Assessing the Health and Welfare of the HCBS Population

Table 17C: Medicaid-Only HCBS Participants

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

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Table 17C: Medicaid-Only 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 545 332 465 448 593 378 479 390 636 379
Asthma or Chronic Obstructive Pulmonary Disease 3,836 2,387 4,206 2,636 3,709 2,946 3,396 2,753 3,369 3,174
Congestive Heart Failure 3,318 2,321 2,909 2,882 3,157 2,746 3,064 2,446 3,046 2,828
Composite: Potentially Preventable Infection 5,382 4,286 5,354 4,654 5,723 4,468 5,050 4,558 5,620 4,614
    Bacterial Pneumonia 3,290 2,882 3,447 2,920 3,477 2,916 3,197 2,904 3,352 3,012
    Urinary Tract Infection 2,092 1,404 1,907 1,734 2,245 1,552 1,853 1,654 2,268 1,602
Infection Due to Device or Implant 909 693 934 748 1,006 712 807 841 971 757
Dehydration 1,480 769 1,371 1,062 1,577 956 1,169 1,195 1,516 1,042
Composite: ACSC Chronic Conditions 10,580 6,815 10,290 8,196 10,400 8,185 9,470 7,676 10,122 8,517
Composite: ACSC Acute Conditions 4,703 3,827 4,698 4,111 5,049 3,932 4,416 4,102 5,111 4,002
Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 13,885 11,778 15,231 12,519
Pressure Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 2,200 2,447 3,298 1,833
Injurious Falls 76 51 101 45 98 47 66 63 119 44
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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 17C: Medicaid-Only HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17c.html