Â鶹´«Ã½

U.S. flag

SHARE:

FacebookTwitterEmail AHRQPrint

Assessing the Health and Welfare of the HCBS Population

Table 16B: Outcome Indicators by State Socioeconomic Status

Table 16: Outcome Indicators by County and State Socioeconomic Status, 2005a

Select the table to go to the text version. ↓

HCBS Subpopulation Outcome Indicator Median Income Percent in Poverty
>Median ≤M±ð»å¾±²¹²Ô >Median ≤M±ð»å¾±²¹²Ô
National HCBS Population Short-Term Complications of Diabetes 254 342 287 293
Asthma or Chronic Obstructive Pulmonary Disease 3,314 4,720 3,896 3,782
Congestive Heart Failure 4,446 6,193 5,180 4,999
Composite: Potentially Preventable Infection 6,854 9,857 7,993 8,134
    Bacterial Pneumonia 4,269 5,953 4,889 5,038
    Urinary Tract Infection 2,585 3,904 3,104 3,096
Infection Due to Device or Implant 687 864 737 807
Dehydration 1,576 2,409 1,870 1,990
Composite: ACSC Chronic Conditions 10,412 14,217 12,026 11,575
Composite: ACSC Acute Conditions 6,179 9,131 7,304 7,421
Composite: ACSC Overall 16,590 23,347 19,328 18,994
Pressure Ulcer 3,050 4,160 3,514 3,406
Injurious Falls 252 369 291 315
Dually Eligible HCBS Participants Short-Term Complications of Diabetes 207 267 222 256
Asthma or Chronic Obstructive Pulmonary Disease 3,425 5,079 4,120 4,007
Congestive Heart Failure 5,048 7,180 5,970 5,729
Composite: Potentially Preventable Infection 7,704 11,200 9,090 9,155
    Bacterial Pneumonia 4,757 6,746 5,517 5,659
    Urinary Tract Infection 2,947 4,455 3,573 3,497
Infection Due to Device or Implant 669 834 727 757
Dehydration 1,802 2,677 2,128 2,220
Composite: ACSC Chronic Conditions 11,171 15,518 13,032 12,611
Composite: ACSC Acute Conditions 6,990 10,438 8,363 8,406
Composite: ACSC Overall 18,160 25,955 21,393 21,016
Pressure Ulcer 3,478 4,542 4,009 3,629
Injurious Falls 327 453 373 390
Medicaid-Only HCBS Participants Short-Term Complications of Diabetes 382 581 471 408
Asthma or Chronic Obstructive Pulmonary Disease 3,011 3,576 3,258 3,103
Congestive Heart Failure 2,805 3,043 2,926 2,797
Composite: Potentially Preventable Infection 4,539 5,568 4,865 5,050
    Bacterial Pneumonia 2,940 3,422 3,098 3,163
    Urinary Tract Infection 1,599 2,146 1,766 1,887
Infection Due to Device or Implant 735 959 766 958
Dehydration 961 1,553 1,134 1,295
Composite: ACSC Chronic Conditions 8,345 10,065 9,158 8,447
Composite: ACSC Acute Conditions 3,968 4,959 4,286 4,448
Composite: ACSC Overall 12,312 15,022 13,443 12,894
Pressure Ulcer 1,883 2,943 2,104 2,733
Injurious Falls 45 101 57 88
I/DD Subpopulation Short-Term Complications of Diabetes 135 187 171 128
Asthma or Chronic Obstructive Pulmonary Disease 678 802 762 663
Congestive Heart Failure 573 788 743 505
Composite: Potentially Preventable Infection 4,200 4,766 4,607 4,093
    Bacterial Pneumonia 2,877 3,085 3,048 2,800
    Urinary Tract Infection 1,323 1,681 1,559 1,292
Infection Due to Device or Implant 269 366 331 262
Dehydration 607 846 737 634
Composite: ACSC Chronic Conditions 1,893 2,414 2,297 1,743
