Assessing the Health and Welfare of the HCBS Population

Table 18D: I/DD Subpopulation

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 191 137 188 130 167 139 182 138
Asthma or Chronic Obstructive Pulmonary Disease 838 669 745 711 821 603 830 658
Congestive Heart Failure 841 562 745 589 737 551 786 572
Composite: Potentially Preventable Infection 4,947 4,152 4,518 4,343 4,757 3,981 4,891 4,113
    Bacterial Pneumonia 3,159 2,855 2,901 2,999 3,150 2,709 3,167 2,822
    Urinary Tract Infection 1,788 1,296 1,618 1,344 1,607 1,272 1,724 1,292
Infection Due to Device or Implant 385 266 370 258 322 285 378 259
Dehydration 861 617 745 664 770 608 827 617
Composite: ACSC Chronic Conditions 2,506 1,886 2,292 1,945 2,306 1,820 2,409 1,890
Composite: ACSC Acute Conditions 3,829 3,169 3,556 3,266 3,624 3,089 3,751 3,157
Composite: ACSC Overall 6,335 5,055 5,848 5,211 5,930 4,908 6,161 5,048
Pressure Ulcer 1,757 1,227 1,653 1,218 1,537 1,233 1,672 1,232
Injurious Falls 88 65 70 75 90 50 94 59

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 18D: I/DD Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18d.html