Assessing the Health and Welfare of the HCBS Population

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

Table 17D: I/DD Subpopulation

Select for:

• Table 17A: National HCBS Population.
• Table 17B: Dually Eligible HCBS Participants.
• Table 17C: Medicaid-Only HCBS Participants.
• 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	171	130	141	169	183	138	167	130	218	129
Asthma or Chronic Obstructive Pulmonary Disease	808	598	788	665	825	663	758	661	824	690
Congestive Heart Failure	751	507	668	644	796	567	719	528	842	580
Composite: Potentially Preventable Infection	4,828	3,781	4,718	4,129	4,902	4,110	4,526	4,200	4,817	4,269
Bacterial Pneumonia	3,175	2,618	3,234	2,690	3,135	2,844	2,975	2,922	3,027	2,934
Urinary Tract Infection	1,652	1,163	1,484	1,439	1,767	1,266	1,552	1,278	1,791	1,335
Infection Due to Device or Implant	323	279	301	311	369	266	319	279	414	267
Dehydration	795	550	719	679	835	612	719	659	905	621
Composite: ACSC Chronic Conditions	2,353	1,690	2,129	2,060	2,429	1,880	2,238	1,802	2,568	1,908
Composite: ACSC Acute Conditions	3,726	2,868	3,533	3,252	3,815	3,120	3,481	3,208	3,831	3,228
Composite: ACSC Overall	6,079	4,558	5,662	5,312	6,245	5,000	5,719	5,011	6,399	5,136
Pressure Ulcer	1,619	1,071	1,367	1,440	1,749	1,185	1,498	1,217	1,890	1,213
Injurious Falls	81	60	90	55	92	60	80	57	88	68

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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