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Assessing the Health and Welfare of the HCBS Population

Table 8G: HCBS Population Age 65+

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

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Table 8G: HCBS Population Age 65+

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 107 275 121 64 118
  Min s s s s s
  Max 322 805 304 1,489 s
Asthma or Chronic Obstructive Pulmonary Disease 6,025 4,098 3,530 1,782 4,495
  Min 2,147 s s s s
  Max 13,021 10,304 12,903 15,635 s
Congestive Heart Failure 8,585 10,373 6,503 2,924 7,194
  Min 4,293 s s s s
  Max 15,131 14,559 25,926 16,667 s
Composite: Potentially Preventable Infection 13,238 10,712 8,515 5,160 9,862
  Min 6,427 s s s s
  Max 24,819 57,143 38,095 32,000 s
    Bacterial Pneumonia 8,409 5,412 5,108 3,508 5,982
      Min 4,130 s s s s
      Max 16,009 35,714 13,245 28,283 s
    Urinary Tract Infection 4,829 5,301 3,407 1,652 3,880
      Min s s s s s
      Max 10,566 21,429 16,438 17,067 s
Infection Due to Device or Implant 421 907 598 239 493
  Min s s s s s
  Max 1,826 2,728 2,504 2,510 s
Dehydration 2,837 3,821 1,840 1,101 2,478
  Min s s s s s
  Max 6,232 6,753 9,756 6,486 s
Composite: ACSC Chronic Conditions 17,206 19,604 13,803 6,148 14,536
  Min 7,360 s s s s
  Max 30,844 29,713 57,143 33,251 s
Composite: ACSC Acute Conditions 12,549 10,403 7,993 4,654 9,440
  Min s s s s s
  Max 24,067 42,857 38,095 32,258 s
Composite: ACSC Overall 29,754 30,003 21,793 10,803 23,974
  Min 13,559 s s s s
  Max 51,766 57,143 95,238 65,509 s
Pressure Ulcer 3,793 7,856 3,285 1,307 3,856
  Min s s s s s
  Max 8,542 18,831 29,268 21,622 s
Injurious Falls 698 296 336 233 493
  Min s s s s s
  Max 3,476 1,307 1,268 8,850 s
Outcome Indicator Male Female Ages 18-64 Ages 65-84 Age 85+ MSA Non-MSA
Short-Term Complications of Diabetes 133 135 s 152 74 137 127
  Min s s s s s s s
  Max 1,437 603 s 915 225 773 608
Asthma or Chronic Obstructive Pulmonary Disease 5,479 4,627 s 5,388 2,983 4,284 6,906
  Min 2,176 2,063 s 2,319 1,267 1,987 s
  Max 14,022 12,938 s 14,357 7,727 11,756 13,599
Congestive Heart Failure 7,192 8,228 s 7,390 9,928 7,288 10,495
  Min 2,829 3,277 s 3,619 3,338 3,390 5,215
  Max 14,850 14,960 s 13,515 18,130 13,641 16,238
Composite: Potentially Preventable Infection 12,060 10,847 s 9,772 15,875 10,141 14,745
  Min 6,569 5,792 s 5,118 8,801 5,937 s
  Max 26,229 23,734 s 20,051 30,395 21,394 23,673
    Bacterial Pneumonia 8,580 6,208 s 6,000 9,574 6,023 9,566
      Min 4,846 3,413 s 3,253 5,159 3,769 s
      Max 18,978 12,910 s 13,043 21,581 12,944 14,302
    Urinary Tract Infection 3,480 4,639 s 3,772 6,301 4,118 5,179
      Min 1,437 2,379 s 1,865 2,794 2,168 s
      Max 10,679 10,824 s 9,351 14,803 10,204 9,371
Infection Due to Device or Implant 562 498 s 600 220 515 521
  Min s s s s s s s
  Max 1,310 1,887 s 2,218 571 1,358 2,622
Dehydration 2,491 2,751 s 2,339 3,866 2,439 3,583
  Min 1,025 850 s 1,019 607 818 600
  Max 5,749 5,958 s 5,066 7,306 6,045 9,175
Composite: ACSC Chronic Conditions 15,738 15,940 s 16,043 15,361 14,550 20,890
  Min 6,094 6,189 s 7,540 3,945 6,663 7,497
  Max 30,923 30,307 s 30,710 25,595 26,818 31,829
Composite: ACSC Acute Conditions 10,706 10,552 s 9,278 15,074 9,426 14,761
  Min 5,939 5,456 s 4,780 7,891 5,515 s
  Max 23,599 22,344 s 19,045 26,214 18,508 25,341
Composite: ACSC Overall 26,442 26,491 s 25,319 30,432 23,974 35,649
  Min 14,543 13,486 s 12,768 11,836 13,626 18,523
  Max 54,523 48,091 s 49,755 49,129 42,431 53,347
Pressure Ulcer 4,221 4,180 s 3,748 5,699 4,229 4,086
  Min 1,310 1,479 s 1,213 1,051 1,628 s
  Max 12,315 10,606 s 11,115 13,261 11,132 11,243
Injurious Falls 307 595 s 436 816 436 836
  Min s s s s s s s
  Max 3,438 3,532 s 2,437 5,463 3,301 4,969
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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 8G: HCBS Population Age 65+. Content last reviewed February 2023. Agency for Healthcare Research and Quality, Rockville, MD.
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