Assessing the Health and Welfare of the HCBS Population

Table 19D: I/DD Subpopulation

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

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Table 19D: I/DD Subpopulation

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 214 133 196 115 178 112 180 122 179 101
Asthma or Chronic Obstructive Pulmonary Disease 811 694 781 672 789 605 743 703 795 573
Congestive Heart Failure 840 587 770 545 762 453 734 552 760 427
Composite: Potentially Preventable Infection 4,857 4,255 4,729 4,117 4,722 3,840 4,491 4,323 4,799 3,583
    Bacterial Pneumonia 3,083 2,911 3,033 2,883 3,114 2,659 2,952 2,963 3,156 2,522
    Urinary Tract Infection 1,775 1,345 1,696 1,233 1,608 1,181 1,538 1,359 1,643 1,061
Infection Due to Device or Implant 389 275 384 230 330 260 332 272 328 257
Dehydration 904 623 775 625 764 574 720 671 764 556
Composite: ACSC Chronic Conditions 2,538 1,929 2,385 1,811 2,365 1,578 2,265 1,869 2,367 1,495
Composite: ACSC Acute Conditions 3,863 3,215 3,698 3,092 3,685 2,830 3,503 3,242 3,720 2,668
Composite: ACSC Overall 6,401 5,144 6,083 4,903 6,049 4,408 5,768 5,111 6,087 4,163
Pressure Ulcer 1,887 1,225 1,703 1,115 1,573 1,084 1,543 1,223 1,589 999
Injurious Falls 88 67 77 69 79 61 77 67 77 63
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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 19D: I/DD Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19d.html