Assessing the Health and Welfare of the HCBS Population

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

Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI

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 19E: SMI Subpopulation.
• 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	803	540	651	584	651	522	627	631	651	509
Asthma or Chronic Obstructive Pulmonary Disease	5,015	4,829	4,546	5,563	4,964	4,560	4,669	5,413	4,995	4,357
Congestive Heart Failure	5,334	4,970	5,068	5,140	5,354	3,893	5,012	5,282	5,440	3,287
Composite: Potentially Preventable Infection	7,857	6,653	7,104	6,970	6,880	7,878	6,736	7,813	6,959	7,574
Bacterial Pneumonia	4,231	3,917	3,994	4,079	3,916	4,517	3,845	4,440	3,937	4,468
Urinary Tract Infection	3,626	2,736	3,110	2,890	2,965	3,360	2,891	3,374	3,022	3,106
Infection Due to Device or Implant	1,826	1,703	1,694	1,843	1,725	1,833	1,616	2,046	1,752	1,703
Dehydration	1,907	1,672	1,617	2,012	1,651	2,211	1,543	2,239	1,684	2,102
Composite: ACSC Chronic Conditions	16,031	14,148	14,469	15,391	15,216	12,788	14,483	15,482	15,391	11,620
Composite: ACSC Acute Conditions	7,066	5,616	6,214	5,892	5,990	6,632	5,861	6,673	6,037	6,455
Composite: ACSC Overall	23,094	19,763	20,681	21,282	21,204	19,420	20,343	22,153	21,427	18,076
Pressure Ulcer	6,082	4,303	4,919	4,872	4,765	5,535	4,499	5,846	4,870	5,072
Injurious Falls	173	119	141	130	129	174	140	131	131	168

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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