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| Outcome Indicator | Person Used Service | Home Health Therapies | Private Duty Nursing | Personal Care Services | Targeted Case Management |
|---|---|---|---|---|---|
| Short-Term Complications of Diabetes | Yes | 219 | 243 | 259 | 187 |
| No | 290 | 289 | 307 | 304 | |
| Asthma or Chronic Obstructive Pulmonary Disease | Yes | 2,593 | 4,933 | 3,707 | 1,680 |
| No | 3,901 | 3,862 | 3,964 | 4,192 | |
| Congestive Heart Failure | Yes | 3,272 | 6,415 | 5,266 | 2,053 |
| No | 5,183 | 5,127 | 5,045 | 5,592 | |
| Composite: Potentially Preventable Infection | Yes | 6,980 | 15,163 | 7,214 | 4,929 |
| No | 8,060 | 8,010 | 8,545 | 8,496 | |
| Bacterial Pneumonia | Yes | 4,528 | 9,428 | 4,466 | 3,243 |
| No | 4,940 | 4,916 | 5,221 | 5,182 | |
| Urinary Tract Infection | Yes | 2,453 | 5,735 | 2,749 | 1,686 |
| No | 3,120 | 3,094 | 3,324 | 3,314 | |
| Infection Due to Device or Implant | Yes | 801 | 2,794 | 714 | 345 |
| No | 755 | 750 | 783 | 818 | |
| Dehydration | Yes | 1,359 | 2,794 | 1,772 | 1,040 |
| No | 1,918 | 1,900 | 1,984 | 2,032 | |
| Composite: ACSC Chronic Conditions | Yes | 8,156 | 16,354 | 11,910 | 5,057 |
| No | 12,009 | 11,890 | 11,899 | 12,929 | |
| Composite: ACSC Acute Conditions | Yes | 6,021 | 11,858 | 6,879 | 4,314 |
| No | 7,373 | 7,322 | 7,623 | 7,788 | |
| Composite: ACSC Overall | Yes | 14,177 | 28,212 | 18,788 | 9,372 |
| No | 19,380 | 19,211 | 19,521 | 20,716 | |
| Pressure Ulcer | Yes | 2,730 | 11,421 | 3,150 | 1,840 |
| No | 3,506 | 3,461 | 3,696 | 3,731 | |
| Injurious Falls | Yes | 280 | 219 | 335 | 191 |
| No | 298 | 298 | 274 | 314 |
| Outcome Indicator | Hospice Care | Transportation | Adult Day Care | Residential Care |
|---|---|---|---|---|
| Short-Term Complications of Diabetes | 469 | 683 | 155 | 221 |
| 287 | 135 | 301 | 290 | |
| Asthma or Chronic Obstructive Pulmonary Disease | 9,644 | 8,391 | 1,802 | 3,187 |
| 3,821 | 2,099 | 4,059 | 3,883 | |
| Congestive Heart Failure | 12,935 | 11,011 | 2,391 | 4,673 |
| 5,071 | 2,836 | 5,388 | 5,143 | |
| Composite: Potentially Preventable Infection | 27,009 | 16,176 | 4,334 | 13,540 |
| 7,886 | 4,853 | 8,378 | 7,886 | |
| Bacterial Pneumonia | 17,298 | 9,655 | 2,846 | 8,692 |
| 4,835 | 3,085 | 5,124 | 4,830 | |
| Urinary Tract Infection | 9,711 | 6,521 | 1,488 | 4,848 |
| 3,052 | 1,768 | 3,253 | 3,056 | |
| Infection Due to Device or Implant | 1,665 | 1,802 | 240 | 467 |
| 749 | 348 | 805 | 764 | |
| Dehydration | 8,285 | 3,843 | 991 | 2,499 |
| 1,854 | 1,146 | 1,988 | 1,887 | |
| Composite: ACSC Chronic Conditions | 27,190 | 25,972 | 5,938 | 9,484 |
| 11,787 | 6,414 | 12,463 | 11,967 | |
| Composite: ACSC Acute Conditions | 23,593 | 14,581 | 4,034 | 10,517 |
| 7,212 | 4,509 | 7,646 | 7,252 | |
| Composite: ACSC Overall | 50,783 | 40,549 | 9,972 | 20,001 |
| 18,997 | 10,923 | 20,108 | 19,218 | |
| Pressure Ulcer | 12,696 | 8,204 | 883 | 4,475 |
| 3,415 | 1,644 | 3,729 | 3,459 | |
| Injurious Falls | 469 | 607 | 194 | 275 |
| 296 | 177 | 307 | 298 |
ACSC = ambulatory care-sensitive condition.
Table includes any use of these State plan services, including those provided in the home. Use defined as positive Medicaid payment for the service at any point during the year. An individual can use more than one service.
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.
