Table 8A: National HCBS Population

Assessing the Health and Welfare of the 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 IndicatorWhite Only, Non-HispanicBlack Only, Non-HispanicHispanicOther Race or Multiple Races, Non-HispanicUnknown RaceMaleFemaleAges 18-64Ages 65-84Age 85+MSANon-MSA
Short-Term Complications of Diabetes23355724411621331227542415274278338
  Minssssss12091ssss
  Max9311,5514,4613,774s1,5461,0321,8589152251,2741,069
Asthma or Chronic Obstructive Pulmonary Disease4,3343,6823,0831,7443,6352,9504,4023,0025,3882,9833,4955,278
  Min816ssss3931,1893952,3191,267668s
  Max9,2117,98210,30916,438s6,51611,0216,67914,3577,7277,74010,370
Congestive Heart Failure4,7507,2365,0292,6584,8153,7505,9402,6307,3909,9284,8366,345
  Min1,287ssss1,0601,2742973,6193,3381,0031,876
  Max9,14613,29018,3919,746s7,13012,4329,52413,51518,13010,23010,654
Composite: Potentially Preventable Infection8,8447,5156,9854,8307,2897,4018,4015,2759,77215,8757,46910,010
  Min4,494ssss5,1585,1023,2485,1188,8014,9306,005
  Max15,09125,80627,58624,528s14,29914,4819,64620,05130,39515,19316,242
    Bacterial Pneumonia5,6383,9674,1363,2454,5134,9904,8943,2706,0009,5744,4756,480
      Min3,464ssss3,7893,0902,3763,2535,1593,1473,371
      Max9,42116,1298,14713,836s9,6188,5135,74013,04321,5818,2299,949
    Urinary Tract Infection3,2063,5482,8491,5842,7752,4113,5072,0053,7726,3012,9943,530
      Minsssss1,0811,8438201,8652,7941,4901,374
      Max6,3879,67727,58610,692s5,6107,3384,1639,35114,8036,9646,586
Infection Due to Device or Implant6211,276841409607729772970600220757779
  Minsssss196213263ss220s
  Max1,4862,9147,1863,113s1,3092,1091,6522,2185711,5741,855
Dehydration1,8682,5511,5089941,7811,5222,1261,2122,3393,8661,7672,418
  Min619ssss3449234751,019607501512
  Max3,7435,5534,9005,988s2,9514,2562,6015,0667,3063,6684,349
Composite: ACSC Chronic Conditions11,36415,72211,9326,04111,0759,26413,4518,38716,04315,36111,14514,966
  Min2,524ssss2,0632,9721,0027,5403,9452,1734,128
  Max22,67527,11630,97645,570s17,16225,28719,20930,71025,59520,99026,252
Composite: ACSC Acute Conditions8,0986,8276,3214,3276,7726,1498,0314,4649,27815,0746,6649,756
  Min4,503ssss3,5864,8112,3164,7807,8914,2065,613
  Max14,32222,58128,57122,642s12,44514,4218,91319,04526,21411,64115,956
Composite: ACSC Overall19,46122,54718,25010,36817,84515,41221,48112,85025,31930,43217,80824,720
  Min7,0279,302sss5,6498,4923,64312,76811,8366,3788,163
  Max36,99740,25341,37951,572s29,60739,70925,78849,75549,12929,45442,207
Pressure Ulcer3,1345,6902,8371,4762,9843,7513,3292,8633,7485,6993,5093,506
  Min1,506ssss1,8051,3741,1061,2131,0511,4731,015
  Max6,77217,19410,85327,397s10,4499,0858,47511,11513,2619,5258,445
Injurious Falls370165213190294149385100436816252466
  Minssssssssssss
  Max1,7137689423,817s7881,8063832,4375,4631,7342,060
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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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Current as of December 2012
Internet Citation: Table 8A: National HCBS Population: 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/hcbsfindtab8.html