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

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
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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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Page last reviewed December 2012
Internet Citation: Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab9.html