Assessing the Health and Welfare of the HCBS Population

Table 18E: SMI 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 628 446 536 479 571 420 634 426
Asthma or Chronic Obstructive Pulmonary Disease 5,997 4,486 4,795 5,157 5,766 3,959 5,890 4,426
Congestive Heart Failure 4,340 2,928 3,515 3,290 3,810 2,850 4,005 3,019
Composite: Potentially Preventable Infection 9,045 6,463 7,273 7,359 8,158 6,211 8,969 6,296
    Bacterial Pneumonia 5,634 4,243 4,607 4,790 5,164 4,096 5,647 4,119
    Urinary Tract Infection 3,411 2,220 2,666 2,569 2,994 2,115 3,323 2,176
Infection Due to Device or Implant 946 640 790 697 744 738 942 617
Dehydration 2,445 1,754 1,990 1,977 2,155 1,757 2,350 1,755
Composite: ACSC Chronic Conditions 13,992 10,499 11,564 11,740 13,152 9,684 13,527 10,498
Composite: ACSC Acute Conditions 8,688 6,161 7,121 6,889 7,654 6,133 8,513 6,059
Composite: ACSC Overall 22,679 16,659 18,685 18,628 20,804 15,817 22,039 16,556
Pressure Ulcer 3,464 2,296 2,799 2,580 3,066 2,178 3,313 2,292
Injurious Falls 300 213 262 224 280 191 301 205

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 18E: SMI Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18e.html