Assessing the Health and Welfare of the HCBS Population

Table 16A: Outcome Indicators by County Socioeconomic Status

Table 16: Outcome Indicators by County and State Socioeconomic Status, 2005a

Select for Table 16B: Outcome Indicators by State Socioeconomic Status.

HCBS Subpopulation Outcome Indicator Median
Income
Percent in
Poverty
Supply of
Federally Qualified
Health Centers
per Capita
>Median ≤Median >Median ≤Median >Median ≤Median
National HCBS Population Short-Term Complications of Diabetes 269 360 308 269 314 286
Asthma or Chronic Obstructive Pulmonary Disease 3,519 5,067 4,082 3,643 4,844 3,662
Congestive Heart Failure 4,679 6,719 5,696 4,473 6,179 4,927
Composite: Potentially Preventable Infection 7,416 9,980 8,054 8,017 9,504 7,679
    Bacterial Pneumonia 4,546 6,104 4,843 5,032 6,091 4,638
    Urinary Tract Infection 2,870 3,876 3,210 2,985 3,413 3,041
Infection Due to Device or Implant 741 828 787 729 798 753
Dehydration 1,712 2,538 2,017 1,773 2,334 1,809
Composite: ACSC Chronic Conditions 10,919 15,377 13,085 10,547 14,262 11,447
Composite: ACSC Acute Conditions 6,652 9,559 7,537 7,115 9,257 6,892
Composite: ACSC Overall 17,570 24,934 20,620 17,662 23,518 18,337
Pressure Ulcer 3,322 4,088 3,865 3,029 3,557 3,496
Injurious Falls 256 436 294 308 436 267
Dually Eligible HCBS Participants Short-Term Complications of Diabetes 220 275 233 235 247 230
Asthma or Chronic Obstructive Pulmonary Disease 3,701 5,391 4,267 3,933 5,153 3,860
Congestive Heart Failure 5,354 7,772 6,519 5,219 7,133 5,658
Composite: Potentially Preventable Infection 8,404 11,274 9,104 9,141 10,669 8,725
    Bacterial Pneumonia 5,109 6,883 5,437 5,702 6,837 5,224
    Urinary Tract Infection 3,295 4,391 3,667 3,439 3,833 3,501
Infection Due to Device or Implant 725 791 775 699 772 734
Dehydration 1,940 2,847 2,283 2,012 2,606 2,054
Composite: ACSC Chronic Conditions 11,820 16,674 14,079 11,652 15,524 12,396
Composite: ACSC Acute Conditions 7,587 10,852 8,578 8,170 10,435 7,884
Composite: ACSC Overall 19,406 27,524 22,656 19,821 25,958 20,278
Pressure Ulcer 3,754 4,475 4,359 3,374 3,884 3,947
Injurious Falls 331 531 376 387 535 342
Medicaid-Only HCBS Participants Short-Term Complications of Diabetes 408 633 519 372 536 441
Asthma or Chronic Obstructive Pulmonary Disease 3,010 4,015 3,562 2,768 3,826 3,105
Congestive Heart Failure 2,795 3,305 3,391 2,224 3,040 2,880
Composite: Potentially Preventable Infection 4,662 5,787 5,113 4,628 5,672 4,747
    Bacterial Pneumonia 2,976 3,582 3,181 3,010 3,638 2,996
    Urinary Tract Infection 1,686 2,206 1,932 1,618 2,034 1,751
Infection Due to Device or Implant 785 945 822 819 883 807
Dehydration 1,079 1,534 1,272 1,050 1,438 1,124
Composite: ACSC Chronic Conditions 8,408 11,174 10,299 7,216 10,110 8,787
Composite: ACSC Acute Conditions 4,043 5,367 4,621 3,935 5,382 4,110
Composite: ACSC Overall 12,450 16,541 14,919 11,150 15,491 12,897
Pressure Ulcer 2,118 2,834 2,481 1,988 2,480 2,233
Injurious Falls 48 127 63 70 110 56
I/DD Subpopulation Short-Term Complications of Diabetes 141 235 195 133 183 155
Asthma or Chronic Obstructive Pulmonary Disease 678 969 886 623 866 710
Congestive Heart Failure 603 911 867 511 847 628
Composite: Potentially Preventable Infection 4,147 5,034 4,659 4,071 4,574 4,275
