Table 18E: SMI Subpopulation

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 Diabetes628446536479571420634426
Asthma or Chronic Obstructive Pulmonary Disease5,9974,4864,7955,1575,7663,9595,8904,426
Congestive Heart Failure4,3402,9283,5153,2903,8102,8504,0053,019
Composite: Potentially Preventable Infection9,0456,4637,2737,3598,1586,2118,9696,296
    Bacterial Pneumonia5,6344,2434,6074,7905,1644,0965,6474,119
    Urinary Tract Infection3,4112,2202,6662,5692,9942,1153,3232,176
Infection Due to Device or Implant946640790697744738942617
Dehydration2,4451,7541,9901,9772,1551,7572,3501,755
Composite: ACSC Chronic Conditions13,99210,49911,56411,74013,1529,68413,52710,498
Composite: ACSC Acute Conditions8,6886,1617,1216,8897,6546,1338,5136,059
Composite: ACSC Overall22,67916,65918,68518,62820,80415,81722,03916,556
Pressure Ulcer3,4642,2962,7992,5803,0662,1783,3132,292
Injurious Falls300213262224280191301205

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 18E: SMI Subpopulation: 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/hcbsfindtab18e.html