Assessing the Health and Welfare of the HCBS Population

Table 17E: SMI Subpopulation

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

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Table 17E: SMI Subpopulation

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
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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 17E: SMI Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17e.html