Table 17A: National HCBS Population

Assessing the Health and Welfare of the HCBS Population

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

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Table 17A: National HCBS Population

Outcome IndicatorPrevalence of
Prevalence of
Asthma in Adults
Prevalence of
Cardiovascular Disease
Prevalence of
High Blood Pressure
Prevalence of
Serious Mental Illness
Short-Term Complications of Diabetes336221288289344254290283379248
Asthma or Chronic Obstructive Pulmonary Disease4,6302,7904,7093,3184,8493,2623,9593,6354,5493,582
Congestive Heart Failure6,0663,8175,4704,9116,3404,3895,2504,8376,1034,715
Composite: Potentially Preventable Infection9,0226,6389,1387,31410,0566,7908,0607,9599,7277,289
    Bacterial Pneumonia5,4014,2665,6544,4595,9884,2804,8905,0255,7964,547
    Urinary Tract Infection3,6212,3723,4832,8554,0682,5103,1702,9343,9302,742
Infection Due to Device or Implant852622823713889674754762887700
Composite: ACSC Chronic Conditions14,1078,80813,29411,00214,50610,30812,15011,29614,10810,970
Composite: ACSC Acute Conditions8,2696,0258,2416,7499,2156,1847,2987,4299,1146,570
Composite: ACSC Overall22,37414,83221,53417,75123,72016,49219,44718,72423,22117,538
Pressure Ulcer4,1682,5253,9033,2144,3822,9353,6033,1944,3783,086
Injurious Falls316271324280375250301289382264
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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: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.