Â鶹´«Ã½

U.S. flag

SHARE:

FacebookTwitterEmail AHRQPrint

Assessing the Health and Welfare of the HCBS Population

Table 15A: Outcome Indicators by County Demographics

Table 15: Outcome Indicators by County and State Demographics, 2005a

Select for Table 15B: Outcome Indicators by State Demographics.

Select the table to go to the text version. ↓&²Ô²ú²õ±è;

Table 15A: Outcome Indicators by County Demographics

HCBS
Subpopulation		 Outcome 
Indicator		 Percent
Age 65+		 Percent
Age 85+
>Median ≤M±ð»å¾±²¹²Ô >Median ≤M±ð»å¾±²¹²Ô
National HCBS
Population		 Short-Term Complications of Diabetes 305 287 300 288
Asthma or Chronic Obstructive Pulmonary Disease 5,012 3,579 4,733 3,578
Congestive Heart Failure 5,745 5,013 5,679 4,983
Composite: Potentially Preventable Infection 9,562 7,608 9,130 7,625
    Bacterial Pneumonia 6,199 4,564 5,876 4,564
    Urinary Tract Infection 3,363 3,044 3,254 3,061
Infection Due to Device or Implant 751 765 761 763
Dehydration 2,202 1,831 2,196 1,806
Composite: ACSC Chronic Conditions 13,709 11,519 13,355 11,489
Composite: ACSC Acute Conditions 8,997 6,894 8,597 6,888
Composite: ACSC Overall 22,706 18,412 21,951 18,376
Pressure Ulcer 3,341 3,555 3,254 3,604
Injurious Falls 429 263 406 260
Dually Eligible
HCBS
Participants		 Short-Term Complications of Diabetes 232 234 230 235
Asthma or Chronic Obstructive Pulmonary Disease 5,277 3,778 4,978 3,781
Congestive Heart Failure 6,589 5,769 6,507 5,738
Composite: Potentially Preventable Infection 10,766 8,628 10,299 8,649
    Bacterial Pneumonia 6,954 5,132 6,601 5,132
    Urinary Tract Infection 3,812 3,496 3,697 3,517
Infection Due to Device or Implant 683 759 709 755
Dehydration 2,460 2,078 2,447 2,054
Composite: ACSC Chronic Conditions 14,793 12,505 14,438 12,469
Composite: ACSC Acute Conditions 10,186 7,869 9,760 7,859
Composite: ACSC Overall 24,978 20,372 24,196 20,327
Pressure Ulcer 3,678 4,011 3,589 4,072
Injurious Falls 520 339 493 336
Medicaid-Only
HCBS
Participants		 Short-Term Complications of Diabetes 559 434 540 432
Asthma or Chronic Obstructive Pulmonary Disease 4,088 3,032 3,893 3,024
Congestive Heart Failure 2,806 2,932 2,851 2,926
Composite: Potentially Preventable Infection 5,368 4,805 5,140 4,840
    Bacterial Pneumonia 3,569 3,002 3,400 3,018
    Urinary Tract Infection 1,799 1,803 1,739 1,822
Infection Due to Device or Implant 985 782 938 783
Dehydration 1,306 1,151 1,338 1,130
Composite: ACSC Chronic Conditions 9,936 8,808 9,658 8,820
Composite: ACSC Acute Conditions 4,856 4,215 4,625 4,246
Composite: ACSC Overall 14,792 13,022 14,282 13,066
Pressure Ulcer 2,167 2,303 2,110 2,330
Injurious Falls 113 54 110 52
I/DD
Subpopulation		 Short-Term Complications of Diabetes 161 160 153 164
Asthma or Chronic Obstructive Pulmonary Disease 844 702 795 711
Congestive Heart Failure 684 660 628 683
Composite: Potentially Preventable Infection 4,444 4,288 4,385 4,301
    Bacterial Pneumonia 3,079 2,807 3,051 2,793
    Urinary Tract Infection 1,365 1,481 1,334 1,507
Infection Due to Device or Implant 281 323 293 321
Dehydration 698 693 711 687
Composite: ACSC Chronic Conditions 2,188 2,115 2,072 2,161
Composite: ACSC Acute Conditions 3,483 3,293 3,410 3,308
Composite: ACSC Overall 5,671 5,408 5,482 5,469
Pressure Ulcer 1,184 1,504 1,154 1,549
Injurious Falls 102 63 102 59
SMI
Subpopulation		 Short-Term Complications of Diabetes 587 491 525 507
Asthma or Chronic Obstructive Pulmonary Disease 6,002 4,761 5,510 4,825
Congestive Heart Failure 3,624 3,379 3,355 3,467
Composite: Potentially Preventable Infection 8,167 7,092 7,778 7,132
    Bacterial Pneumonia 5,405 4,496 5,250 4,455
