Assessing the Health and Welfare of the HCBS Population

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

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

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

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
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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 19F: HCBS Population Ages 18-64 Without I/DD or SMI. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19f.html