Assessing the Health and Welfare of the HCBS Population

Table 19G: HCBS Population Age 65+

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

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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 150 128 113 173 130 154 120 169 134 137
Asthma or Chronic Obstructive Pulmonary Disease 5,832 4,430 4,513 5,441 4,689 5,483 4,378 5,982 4,711 5,551
Congestive Heart Failure 9,633 7,267 7,625 8,581 7,787 8,703 7,273 9,659 7,921 8,201
Composite: Potentially Preventable Infection 14,036 9,949 11,053 11,339 10,770 12,751 10,402 12,996 10,791 13,100
    Bacterial Pneumonia 8,528 6,090 6,718 6,974 6,518 8,016 6,322 8,002 6,504 8,444
    Urinary Tract Infection 5,508 3,859 4,334 4,365 4,251 4,734 4,080 4,994 4,287 4,656
Infection Due to Device or Implant 575 488 500 539 509 536 475 610 514 514
Dehydration 3,517 2,336 2,591 2,854 2,623 2,943 2,494 3,152 2,661 2,811
Composite: ACSC Chronic Conditions 18,890 14,633 14,905 17,670 15,541 17,332 14,611 19,015 15,758 16,589
Composite: ACSC Acute Conditions 13,574 9,342 10,402 10,932 10,218 12,136 9,860 12,380 10,227 12,540
Composite: ACSC Overall 32,463 23,973 25,306 28,599 25,757 29,466 24,470 31,390 25,983 29,126
Pressure Ulcer 4,845 3,916 4,034 4,473 4,279 3,822 4,169 4,242 4,328 3,449
Injurious Falls 694 450 520 525 493 640 498 580 497 653
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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 19G: HCBS Population Age 65+. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19g.html