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+, 2005^a

Select for:

• Table 19B: Dually Eligible HCBS Participants.
• Table 19C: Medicaid-Only HCBS Participants.
• Table 19D: I/DD Subpopulation.
• Table 19E: SMI Subpopulation.
• Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI.
• Table 19G: HCBS Population Age 65+.

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Outcome Indicator	Percentage With Sensory Disability		Percentage With Physical Disability		Percentage With Self-Care Disability		Percentage With Mental Disability		Percentage With Difficulty Going Outside Home
	>Median	≤Median	>Median	≤Median	>Median	≤Median	>Median	≤Median	>Median	≤Median
Short-Term Complications of Diabetes	375	251	301	269	304	238	289	287	304	226
Asthma or Chronic Obstructive Pulmonary Disease	4,482	3,600	3,831	3,916	3,979	3,485	3,713	4,176	3,991	3,370
Congestive Heart Failure	6,072	4,727	5,315	4,849	5,364	4,353	5,010	5,378	5,459	3,835
Composite: Potentially Preventable Infection	9,704	7,313	8,375	7,505	8,055	7,950	7,782	8,541	8,116	7,694
Bacterial Pneumonia	5,822	4,546	5,070	4,713	4,895	5,043	4,749	5,297	4,911	5,000
Urinary Tract Infection	3,882	2,767	3,305	2,792	3,161	2,907	3,033	3,244	3,205	2,694
Infection Due to Device or Implant	868	708	795	697	779	680	725	821	784	648
Dehydration	2,399	1,690	1,925	1,868	1,920	1,843	1,814	2,083	1,949	1,719
Composite: ACSC Chronic Conditions	13,984	11,011	12,087	11,623	12,416	10,200	11,684	12,353	12,555	9,336
Composite: ACSC Acute Conditions	9,113	6,573	7,656	6,846	7,387	7,164	7,138	7,741	7,427	6,977
Composite: ACSC Overall	23,095	17,584	19,743	18,467	19,802	17,363	18,821	20,092	19,980	16,312
Pressure Ulcer	4,291	3,139	3,655	3,225	3,647	2,945	3,501	3,452	3,695	2,655
Injurious Falls	388	259	314	272	293	312	301	291	297	299

Notes: 

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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