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Assessing the Health and Welfare of the HCBS Population

Table 8A: National HCBS Population

Table 8: Outcome Indicators for the Home and Community-Based Services Population by Participant Attributes, 2005a

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Table 8A: National HCBS Population

Outcome Indicator White Only, Non-Hispanic Black Only, Non-Hispanic Hispanic Other Race or Multiple Races, Non-Hispanic Unknown Race
Short-Term Complications of Diabetes 233 557 244 116 213
  Min s s s s s
  Max 931 1,551 4,461 3,774 s
Asthma or Chronic Obstructive Pulmonary Disease 4,334 3,682 3,083 1,744 3,635
  Min 816 s s s s
  Max 9,211 7,982 10,309 16,438 s
Congestive Heart Failure 4,750 7,236 5,029 2,658 4,815
  Min 1,287 s s s s
  Max 9,146 13,290 18,391 9,746 s
Composite: Potentially Preventable Infection 8,844 7,515 6,985 4,830 7,289
  Min 4,494 s s s s
  Max 15,091 25,806 27,586 24,528 s
    Bacterial Pneumonia 5,638 3,967 4,136 3,245 4,513
      Min 3,464 s s s s
      Max 9,421 16,129 8,147 13,836 s
    Urinary Tract Infection 3,206 3,548 2,849 1,584 2,775
      Min s s s s s
      Max 6,387 9,677 27,586 10,692 s
Infection Due to Device or Implant 621 1,276 841 409 607
  Min s s s s s
  Max 1,486 2,914 7,186 3,113 s
Dehydration 1,868 2,551 1,508 994 1,781
  Min 619 s s s s
  Max 3,743 5,553 4,900 5,988 s
Composite: ACSC Chronic Conditions 11,364 15,722 11,932 6,041 11,075
  Min 2,524 s s s s
  Max 22,675 27,116 30,976 45,570 s
Composite: ACSC Acute Conditions 8,098 6,827 6,321 4,327 6,772
  Min 4,503 s s s s
  Max 14,322 22,581 28,571 22,642 s
Composite: ACSC Overall 19,461 22,547 18,250 10,368 17,845
  Min 7,027 9,302 s s s
  Max 36,997 40,253 41,379 51,572 s
Pressure Ulcer 3,134 5,690 2,837 1,476 2,984
  Min 1,506 s s s s
  Max 6,772 17,194 10,853 27,397 s
Injurious Falls 370 165 213 190 294
  Min s s s s s
  Max 1,713 768 942 3,817 s
Outcome Indicator Male Female Ages 18-64 Ages 65-84 Age 85+ MSA Non-MSA
Short-Term Complications of Diabetes 312 275 424 152 74 278 338
  Min s 120 91 s s s s
  Max 1,546 1,032 1,858 915 225 1,274 1,069
Asthma or Chronic Obstructive Pulmonary Disease 2,950 4,402 3,002 5,388 2,983 3,495 5,278
  Min 393 1,189 395 2,319 1,267 668 s
  Max 6,516 11,021 6,679 14,357 7,727 7,740 10,370
Congestive Heart Failure 3,750 5,940 2,630 7,390 9,928 4,836 6,345
  Min 1,060 1,274 297 3,619 3,338 1,003 1,876
  Max 7,130 12,432 9,524 13,515 18,130 10,230 10,654
Composite: Potentially Preventable Infection 7,401 8,401 5,275 9,772 15,875 7,469 10,010
  Min 5,158 5,102 3,248 5,118 8,801 4,930 6,005
  Max 14,299 14,481 9,646 20,051 30,395 15,193 16,242
    Bacterial Pneumonia 4,990 4,894 3,270 6,000 9,574 4,475 6,480
      Min 3,789 3,090 2,376 3,253 5,159 3,147 3,371
      Max 9,618 8,513 5,740 13,043 21,581 8,229 9,949
    Urinary Tract Infection 2,411 3,507 2,005 3,772 6,301 2,994 3,530
      Min 1,081 1,843 820 1,865 2,794 1,490 1,374
      Max 5,610 7,338 4,163 9,351 14,803 6,964 6,586
Infection Due to Device or Implant 729 772 970 600 220 757 779
  Min 196 213 263 s s 220 s
  Max 1,309 2,109 1,652 2,218 571 1,574 1,855
Dehydration 1,522 2,126 1,212 2,339 3,866 1,767 2,418
  Min 344 923 475 1,019 607 501 512
  Max 2,951 4,256 2,601 5,066 7,306 3,668 4,349
Composite: ACSC Chronic Conditions 9,264 13,451 8,387 16,043 15,361 11,145 14,966
  Min 2,063 2,972 1,002 7,540 3,945 2,173 4,128
  Max 17,162 25,287 19,209 30,710 25,595 20,990 26,252
Composite: ACSC Acute Conditions 6,149 8,031 4,464 9,278 15,074 6,664 9,756
  Min 3,586 4,811 2,316 4,780 7,891 4,206 5,613
  Max 12,445 14,421 8,913 19,045 26,214 11,641 15,956
Composite: ACSC Overall 15,412 21,481 12,850 25,319 30,432 17,808 24,720
  Min 5,649 8,492 3,643 12,768 11,836 6,378 8,163
  Max 29,607 39,709 25,788 49,755 49,129 29,454 42,207
Pressure Ulcer 3,751 3,329 2,863 3,748 5,699 3,509 3,506
  Min 1,805 1,374 1,106 1,213 1,051 1,473 1,015
  Max 10,449 9,085 8,475 11,115 13,261 9,525 8,445
Injurious Falls 149 385 100 436 816 252 466
  Min s s s s s s s
  Max 788 1,806 383 2,437 5,463 1,734 2,060
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Notes: 

ACSC = ambulatory care-sensitive condition; I/DD = intellectual and development disabilities; MSA = metropolitan statistical area; 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 people in the States of Arizona, Maine, Washington, and Wisconsin.

Minimum (min) and maximum (max) defined as lowest rate and highest rate among States.

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.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

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Publication:
11(12)-0017-EF

Page last reviewed February 2023
Page originally created December 2012

Internet Citation: Table 8A: National HCBS Population. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
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