Table 8: Outcome Indicators for the Home and Community-Based Services Population by Participant Attributes, 2005a
- Table 8A: National HCBS Population.
- Table 8B: Dually Eligible HCBS Participants.
- Table 8C: Medicaid-Only HCBS Participants.
- Table 8E: SMI Subpopulation.
- Table 8F: HCBS Population Ages 18-64 Without I/DD or SMI.
- Table 8G: HCBS Population Age 65+.
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| 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 | 119 | 331 | 217 | 78 | 111 |
| Min | s | s | s | s | s |
| Max | 357 | 1,069 | 734 | 140 | s |
| Asthma or Chronic Obstructive Pulmonary Disease | 691 | 907 | 774 | 634 | 676 |
| Min | s | s | s | s | s |
| Max | 2,283 | 3,661 | 6,197 | 42,857 | s |
| Congestive Heart Failure | 548 | 1,168 | 738 | 556 | 605 |
| Min | s | s | s | s | s |
| Max | 1,368 | 2,572 | 1,815 | 9,615 | s |
| Composite: Potentially Preventable Infection | 4,610 | 4,175 | 4,481 | 3,193 | 3,393 |
| Min | 2,041 | s | s | s | s |
| Max | 9,091 | 11,082 | 12,435 | 6,987 | s |
| Bacterial Pneumonia | 3,189 | 2,338 | 2,845 | 2,236 | 2,305 |
| Min | 1,137 | s | s | s | s |
| Max | 9,091 | 7,075 | 5,882 | 4,311 | s |
| Urinary Tract Infection | 1,421 | 1,838 | 1,637 | 957 | 1,087 |
| Min | s | s | s | s | s |
| Max | 2,962 | 6,332 | 8,290 | 5,240 | s |
| Infection Due to Device or Implant | 257 | 534 | 367 | 423 | 217 |
| Min | s | s | s | s | s |
| Max | 718 | 1,226 | 1,085 | 1,156 | s |
| Dehydration | 681 | 905 | 625 | 579 | 530 |
| Min | s | s | s | s | s |
| Max | 1,442 | 1,802 | 3,026 | 2,817 | s |
| Composite: ACSC Chronic Conditions | 1,773 | 3,565 | 2,592 | 1,691 | 1,886 |
| Min | s | s | s | s | s |
| Max | 4,533 | 7,323 | 10,141 | 46,429 | s |
| Composite: ACSC Acute Conditions | 3,515 | 3,283 | 3,480 | 2,526 | 2,598 |
| Min | 1,855 | s | s | s | s |
| Max | 6,440 | 8,971 | 9,077 | 6,987 | s |
| Composite: ACSC Overall | 5,288 | 6,848 | 6,071 | 4,217 | 4,484 |
| Min | 2,636 | s | s | s | s |
| Max | 10,521 | 14,248 | 15,129 | 53,571 | s |
| Pressure Ulcer | 1,283 | 2,251 | 1,420 | 1,057 | 894 |
| Min | s | s | s | s | s |
| Max | 3,665 | 6,218 | 6,218 | 13,974 | s |
| Injurious Falls | 84 | 51 | 41 | 33 | 40 |
| Min | s | s | s | s | s |
| Max | 285 | 309 | 5,882 | s | s |
| Outcome Indicator | Male | Female | Ages 18-64 | Ages 65-84 | Age 85+ | MSA | Non-MSA |
|---|---|---|---|---|---|---|---|
| Short-Term Complications of Diabetes | 143 | 169 | 157 | 144 | s | 158 | 167 |
| Min | s | s | s | s | s | s | s |
| Max | 1,177 | 793 | 838 | 201 | s | 778 | 556 |
| Asthma or Chronic Obstructive Pulmonary Disease | 529 | 957 | 568 | 2,808 | 3,405 | 682 | 924 |
| Min | s | s | s | s | s | s | s |
| Max | 1,813 | 1,968 | 1,224 | 8,724 | 41,026 | 1,592 | 2,288 |
| Congestive Heart Failure | 510 | 828 | 437 | 3,285 | 8,386 | 639 | 755 |
| Min | s | s | s | s | s | s | s |
| Max | 1,202 | 2,737 | 1,169 | 12,879 | 34,783 | 1,527 | 2,153 |
| Composite: Potentially Preventable Infection | 4,383 | 4,460 | 3,662 | 13,586 | 29,697 | 4,238 | 4,626 |
| Min | 1,648 | 1,777 | 1,851 | s | s | 1,946 | 1,746 |
| Max | 7,734 | 7,280 | 6,385 | 23,892 | 100,000 | 8,476 | 24,490 |
| Bacterial Pneumonia | 3,151 | 2,728 | 2,495 | 8,634 | 17,213 | 2,784 | 3,179 |
| Min | 942 | 1,057 | 1,121 | s | s | 1,168 | 1,164 |
| Max | 5,425 | 4,726 | 4,484 | 14,286 | 40,816 | 5,499 | 24,490 |
| Urinary Tract Infection | 1,232 | 1,731 | 1,167 | 4,951 | 12,484 | 1,454 | 1,448 |
| Min | 247 | 480 | 284 | s | s | 367 | s |
| Max | 2,423 | 3,699 | 2,410 | 9,606 | 66,667 | 2,978 | 3,702 |
| Infection Due to Device or Implant | 277 | 340 | 295 | 452 | 378 | 314 | 308 |
| Min | s | s | s | s | s | s | s |
| Max | 790 | 898 | 623 | 2,443 | 15,385 | 878 | 1,064 |
| Dehydration | 607 | 808 | 569 | 2,199 | 6,179 | 665 | 793 |
| Min | s | s | s | s | s | s | s |
| Max | 1,242 | 1,758 | 1,252 | 9,756 | 24,490 | 1,260 | 2,011 |
| Composite: ACSC Chronic Conditions | 1,601 | 2,674 | 1,633 | 7,937 | 13,619 | 2,045 | 2,430 |
| Min | 289 | 386 | 390 | s | s | s | s |
| Max | 4,828 | 7,184 | 5,166 | 15,703 | 51,282 | 5,060 | 6,729 |
| Composite: ACSC Acute Conditions | 3,164 | 3,657 | 2,756 | 10,977 | 26,230 | 3,226 | 3,722 |
| Min | 1,177 | 1,281 | 962 | s | s | 1,557 | s |
| Max | 5,401 | 6,237 | 4,710 | 24,138 | 76,000 | 5,242 | 8,413 |
| Composite: ACSC Overall | 4,765 | 6,331 | 4,389 | 18,914 | 39,849 | 5,271 | 6,152 |
| Min | 1,732 | 1,602 | 1,076 | 7,984 | s | 1,713 | s |
| Max | 9,546 | 12,167 | 7,955 | 38,424 | 95,652 | 9,389 | 12,785 |
| Pressure Ulcer | 1,410 | 1,397 | 1,218 | 3,471 | 10,593 | 1,460 | 1,308 |
| Min | 289 | 343 | 278 | s | s | 482 | s |
| Max | 4,720 | 3,827 | 3,566 | 11,374 | 25,641 | 4,261 | 4,038 |
| Injurious Falls | 52 | 97 | 51 | 326 | 883 | 65 | 97 |
| Min | s | s | s | s | s | s | s |
| Max | 270 | 489 | 170 | 3,030 | 7,595 | 375 | 297 |
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.
