94
SMI Subpopulation Short-Term Complications of Diabetes 533 477 463 568 465 524 571 378 481 560
Asthma or Chronic Obstructive Pulmonary Disease 5,588 4,348 5,366 4,438 5,810 4,627 5,426 4,123 4,602 5,834
Congestive Heart Failure 3,601 3,179 3,407 3,380 3,577 3,317 3,762 2,677 3,130 3,982
Composite: Potentially Preventable Infection 7,559 7,064 7,306 7,337 8,797 6,672 7,834 6,306 6,569 8,970
    Bacterial Pneumonia 4,986 4,404 4,861 4,477 5,802 4,224 4,914 4,290 4,284 5,628
    Urinary Tract Infection 2,573 2,660 2,445 2,860 2,996 2,448 2,919 2,016 2,285 3,341
Infection Due to Device or Implant 660 827 706 792 944 652 765 695 642 958
Dehydration 2,026 1,938 2,014 1,939 2,134 1,917 2,235 1,488 1,848 2,281
Composite: ACSC Chronic Conditions 12,677 10,574 12,089 11,033 12,403 11,331 12,831 9,347 10,939 13,239
Composite: ACSC Acute Conditions 7,202 6,782 7,004 6,990 8,321 6,420 7,454 6,102 6,363 8,397
Composite: ACSC Overall 19,879 17,354 19,092 18,022 20,724 17,749 20,284 15,449 17,300 21,635
Pressure Ulcer 2,612 2,759 2,505 2,940 3,043 2,526 2,921 2,216 2,320 3,483
Injurious Falls 295 185 271 200 282 224 256 214 202 329
HCBS Population Ages 18-64 Without I/DD or SMI Short-Term Complications of Diabetes 726 571 591 658 621 631 725 480 545 859
Asthma or Chronic Obstructive Pulmonary Disease 6,510 3,946 6,150 3,888 6,611 4,402 5,769 3,545 4,292 6,548
Congestive Heart Failure 5,450 4,884 5,534 4,741 5,339 5,022 5,980 3,729 4,754 6,028
Composite: Potentially Preventable Infection 7,709 6,679 7,464 6,735 9,038 6,494 7,901 5,765 6,166 9,521
    Bacterial Pneumonia 4,508 3,739 4,369 3,747 5,167 3,697 4,346 3,527 3,624 5,123
    Urinary Tract Infection 3,200 2,939 3,095 2,988 3,871 2,797 3,554 2,239 2,542 4,398
Infection Due to Device or Implant 1,948 1,626 1,962 1,571 2,257 1,598 2,008 1,340 1,584 2,189
Dehydration 2,124 1,533 2,087 1,484 2,282 1,600 2,116 1,192 1,548 2,312
Composite: ACSC Chronic Conditions 17,496 13,196 16,741 13,220 17,438 14,025 17,286 10,936 13,344 18,751
Composite: ACSC Acute Conditions 6,718 5,746 6,490 5,797 8,163 5,518 6,753 5,108 5,293 8,343
Composite: ACSC Overall 24,214 18,940 23,230 19,015 25,600 19,541 24,037 16,044 18,636 27,092
Pressure Ulcer 4,932 4,886 5,193 4,671 6,420 4,470 6,064 3,118 4,038 7,289
Injurious Falls 189 106 166 114 199 119 147 122 111 208
HCBS Population Age 65+ Short-Term Complications of Diabetes 178 101 173 101 158 128 171 78 123 169
Asthma or Chronic Obstructive Pulmonary Disease 6,262 3,770 6,067 3,791 6,918 4,267 5,897 3,245 4,107 7,021
Congestive Heart Failure 9,440 6,849 9,365 6,761 10,365 7,299 9,723 5,298 6,923 11,047
Composite: Potentially Preventable Infection 12,791 9,916 12,323 10,149 15,411 9,972 13,055 8,272 9,547 15,910
    Bacterial Pneumonia 7,958 5,940 7,702 6,041 9,762 5,989 7,727 5,416 5,887 9,537
    Urinary Tract Infection 4,833 3,976 4,621 4,108 5,649 3,983 5,327 2,856 3,659 6,374
Infection Due to Device or Implant 554 483 564 471 629 482 605 376 452 699
Dehydration 3,064 2,398 3,033 2,386 3,414 2,482 3,368 1,648 2,305 3,807
Composite: ACSC Chronic Conditions 19,414 13,222 19,091 13,134 20,452 14,621 19,424 10,525 13,939 21,654
Composite: ACSC Acute Conditions 12,258 9,329 11,930 9,439 14,543 9,493 12,425 7,807 9,136 14,893
Composite: ACSC Overall 31,671 22,549 31,019 22,571 34,993 24,113 31,847 18,331 23,074 36,543
Pressure Ulcer 4,594 3,884 4,481 3,940 4,477 4,110 5,213 2,638 3,698 5,646
Injurious Falls 644 430 625 433 685 477 579 435 425 808

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 15B: Outcome Indicators by State Demographics. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab15b.html