Assessing the Health and Welfare of the HCBS Population

Table 8A: National HCBS Population

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

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Table 8A: National HCBS Population

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
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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.

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Page last reviewed December 2012
Internet Citation: Table 8A: National HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab8.html