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

• Table 8A: National HCBS Population.
• Table 8B: Dually Eligible HCBS Participants.
• Table 8C: Medicaid-Only HCBS Participants.
• Table 8D: I/DD Subpopulation.
• Table 8E: SMI Subpopulation.
• 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	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

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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