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+, 2005^a

Select for:

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

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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