Assessing the Health and Welfare of the HCBS Population

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

Table 19B: Dually Eligible HCBS Participants

Select for:

• Table 19A: National HCBS Population
• 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+.

Click on the table to see a larger version ↓

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	294	203	233	228	237	213	230	234	240	198
Asthma or Chronic Obstructive Pulmonary Disease	4,883	3,739	4,087	4,092	4,200	3,737	3,931	4,402	4,206	3,639
Congestive Heart Failure	7,067	5,392	6,130	5,563	6,165	5,079	5,786	6,139	6,259	4,539
Composite: Potentially Preventable Infection	11,052	8,252	9,499	8,517	9,154	8,961	8,847	9,627	9,192	8,784
Bacterial Pneumonia	6,634	5,081	5,716	5,312	5,529	5,640	5,358	5,950	5,528	5,662
Urinary Tract Infection	4,418	3,171	3,783	3,205	3,625	3,322	3,490	3,677	3,664	3,123
Infection Due to Device or Implant	847	686	768	686	767	635	724	757	772	594
Dehydration	2,688	1,918	2,200	2,082	2,189	2,042	2,083	2,294	2,219	1,902
Composite: ACSC Chronic Conditions	15,315	11,860	13,124	12,603	13,433	11,285	12,695	13,358	13,574	10,391
Composite: ACSC Acute Conditions	10,428	7,470	8,723	7,849	8,456	8,118	8,162	8,798	8,469	8,012
Composite: ACSC Overall	25,741	19,330	21,845	20,450	21,888	19,402	20,856	22,154	22,042	18,402
Pressure Ulcer	4,659	3,573	4,127	3,570	4,133	3,186	4,014	3,688	4,171	2,882
Injurious Falls	476	335	399	346	378	376	384	365	381	366

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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