Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
- Table 13B: Dually Eligible HCBS Participants.
- Table 13C: Medicaid-Only HCBS Participants.
- Table 13D: I/DD Subpopulation.
- Table 13E: SMI Subpopulation.
- Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI.
- Table 13G: HCBS Population Age 65+.
|Outcome Indicator||No Medically Needy Program||More Restrictive Eligibility Criteria||Less Restrictive Eligibility Criteria||Nursing Home Level of Care Eligibility Criteria for HCBS||Percentage of State LTC Funds Spent on HCBS|
|Short-Term Complications of Diabetes||376||319||222||534||271||215||251||344|
|Asthma or Chronic Obstructive Pulmonary Disease||5,029||4,037||3,180||4,196||3,954||3,070||3,401||4,560|
|Congestive Heart Failure||5,931||5,724||4,236||5,807||5,514||4,275||4,408||6,215|
|Composite: Potentially Preventable Infection||9,912||8,973||6,332||9,402||8,769||6,562||7,060||9,488|
|Urinary Tract Infection||3,771||3,624||2,331||3,953||3,462||2,381||2,602||3,851|
|Infection Due to Device or Implant||925||851||594||930||812||652||658||904|
|Composite: ACSC Chronic Conditions||14,225||12,865||9,986||13,648||12,385||9,652||10,489||14,025|
|Composite: ACSC Acute Conditions||9,217||8,136||5,763||8,316||8,103||5,945||6,476||8,625|
|Composite: ACSC Overall||23,439||21,000||15,748||21,963||20,486||15,596||16,965||22,647|
ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.
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 persons in the States of Arizona, Maine, Washington, and Wisconsin.
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.
Median is defined as the value at which half of States are below and half of States are above.
Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.
Sources for column heading data are described in the Appendix.