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 8G: HCBS Population Age 65+

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

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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	107	275	121	64	118	133	135	s	152	74	137	127
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	322	805	304	1,489	s	1,437	603	s	915	225	773	608
Asthma or Chronic Obstructive Pulmonary Disease	6,025	4,098	3,530	1,782	4,495	5,479	4,627	s	5,388	2,983	4,284	6,906
Min	2,147	s	s	s	s	2,176	2,063	s	2,319	1,267	1,987	s
Max	13,021	10,304	12,903	15,635	s	14,022	12,938	s	14,357	7,727	11,756	13,599
Congestive Heart Failure	8,585	10,373	6,503	2,924	7,194	7,192	8,228	s	7,390	9,928	7,288	10,495
Min	4,293	s	s	s	s	2,829	3,277	s	3,619	3,338	3,390	5,215
Max	15,131	14,559	25,926	16,667	s	14,850	14,960	s	13,515	18,130	13,641	16,238
Composite: Potentially Preventable Infection	13,238	10,712	8,515	5,160	9,862	12,060	10,847	s	9,772	15,875	10,141	14,745
Min	6,427	s	s	s	s	6,569	5,792	s	5,118	8,801	5,937	s
Max	24,819	57,143	38,095	32,000	s	26,229	23,734	s	20,051	30,395	21,394	23,673
Bacterial Pneumonia	8,409	5,412	5,108	3,508	5,982	8,580	6,208	s	6,000	9,574	6,023	9,566
Min	4,130	s	s	s	s	4,846	3,413	s	3,253	5,159	3,769	s
Max	16,009	35,714	13,245	28,283	s	18,978	12,910	s	13,043	21,581	12,944	14,302
Urinary Tract Infection	4,829	5,301	3,407	1,652	3,880	3,480	4,639	s	3,772	6,301	4,118	5,179
Min	s	s	s	s	s	1,437	2,379	s	1,865	2,794	2,168	s
Max	10,566	21,429	16,438	17,067	s	10,679	10,824	s	9,351	14,803	10,204	9,371
Infection Due to Device or Implant	421	907	598	239	493	562	498	s	600	220	515	521
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	1,826	2,728	2,504	2,510	s	1,310	1,887	s	2,218	571	1,358	2,622
Dehydration	2,837	3,821	1,840	1,101	2,478	2,491	2,751	s	2,339	3,866	2,439	3,583
Min	s	s	s	s	s	1,025	850	s	1,019	607	818	600
Max	6,232	6,753	9,756	6,486	s	5,749	5,958	s	5,066	7,306	6,045	9,175
Composite: ACSC Chronic Conditions	17,206	19,604	13,803	6,148	14,536	15,738	15,940	s	16,043	15,361	14,550	20,890
Min	7,360	s	s	s	s	6,094	6,189	s	7,540	3,945	6,663	7,497
Max	30,844	29,713	57,143	33,251	s	30,923	30,307	s	30,710	25,595	26,818	31,829
Composite: ACSC Acute Conditions	12,549	10,403	7,993	4,654	9,440	10,706	10,552	s	9,278	15,074	9,426	14,761
Min	s	s	s	s	s	5,939	5,456	s	4,780	7,891	5,515	s
Max	24,067	42,857	38,095	32,258	s	23,599	22,344	s	19,045	26,214	18,508	25,341
Composite: ACSC Overall	29,754	30,003	21,793	10,803	23,974	26,442	26,491	s	25,319	30,432	23,974	35,649
Min	13,559	s	s	s	s	14,543	13,486	s	12,768	11,836	13,626	18,523
Max	51,766	57,143	95,238	65,509	s	54,523	48,091	s	49,755	49,129	42,431	53,347
Pressure Ulcer	3,793	7,856	3,285	1,307	3,856	4,221	4,180	s	3,748	5,699	4,229	4,086
Min	s	s	s	s	s	1,310	1,479	s	1,213	1,051	1,628	s
Max	8,542	18,831	29,268	21,622	s	12,315	10,606	s	11,115	13,261	11,132	11,243
Injurious Falls	698	296	336	233	493	307	595	s	436	816	436	836
Min	s	s	s	s	s	s	s	s	s	s	s	s
Max	3,476	1,307	1,268	8,850	s	3,438	3,532	s	2,437	5,463	3,301	4,969

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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