Assessing the Health and Welfare of the HCBS Population

Table 8: Outcome Indicators for the Home and Community-Based Services Population by Participant Attributes, 2005^a

Table 8A: National HCBS Population

Select for:

• Table 8B: Dually Eligible HCBS Participants.
• Table 8C: Medicaid-Only HCBS Participants.
• Table 8D: I/DD Subpopulation.
• Table 8E: SMI Subpopulation.
• Table 8F: HCBS Population Ages 18-64 Without I/DD or SMI.
• Table 8G: HCBS Population Age 65+.

Click on the table to see a larger version ↓

Outcome Indicator	White Only, Non-Hispanic	Black Only, Non-Hispanic	Hispanic	Other Race or Multiple Races, Non-Hispanic	Unknown Race	Male	Female	Ages 18-64	Ages 65-84	Age 85+	MSA	Non-MSA
Short-Term Complications of Diabetes	233	557	244	116	213	312	275	424	152	74	278	338
Min	s	s	s	s	s	s	120	91	s	s	s	s
Max	931	1,551	4,461	3,774	s	1,546	1,032	1,858	915	225	1,274	1,069
Asthma or Chronic Obstructive Pulmonary Disease	4,334	3,682	3,083	1,744	3,635	2,950	4,402	3,002	5,388	2,983	3,495	5,278
Min	816	s	s	s	s	393	1,189	395	2,319	1,267	668	s
Max	9,211	7,982	10,309	16,438	s	6,516	11,021	6,679	14,357	7,727	7,740	10,370
Congestive Heart Failure	4,750	7,236	5,029	2,658	4,815	3,750	5,940	2,630	7,390	9,928	4,836	6,345
Min	1,287	s	s	s	s	1,060	1,274	297	3,619	3,338	1,003	1,876
Max	9,146	13,290	18,391	9,746	s	7,130	12,432	9,524	13,515	18,130	10,230	10,654
Composite: Potentially Preventable Infection	8,844	7,515	6,985	4,830	7,289	7,401	8,401	5,275	9,772	15,875	7,469	10,010
Min	4,494	s	s	s	s	5,158	5,102	3,248	5,118	8,801	4,930	6,005
Max	15,091	25,806	27,586	24,528	s	14,299	14,481	9,646	20,051	30,395	15,193	16,242
Bacterial Pneumonia	5,638	3,967	4,136	3,245	4,513	4,990	4,894	3,270	6,000	9,574	4,475	6,480
Min	3,464	s	s	s	s	3,789	3,090	2,376	3,253	5,159	3,147	3,371
Max	9,421	16,129	8,147	13,836	s	9,618	8,513	5,740	13,043	21,581	8,229	9,949
Urinary Tract Infection	3,206	3,548	2,849	1,584	2,775	2,411	3,507	2,005	3,772	6,301	2,994	3,530
Min	s	s	s	s	s	1,081	1,843	820	1,865	2,794	1,490	1,374
Max	6,387	9,677	27,586	10,692	s	5,610	7,338	4,163	9,351	14,803	6,964	6,586
Infection Due to Device or Implant	621	1,276	841	409	607	729	772	970	600	220	757	779
Min	s	s	s	s	s	196	213	263	s	s	220	s
Max	1,486	2,914	7,186	3,113	s	1,309	2,109	1,652	2,218	571	1,574	1,855
Dehydration	1,868	2,551	1,508	994	1,781	1,522	2,126	1,212	2,339	3,866	1,767	2,418
Min	619	s	s	s	s	344	923	475	1,019	607	501	512
Max	3,743	5,553	4,900	5,988	s	2,951	4,256	2,601	5,066	7,306	3,668	4,349
Composite: ACSC Chronic Conditions	11,364	15,722	11,932	6,041	11,075	9,264	13,451	8,387	16,043	15,361	11,145	14,966
Min	2,524	s	s	s	s	2,063	2,972	1,002	7,540	3,945	2,173	4,128
Max	22,675	27,116	30,976	45,570	s	17,162	25,287	19,209	30,710	25,595	20,990	26,252
Composite: ACSC Acute Conditions	8,098	6,827	6,321	4,327	6,772	6,149	8,031	4,464	9,278	15,074	6,664	9,756
Min	4,503	s	s	s	s	3,586	4,811	2,316	4,780	7,891	4,206	5,613
Max	14,322	22,581	28,571	22,642	s	12,445	14,421	8,913	19,045	26,214	11,641	15,956
Composite: ACSC Overall	19,461	22,547	18,250	10,368	17,845	15,412	21,481	12,850	25,319	30,432	17,808	24,720
Min	7,027	9,302	s	s	s	5,649	8,492	3,643	12,768	11,836	6,378	8,163
Max	36,997	40,253	41,379	51,572	s	29,607	39,709	25,788	49,755	49,129	29,454	42,207
Pressure Ulcer	3,134	5,690	2,837	1,476	2,984	3,751	3,329	2,863	3,748	5,699	3,509	3,506
Min	1,506	s	s	s	s	1,805	1,374	1,106	1,213	1,051	1,473	1,015
Max	6,772	17,194	10,853	27,397	s	10,449	9,085	8,475	11,115	13,261	9,525	8,445
Injurious Falls	370	165	213	190	294	149	385	100	436	816	252	466
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	1,713	768	942	3,817	s	788	1,806	383	2,437	5,463	1,734	2,060

Notes:

ACSC = ambulatory care-sensitive condition; I/DD = intellectual and development disabilities; MSA = metropolitan statistical area; 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.

Return to Contents
Return to Document