    Bacterial Pneumonia 2,784 3,228 2,939 2,824 3,084 2,830
    Urinary Tract Infection 1,363 1,806 1,720 1,247 1,490 1,445
Infection Due to Device or Implant 305 342 358 277 312 313
Dehydration 627 958 857 569 798 672
Composite: ACSC Chronic Conditions 1,957 2,827 2,705 1,693 2,532 2,049
Composite: ACSC Acute Conditions 3,137 4,136 3,779 3,002 3,777 3,248
Composite: ACSC Overall 5,094 6,963 6,484 4,695 6,310 5,297
Pressure Ulcer 1,348 1,729 1,777 1,154 1,411 1,428
Injurious Falls 65 102 76 70 88 69
SMI Subpopulation Short-Term Complications of Diabetes 462 691 549 472 499 515
Asthma or Chronic Obstructive Pulmonary Disease 4,709 6,184 5,410 4,618 5,702 4,899
Congestive Heart Failure 3,179 4,333 4,052 2,750 3,972 3,325
Composite: Potentially Preventable Infection 6,976 8,575 7,182 7,489 8,114 7,170
    Bacterial Pneumonia 4,522 5,312 4,464 4,952 5,456 4,544
    Urinary Tract Infection 2,454 3,263 2,717 2,537 2,658 2,627
Infection Due to Device or Implant 729 827 761 740 785 744
Dehydration 1,830 2,579 2,129 1,846 2,281 1,937
Composite: ACSC Chronic Conditions 10,992 14,574 13,313 10,088 13,081 11,519
Composite: ACSC Acute Conditions 6,588 8,550 7,066 6,968 8,215 6,780
Composite: ACSC Overall 17,579 23,121 20,378 17,055 21,295 18,297
Pressure Ulcer 2,614 3,022 2,987 2,392 2,628 2,719
Injurious Falls 212 363 233 258 298 234
HCBS Population Aged 18-64 Without I/DD or SMI Short-Term Complications of Diabetes 578 770 666 571 684 613
Asthma or Chronic Obstructive Pulmonary Disease 4,557 5,797 4,969 4,763 5,617 4,674
Congestive Heart Failure 4,919 5,550 5,519 4,424 5,166 5,064
Composite: Potentially Preventable Infection 6,751 7,882 6,881 7,315 7,818 6,829
    Bacterial Pneumonia 3,827 4,555 3,909 4,193 4,677 3,829
    Urinary Tract Infection 2,924 3,327 2,973 3,122 3,141 3,000
Infection Due to Device or Implant 1,756 1,714 1,720 1,783 1,629 1,779
Dehydration 1,668 1,982 1,710 1,817 1,916 1,704
Composite: ACSC Chronic Conditions 13,975 16,974 15,602 13,503 15,780 14,481
Composite: ACSC Acute Conditions 5,687 7,237 6,064 6,155 7,345 5,736
Composite: ACSC Overall 19,661 24,208 21,664 19,658 23,123 20,215
Pressure Ulcer 4,734 5,347 4,927 4,851 4,834 4,916
Injurious Falls 117 194 133 143 198 119
HCBS Population Aged 65+ Short-Term Complications of Diabetes 136 131 131 142 132 136
Asthma or Chronic Obstructive Pulmonary Disease 4,388 6,219 4,647 5,217 6,069 4,554
Congestive Heart Failure 7,233 10,183 7,883 8,166 9,611 7,583
Composite: Potentially Preventable Infection 10,215 13,853 10,385 12,460 13,347 10,597
    Bacterial Pneumonia 6,215 8,489 6,249 7,741 8,612 6,344
    Urinary Tract Infection 4,000 5,364 4,135 4,719 4,735 4,253
Infection Due to Device or Implant 497 573 511 525 553 507
Dehydration 2,393 3,548 2,635 2,780 3,318 2,532
Composite: ACSC Chronic Conditions 14,545 19,972 15,774 16,205 19,021 15,163
Composite: ACSC Acute Conditions 9,553 13,606 10,028 11,559 13,343 9,904
Composite: ACSC Overall 24,097 33,576 25,800 27,762 32,363 25,065
Pressure Ulcer 4,028 4,693 4,420 3,814 4,046 4,236
Injurious Falls 453 728 471 614 763 464

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 16A: Outcome Indicators by County Socioeconomic Status. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab16.html