Table 19E: SMI Subpopulation

Assessing the Health and Welfare of the HCBS Population

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

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Table 19E: SMI Subpopulation

Outcome IndicatorPercentage 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 Diabetes633451574429529441514490537412
Asthma or Chronic Obstructive Pulmonary Disease5,2214,8855,1934,7555,1394,5584,7205,5045,1884,379
Congestive Heart Failure3,7323,2503,8412,8963,6352,7233,2813,6193,6932,498
Composite: Potentially Preventable Infection7,9507,0457,9166,6477,2087,6316,7268,4667,3287,290
    Bacterial Pneumonia4,9734,5874,9524,4254,5955,0124,3065,4744,6564,849
    Urinary Tract Infection2,9772,4582,9642,2222,6132,6192,4202,9922,6722,442
Infection Due to Device or Implant838699862605733764668882749716
Dehydration2,2661,8602,1001,8521,9801,9911,8022,3342,0161,883
Composite: ACSC Chronic Conditions12,41511,32812,48810,72212,2929,86711,28812,37312,4409,290
Composite: ACSC Acute Conditions7,8046,6497,5976,3256,9247,2086,4718,0207,0376,881
Composite: ACSC Overall20,21817,97620,08417,04619,21517,07517,75720,39319,47616,171
Pressure Ulcer3,1242,4923,0842,2322,8192,3012,6582,7312,8462,191
Injurious Falls297218268212233266239247236260
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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 19E: SMI Subpopulation: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19e.html