Assessing the Health and Welfare of the HCBS Population

Table 19B: Dually Eligible HCBS Participants

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

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Table 19B: Dually Eligible HCBS Participants

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
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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 19B: Dually Eligible HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19b.html