    Urinary Tract Infection 2,761 2,595 2,528 2,677
Infection Due to Device or Implant 807 735 766 744
Dehydration 2,107 1,963 2,103 1,948
Composite: ACSC Chronic Conditions 12,973 11,444 11,986 11,689
Composite: ACSC Acute Conditions 7,968 6,752 7,567 6,782
Composite: ACSC Overall 20,938 18,196 19,552 18,470
Pressure Ulcer 2,456 2,774 2,238 2,907
Injurious Falls 345 217 327 209
HCBS
Population
Ages 18-64
Without I/DD
or SMI		 Short-Term Complications of Diabetes 655 621 638 625
Asthma or Chronic Obstructive Pulmonary Disease 6,321 4,488 6,085 4,476
Congestive Heart Failure 4,860 5,151 5,074 5,092
Composite: Potentially Preventable Infection 8,223 6,726 7,857 6,775
    Bacterial Pneumonia 5,029 3,739 4,719 3,780
    Urinary Tract Infection 3,194 2,986 3,138 2,995
Infection Due to Device or Implant 1,726 1,750 1,834 1,714
Dehydration 1,944 1,698 2,024 1,658
Composite: ACSC Chronic Conditions 16,180 14,382 16,171 14,292
Composite: ACSC Acute Conditions 7,379 5,743 7,065 5,768
Composite: ACSC Overall 23,559 20,123 23,234 20,059
Pressure Ulcer 5,013 4,865 4,992 4,865
Injurious Falls 213 116 218 109
HCBS Population Age 65+ Short-Term Complications of Diabetes 128 137 150 130
Asthma or Chronic Obstructive Pulmonary Disease 6,631 4,386 6,351 4,333
Congestive Heart Failure 9,780 7,512 9,745 7,372
Composite: Potentially Preventable Infection 14,255 10,322 13,766 10,228
    Bacterial Pneumonia 9,235 6,151 8,810 6,092
    Urinary Tract Infection 5,021 4,171 4,956 4,137
Infection Due to Device or Implant 512 517 527 512
Dehydration 3,337 2,516 3,312 2,470
Composite: ACSC Chronic Conditions 19,577 14,968 19,392 14,723
Composite: ACSC Acute Conditions 13,889 9,716 13,414 9,601
Composite: ACSC Overall 33,465 24,682 32,805 24,322
Pressure Ulcer 4,049 4,237 4,031 4,256
Injurious Falls 778 456 729 451
HCBS
Subpopulation		 Outcome 
Indicator		 Percent
Age 65+		 Percent
Age 85+
>Median ≤M±ð»å¾±²¹²Ô >Median ≤M±ð»å¾±²¹²Ô
National HCBS
Population		 Short-Term Complications of Diabetes 305 287 300 288
Asthma or Chronic Obstructive Pulmonary Disease 5,012 3,579 4,733 3,578
Congestive Heart Failure 5,745 5,013 5,679 4,983
Composite: Potentially Preventable Infection 9,562 7,608 9,130 7,625
    Bacterial Pneumonia 6,199 4,564 5,876 4,564
    Urinary Tract Infection 3,363 3,044 3,254 3,061
Infection Due to Device or Implant 751 765 761 763
Dehydration 2,202 1,831 2,196 1,806
Composite: ACSC Chronic Conditions 13,709 11,519 13,355 11,489
Composite: ACSC Acute Conditions 8,997 6,894 8,597 6,888
Composite: ACSC Overall 22,706 18,412 21,951 18,376
Pressure Ulcer 3,341 3,555 3,254 3,604
Injurious Falls 429 263 406 260
Dually Eligible
HCBS
Participants		 Short-Term Complications of Diabetes 232 234 230 235
Asthma or Chronic Obstructive Pulmonary Disease 5,277 3,778 4,978 3,781
Congestive Heart Failure 6,589 5,769 6,507 5,738
Composite: Potentially Preventable Infection 10,766 8,628 10,299 8,649
    Bacterial Pneumonia 6,954 5,132 6,601 5,132
    Urinary Tract Infection 3,812 3,496 3,697 3,517
Infection Due to Device or Implant 683 759 709 755
Dehydration 2,460 2,078 2,447 2,054
Composite: ACSC Chronic Conditions 14,793 12,505 14,438 12,469
Composite: ACSC Acute Conditions 10,186 7,869 9,760 7,859
Composite: ACSC Overall 24,978 20,372 24,196 20,327
Pressure Ulcer 3,678 4,011 3,589 4,072
Injurious Falls 520 339 493 336
Medicaid-Only
HCBS
Participants		 Short-Term Complications of Diabetes 559 434 540 432
Asthma or Chronic Obstructive Pulmonary Disease 4,088 3,032 3,893 3,024
Congestive Heart Failure 2,806 2,932 2,851 2,926
Composite: Potentially Preventable Infection 5,368 4,805 5,140 4,840