Composite: ACSC Acute Conditions 3,146 3,780 3,577 3,068
Composite: ACSC Overall 5,039 6,194 5,874 4,811
Pressure Ulcer 1,206 1,720 1,560 1,136
Injurious Falls 61 90 75 68
SMI Subpopulation Short-Term Complications of Diabetes 438 612 499 523
Asthma or Chronic Obstructive Pulmonary Disease 4,469 5,799 5,061 4,811
Congestive Heart Failure 2,921 4,142 3,580 2,959
Composite: Potentially Preventable Infection 6,330 8,871 7,119 7,794
    Bacterial Pneumonia 4,175 5,535 4,536 5,102
    Urinary Tract Infection 2,155 3,336 2,583 2,692
Infection Due to Device or Implant 664 862 693 855
Dehydration 1,674 2,469 1,957 2,045
Composite: ACSC Chronic Conditions 10,414 13,609 12,002 10,837
Composite: ACSC Acute Conditions 6,038 8,506 6,813 7,440
Composite: ACSC Overall 16,451 22,114 18,813 18,277
Pressure Ulcer 2,329 3,238 2,737 2,555
Injurious Falls 205 299 238 251
HCBS Population Aged 18-64 Without I/DD or SMI Short-Term Complications of Diabetes 557 731 626 635
Asthma or Chronic Obstructive Pulmonary Disease 4,552 5,378 4,804 5,155
Congestive Heart Failure 4,915 5,347 5,058 5,198
Composite: Potentially Preventable Infection 6,490 7,871 6,793 7,849
    Bacterial Pneumonia 3,794 4,350 3,898 4,397
    Urinary Tract Infection 2,696 3,520 2,896 3,452
Infection Due to Device or Implant 1,658 1,868 1,654 2,015
Dehydration 1,535 2,061 1,622 2,136
Composite: ACSC Chronic Conditions 13,818 16,160 14,629 15,240
Composite: ACSC Acute Conditions 5,505 6,960 5,857 6,841
Composite: ACSC Overall 19,322 23,118 20,484 22,082
Pressure Ulcer 4,208 5,894 4,514 6,063
Injurious Falls 111 175 135 143
HCBS Population Aged 65+ Short-Term Complications of Diabetes 124 151 126 163
Asthma or Chronic Obstructive Pulmonary Disease 3,959 6,245 4,677 5,400
Congestive Heart Failure 6,691 9,985 7,590 9,223
Composite: Potentially Preventable Infection 9,114 14,389 10,733 12,569
    Bacterial Pneumonia 5,601 8,725 6,524 7,766
    Urinary Tract Infection 3,514 5,664 4,209 4,803
Infection Due to Device or Implant 458 603 488 601
Dehydration 2,183 3,480 2,549 3,141
Composite: ACSC Chronic Conditions 13,508 19,662 15,241 18,061
Composite: ACSC Acute Conditions 8,609 13,732 10,164 12,022
Composite: ACSC Overall 22,116 33,392 25,404 30,079
Pressure Ulcer 3,775 4,848 4,198 4,163
Injurious Falls 436 657 486 644
HCBS Subpopulation Supply of Federally Qualified Health Centers per Capita Percent of People 65+ Living Alone Percent Female Labor Force Participation
>Median ≤M±ð»å¾±²¹²Ô >Median ≤M±ð»å¾±²¹²Ô >Median ≤M±ð»å¾±²¹²Ô
National HCBS Population 360 263 337 249 294 284
4,517 3,632 4,806 3,116 4,365 3,428
5,554 4,979 5,681 4,693 5,493 4,815
8,839 7,742 8,652 7,537 8,765 7,390
5,595 4,691 5,406 4,550 5,349 4,562
3,245 3,051 3,246 2,987 3,415 2,828
827 731 803 718 785 731
2,129 1,821 2,105 1,741 2,222 1,624
13,225 11,430 13,786 10,405 12,899 11,034
8,388 6,959 7,996 6,810 7,932 6,815
21,612 18,388 21,781 17,215 20,829 17,849
3,667 3,420 3,778 3,252 3,773 3,233
388 265 268 321 294 301
