Table 17E: SMI Subpopulation

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 17E: SMI Subpopulation

Outcome IndicatorPrevalence 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 Diabetes558424483528631432523465637445
Asthma or Chronic Obstructive Pulmonary Disease5,6223,9835,6194,3626,1084,3265,1854,5195,3134,855
Congestive Heart Failure3,8932,6123,4403,3524,3412,8393,6112,8903,7973,216
Composite: Potentially Preventable Infection7,8486,4827,7666,8769,2966,1537,3427,2658,1126,955
    Bacterial Pneumonia4,9414,3295,0914,3215,7224,1034,6394,8585,0474,541
    Urinary Tract Infection2,9072,1542,6752,5563,5742,0492,7032,4083,0652,414
Infection Due to Device or Implant766701733749908642718795856687
Dehydration2,2311,5911,9042,0612,5391,6562,0051,9332,2481,861
Composite: ACSC Chronic Conditions13,2159,19712,34510,97714,17210,17412,22010,32812,58611,247
Composite: ACSC Acute Conditions7,5216,1727,2196,7818,8385,9146,9567,0987,9256,580
Composite: ACSC Overall20,73415,36819,56317,75623,00916,08719,17517,42720,50917,826
Pressure Ulcer2,9802,2132,8772,4923,4152,2522,8202,3613,1952,436
Injurious Falls253224263220323194251221300217
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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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Current as of December 2012
Internet Citation: Table 17E: SMI Subpopulation: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17e.html