Table 8D: I/DD Subpopulation

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

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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	119	331	217	78	111	143	169	157	144	s	158	167
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	357	1,069	734	140	s	1,177	793	838	201	s	778	556
Asthma or Chronic Obstructive Pulmonary Disease	691	907	774	634	676	529	957	568	2,808	3,405	682	924
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	2,283	3,661	6,197	42,857	s	1,813	1,968	1,224	8,724	41,026	1,592	2,288
Congestive Heart Failure	548	1,168	738	556	605	510	828	437	3,285	8,386	639	755
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	1,368	2,572	1,815	9,615	s	1,202	2,737	1,169	12,879	34,783	1,527	2,153
Composite: Potentially Preventable Infection	4,610	4,175	4,481	3,193	3,393	4,383	4,460	3,662	13,586	29,697	4,238	4,626
Min	2,041	s	s	s	s	1,648	1,777	1,851	s	s	1,946	1,746
Max	9,091	11,082	12,435	6,987	s	7,734	7,280	6,385	23,892	100,000	8,476	24,490
Bacterial Pneumonia	3,189	2,338	2,845	2,236	2,305	3,151	2,728	2,495	8,634	17,213	2,784	3,179
Min	1,137	s	s	s	s	942	1,057	1,121	s	s	1,168	1,164
Max	9,091	7,075	5,882	4,311	s	5,425	4,726	4,484	14,286	40,816	5,499	24,490
Urinary Tract Infection	1,421	1,838	1,637	957	1,087	1,232	1,731	1,167	4,951	12,484	1,454	1,448
Min	s	s	s	s	s	247	480	284	s	s	367	s
Max	2,962	6,332	8,290	5,240	s	2,423	3,699	2,410	9,606	66,667	2,978	3,702
Infection Due to Device or Implant	257	534	367	423	217	277	340	295	452	378	314	308
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	718	1,226	1,085	1,156	s	790	898	623	2,443	15,385	878	1,064
Dehydration	681	905	625	579	530	607	808	569	2,199	6,179	665	793
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	1,442	1,802	3,026	2,817	s	1,242	1,758	1,252	9,756	24,490	1,260	2,011
Composite: ACSC Chronic Conditions	1,773	3,565	2,592	1,691	1,886	1,601	2,674	1,633	7,937	13,619	2,045	2,430
Min	s	s	s	s	s	289	386	390	s	s	s	s
Max	4,533	7,323	10,141	46,429	s	4,828	7,184	5,166	15,703	51,282	5,060	6,729
Composite: ACSC Acute Conditions	3,515	3,283	3,480	2,526	2,598	3,164	3,657	2,756	10,977	26,230	3,226	3,722
Min	1,855	s	s	s	s	1,177	1,281	962	s	s	1,557	s
Max	6,440	8,971	9,077	6,987	s	5,401	6,237	4,710	24,138	76,000	5,242	8,413
Composite: ACSC Overall	5,288	6,848	6,071	4,217	4,484	4,765	6,331	4,389	18,914	39,849	5,271	6,152
Min	2,636	s	s	s	s	1,732	1,602	1,076	7,984	s	1,713	s
Max	10,521	14,248	15,129	53,571	s	9,546	12,167	7,955	38,424	95,652	9,389	12,785
Pressure Ulcer	1,283	2,251	1,420	1,057	894	1,410	1,397	1,218	3,471	10,593	1,460	1,308
Min	s	s	s	s	s	289	343	278	s	s	482	s
Max	3,665	6,218	6,218	13,974	s	4,720	3,827	3,566	11,374	25,641	4,261	4,038
Injurious Falls	84	51	41	33	40	52	97	51	326	883	65	97
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	285	309	5,882	s	s	270	489	170	3,030	7,595	375	297

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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