Assessing the Health and Welfare of the HCBS Population

Table 18A: National HCBS Population

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

Select for:

Outcome Indicator Percentage 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 Diabetes 386 242 291 286 340 238 374 242
Asthma or Chronic Obstructive Pulmonary Disease 4,994 3,327 3,574 4,220 4,786 2,957 4,990 3,259
Congestive Heart Failure 6,457 4,498 5,049 5,230 5,912 4,361 6,310 4,496
Composite: Potentially Preventable Infection 10,242 6,976 7,907 8,182 9,364 6,718 10,126 6,904
    Bacterial Pneumonia 6,136 4,353 4,827 5,053 5,658 4,210 6,100 4,299
    Urinary Tract Infection 4,106 2,623 3,080 3,129 3,705 2,508 4,025 2,605
Infection Due to Device or Implant 945 666 741 775 843 670 934 661
Dehydration 2,519 1,608 1,819 2,005 2,308 1,503 2,490 1,587
Composite: ACSC Chronic Conditions 14,879 10,484 11,466 12,436 14,027 9,811 14,684 10,407
Composite: ACSC Acute Conditions 9,439 6,332 7,304 7,374 8,501 6,188 9,271 6,295
Composite: ACSC Overall 24,317 16,815 18,770 19,809 22,527 15,998 23,953 16,701
Pressure Ulcer 4,443 3,028 3,450 3,527 4,157 2,822 4,392 2,997
Injurious Falls 384 257 311 282 345 251 392 247

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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Page last reviewed December 2012
Internet Citation: Table 18A: National 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