Assessing the Health and Welfare of the HCBS Population Table 16: Outcome Indicators by County and State Socioeconomic Status, 2005aTable 16A: Outcome Indicators by County Socioeconomic StatusSelect for Table 16B: Outcome Indicators by State Socioeconomic Status.HCBS SubpopulationOutcome IndicatorMedianIncomePercent inPovertySupply ofFederally QualifiedHealth Centersper Capita>Median≤Median>Median≤Median>Median≤MedianNational HCBS PopulationShort-Term Complications of Diabetes269360308269314286Asthma or Chronic Obstructive Pulmonary Disease3,5195,0674,0823,6434,8443,662Congestive Heart Failure4,6796,7195,6964,4736,1794,927Composite: Potentially Preventable Infection7,4169,9808,0548,0179,5047,679 Bacterial Pneumonia4,5466,1044,8435,0326,0914,638 Urinary Tract Infection2,8703,8763,2102,9853,4133,041Infection Due to Device or Implant741828787729798753Dehydration1,7122,5382,0171,7732,3341,809Composite: ACSC Chronic Conditions10,91915,37713,08510,54714,26211,447Composite: ACSC Acute Conditions6,6529,5597,5377,1159,2576,892Composite: ACSC Overall17,57024,93420,62017,66223,51818,337Pressure Ulcer3,3224,0883,8653,0293,5573,496Injurious Falls256436294308436267Dually Eligible HCBS ParticipantsShort-Term Complications of Diabetes220275233235247230Asthma or Chronic Obstructive Pulmonary Disease3,7015,3914,2673,9335,1533,860Congestive Heart Failure5,3547,7726,5195,2197,1335,658Composite: Potentially Preventable Infection8,40411,2749,1049,14110,6698,725 Bacterial Pneumonia5,1096,8835,4375,7026,8375,224 Urinary Tract Infection3,2954,3913,6673,4393,8333,501Infection Due to Device or Implant725791775699772734Dehydration1,9402,8472,2832,0122,6062,054Composite: ACSC Chronic Conditions11,82016,67414,07911,65215,52412,396Composite: ACSC Acute Conditions7,58710,8528,5788,17010,4357,884Composite: ACSC Overall19,40627,52422,65619,82125,95820,278Pressure Ulcer3,7544,4754,3593,3743,8843,947Injurious Falls331531376387535342Medicaid-Only HCBS ParticipantsShort-Term Complications of Diabetes408633519372536441Asthma or Chronic Obstructive Pulmonary Disease3,0104,0153,5622,7683,8263,105Congestive Heart Failure2,7953,3053,3912,2243,0402,880Composite: Potentially Preventable Infection4,6625,7875,1134,6285,6724,747 Bacterial Pneumonia2,9763,5823,1813,0103,6382,996 Urinary Tract Infection1,6862,2061,9321,6182,0341,751Infection Due to Device or Implant785945822819883807Dehydration1,0791,5341,2721,0501,4381,124Composite: ACSC Chronic Conditions8,40811,17410,2997,21610,1108,787Composite: ACSC Acute Conditions4,0435,3674,6213,9355,3824,110Composite: ACSC Overall12,45016,54114,91911,15015,49112,897Pressure Ulcer2,1182,8342,4811,9882,4802,233Injurious Falls48127637011056I/DD SubpopulationShort-Term Complications of Diabetes141235195133183155Asthma or Chronic Obstructive Pulmonary Disease678969886623866710Congestive Heart Failure603911867511847628Composite: Potentially Preventable Infection4,1475,0344,6594,0714,5744,275 Bacterial Pneumonia2,7843,2282,9392,8243,0842,830 Urinary Tract Infection1,3631,8061,7201,2471,4901,445Infection Due to Device or Implant305342358277312313Dehydration627958857569798672Composite: ACSC Chronic Conditions1,9572,8272,7051,6932,5322,049Composite: ACSC Acute Conditions3,1374,1363,7793,0023,7773,248Composite: ACSC Overall5,0946,9636,4844,6956,3105,297Pressure Ulcer1,3481,7291,7771,1541,4111,428Injurious Falls6510276708869SMI SubpopulationShort-Term Complications of Diabetes462691549472499515Asthma or Chronic Obstructive Pulmonary Disease4,7096,1845,4104,6185,7024,899Congestive Heart Failure3,1794,3334,0522,7503,9723,325Composite: Potentially Preventable Infection6,9768,5757,1827,4898,1147,170 Bacterial Pneumonia4,5225,3124,4644,9525,4564,544 Urinary Tract Infection2,4543,2632,7172,5372,6582,627Infection Due to Device or Implant729827761740785744Dehydration1,8302,5792,1291,8462,2811,937Composite: ACSC Chronic Conditions10,99214,57413,31310,08813,08111,519Composite: ACSC Acute Conditions6,5888,5507,0666,9688,2156,780Composite: ACSC Overall17,57923,12120,37817,05521,29518,297Pressure Ulcer2,6143,0222,9872,3922,6282,719Injurious Falls212363233258298234HCBS Population Aged 18-64 Without I/DD or SMIShort-Term Complications of Diabetes578770666571684613Asthma or Chronic Obstructive Pulmonary Disease4,5575,7974,9694,7635,6174,674Congestive Heart Failure4,9195,5505,5194,4245,1665,064Composite: Potentially Preventable Infection6,7517,8826,8817,3157,8186,829 Bacterial Pneumonia3,8274,5553,9094,1934,6773,829 Urinary Tract Infection2,9243,3272,9733,1223,1413,000Infection Due to Device or Implant1,7561,7141,7201,7831,6291,779Dehydration1,6681,9821,7101,8171,9161,704Composite: ACSC Chronic Conditions13,97516,97415,60213,50315,78014,481Composite: ACSC Acute Conditions5,6877,2376,0646,1557,3455,736Composite: ACSC Overall19,66124,20821,66419,65823,12320,215Pressure Ulcer4,7345,3474,9274,8514,8344,916Injurious Falls117194133143198119HCBS Population Aged 65+Short-Term Complications of Diabetes136131131142132136Asthma or Chronic Obstructive Pulmonary Disease4,3886,2194,6475,2176,0694,554Congestive Heart Failure7,23310,1837,8838,1669,6117,583Composite: Potentially Preventable Infection10,21513,85310,38512,46013,34710,597 Bacterial Pneumonia6,2158,4896,2497,7418,6126,344 Urinary Tract Infection4,0005,3644,1354,7194,7354,253Infection Due to Device or Implant497573511525553507Dehydration2,3933,5482,6352,7803,3182,532Composite: ACSC Chronic Conditions14,54519,97215,77416,20519,02115,163Composite: ACSC Acute Conditions9,55313,60610,02811,55913,3439,904Composite: ACSC Overall24,09733,57625,80027,76232,36325,065Pressure Ulcer4,0284,6934,4203,8144,0464,236Injurious Falls453728471614763464Notes: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: 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/hcbsfindtab16.html