Assessing the Health and Welfare of the HCBS Population

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

Table 19D: I/DD Subpopulation

Select for:

• Table 19A: National HCBS Population.
• Table 19B: Dually Eligible HCBS Participants.
• Table 19C: Medicaid-Only HCBS Participants.
• 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	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

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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