Assessing the Health and Welfare of the HCBS Population

Table 8D: I/DD Subpopulation

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

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Table 8D: I/DD Subpopulation

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
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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 8D: I/DD Subpopulation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab8d.html