Assessing the Health and Welfare of the HCBS Population

Table 17F: HCBS Population Ages 18-64 Without I/DD or SMI

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

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Table 17F: HCBS Population Ages 18-64 Without I/DD or SMI

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 723 493 623 631 746 552 649 580 808 536
Asthma or Chronic Obstructive Pulmonary Disease 5,823 3,558 6,918 3,918 5,595 4,432 5,172 4,252 5,127 4,794
Congestive Heart Failure 5,919 3,909 5,763 4,771 5,575 4,777 5,386 4,422 5,433 4,903
Composite: Potentially Preventable Infection 7,762 6,050 8,645 6,296 8,200 6,313 7,167 6,811 8,020 6,538
    Bacterial Pneumonia 4,313 3,608 4,880 3,611 4,505 3,708 4,111 3,821 4,313 3,861
    Urinary Tract Infection 3,449 2,442 3,765 2,685 3,695 2,605 3,056 2,990 3,708 2,677
Infection Due to Device or Implant 1,970 1,421 2,205 1,523 1,941 1,616 1,760 1,709 1,862 1,687
Dehydration 2,062 1,306 2,212 1,530 2,111 1,516 1,765 1,719 1,921 1,669
Composite: ACSC Chronic Conditions 17,266 11,222 18,321 13,082 16,667 13,551 15,490 13,164 16,300 14,007
Composite: ACSC Acute Conditions 6,676 5,285 7,470 5,449 7,139 5,429 6,119 6,072 7,171 5,539
Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 21,607 19,235 23,468 19,546
Pressure Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 4,785 5,171 6,257 4,181
Injurious Falls 147 123 175 119 170 116 145 120 171 121
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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 17F: HCBS Population Ages 18-64 Without I/DD or SMI. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab17f.html