Assessing the Health and Welfare of the HCBS Population

Table 18G: HCBS Population Age 65+

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 162 122 107 174 172 100 162 121
Asthma or Chronic Obstructive Pulmonary Disease 6,496 4,081 4,181 5,790 6,304 3,513 6,708 3,953
Congestive Heart Failure 10,299 6,890 7,185 9,081 9,730 6,359 10,648 6,685
Composite: Potentially Preventable Infection 14,827 9,462 10,368 12,279 13,788 8,757 15,218 9,215
    Bacterial Pneumonia 8,940 5,827 6,349 7,467 8,250 5,498 9,185 5,675
    Urinary Tract Infection 5,887 3,635 4,019 4,812 5,538 3,259 6,033 3,540
Infection Due to Device or Implant 623 464 462 589 610 427 638 455
Dehydration 3,700 2,217 2,441 3,033 3,420 2,015 3,789 2,158
Composite: ACSC Chronic Conditions 20,180 13,911 14,009 18,575 19,737 12,385 20,893 13,500
Composite: ACSC Acute Conditions 14,083 8,982 9,860 11,635 12,998 8,399 14,372 8,786
Composite: ACSC Overall 34,260 22,892 23,868 30,208 32,733 20,783 35,263 22,285
Pressure Ulcer 5,116 3,763 3,806 4,740 5,358 3,126 5,260 3,679
Injurious Falls 688 445 513 534 620 432 729 423

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 18G: HCBS Population Age 65+. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18g.html