Dually Eligible HCBS Participants 288 210 260 208 236 227
4,895 3,795 5,023 3,351 4,534 3,690
6,369 5,735 6,498 5,435 6,327 5,525
9,979 8,790 9,822 8,544 9,948 8,355
6,342 5,269 6,124 5,107 6,030 5,130
3,637 3,522 3,698 3,438 3,918 3,225
803 710 764 712 767 706
2,354 2,080 2,336 2,009 2,477 1,863
14,354 12,392 14,758 11,462 13,923 12,015
9,512 7,960 9,129 7,779 9,077 7,745
23,865 20,351 23,885 19,240 22,997 19,760
3,918 3,900 4,115 3,739 4,175 3,663
485 339 330 416 368 387
Medicaid-Only HCBS Participants 582 411 557 370 471 441
3,359 3,169 4,189 2,427 3,848 2,706
3,062 2,834 3,353 2,517 2,940 2,853
5,354 4,764 5,319 4,584 5,143 4,728
3,308 3,050 3,360 2,917 3,266 2,993
2,046 1,714 1,959 1,667 1,877 1,734
902 788 916 736 839 799
1,441 1,087 1,448 956 1,440 963
9,773 8,700 11,017 7,309 9,769 8,326
4,950 4,118 4,768 3,972 4,429 4,247
14,722 12,817 15,784 11,280 14,196 12,573
2,898 2,056 2,817 1,824 2,546 2,044
94 56 91 44 68 63
I/DD Subpopulation 157 154 131 184 155 155
628 763 788 650 786 652
640 662 661 650 707 593
4,211 4,498 4,694 4,088 4,583 4,218
2,809 3,014 3,248 2,608 3,103 2,780
1,403 1,483 1,445 1,480 1,480 1,438
296 310 290 325 296 318
738 684 722 672 741 648
1,925 2,159 2,117 2,066 2,218 1,942
3,373 3,397 3,568 3,176 3,466 3,298
5,299 5,555 5,685 5,243 5,684 5,240
1,380 1,414 1,379 1,435 1,413 1,394
86 67 73 72 85 58
SMI Subpopulation 577 481 524 486 479 546
5,397 4,843 5,584 4,337 4,971 5,009
3,552 3,342 3,561 3,217 3,273 3,578
7,917 7,110 7,467 7,157 7,411 7,182
5,178 4,538 4,919 4,470 4,777 4,596
2,739 2,572 2,548 2,687 2,634 2,587
842 706 723 761 664 854
2,193 1,910 1,973 1,994 2,038 1,902
12,400 11,397 12,701 10,522 11,398 12,039
7,832 6,707 7,185 6,795 6,939 7,086
20,232 18,103 19,885 17,316 18,336 19,125
2,934 2,595 2,693 2,673 2,606 2,796
314 217 217 269 225 266
HCBS Population Aged 18-64 Without I/DD or SMI 812 549 793 511 616 636
5,484 4,637 6,760 3,570 6,079 4,108
5,313 4,998 6,109 4,374 5,600 4,758
7,669 6,795 7,998 6,394 7,791 6,575
4,376 3,871 4,601 3,614 4,384 3,785
3,293 2,924 3,397 2,780 3,407 2,790
1,784 1,727 2,011 1,556 2,010 1,569
1,938 1,671 2,151 1,469 2,252 1,420
16,221 14,162 18,667 12,033 16,789 13,457
6,998 5,719 7,154 5,362 6,631 5,757
23,217 19,881 25,819 17,394 23,417 19,213
5,607 4,599 5,878 4,212 5,616 4,432
167 124 162 119 156 125
HCBS Population Aged 65+ 147 130 174 108 170 107
6,064 4,460 6,495 3,758 5,880 4,036
9,247 7,563 9,739 6,800 9,350 6,887
13,138 10,532 12,931 9,988 13,210 9,554
8,478 6,285 7,992 6,033 7,951 5,920
4,659 4,247 4,939 3,955 5,258 3,634
550 503 571 476 596 450
3,138 2,542 3,204 2,344 3,342 2,173
18,507 15,067 20,036 13,165 18,848 13,584
12,875 9,874 12,461 9,362 12,450 9,143
31,379 24,939 32,495 22,525 31,295 22,726
4,122 4,211 4,880 3,737 5,013 3,549
754 449 493 541 533 513
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 16B: Outcome Indicators by State Socioeconomic Status. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html

Click to copy citation