Assessing the Health and Welfare of the HCBS Population

Table 8F: HCBS Population Ages 18-64 Without I/DD or SMI

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

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Table 8F: HCBS Population Ages 18-64 Without I/DD or SMI

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 513 971 403 354 628 691 585 628 s s 580 783
  Min s s s s s s s 74 s s s s
  Max 1,945 3,162 1,110 1,203 s 6,275 1,786 3,229 s s 2,430 4,271
Asthma or Chronic Obstructive Pulmonary Disease 5,609 4,656 3,036 2,147 5,511 3,401 5,915 4,892 s s 4,442 6,298
  Min s s s s s s 1,746 941 s s 944 s
  Max 11,150 19,890 29,268 26,415 s 7,823 13,603 10,886 s s 9,625 12,728
Congestive Heart Failure 3,965 7,604 4,595 3,039 5,446 4,745 5,332 5,093 s s 5,032 5,264
  Min s s s s s s 1,279 1,539 s s s s
  Max 10,113 22,633 38,710 25,000 s 13,928 27,486 22,149 s s 21,018 14,198
Composite: Potentially Preventable Infection 7,828 6,540 5,656 4,993 7,085 7,693 6,624 7,059 s s 6,689 8,202
  Min s s s s s 2,815 3,298 3,702 s s 2,273 4,373
  Max 17,565 18,136 38,710 24,549 s 20,056 13,603 14,693 s s 15,072 17,208
    Bacterial Pneumonia 4,594 3,482 3,082 3,024 4,232 4,231 3,880 4,023 s s 3,717 4,984
      Min s s s s s 1,251 2,088 1,969 s s 1,136 s
      Max 8,817 7,874 15,584 18,868 s 8,527 9,352 8,135 s s 8,590 8,013
    Urinary Tract Infection 3,234 3,058 2,574 1,970 2,853 3,462 2,743 3,036 s s 2,973 3,219
      Min s s s s s 1,564 900 1,733 s s 1,136 1,199
      Max 10,113 10,831 38,710 14,440 s 12,256 7,594 8,455 s s 8,412 10,093
Infection Due to Device or Implant 1,518 2,271 1,704 1,162 1,712 1,708 1,770 1,744 s s 1,756 1,708
  Min s s s s s s s 551 s s 928 s
  Max 5,498 7,874 30,769 11,336 s 5,450 5,956 5,749 s s 5,987 7,175
Dehydration 1,728 2,118 1,255 816 1,871 1,755 1,749 1,751 s s 1,665 2,028
  Min 450 s s s s 707 s 473 s s s s
  Max 3,904 6,545 9,865 16,667 s 5,014 4,996 4,316 s s 3,761 5,381
Composite: ACSC Chronic Conditions 13,506 18,622 12,862 8,478 16,200 12,906 16,071 14,782 s s 14,034 17,119
  Min s s s s s 1,095 3,175 2,127 s s 2,083 s
  Max 29,255 39,786 68,293 62,500 s 26,184 47,378 39,035 s s 38,053 32,996
Composite: ACSC Acute Conditions 6,956 5,327 4,696 4,401 6,450 6,001 6,176 6,105 s s 5,569 7,780
  Min s s s s s 2,346 3,298 3,127 s s 1,894 2,913
  Max 15,702 13,602 51,613 23,105 s 15,599 13,679 12,915 s s 12,183 14,730
Composite: ACSC Overall 20,461 23,948 17,556 12,879 22,643 18,905 22,246 20,885 s s 19,602 24,898
  Min s s s s s 3,440 7,937 5,672 s s 3,977 6,993
  Max 42,799 51,459 68,293 75,000 s 41,783 55,696 50,219 s s 49,115 47,727
Pressure Ulcer 4,950 5,948 3,051 2,700 4,615 7,200 3,327 4,903 s s 4,833 5,101
  Min 1,710 s s s s 2,944 1,030 2,139 s s 2,151 s
  Max 19,029 26,952 26,016 40,816 s 31,755 11,573 19,518 s s 19,248 23,318
Injurious Falls 176 98 68 100 152 110 156 137 s s 109 225
  Min s s s s s s s s s s s s
  Max 574 769 74 696 s 570 1,279 711 s s 525 992
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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 8F: HCBS Population Ages 18-64 Without I/DD or SMI. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab8f.html