Assessing the Health and Welfare of the HCBS Population

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

Table 17C: Medicaid-Only HCBS Participants

Select for:

• Table 17A: National HCBS Population.
• Table 17B: Dually Eligible 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+.

Click on the table to see a larger version ↓

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

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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