Assessing the Health and Welfare of the HCBS Population

Table 19E: SMI Subpopulation

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

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Table 19E: SMI 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 633 451 574 429 529 441 514 490 537 412
Asthma or Chronic Obstructive Pulmonary Disease 5,221 4,885 5,193 4,755 5,139 4,558 4,720 5,504 5,188 4,379
Congestive Heart Failure 3,732 3,250 3,841 2,896 3,635 2,723 3,281 3,619 3,693 2,498
Composite: Potentially Preventable Infection 7,950 7,045 7,916 6,647 7,208 7,631 6,726 8,466 7,328 7,290
    Bacterial Pneumonia 4,973 4,587 4,952 4,425 4,595 5,012 4,306 5,474 4,656 4,849
    Urinary Tract Infection 2,977 2,458 2,964 2,222 2,613 2,619 2,420 2,992 2,672 2,442
Infection Due to Device or Implant 838 699 862 605 733 764 668 882 749 716
Dehydration 2,266 1,860 2,100 1,852 1,980 1,991 1,802 2,334 2,016 1,883
Composite: ACSC Chronic Conditions 12,415 11,328 12,488 10,722 12,292 9,867 11,288 12,373 12,440 9,290
Composite: ACSC Acute Conditions 7,804 6,649 7,597 6,325 6,924 7,208 6,471 8,020 7,037 6,881
Composite: ACSC Overall 20,218 17,976 20,084 17,046 19,215 17,075 17,757 20,393 19,476 16,171
Pressure Ulcer 3,124 2,492 3,084 2,232 2,819 2,301 2,658 2,731 2,846 2,191
Injurious Falls 297 218 268 212 233 266 239 247 236 260
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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. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19e.html