Table 8E: SMI 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, 2005a

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Table 8E: SMI Subpopulation

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 Diabetes446779607243312467533594168107502553
  Minssssssssssss
  Max1,8353,59094125,263s6,4312,8774,013783s3,1452,437
Asthma or Chronic Obstructive Pulmonary Disease5,4774,1154,9402,5334,0652,9446,3844,1418,5136,0964,7446,118
  Minssssss1,5781,0062,475sss
  Max13,36015,78919,04814,679s13,05515,82112,38125,80619,67212,81814,829
Congestive Heart Failure2,9134,9544,2782,4632,9662,4884,0172,1547,72713,4223,3003,933
  Minssssss1,294sssss
  Max10,46311,9058,79121,053s7,97812,0117,35823,29552,17410,93311,042
Composite: Potentially Preventable Infection8,1345,8766,7684,4415,7695,9048,2865,19514,40027,6457,0408,407
  Min4,649ssss2,8884,9893,3618,333s3,0154,143
  Max29,61857,14326,08721,053s31,18828,78220,93740,83470,42330,72626,810
    Bacterial Pneumonia5,3623,4543,9163,1053,7334,2784,9953,4978,74116,1224,4595,584
      Min3,186ssss1,6673,1821,7015,021s2,299s
      Max17,38414,28611,11112,632s21,03414,27811,90123,27139,43716,40018,231
    Urinary Tract Infection2,7722,4222,8521,3362,0361,6263,2911,6985,65911,5232,5812,822
      Minssssss1,4687352,188s996974
      Max12,23334,28626,0873,887s10,15414,5049,03617,56337,11314,3268,579
Infection Due to Device or Implant6821,069600815509522891801523348748760
  Minsssssss382ssss
  Max2,8975,9523,8003,515s2,9013,5094,6283,0303,1623,5823,153
Dehydration1,9772,4431,8701,3011,2221,5162,3021,5043,4537,8071,9282,243
  Minssssssssssss
  Max5,89013,0953,96713,423s9,9726,3275,80610,48718,1826,6015,140
Composite: ACSC Chronic Conditions11,08214,03114,2407,0959,6308,10314,0889,36720,31723,47411,29113,614
  Minsssss1,3892,4542,9717,175s2,988s
  Max27,20334,98346,66771,111s25,02330,70227,42550,58269,56526,39028,481
Composite: ACSC Acute Conditions7,7895,5816,3864,4065,5455,1548,2604,90313,92627,6186,6368,457
  Min4,493ssss1,8874,9893,3637,254s2,9884,435
  Max22,53534,28634,78321,053s19,58324,92914,98632,95966,66725,82517,325
Composite: ACSC Overall18,86919,60920,62611,50115,17513,25622,34714,26934,24051,09317,92622,069
  Min9,170ssss3,61111,9744,99514,508s5,9758,746
  Max49,73848,18550,00088,889s44,60651,21833,44580,351102,63252,21542,172
Pressure Ulcer2,6583,4702,4221,6131,5342,7102,6652,0984,5459,1712,7402,569
  Minsssss435648436ss485s
  Max9,81925,00060,87021,053s13,22310,4257,93416,68541,23712,44111,765
Injurious Falls2951071711562381373131395991,096214362
  Minssssssssssss
  Max2,142854368228s1,1761,9341,1335,3814,7241,8101,523
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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 8E: SMI Subpopulation: 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/hcbsfindtab8e.html