Assessing the Health and Welfare of the HCBS Population

Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005

Outcome Indicators HCBS Subpopulations Total
Dually
Eligible
Medicaid Only I/DD SMI Ages 18-64
Without I/DD
or SMI
Age 65+
Eligible Population (n) 1,198,581 427,169 392,412 237,181 356,839 776,180 1,625,750
Short-Term Complications of Diabetes 231 454 155 506 628 134 288
  Min 89 s s s 74 s 68
  Max 825 2,273 776 3,129 3,229 770 1,188
Asthma or Chronic Obstructive Pulmonary Disease 4,089 3,217 726 4,987 4,892 4,843 3,865
  Min 1,053 346 s 995 941 2,097 820
  Max 9,925 7,232 1,886 13,038 10,886 12,777 9,165
Congestive Heart Failure 5,904 2,892 656 3,396 5,093 7,965 5,131
  Min 1,698 207 152 738 1,539 3,920 1,207
  Max 12,025 8,246 1,791 10,460 22,149 14,483 10,538
Composite: Potentially Preventable Infection 9,108 4,913 4,418 7,319 7,059 11,154 8,031
  Min 5,714 3,249 2,071 4,532 3,702 6,023 5,222
  Max 16,350 10,214 7,406 29,707 14,693 21,969 14,313
    Bacterial Pneumonia 5,556 3,115 2,957 4,704 4,023 6,809 4,929
      Min 3,632 1,654 1,294 2,598 1,969 3,838 3,368
      Max 10,243 5,815 4,873 16,876 8,135 13,021 8,903
    Urinary Tract Infection 3,552 1,798 1,461 2,615 3,036 4,345 3,102
      Min 1,717 907 378 1,133 1,733 2,184 1,668
      Max 7,851 4,399 2,777 12,831 8,455 10,014 6,677
Infection Due to Device or Implant 735 817 306 741 1,744 514 756
  Min 136 s s 373 551 s 326
  Max 1,403 2,460 614 3,208 5,749 1,706 1,661
Dehydration 2,153 1,176 699 1,983 1,751 2,685 1,903
  Min 611 230 s 554 473 1,094 660
  Max 4,360 2,851 1,391 5,528 4,316 5,489 3,825
Composite: ACSC Chronic Conditions 12,917 8,971 2,094 11,657 14,782 15,888 11,903
  Min 3,362 899 261 1,990 2,127 7,201 2,551
  Max 23,374 20,105 5,715 25,802 39,035 29,637 22,419
Composite: ACSC Acute Conditions 8,375 4,328 3,390 6,998 6,105 10,591 7,336
  Min 5,210 2,515 1,411 4,300 3,127 5,599 4,623
  Max 15,478 9,203 5,798 22,873 12,915 19,987 13,724
Composite: ACSC Overall 21,290 13,299 5,484 18,655 20,885 26,477 19,238
  Min 8,898 3,664 1,673 9,225 5,672 13,799 7,174
  Max 38,852 29,161 10,824 48,675 50,219 49,623 36,143
Pressure Ulcer 3,905 2,269 1,404 2,683 4,903 4,190 3,485
  Min 1,699 551 314 557 2,139 1,290 1,542
  Max 9,705 9,543 3,880 11,437 19,518 10,881 9,572
Injurious Falls 378 65 73 242 137 522 298
  Min s s s s s s s
  Max 1,764 621 274 1,243 711 3,282 1,400

Notes:

ACSC = ambulatory care-sensitive condition; 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 people in the States of Arizona, Maine, Washington, and Wisconsin.

Minimum (min) and maximum (max) defined as lowest rate and highest rate among States.

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.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

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Page last reviewed December 2012
Internet Citation: Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab7.html