Assessing the Health and Welfare of the HCBS Population

Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005

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Outcome Indicator	State Offers Service	Home Health Therapies	Private Duty Nursing	Personal Care Services	Targeted Case Management	Hospice Care	Transportation	Adult Day Care	Residential Care
Short-Term Complications of Diabetes	Yes	269	288	251	297	287	288	226	280
	No	835	288	398	189	337	331	342	347
Asthma or Chronic Obstructive Pulmonary Disease	Yes	3,770	4,287	3,570	3,910	3,813	3,829	3,225	4,158
	No	6,548	3,550	4,740	3,316	5,308	6,071	4,418	4,029
Congestive Heart Failure	Yes	5,068	5,221	4,840	5,110	5,111	5,108	4,464	5,111
	No	6,894	5,063	5,993	5,376	5,666	6,557	5,706	5,586
Composite: Potentially Preventable Infection	Yes	7,965	8,478	7,539	7,951	7,982	7,987	6,597	8,165
	No	9,871	7,697	9,490	8,996	9,408	10,757	9,269	8,585
Bacterial Pneumonia	Yes	4,882	5,177	4,680	4,917	4,880	4,894	4,097	5,056
	No	6,251	4,744	5,667	5,069	6,293	7,115	5,647	5,186
Urinary Tract Infection	Yes	3,084	3,301	2,859	3,034	3,101	3,093	2,500	3,109
	No	3,620	2,953	3,823	3,928	3,115	3,642	3,622	3,398
Infection Due to Device or Implant	Yes	754	789	680	761	759	754	618	732
	No	807	731	981	693	686	867	875	802
Dehydration	Yes	1,882	2,051	1,745	1,891	1,887	1,890	1,489	2,073
	No	2,473	1,792	2,369	2,037	2,348	2,679	2,260	2,063
Composite: ACSC Chronic Conditions	Yes	11,669	12,466	11,157	11,936	11,815	11,830	10,379	12,233
	No	18,494	11,483	14,117	11,509	14,356	16,437	13,219	12,823
Composite: ACSC Acute Conditions	Yes	7,254	7,650	6,896	7,293	7,269	7,282	6,049	7,404
	No	9,637	7,101	8,638	7,854	9,203	10,666	8,447	7,990
Composite: ACSC Overall	Yes	18,922	20,115	18,052	19,228	19,083	19,110	16,427	19,636
	No	28,131	18,583	22,752	19,363	23,560	27,103	21,664	20,810
Pressure Ulcer	Yes	3,471	3,655	3,237	3,421	3,504	3,473	2,888	3,575
	No	3,873	3,358	4,221	4,253	2,944	4,236	4,000	3,773
Injurious Falls	Yes	289	279	302	300	285	290	248	312
	No	529	312	284	266	650	754	341	296

Notes:

ACSC = ambulatory care-sensitive condition.

^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.

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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