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Assessing the Health and Welfare of the HCBS Population

Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005a

Outcome Indicator State Offers Service Personal Care Case Management Adult Day/Health Care Residential Care Durable Medical Equipment/
Supplies
Transportation
Short-Term Complications of Diabetes Yes 268 207 275 226 248 151
No 295 304 292 296 299 326
Asthma or Chronic Obstructive Pulmonary Disease Yes 4,378 3,949 5,218 3,467 3,916 3,020
No 3,688 3,849 3,506 3,915 3,852 4,098
Congestive Heart Failure Yes 6,003 5,320 7,095 5,331 5,109 3,825
No 4,829 5,095 4,609 5,105 5,136 5,491
Composite: Potentially Preventable Infection Yes 10,168 9,545 10,442 9,657 8,775 7,123
No 7,293 7,744 7,391 7,826 7,837 8,282
    Bacterial Pneumonia Yes 5,823 5,728 6,056 5,669 5,092 4,500
No 4,620 4,777 4,630 4,836 4,886 5,047
    Urinary Tract Infection Yes 4,346 3,817 4,386 3,988 3,683 2,623
No 2,672 2,966 2,761 2,990 2,950 3,234
Infection Due to Device or Implant Yes 861 641 913 679 781 468
No 720 778 714 766 750 836
Dehydration Yes 2,334 2,211 2,548 2,043 1,934 1,517
No 1,754 1,844 1,731 1,885 1,894 2,009
Composite: ACSC Chronic Conditions Yes 13,351 11,794 15,513 11,480 11,628 8,527
No 11,403 11,924 10,945 11,957 11,975 12,836
Composite: ACSC Acute Conditions Yes 9,073 8,602 9,650 8,905 7,818 6,352
No 6,736 7,095 6,721 7,138 7,210 7,607
Composite: ACSC Overall Yes 22,422 20,395 25,160 20,384 19,444 14,877
No 18,138 19,018 17,666 19,094 19,184 20,443
Pressure Ulcer Yes 5,006 4,208 4,833 4,195 4,249 2,476
No 2,960 3,348 3,127 3,395 3,286 3,764
Injurious Falls Yes 307 411 364 388 259 218
No 295 276 280 286 308 320

Notes:

ACSC = ambulatory care-sensitive condition.

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.

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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