Assessing the Health and Welfare of the HCBS Population

Table 17B: Dually Eligible HCBS Participants

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

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Table 17B: Dually Eligible HCBS Participants

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 266 181 231 231 266 209 224 248 296 202
Asthma or Chronic Obstructive Pulmonary Disease 4,897 2,934 4,869 3,566 5,209 3,377 4,157 3,924 4,930 3,726
Congestive Heart Failure 6,990 4,353 6,287 5,648 7,345 4,989 6,021 5,622 7,091 5,383
Composite: Potentially Preventable Infection 10,247 7,481 10,345 8,280 11,424 7,636 9,121 9,075 11,054 8,236
    Bacterial Pneumonia 6,111 4,762 6,358 5,018 6,780 4,777 5,487 5,721 6,586 5,091
    Urinary Tract Infection 4,136 2,719 3,986 3,262 4,643 2,859 3,634 3,354 4,467 3,145
Infection Due to Device or Implant 833 596 787 700 853 660 735 736 860 680
Dehydration 2,543 1,597 2,349 2,023 2,733 1,785 2,185 2,078 2,699 1,912
Composite: ACSC Chronic Conditions 15,293 9,522 14,253 12,022 15,802 11,083 13,095 12,484 15,396 11,838
Composite: ACSC Acute Conditions 9,468 6,813 9,371 7,708 10,530 7,005 8,314 8,522 10,408 7,479
Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 21,408 21,005 25,803 19,316
Pressure Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 4,098 3,440 4,727 3,530
Injurious Falls 397 350 396 366 462 324 384 363 466 342
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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 17B: Dually Eligible HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17b.html