Assessing the Health and Welfare of the HCBS Population

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

Table 19C: Medicaid-Only HCBS Participants

Select for:

• Table 19A: National HCBS Population.
• Table 19B: Dually Eligible 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	627	386	495	391	487	325	455	452	486	317
Asthma or Chronic Obstructive Pulmonary Disease	3,232	3,211	3,103	3,396	3,368	2,629	3,105	3,468	3,380	2,524
Congestive Heart Failure	2,970	2,861	2,994	2,731	3,152	1,877	2,847	2,992	3,190	1,623
Composite: Potentially Preventable Infection	5,504	4,680	5,173	4,506	5,019	4,502	4,814	5,137	5,065	4,267
Bacterial Pneumonia	3,293	3,045	3,229	2,937	3,142	3,011	3,055	3,252	3,161	2,921
Urinary Tract Infection	2,211	1,635	1,944	1,569	1,877	1,491	1,759	1,885	1,904	1,346
Infection Due to Device or Implant	930	772	872	730	813	833	725	1,021	817	815
Dehydration	1,498	1,049	1,140	1,233	1,179	1,166	1,067	1,421	1,184	1,143
Composite: ACSC Chronic Conditions	9,834	8,629	9,132	8,718	9,605	6,500	8,868	9,202	9,664	6,021
Composite: ACSC Acute Conditions	5,014	4,057	4,618	3,874	4,435	3,912	4,284	4,429	4,470	3,725
Composite: ACSC Overall	14,847	12,685	13,750	12,591	14,039	10,413	13,151	13,631	14,134	9,746
Pressure Ulcer	3,144	1,922	2,311	2,203	2,306	2,125	2,071	2,713	2,345	1,945
Injurious Falls	114	46	72	55	58	93	68	59	59	92

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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