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

Assessing the Health and Welfare of the HCBS Population

Outcome IndicatorsHCBS SubpopulationsTotal
Dually
Eligible
Medicaid OnlyI/DDSMIAges 18-64
Without I/DD
or SMI
Age 65+
Eligible Population (n)1,198,581427,169392,412237,181356,839776,1801,625,750
Short-Term Complications of Diabetes231454155506628134288
  Min89sss74s68
  Max8252,2737763,1293,2297701,188
Asthma or Chronic Obstructive Pulmonary Disease4,0893,2177264,9874,8924,8433,865
  Min1,053346s9959412,097820
  Max9,9257,2321,88613,03810,88612,7779,165
Congestive Heart Failure5,9042,8926563,3965,0937,9655,131
  Min1,6982071527381,5393,9201,207
  Max12,0258,2461,79110,46022,14914,48310,538
Composite: Potentially Preventable Infection9,1084,9134,4187,3197,05911,1548,031
  Min5,7143,2492,0714,5323,7026,0235,222
  Max16,35010,2147,40629,70714,69321,96914,313
    Bacterial Pneumonia5,5563,1152,9574,7044,0236,8094,929
      Min3,6321,6541,2942,5981,9693,8383,368
      Max10,2435,8154,87316,8768,13513,0218,903
    Urinary Tract Infection3,5521,7981,4612,6153,0364,3453,102
      Min1,7179073781,1331,7332,1841,668
      Max7,8514,3992,77712,8318,45510,0146,677
Infection Due to Device or Implant7358173067411,744514756
  Min136ss373551s326
  Max1,4032,4606143,2085,7491,7061,661
Dehydration2,1531,1766991,9831,7512,6851,903
  Min611230s5544731,094660
  Max4,3602,8511,3915,5284,3165,4893,825
Composite: ACSC Chronic Conditions12,9178,9712,09411,65714,78215,88811,903
  Min3,3628992611,9902,1277,2012,551
  Max23,37420,1055,71525,80239,03529,63722,419
Composite: ACSC Acute Conditions8,3754,3283,3906,9986,10510,5917,336
  Min5,2102,5151,4114,3003,1275,5994,623
  Max15,4789,2035,79822,87312,91519,98713,724
Composite: ACSC Overall21,29013,2995,48418,65520,88526,47719,238
  Min8,8983,6641,6739,2255,67213,7997,174
  Max38,85229,16110,82448,67550,21949,62336,143
Pressure Ulcer3,9052,2691,4042,6834,9034,1903,485
  Min1,6995513145572,1391,2901,542
  Max9,7059,5433,88011,43719,51810,8819,572
Injurious Falls3786573242137522298
  Minsssssss
  Max1,7646212741,2437113,2821,400

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: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab7.html