Table 8B: Dually Eligible HCBS Participants

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 8B: Dually Eligible HCBS Participants

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 Diabetes1954512089215126621337815374225261
  Minssssss121sssss
  Max7061,6626,3164,771s1,3456191,4901,021235821831
Asthma or Chronic Obstructive Pulmonary Disease4,6463,7083,1491,8023,8653,4004,4582,7915,5103,0413,6775,585
  Min1,063ssss6331,3693252,3621,288905s
  Max9,9738,5398,95530,000s8,33411,6966,43514,4827,9058,57111,072
Congestive Heart Failure5,5658,3745,8002,8915,6564,3906,7152,5467,52910,0715,5347,348
  Min1,796ssss1,4201,6663123,7473,3741,3982,664
  Max10,69214,64425,39714,035s9,97012,89010,81613,73918,76711,52412,232
Composite: Potentially Preventable Infection10,0538,5427,7265,0958,3498,5459,4105,6319,98316,1288,46811,256
  Min5,974ssss6,0115,5583,2715,1938,8965,6466,681
  Max17,15135,55636,36427,038s17,47016,5429,97820,95131,03415,49718,170
    Bacterial Pneumonia6,3734,3624,5393,4265,1135,8115,4193,4356,1269,7145,0257,278
      Min3,964ssss3,9753,2842,2383,2795,2153,5824,186
      Max10,81722,2229,18514,517s11,9419,3825,89113,10421,9448,39111,300
    Urinary Tract Infection3,6804,1803,1871,6693,2362,7343,9912,1963,8576,4143,4433,978
      Minsssss1,2422,0177511,9142,8241,8501,446
      Max7,71313,33336,36413,519s6,6658,4934,8489,59715,2147,8767,645
Infection Due to Device or Implant5721,4018823626017437311,066605225743739
  Minssssss224215ssss
  Max1,1393,55812,8572,985s1,4261,4601,8162,2315891,5681,488
Dehydration2,1063,0221,6911,0802,0611,7372,3761,2382,4033,9362,0082,683
  Minsssss4757143751,0641,007452620
  Max4,2276,1714,4205,783s3,4834,7962,3915,2388,1144,3834,589
Composite: ACSC Chronic Conditions12,50517,16412,9476,32112,11110,42514,2517,96216,34915,59012,06216,209
  Min3,408ssss3,2433,4521,1267,8063,9882,9194,948
  Max23,90329,84144,444109,091s18,99326,36517,10531,27626,49521,49226,641
Composite: ACSC Acute Conditions9,2187,9837,0304,5797,7757,1499,0314,6529,48315,3157,60811,006
  Minsssss4,4305,2472,3354,8487,6695,0166,250
  Max16,01226,66743,75024,652s15,06615,6878,56519,30026,94113,11517,587
Composite: ACSC Overall21,72325,14419,97510,90019,88417,57223,28112,61325,83130,90219,66827,213
  Min8,723ssss7,6739,8203,75412,97111,6567,93510,256
  Max39,91444,86074,074109,091s34,05941,28422,86350,57650,85632,46344,228
Pressure Ulcer3,4726,7893,3521,5253,3974,0953,8043,3003,8545,8063,9823,777
  Min1,663ssss1,7751,5481,2081,2201,0641,625918
  Max7,91620,00016,97011,285s11,02510,1927,94711,81613,6299,7569,500
Injurious Falls455223286233382193477129454836328556
  Minssssssssssss
  Max2,1288415626,579s1,0662,1813402,5395,5212,2752,762
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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 8B: Dually Eligible HCBS Participants: 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/hcbsfindtab8b.html