Table 16A: Outcome Indicators by County Socioeconomic Status

Assessing the Health and Welfare of the HCBS Population

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

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

HCBS SubpopulationOutcome IndicatorMedian
Income
Percent in
Poverty
Supply of
Federally Qualified
Health Centers
per Capita
>Median≤Median>Median≤Median>Median≤Median
National HCBS PopulationShort-Term Complications of Diabetes269360308269314286
Asthma or Chronic Obstructive Pulmonary Disease3,5195,0674,0823,6434,8443,662
Congestive Heart Failure4,6796,7195,6964,4736,1794,927
Composite: Potentially Preventable Infection7,4169,9808,0548,0179,5047,679
    Bacterial Pneumonia4,5466,1044,8435,0326,0914,638
    Urinary Tract Infection2,8703,8763,2102,9853,4133,041
Infection Due to Device or Implant741828787729798753
Dehydration1,7122,5382,0171,7732,3341,809
Composite: ACSC Chronic Conditions10,91915,37713,08510,54714,26211,447
Composite: ACSC Acute Conditions6,6529,5597,5377,1159,2576,892
Composite: ACSC Overall17,57024,93420,62017,66223,51818,337
Pressure Ulcer3,3224,0883,8653,0293,5573,496
Injurious Falls256436294308436267
Dually Eligible HCBS ParticipantsShort-Term Complications of Diabetes220275233235247230
Asthma or Chronic Obstructive Pulmonary Disease3,7015,3914,2673,9335,1533,860
Congestive Heart Failure5,3547,7726,5195,2197,1335,658
Composite: Potentially Preventable Infection8,40411,2749,1049,14110,6698,725
    Bacterial Pneumonia5,1096,8835,4375,7026,8375,224
    Urinary Tract Infection3,2954,3913,6673,4393,8333,501
Infection Due to Device or Implant725791775699772734
Dehydration1,9402,8472,2832,0122,6062,054
Composite: ACSC Chronic Conditions11,82016,67414,07911,65215,52412,396
Composite: ACSC Acute Conditions7,58710,8528,5788,17010,4357,884
Composite: ACSC Overall19,40627,52422,65619,82125,95820,278
Pressure Ulcer3,7544,4754,3593,3743,8843,947
Injurious Falls331531376387535342
Medicaid-Only HCBS ParticipantsShort-Term Complications of Diabetes408633519372536441
Asthma or Chronic Obstructive Pulmonary Disease3,0104,0153,5622,7683,8263,105
Congestive Heart Failure2,7953,3053,3912,2243,0402,880
Composite: Potentially Preventable Infection4,6625,7875,1134,6285,6724,747
    Bacterial Pneumonia2,9763,5823,1813,0103,6382,996
    Urinary Tract Infection1,6862,2061,9321,6182,0341,751
Infection Due to Device or Implant785945822819883807
Dehydration1,0791,5341,2721,0501,4381,124
Composite: ACSC Chronic Conditions8,40811,17410,2997,21610,1108,787
Composite: ACSC Acute Conditions4,0435,3674,6213,9355,3824,110
Composite: ACSC Overall12,45016,54114,91911,15015,49112,897
Pressure Ulcer2,1182,8342,4811,9882,4802,233
Injurious Falls48127637011056
I/DD SubpopulationShort-Term Complications of Diabetes141235195133183155
Asthma or Chronic Obstructive Pulmonary Disease678969886623866710
Congestive Heart Failure603911867511847628
Composite: Potentially Preventable Infection4,1475,0344,6594,0714,5744,275
    Bacterial Pneumonia2,7843,2282,9392,8243,0842,830
    Urinary Tract Infection1,3631,8061,7201,2471,4901,445
Infection Due to Device or Implant305342358277312313
Dehydration627958857569798672
Composite: ACSC Chronic Conditions1,9572,8272,7051,6932,5322,049
Composite: ACSC Acute Conditions3,1374,1363,7793,0023,7773,248
Composite: ACSC Overall5,0946,9636,4844,6956,3105,297
Pressure Ulcer1,3481,7291,7771,1541,4111,428
Injurious Falls6510276708869
SMI SubpopulationShort-Term Complications of Diabetes462691549472499515
Asthma or Chronic Obstructive Pulmonary Disease4,7096,1845,4104,6185,7024,899
Congestive Heart Failure3,1794,3334,0522,7503,9723,325
Composite: Potentially Preventable Infection6,9768,5757,1827,4898,1147,170
    Bacterial Pneumonia4,5225,3124,4644,9525,4564,544
    Urinary Tract Infection2,4543,2632,7172,5372,6582,627
Infection Due to Device or Implant729827761740785744
Dehydration1,8302,5792,1291,8462,2811,937
Composite: ACSC Chronic Conditions10,99214,57413,31310,08813,08111,519
Composite: ACSC Acute Conditions6,5888,5507,0666,9688,2156,780
Composite: ACSC Overall17,57923,12120,37817,05521,29518,297
Pressure Ulcer2,6143,0222,9872,3922,6282,719
Injurious Falls212363233258298234
HCBS Population Aged 18-64 Without I/DD or SMIShort-Term Complications of Diabetes578770666571684613
Asthma or Chronic Obstructive Pulmonary Disease4,5575,7974,9694,7635,6174,674
Congestive Heart Failure4,9195,5505,5194,4245,1665,064
Composite: Potentially Preventable Infection6,7517,8826,8817,3157,8186,829
    Bacterial Pneumonia3,8274,5553,9094,1934,6773,829
    Urinary Tract Infection2,9243,3272,9733,1223,1413,000
Infection Due to Device or Implant1,7561,7141,7201,7831,6291,779
Dehydration1,6681,9821,7101,8171,9161,704
Composite: ACSC Chronic Conditions13,97516,97415,60213,50315,78014,481
Composite: ACSC Acute Conditions5,6877,2376,0646,1557,3455,736
Composite: ACSC Overall19,66124,20821,66419,65823,12320,215
Pressure Ulcer4,7345,3474,9274,8514,8344,916
Injurious Falls117194133143198119
HCBS Population Aged 65+Short-Term Complications of Diabetes136131131142132136
Asthma or Chronic Obstructive Pulmonary Disease4,3886,2194,6475,2176,0694,554
Congestive Heart Failure7,23310,1837,8838,1669,6117,583
Composite: Potentially Preventable Infection10,21513,85310,38512,46013,34710,597
    Bacterial Pneumonia6,2158,4896,2497,7418,6126,344
    Urinary Tract Infection4,0005,3644,1354,7194,7354,253
Infection Due to Device or Implant497573511525553507
Dehydration2,3933,5482,6352,7803,3182,532
Composite: ACSC Chronic Conditions14,54519,97215,77416,20519,02115,163
Composite: ACSC Acute Conditions9,55313,60610,02811,55913,3439,904
Composite: ACSC Overall24,09733,57625,80027,76232,36325,065
Pressure Ulcer4,0284,6934,4203,8144,0464,236
Injurious Falls453728471614763464

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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Current as of December 2012
Internet Citation: Table 16A: Outcome Indicators by County Socioeconomic Status: 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