Assessing the Health and Welfare of the HCBS Population

Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI

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 912 490 639 612 774 508 847 510
Asthma or Chronic Obstructive Pulmonary Disease 6,204 4,252 4,225 5,945 6,439 3,613 6,366 4,092
Congestive Heart Failure 6,132 4,586 4,820 5,524 5,962 4,374 6,014 4,593
Composite: Potentially Preventable Infection 8,869 6,176 6,714 7,602 8,352 5,989 8,778 6,126
    Bacterial Pneumonia 4,854 3,617 3,824 4,338 4,710 3,455 4,842 3,578
    Urinary Tract Infection 4,014 2,558 2,891 3,264 3,642 2,534 3,935 2,548
Infection Due to Device or Implant 2,178 1,533 1,565 2,029 2,082 1,466 2,139 1,531
Dehydration 2,229 1,518 1,497 2,154 2,263 1,329 2,274 1,468
Composite: ACSC Chronic Conditions 18,611 12,915 13,755 16,403 18,247 11,919 18,440 12,798
Composite: ACSC Acute Conditions 7,869 5,244 5,930 6,380 7,201 5,198 7,778 5,197
Composite: ACSC Overall 26,478 18,157 19,684 22,783 25,447 17,116 26,216 17,993
Pressure Ulcer 6,748 4,003 4,586 5,403 6,035 3,967 6,763 3,893
Injurious Falls 185 114 141 131 173 108 201 102

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 18F: HCBS Population Ages 18-64 Without I/DD or SMI. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18f.html