Assessing the Health and Welfare of the HCBS Population

Table 17A: National HCBS Population

Table 17: Outcome Indicators by State Prevalence of Chronic Conditions, 2005a

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Table 17A: National HCBS Population

Outcome Indicator Prevalence of
Diabetes
Prevalence of
Asthma in Adults
Prevalence of
Cardiovascular Disease
Prevalence of
High Blood Pressure
Prevalence of
Serious Mental Illness
>Median ≤Median >Median ≤Median >Median ≤Median >Median ≤Median >Median ≤Median
Short-Term Complications of Diabetes 336 221 288 289 344 254 290 283 379 248
Asthma or Chronic Obstructive Pulmonary Disease 4,630 2,790 4,709 3,318 4,849 3,262 3,959 3,635 4,549 3,582
Congestive Heart Failure 6,066 3,817 5,470 4,911 6,340 4,389 5,250 4,837 6,103 4,715
Composite: Potentially Preventable Infection 9,022 6,638 9,138 7,314 10,056 6,790 8,060 7,959 9,727 7,289
    Bacterial Pneumonia 5,401 4,266 5,654 4,459 5,988 4,280 4,890 5,025 5,796 4,547
    Urinary Tract Infection 3,621 2,372 3,483 2,855 4,068 2,510 3,170 2,934 3,930 2,742
Infection Due to Device or Implant 852 622 823 713 889 674 754 762 887 700
Dehydration 2,275 1,379 2,112 1,767 2,456 1,563 1,920 1,860 2,410 1,684
Composite: ACSC Chronic Conditions 14,107 8,808 13,294 11,002 14,506 10,308 12,150 11,296 14,108 10,970
Composite: ACSC Acute Conditions 8,269 6,025 8,241 6,749 9,215 6,184 7,298 7,429 9,114 6,570
Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 19,447 18,724 23,221 17,538
Pressure Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 3,603 3,194 4,378 3,086
Injurious Falls 316 271 324 280 375 250 301 289 382 264
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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 17A: National HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17.html