Table 15: Outcome Indicators by County and State Demographics, 2005a
Table 15A:
Outcome Indicators by County Demographics
Select for Table 15B: Outcome Indicators by State Demographics.
HCBS Subpopulation |
Outcome Indicator |
Percent Age 65+ |
Percent Age 85+ |
Percent White |
Percent African American |
Percent Hispanic |
>Median |
≤Median |
>Median |
≤Median |
>Median |
≤Median |
>Median |
≤Median |
>Median |
≤Median |
National HCBS Population |
Short-Term Complications of
Diabetes |
305 |
287 |
300 |
288 |
291 |
291 |
303 |
239 |
262 |
402 |
Asthma
or Chronic Obstructive Pulmonary Disease |
5,012 |
3,579 |
4,733 |
3,578 |
5,443 |
3,533 |
3,783 |
4,395 |
3,484 |
5,433 |
Congestive
Heart Failure |
5,745 |
5,013 |
5,679 |
4,983 |
5,635 |
5,066 |
5,275 |
4,716 |
4,819 |
6,507 |
Composite:
Potentially Preventable Infection |
9,562 |
7,608 |
9,130 |
7,625 |
10,003 |
7,580 |
7,841 |
8,928 |
7,425 |
10,339 |
Bacterial Pneumonia |
6,199 |
4,564 |
5,876 |
4,564 |
6,683 |
4,514 |
4,686 |
5,997 |
4,517 |
6,452 |
Urinary Tract Infection |
3,363 |
3,044 |
3,254 |
3,061 |
3,320 |
3,066 |
3,155 |
2,930 |
2,908 |
3,887 |
Infection
Due to Device or Implant |
751 |
765 |
761 |
763 |
740 |
767 |
786 |
656 |
735 |
864 |
Dehydration |
2,202 |
1,831 |
2,196 |
1,806 |
2,064 |
1,877 |
1,946 |
1,761 |
1,774 |
2,433 |
Composite:
ACSC Chronic Conditions |
13,709 |
11,519 |
13,355 |
11,489 |
13,817 |
11,578 |
12,078 |
11,652 |
11,119 |
15,311 |
Composite:
ACSC Acute Conditions |
8,997 |
6,894 |
8,597 |
6,888 |
9,387 |
6,884 |
7,121 |
8,423 |
6,744 |
9,658 |
Composite:
ACSC Overall |
22,706 |
18,412 |
21,951 |
18,376 |
23,203 |
18,460 |
19,198 |
20,074 |
17,863 |
24,967 |
Pressure
Ulcer |
3,341 |
3,555 |
3,254 |
3,604 |
2,976 |
3,632 |
3,684 |
2,714 |
3,402 |
3,905 |
Injurious
Falls |
429 |
263 |
406 |
260 |
468 |
261 |
269 |
440 |
259 |
455 |
Dually Eligible HCBS Participants |
Short-Term Complications of
Diabetes |
232 |
234 |
230 |
235 |
241 |
232 |
242 |
197 |
216 |
297 |
Asthma
or Chronic Obstructive Pulmonary Disease |
5,277 |
3,778 |
4,978 |
3,781 |
5,804 |
3,716 |
3,980 |
4,743 |
3,665 |
5,798 |
Congestive
Heart Failure |
6,589 |
5,769 |
6,507 |
5,738 |
6,619 |
5,798 |
6,033 |
5,631 |
5,543 |
7,475 |
Composite:
Potentially Preventable Infection |
10,766 |
8,628 |
10,299 |
8,649 |
11,359 |
8,578 |
8,863 |
10,236 |
8,418 |
11,690 |
Bacterial Pneumonia |
6,954 |
5,132 |
6,601 |
5,132 |
7,592 |
5,058 |
5,247 |
6,871 |
5,071 |
7,310 |
Urinary Tract Infection |
3,812 |
3,496 |
3,697 |
3,517 |
3,768 |
3,520 |
3,615 |
3,365 |
3,347 |
4,380 |
Infection
Due to Device or Implant |
683 |
759 |
709 |
755 |
660 |
762 |
771 |
617 |
727 |
797 |
Dehydration |
2,460 |
2,078 |
2,447 |
2,054 |
2,307 |
2,132 |
2,208 |
1,984 |
2,016 |
2,717 |
Composite:
ACSC Chronic Conditions |
14,793 |
12,505 |
14,438 |
12,469 |
15,098 |
12,531 |
13,054 |
12,934 |
12,099 |
16,443 |
Composite:
ACSC Acute Conditions |
10,186 |
7,869 |
9,760 |
7,859 |
10,686 |
7,849 |
8,108 |
9,677 |
7,707 |
10,947 |
Composite:
ACSC Overall |
24,978 |
20,372 |
24,196 |
20,327 |
25,783 |
