Table 17A: National HCBS Population

Assessing the Health and Welfare of the HCBS Population

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

Select for:

• Table 17B: Dually Eligible HCBS Participants.
• Table 17C: Medicaid-Only HCBS Participants.
• Table 17D: I/DD Subpopulation.
• Table 17E: SMI Subpopulation.
• Table 17F: HCBS Population Ages 18-64 Without I/DD or SMI.
• Table 17G: HCBS Population Age 65+.

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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

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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