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 13C: Medicaid-Only HCBS Participants.
- 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 | 178 | 168 | 128 | 269 | 129 | 158 | 152 | 159 |
Asthma or Chronic Obstructive Pulmonary Disease | 767 | 752 | 674 | 989 | 670 | 669 | 762 | 686 |
Congestive Heart Failure | 779 | 643 | 603 | 912 | 579 | 660 | 667 | 643 |
Composite: Potentially Preventable Infection | 4,473 | 4,669 | 4,105 | 5,070 | 4,293 | 4,104 | 4,346 | 4,496 |
Bacterial Pneumonia | 2,971 | 3,035 | 2,861 | 3,132 | 2,872 | 2,763 | 2,997 | 2,915 |
Urinary Tract Infection | 1,502 | 1,634 | 1,244 | 1,938 | 1,422 | 1,341 | 1,349 | 1,582 |
Infection Due to Device or Implant | 376 | 304 | 271 | 341 | 312 | 321 | 301 | 311 |
Dehydration | 796 | 747 | 592 | 954 | 695 | 577 | 649 | 753 |
Composite: ACSC Chronic Conditions | 2,331 | 2,113 | 1,943 | 2,920 | 1,870 | 2,067 | 2,151 | 2,032 |
Composite: ACSC Acute Conditions | 3,585 | 3,496 | 3,165 | 3,777 | 3,285 | 3,281 | 3,329 | 3,456 |
Composite: ACSC Overall | 5,916 | 5,609 | 5,108 | 6,697 | 5,155 | 5,348 | 5,480 | 5,488 |
Pressure Ulcer | 1,490 | 1,499 | 1,251 | 1,746 | 1,431 | 1,216 | 1,326 | 1,488 |
Injurious Falls | 98 | 66 | 67 | 72 | 74 | 64 | 61 | 85 |
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.