Table 18A: National HCBS Population

Assessing the Health and Welfare of the HCBS Population

Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005a

Select for:

Outcome IndicatorPercentage of
Population 18-64
With Any Disability
Percentage of
Population 65+
With Any Disability
Percentage of
Population 18-64
Receiving SSDI
Percentage of
State Population
Diagnosed With
Mental Retardation
and Receiving SSDI 
>Median≤Median>Median≤Median>Median≤Median>Median≤Median
Short-Term Complications of Diabetes386242291286340238374242
Asthma or Chronic Obstructive Pulmonary Disease4,9943,3273,5744,2204,7862,9574,9903,259
Congestive Heart Failure6,4574,4985,0495,2305,9124,3616,3104,496
Composite: Potentially Preventable Infection10,2426,9767,9078,1829,3646,71810,1266,904
    Bacterial Pneumonia6,1364,3534,8275,0535,6584,2106,1004,299
    Urinary Tract Infection4,1062,6233,0803,1293,7052,5084,0252,605
Infection Due to Device or Implant945666741775843670934661
Dehydration2,5191,6081,8192,0052,3081,5032,4901,587
Composite: ACSC Chronic Conditions14,87910,48411,46612,43614,0279,81114,68410,407
Composite: ACSC Acute Conditions9,4396,3327,3047,3748,5016,1889,2716,295
Composite: ACSC Overall24,31716,81518,77019,80922,52715,99823,95316,701
Pressure Ulcer4,4433,0283,4503,5274,1572,8224,3922,997
Injurious Falls384257311282345251392247

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; SSDI = Social Security Disability Income.

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.

Source data uses the term mental retardation. Elsewhere in this report we refer to this condition as part of the I/DD subpopulation.

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 18A: National HCBS Population: 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/hcbsfindtab18.html