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Assessing the Health and Welfare of the HCBS Population

Table 8B: Dually Eligible HCBS Participants

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

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Table 8B: Dually Eligible HCBS Participants

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 195 451 208 92 151
  Min s s s s s
  Max 706 1,662 6,316 4,771 s
Asthma or Chronic Obstructive Pulmonary Disease 4,646 3,708 3,149 1,802 3,865
  Min 1,063 s s s s
  Max 9,973 8,539 8,955 30,000 s
Congestive Heart Failure 5,565 8,374 5,800 2,891 5,656
  Min 1,796 s s s s
  Max 10,692 14,644 25,397 14,035 s
Composite: Potentially Preventable Infection 10,053 8,542 7,726 5,095 8,349
  Min 5,974 s s s s
  Max 17,151 35,556 36,364 27,038 s
    Bacterial Pneumonia 6,373 4,362 4,539 3,426 5,113
      Min 3,964 s s s s
      Max 10,817 22,222 9,185 14,517 s
    Urinary Tract Infection 3,680 4,180 3,187 1,669 3,236
      Min s s s s s
      Max 7,713 13,333 36,364 13,519 s
Infection Due to Device or Implant 572 1,401 882 362 601
  Min s s s s s
  Max 1,139 3,558 12,857 2,985 s
Dehydration 2,106 3,022 1,691 1,080 2,061
  Min s s s s s
  Max 4,227 6,171 4,420 5,783 s
Composite: ACSC Chronic Conditions 12,505 17,164 12,947 6,321 12,111
  Min 3,408 s s s s
  Max 23,903 29,841 44,444 109,091 s
Composite: ACSC Acute Conditions 9,218 7,983 7,030 4,579 7,775
  Min s s s s s
  Max 16,012 26,667 43,750 24,652 s
Composite: ACSC Overall 21,723 25,144 19,975 10,900 19,884
  Min 8,723 s s s s
  Max 39,914 44,860 74,074 109,091 s
Pressure Ulcer 3,472 6,789 3,352 1,525 3,397
  Min 1,663 s s s s
  Max 7,916 20,000 16,970 11,285 s
Injurious Falls 455 223 286 233 382
  Min s s s s s
  Max 2,128 841 562 6,579 s
Outcome Indicator Male Female Ages 18-64 Ages 65-84 Age 85+ MSA Non-MSA
Short-Term Complications of Diabetes 266 213 378 153 74 225 261
  Min s 121 s s s s s
  Max 1,345 619 1,490 1,021 235 821 831
Asthma or Chronic Obstructive Pulmonary Disease 3,400 4,458 2,791 5,510 3,041 3,677 5,585
  Min 633 1,369 325 2,362 1,288 905 s
  Max 8,334 11,696 6,435 14,482 7,905 8,571 11,072
Congestive Heart Failure 4,390 6,715 2,546 7,529 10,071 5,534 7,348
  Min 1,420 1,666 312 3,747 3,374 1,398 2,664
  Max 9,970 12,890 10,816 13,739 18,767 11,524 12,232
Composite: Potentially Preventable Infection 8,545 9,410 5,631 9,983 16,128 8,468 11,256
  Min 6,011 5,558 3,271 5,193 8,896 5,646 6,681
  Max 17,470 16,542 9,978 20,951 31,034 15,497 18,170
    Bacterial Pneumonia 5,811 5,419 3,435 6,126 9,714 5,025 7,278
      Min 3,975 3,284 2,238 3,279 5,215 3,582 4,186
      Max 11,941 9,382 5,891 13,104 21,944 8,391 11,300
    Urinary Tract Infection 2,734 3,991 2,196 3,857 6,414 3,443 3,978
      Min 1,242 2,017 751 1,914 2,824 1,850 1,446
      Max 6,665 8,493 4,848 9,597 15,214 7,876 7,645
Infection Due to Device or Implant 743 731 1,066 605 225 743 739
  Min s 224 215 s s s s
  Max 1,426 1,460 1,816 2,231 589 1,568 1,488
Dehydration 1,737 2,376 1,238 2,403 3,936 2,008 2,683
  Min 475 714 375 1,064 1,007 452 620
  Max 3,483 4,796 2,391 5,238 8,114 4,383 4,589
Composite: ACSC Chronic Conditions 10,425 14,251 7,962 16,349 15,590 12,062 16,209
  Min 3,243 3,452 1,126 7,806 3,988 2,919 4,948
  Max 18,993 26,365 17,105 31,276 26,495 21,492 26,641
Composite: ACSC Acute Conditions 7,149 9,031 4,652 9,483 15,315 7,608 11,006
  Min 4,430 5,247 2,335 4,848 7,669 5,016 6,250
  Max 15,066 15,687 8,565 19,300 26,941 13,115 17,587
Composite: ACSC Overall 17,572 23,281 12,613 25,831 30,902 19,668 27,213
  Min 7,673 9,820 3,754 12,971 11,656 7,935 10,256
  Max 34,059 41,284 22,863 50,576 50,856 32,463 44,228
Pressure Ulcer 4,095 3,804 3,300 3,854 5,806 3,982 3,777
  Min 1,775 1,548 1,208 1,220 1,064 1,625 918
  Max 11,025 10,192 7,947 11,816 13,629 9,756 9,500
Injurious Falls 193 477 129 454 836 328 556
  Min s s s s s s s
  Max 1,066 2,181 340 2,539 5,521 2,275 2,762
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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 8B: Dually Eligible HCBS Participants. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
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