Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
Select for:
- Table 13A: National HCBS Population.
- 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 | |||
---|---|---|---|---|---|---|---|---|
High | Mid | Low | >Median | ≤M±ð»å¾±²¹²Ô | ||||
Short-Term Complications of Diabetes | 279 | 265 | 177 | 407 | 233 | 158 | 203 | 272 |
Asthma or Chronic Obstructive Pulmonary Disease | 5,334 | 4,324 | 3,261 | 4,552 | 4,259 | 3,156 | 3,574 | 4,841 |
Congestive Heart Failure | 6,786 | 6,610 | 4,812 | 6,648 | 6,377 | 4,821 | 5,103 | 7,074 |
Composite: Potentially Preventable Infection | 11,104 | 10,143 | 7,164 | 10,514 | 9,962 | 7,357 | 8,053 | 10,649 |
Bacterial Pneumonia | 6,877 | 6,029 | 4,467 | 6,080 | 6,019 | 4,631 | 5,025 | 6,331 |
Urinary Tract Infection | 4,227 | 4,114 | 2,697 | 4,434 | 3,942 | 2,726 | 3,028 | 4,318 |
Infection Due to Device or Implant | 873 | 807 | 600 | 902 | 785 | 618 | 661 | 844 |
Dehydration | 2,577 | 2,499 | 1,623 | 2,804 | 2,389 | 1,547 | 1,836 | 2,616 |
Composite: ACSC Chronic Conditions | 15,269 | 14,041 | 10,715 | 14,679 | 13,644 | 10,260 | 11,421 | 15,100 |
Composite: ACSC Acute Conditions | 10,364 | 9,276 | 6,559 | 9,357 | 9,284 | 6,680 | 7,431 | 9,753 |
Composite: ACSC Overall | 25,630 | 23,315 | 17,273 | 24,034 | 22,926 | 16,939 | 18,851 | 24,850 |
Pressure Ulcer | 4,306 | 4,221 | 3,413 | 4,523 | 4,155 | 3,058 | 3,454 | 4,564 |
Injurious Falls | 479 | 395 | 313 | 320 | 460 | 331 | 310 | 477 |
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.