    Bacterial Pneumonia 3,569 3,002 3,400 3,018
    Urinary Tract Infection 1,799 1,803 1,739 1,822
Infection Due to Device or Implant 985 782 938 783
Dehydration 1,306 1,151 1,338 1,130
Composite: ACSC Chronic Conditions 9,936 8,808 9,658 8,820
Composite: ACSC Acute Conditions 4,856 4,215 4,625 4,246
Composite: ACSC Overall 14,792 13,022 14,282 13,066
Pressure Ulcer 2,167 2,303 2,110 2,330
Injurious Falls 113 54 110 52
I/DD
Subpopulation		 Short-Term Complications of Diabetes 161 160 153 164
Asthma or Chronic Obstructive Pulmonary Disease 844 702 795 711
Congestive Heart Failure 684 660 628 683
Composite: Potentially Preventable Infection 4,444 4,288 4,385 4,301
    Bacterial Pneumonia 3,079 2,807 3,051 2,793
    Urinary Tract Infection 1,365 1,481 1,334 1,507
Infection Due to Device or Implant 281 323 293 321
Dehydration 698 693 711 687
Composite: ACSC Chronic Conditions 2,188 2,115 2,072 2,161
Composite: ACSC Acute Conditions 3,483 3,293 3,410 3,308
Composite: ACSC Overall 5,671 5,408 5,482 5,469
Pressure Ulcer 1,184 1,504 1,154 1,549
Injurious Falls 102 63 102 59
SMI
Subpopulation		 Short-Term Complications of Diabetes 587 491 525 507
Asthma or Chronic Obstructive Pulmonary Disease 6,002 4,761 5,510 4,825
Congestive Heart Failure 3,624 3,379 3,355 3,467
Composite: Potentially Preventable Infection 8,167 7,092 7,778 7,132
    Bacterial Pneumonia 5,405 4,496 5,250 4,455
    Urinary Tract Infection 2,761 2,595 2,528 2,677
Infection Due to Device or Implant 807 735 766 744
Dehydration 2,107 1,963 2,103 1,948
Composite: ACSC Chronic Conditions 12,973 11,444 11,986 11,689
Composite: ACSC Acute Conditions 7,968 6,752 7,567 6,782
Composite: ACSC Overall 20,938 18,196 19,552 18,470
Pressure Ulcer 2,456 2,774 2,238 2,907
Injurious Falls 345 217 327 209
HCBS
Population
Ages 18-64
Without I/DD
or SMI		 Short-Term Complications of Diabetes 655 621 638 625
Asthma or Chronic Obstructive Pulmonary Disease 6,321 4,488 6,085 4,476
Congestive Heart Failure 4,860 5,151 5,074 5,092
Composite: Potentially Preventable Infection 8,223 6,726 7,857 6,775
    Bacterial Pneumonia 5,029 3,739 4,719 3,780
    Urinary Tract Infection 3,194 2,986 3,138 2,995
Infection Due to Device or Implant 1,726 1,750 1,834 1,714
Dehydration 1,944 1,698 2,024 1,658
Composite: ACSC Chronic Conditions 16,180 14,382 16,171 14,292
Composite: ACSC Acute Conditions 7,379 5,743 7,065 5,768
Composite: ACSC Overall 23,559 20,123 23,234 20,059
Pressure Ulcer 5,013 4,865 4,992 4,865
Injurious Falls 213 116 218 109
HCBS Population Age 65+ Short-Term Complications of Diabetes 128 137 150 130
Asthma or Chronic Obstructive Pulmonary Disease 6,631 4,386 6,351 4,333
Congestive Heart Failure 9,780 7,512 9,745 7,372
Composite: Potentially Preventable Infection 14,255 10,322 13,766 10,228
    Bacterial Pneumonia 9,235 6,151 8,810 6,092
    Urinary Tract Infection 5,021 4,171 4,956 4,137
Infection Due to Device or Implant 512 517 527 512
Dehydration 3,337 2,516 3,312 2,470
Composite: ACSC Chronic Conditions 19,577 14,968 19,392 14,723
Composite: ACSC Acute Conditions 13,889 9,716 13,414 9,601
Composite: ACSC Overall 33,465 24,682 32,805 24,322
Pressure Ulcer 4,049 4,237 4,031 4,256
Injurious Falls 778 456 729 451
Close button

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness.

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.

Return to Contents
Return to Document

Publication:
11(12)-0017-EF

Page last reviewed February 2023
Page originally created December 2012

Internet Citation: Table 15A: Outcome Indicators by County Demographics. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html

Click to copy citation