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
Outcome Indicators	Dually Eligible	Medicaid Only	I/DD	SMI	Ages 18-64 Without I/DD or SMI	Age 65+	Total
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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Current as of December 2012

Internet Citation: 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. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab7.html