Table 19A: National HCBS Population

Assessing the Health and Welfare of the HCBS Population

Table 19: Outcome Indicators by State Prevalence of Specific Disabilities, Age 65+, 2005a

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Table 19A: National HCBS Population

Outcome IndicatorPercentage With
Sensory Disability
Percentage With
Physical Disability
Percentage With
Self-Care Disability
Percentage With
Mental Disability
Percentage With
Difficulty Going
Outside Home
Short-Term Complications of Diabetes375251301269304238289287304226
Asthma or Chronic Obstructive Pulmonary Disease4,4823,6003,8313,9163,9793,4853,7134,1763,9913,370
Congestive Heart Failure6,0724,7275,3154,8495,3644,3535,0105,3785,4593,835
Composite: Potentially Preventable Infection9,7047,3138,3757,5058,0557,9507,7828,5418,1167,694
    Bacterial Pneumonia5,8224,5465,0704,7134,8955,0434,7495,2974,9115,000
    Urinary Tract Infection3,8822,7673,3052,7923,1612,9073,0333,2443,2052,694
Infection Due to Device or Implant868708795697779680725821784648
Composite: ACSC Chronic Conditions13,98411,01112,08711,62312,41610,20011,68412,35312,5559,336
Composite: ACSC Acute Conditions9,1136,5737,6566,8467,3877,1647,1387,7417,4276,977
Composite: ACSC Overall23,09517,58419,74318,46719,80217,36318,82120,09219,98016,312
Pressure Ulcer4,2913,1393,6553,2253,6472,9453,5013,4523,6952,655
Injurious Falls388259314272293312301291297299
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ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness.

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.

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 19A: National HCBS Population: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.