Table 17G: HCBS Population Age 65+

Assessing the Health and Welfare of the HCBS Population

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

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

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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	168	90	174	112	152	124	128	152	151	126
Asthma or Chronic Obstructive Pulmonary Disease	6,000	3,319	6,302	4,009	6,477	3,879	4,764	5,070	5,951	4,392
Congestive Heart Failure	9,707	5,670	9,441	7,121	10,315	6,579	7,776	8,511	9,733	7,245
Composite: Potentially Preventable Infection	12,939	8,803	13,746	9,673	14,705	9,061	10,883	11,938	14,093	9,922
Bacterial Pneumonia	7,696	5,640	8,401	5,899	8,768	5,654	6,538	7,592	8,503	6,093
Urinary Tract Infection	5,243	3,162	5,344	3,774	5,937	3,406	4,345	4,347	5,590	3,829
Infection Due to Device or Implant	597	405	603	463	626	448	504	543	585	484
Dehydration	3,325	1,841	3,224	2,376	3,611	2,138	2,636	2,825	3,574	2,313
Composite: ACSC Chronic Conditions	19,464	11,177	19,416	13,872	20,296	13,289	15,541	16,892	19,153	14,562
Composite: ACSC Acute Conditions	12,358	8,261	12,899	9,271	13,941	8,615	10,221	11,658	13,626	9,337
Composite: ACSC Overall	31,820	19,437	32,312	23,141	34,235	21,902	25,759	28,549	32,778	23,897
Pressure Ulcer	5,156	2,917	5,215	3,604	5,195	3,597	4,379	3,646	4,962	3,857
Injurious Falls	568	461	588	484	677	430	504	573	687	457

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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