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Assessing the Health and Welfare of the HCBS Population

Table 8E: Serious Mental Illness Subpopulation

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

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Table 8E: SMI Subpopulation

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 446 779 607 243 312
  Min s s s s s
  Max 1,835 3,590 941 25,263 s
Asthma or Chronic Obstructive Pulmonary Disease 5,477 4,115 4,940 2,533 4,065
  Min s s s s s
  Max 13,360 15,789 19,048 14,679 s
Congestive Heart Failure 2,913 4,954 4,278 2,463 2,966
  Min s s s s s
  Max 10,463 11,905 8,791 21,053 s
Composite: Potentially Preventable Infection 8,134 5,876 6,768 4,441 5,769
  Min 4,649 s s s s
  Max 29,618 57,143 26,087 21,053 s
    Bacterial Pneumonia 5,362 3,454 3,916 3,105 3,733
      Min 3,186 s s s s
      Max 17,384 14,286 11,111 12,632 s
    Urinary Tract Infection 2,772 2,422 2,852 1,336 2,036
      Min s s s s s
      Max 12,233 34,286 26,087 3,887 s
Infection Due to Device or Implant 682 1,069 600 815 509
  Min s s s s s
  Max 2,897 5,952 3,800 3,515 s
Dehydration 1,977 2,443 1,870 1,301 1,222
  Min s s s s s
  Max 5,890 13,095 3,967 13,423 s
Composite: ACSC Chronic Conditions 11,082 14,031 14,240 7,095 9,630
  Min s s s s s
  Max 27,203 34,983 46,667 71,111 s
Composite: ACSC Acute Conditions 7,789 5,581 6,386 4,406 5,545
  Min 4,493 s s s s
  Max 22,535 34,286 34,783 21,053 s
Composite: ACSC Overall 18,869 19,609 20,626 11,501 15,175
  Min 9,170 s s s s
  Max 49,738 48,185 50,000 88,889 s
Pressure Ulcer 2,658 3,470 2,422 1,613 1,534
  Min s s s s s
  Max 9,819 25,000 60,870 21,053 s
Injurious Falls 295 107 171 156 238
  Min s s s s s
  Max 2,142 854 368 228 s
Outcome Indicator Male Female Ages 18-64 Ages 65-84 Age 85+ MSA Non-MSA
Short-Term Complications of Diabetes 467 533 594 168 107 502 553
  Min s s s s s s s
  Max 6,431 2,877 4,013 783 s 3,145 2,437
Asthma or Chronic Obstructive Pulmonary Disease 2,944 6,384 4,141 8,513 6,096 4,744 6,118
  Min s 1,578 1,006 2,475 s s s
  Max 13,055 15,821 12,381 25,806 19,672 12,818 14,829
Congestive Heart Failure 2,488 4,017 2,154 7,727 13,422 3,300 3,933
  Min s 1,294 s s s s s
  Max 7,978 12,011 7,358 23,295 52,174 10,933 11,042
Composite: Potentially Preventable Infection 5,904 8,286 5,195 14,400 27,645 7,040 8,407
  Min 2,888 4,989 3,361 8,333 s 3,015 4,143
  Max 31,188 28,782 20,937 40,834 70,423 30,726 26,810
    Bacterial Pneumonia 4,278 4,995 3,497 8,741 16,122 4,459 5,584
      Min 1,667 3,182 1,701 5,021 s 2,299 s
      Max 21,034 14,278 11,901 23,271 39,437 16,400 18,231
    Urinary Tract Infection 1,626 3,291 1,698 5,659 11,523 2,581 2,822
      Min s 1,468 735 2,188 s 996 974
      Max 10,154 14,504 9,036 17,563 37,113 14,326 8,579
Infection Due to Device or Implant 522 891 801 523 348 748 760
  Min s s 382 s s s s
  Max 2,901 3,509 4,628 3,030 3,162 3,582 3,153
Dehydration 1,516 2,302 1,504 3,453 7,807 1,928 2,243
  Min s s s s s s s
  Max 9,972 6,327 5,806 10,487 18,182 6,601 5,140
Composite: ACSC Chronic Conditions 8,103 14,088 9,367 20,317 23,474 11,291 13,614
  Min 1,389 2,454 2,971 7,175 s 2,988 s
  Max 25,023 30,702 27,425 50,582 69,565 26,390 28,481
Composite: ACSC Acute Conditions 5,154 8,260 4,903 13,926 27,618 6,636 8,457
  Min 1,887 4,989 3,363 7,254 s 2,988 4,435
  Max 19,583 24,929 14,986 32,959 66,667 25,825 17,325
Composite: ACSC Overall 13,256 22,347 14,269 34,240 51,093 17,926 22,069
  Min 3,611 11,974 4,995 14,508 s 5,975 8,746
  Max 44,606 51,218 33,445 80,351 102,632 52,215 42,172
Pressure Ulcer 2,710 2,665 2,098 4,545 9,171 2,740 2,569
  Min 435 648 436 s s 485 s
  Max 13,223 10,425 7,934 16,685 41,237 12,441 11,765
Injurious Falls 137 313 139 599 1,096 214 362
  Min s s s s s s s
  Max 1,176 1,934 1,133 5,381 4,724 1,810 1,523
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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 8E: Serious Mental Illness Subpopulation. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
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