Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
Select for:
- Table 13A: National HCBS Population.
- Table 13B: Dually Eligible 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 | 697 | 487 | 337 | 934 | 388 | 364 | 385 | 567 |
| Asthma or Chronic Obstructive Pulmonary Disease | 4,020 | 3,143 | 2,971 | 3,070 | 3,003 | 2,848 | 2,922 | 3,696 |
| Congestive Heart Failure | 3,103 | 2,960 | 2,759 | 3,142 | 2,828 | 2,849 | 2,478 | 3,563 |
| Composite: Potentially Preventable Infection | 5,970 | 5,322 | 4,199 | 5,881 | 5,055 | 4,485 | 4,303 | 5,905 |
| Bacterial Pneumonia | 3,705 | 3,228 | 2,805 | 3,449 | 3,089 | 3,005 | 2,882 | 3,494 |
| Urinary Tract Infection | 2,265 | 2,094 | 1,394 | 2,432 | 1,967 | 1,480 | 1,420 | 2,411 |
| Infection Due to Device or Implant | 1,098 | 988 | 578 | 1,019 | 897 | 742 | 650 | 1,088 |
| Dehydration | 1,643 | 1,437 | 799 | 1,548 | 1,364 | 783 | 905 | 1,617 |
| Composite: ACSC Chronic Conditions | 10,770 | 9,196 | 8,117 | 10,385 | 8,465 | 8,064 | 7,902 | 10,707 |
| Composite: ACSC Acute Conditions | 5,422 | 4,581 | 3,720 | 5,021 | 4,427 | 4,025 | 3,826 | 5,144 |
| Composite: ACSC Overall | 16,190 | 13,777 | 11,837 | 15,406 | 12,890 | 12,089 | 11,728 | 15,849 |
| Pressure Ulcer | 3,031 | 3,001 | 1,416 | 3,073 | 2,914 | 1,211 | 1,591 | 3,369 |
| Injurious Falls | 122 | 77 | 35 | 90 | 89 | 25 | 55 | 82 |
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.
