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

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

Table 8E: SMI Subpopulation

• Table 8A: National HCBS Population.
• Table 8B: Dually Eligible HCBS Participants.
• Table 8C: Medicaid-Only HCBS Participants.
• Table 8D: I/DD 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	446	779	607	243	312	467	533	594	168	107	502	553
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	1,835	3,590	941	25,263	s	6,431	2,877	4,013	783	s	3,145	2,437
Asthma or Chronic Obstructive Pulmonary Disease	5,477	4,115	4,940	2,533	4,065	2,944	6,384	4,141	8,513	6,096	4,744	6,118
Min	s	s	s	s	s	s	1,578	1,006	2,475	s	s	s
Max	13,360	15,789	19,048	14,679	s	13,055	15,821	12,381	25,806	19,672	12,818	14,829
Congestive Heart Failure	2,913	4,954	4,278	2,463	2,966	2,488	4,017	2,154	7,727	13,422	3,300	3,933
Min	s	s	s	s	s	s	1,294	s	s	s	s	s
Max	10,463	11,905	8,791	21,053	s	7,978	12,011	7,358	23,295	52,174	10,933	11,042
Composite: Potentially Preventable Infection	8,134	5,876	6,768	4,441	5,769	5,904	8,286	5,195	14,400	27,645	7,040	8,407
Min	4,649	s	s	s	s	2,888	4,989	3,361	8,333	s	3,015	4,143
Max	29,618	57,143	26,087	21,053	s	31,188	28,782	20,937	40,834	70,423	30,726	26,810
Bacterial Pneumonia	5,362	3,454	3,916	3,105	3,733	4,278	4,995	3,497	8,741	16,122	4,459	5,584
Min	3,186	s	s	s	s	1,667	3,182	1,701	5,021	s	2,299	s
Max	17,384	14,286	11,111	12,632	s	21,034	14,278	11,901	23,271	39,437	16,400	18,231
Urinary Tract Infection	2,772	2,422	2,852	1,336	2,036	1,626	3,291	1,698	5,659	11,523	2,581	2,822
Min	s	s	s	s	s	s	1,468	735	2,188	s	996	974
Max	12,233	34,286	26,087	3,887	s	10,154	14,504	9,036	17,563	37,113	14,326	8,579
Infection Due to Device or Implant	682	1,069	600	815	509	522	891	801	523	348	748	760
Min	s	s	s	s	s	s	s	382	s	s	s	s
Max	2,897	5,952	3,800	3,515	s	2,901	3,509	4,628	3,030	3,162	3,582	3,153
Dehydration	1,977	2,443	1,870	1,301	1,222	1,516	2,302	1,504	3,453	7,807	1,928	2,243
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	5,890	13,095	3,967	13,423	s	9,972	6,327	5,806	10,487	18,182	6,601	5,140
Composite: ACSC Chronic Conditions	11,082	14,031	14,240	7,095	9,630	8,103	14,088	9,367	20,317	23,474	11,291	13,614
Min	s	s	s	s	s	1,389	2,454	2,971	7,175	s	2,988	s
Max	27,203	34,983	46,667	71,111	s	25,023	30,702	27,425	50,582	69,565	26,390	28,481
Composite: ACSC Acute Conditions	7,789	5,581	6,386	4,406	5,545	5,154	8,260	4,903	13,926	27,618	6,636	8,457
Min	4,493	s	s	s	s	1,887	4,989	3,363	7,254	s	2,988	4,435
Max	22,535	34,286	34,783	21,053	s	19,583	24,929	14,986	32,959	66,667	25,825	17,325
Composite: ACSC Overall	18,869	19,609	20,626	11,501	15,175	13,256	22,347	14,269	34,240	51,093	17,926	22,069
Min	9,170	s	s	s	s	3,611	11,974	4,995	14,508	s	5,975	8,746
Max	49,738	48,185	50,000	88,889	s	44,606	51,218	33,445	80,351	102,632	52,215	42,172
Pressure Ulcer	2,658	3,470	2,422	1,613	1,534	2,710	2,665	2,098	4,545	9,171	2,740	2,569
Min	s	s	s	s	s	435	648	436	s	s	485	s
Max	9,819	25,000	60,870	21,053	s	13,223	10,425	7,934	16,685	41,237	12,441	11,765
Injurious Falls	295	107	171	156	238	137	313	139	599	1,096	214	362
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	2,142	854	368	228	s	1,176	1,934	1,133	5,381	4,724	1,810	1,523

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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