Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a</4>
Select for:
- Table 13A: National HCBS Population.
- 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.
| 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 | 150 | 158 | 109 | 177 | 152 | 77 | 114 | 169 |
| Asthma or Chronic Obstructive Pulmonary Disease | 6,648 | 5,474 | 3,596 | 5,270 | 5,576 | 3,280 | 4,002 | 6,249 |
| Congestive Heart Failure | 9,587 | 9,531 | 6,045 | 9,070 | 9,568 | 5,569 | 6,504 | 10,408 |
| Composite: Potentially Preventable Infection | 14,434 | 13,125 | 8,228 | 13,974 | 13,096 | 8,011 | 9,475 | 13,962 |
| Bacterial Pneumonia | 9,058 | 7,835 | 5,064 | 8,064 | 7,936 | 5,075 | 5,899 | 8,331 |
| Urinary Tract Infection | 5,376 | 5,290 | 3,165 | 5,910 | 5,160 | 2,936 | 3,576 | 5,630 |
| Infection Due to Device or Implant | 608 | 599 | 407 | 590 | 603 | 396 | 432 | 651 |
| Dehydration | 3,424 | 3,340 | 1,856 | 3,756 | 3,244 | 1,628 | 2,183 | 3,524 |
| Composite: ACSC Chronic Conditions | 19,478 | 18,495 | 12,326 | 17,796 | 18,594 | 10,894 | 13,266 | 20,272 |
| Composite: ACSC Acute Conditions | 13,786 | 12,476 | 7,767 | 12,667 | 12,688 | 7,427 | 8,999 | 13,250 |
| Composite: ACSC Overall | 33,261 | 30,970 | 20,092 | 30,462 | 31,280 | 18,320 | 22,265 | 33,519 |
| Pressure Ulcer | 4,497 | 4,649 | 3,696 | 5,077 | 4,632 | 2,818 | 3,647 | 5,097 |
| Injurious Falls | 708 | 596 | 386 | 463 | 713 | 390 | 404 | 719 |
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.
