Assessing the Health and Welfare of the HCBS Population

Table 19A: National 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 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
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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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Page last reviewed December 2012
Internet Citation: Table 19A: National HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19.html