Assessing the Health and Welfare of the HCBS Population

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

Table 17E: SMI Subpopulation

Select for:

• Table 17A: National HCBS Population.
• Table 17B: Dually Eligible HCBS Participants.
• Table 17C: Medicaid-Only HCBS Participants.
• Table 17D: I/DD 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	558	424	483	528	631	432	523	465	637	445
Asthma or Chronic Obstructive Pulmonary Disease	5,622	3,983	5,619	4,362	6,108	4,326	5,185	4,519	5,313	4,855
Congestive Heart Failure	3,893	2,612	3,440	3,352	4,341	2,839	3,611	2,890	3,797	3,216
Composite: Potentially Preventable Infection	7,848	6,482	7,766	6,876	9,296	6,153	7,342	7,265	8,112	6,955
Bacterial Pneumonia	4,941	4,329	5,091	4,321	5,722	4,103	4,639	4,858	5,047	4,541
Urinary Tract Infection	2,907	2,154	2,675	2,556	3,574	2,049	2,703	2,408	3,065	2,414
Infection Due to Device or Implant	766	701	733	749	908	642	718	795	856	687
Dehydration	2,231	1,591	1,904	2,061	2,539	1,656	2,005	1,933	2,248	1,861
Composite: ACSC Chronic Conditions	13,215	9,197	12,345	10,977	14,172	10,174	12,220	10,328	12,586	11,247
Composite: ACSC Acute Conditions	7,521	6,172	7,219	6,781	8,838	5,914	6,956	7,098	7,925	6,580
Composite: ACSC Overall	20,734	15,368	19,563	17,756	23,009	16,087	19,175	17,427	20,509	17,826
Pressure Ulcer	2,980	2,213	2,877	2,492	3,415	2,252	2,820	2,361	3,195	2,436
Injurious Falls	253	224	263	220	323	194	251	221	300	217

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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