20,379 |
21,161 |
22,609 |
19,805 |
27,388 |
Pressure
Ulcer |
3,678 |
4,011 |
3,589 |
4,072 |
3,172 |
4,118 |
4,156 |
2,969 |
3,860 |
4,206 |
Injurious
Falls |
520 |
339 |
493 |
336 |
568 |
336 |
345 |
539 |
334 |
554 |
Medicaid-Only HCBS Participants |
Short-Term Complications of
Diabetes |
559 |
434 |
540 |
432 |
454 |
459 |
473 |
380 |
390 |
731 |
Asthma
or Chronic Obstructive Pulmonary Disease |
4,088 |
3,032 |
3,893 |
3,024 |
4,262 |
3,020 |
3,231 |
3,245 |
2,973 |
4,290 |
Congestive
Heart Failure |
2,806 |
2,932 |
2,851 |
2,926 |
2,412 |
3,011 |
3,145 |
1,699 |
2,768 |
3,476 |
Composite:
Potentially Preventable Infection |
5,368 |
4,805 |
5,140 |
4,840 |
5,558 |
4,778 |
4,971 |
4,613 |
4,617 |
6,109 |
Bacterial Pneumonia |
3,569 |
3,002 |
3,400 |
3,018 |
3,704 |
2,987 |
3,109 |
3,115 |
2,949 |
3,764 |
Urinary Tract Infection |
1,799 |
1,803 |
1,739 |
1,822 |
1,854 |
1,791 |
1,862 |
1,498 |
1,668 |
2,345 |
Infection
Due to Device or Implant |
985 |
782 |
938 |
783 |
1,001 |
783 |
827 |
785 |
758 |
1,072 |
Dehydration |
1,306 |
1,151 |
1,338 |
1,130 |
1,268 |
1,162 |
1,210 |
1,026 |
1,091 |
1,543 |
Composite:
ACSC Chronic Conditions |
9,936 |
8,808 |
9,658 |
8,820 |
9,618 |
8,900 |
9,336 |
7,426 |
8,346 |
11,767 |
Composite:
ACSC Acute Conditions |
4,856 |
4,215 |
4,625 |
4,246 |
5,133 |
4,172 |
4,347 |
4,287 |
4,020 |
5,622 |
Composite:
ACSC Overall |
14,792 |
13,022 |
14,282 |
13,066 |
14,751 |
13,071 |
13,683 |
11,713 |
12,366 |
17,386 |
Pressure
Ulcer |
2,167 |
2,303 |
2,110 |
2,330 |
2,332 |
2,266 |
2,356 |
1,874 |
2,109 |
2,960 |
Injurious
Falls |
113 |
54 |
110 |
52 |
137 |
51 |
56 |
114 |
47 |
142 |
I/DD Subpopulation |
Short-Term Complications of
Diabetes |
161 |
160 |
153 |
164 |
139 |
167 |
168 |
131 |
147 |
198 |
Asthma
or Chronic Obstructive Pulmonary Disease |
844 |
702 |
795 |
711 |
799 |
716 |
757 |
664 |
696 |
861 |
Congestive
Heart Failure |
684 |
660 |
628 |
683 |
609 |
685 |
715 |
487 |
635 |
757 |
Composite:
Potentially Preventable Infection |
4,444 |
4,288 |
4,385 |
4,301 |
4,702 |
4,197 |
4,405 |
4,039 |
4,115 |
4,962 |
Bacterial Pneumonia |
3,079 |
2,807 |
3,051 |
2,793 |
3,345 |
2,711 |
2,869 |
2,894 |
2,724 |
3,324 |
Urinary Tract Infection |
1,365 |
1,481 |
1,334 |
1,507 |
1,357 |
1,486 |
1,537 |
1,145 |
1,391 |
1,638 |
Infection
Due to Device or Implant |
281 |
323 |
293 |
321 |
258 |
331 |
331 |
245 |
316 |
300 |
Dehydration |
698 |
693 |
711 |
687 |
685 |
697 |
728 |
571 |
660 |
797 |
Composite:
ACSC Chronic Conditions |
2,188 |
2,115 |
2,072 |
2,161 |
1,939 |
2,200 |
2,271 |
1,630 |
2,064 |
2,339 |
Composite:
ACSC Acute Conditions |
3,483 |
3,293 |
3,410 |
3,308 |
3,570 |
3,260 |
3,396 |
3,134 |
3,156 |
3,890 |
Composite:
ACSC Overall |
5,671 |
5,408 |
5,482 |
5,469 |
5,509 |
5,461 |
5,667 |
4,764 |
5,221 |
6,229 |
Pressure
Ulcer |
1,184 |
1,504 |
1,154 |
1,549 |
1,112 |
1,533 |
1,544 |
990 |
1,399 |
1,503 |
Injurious
Falls |
102 |
63 |
102 |
59 |
96 |
64 |
71 |
77 |
63 |
100 |
SMI Subpopulation |
Short-Term Complications of
Diabetes |
587 |
491 |
525 |
507 |
507 |
514 |
539 |
384 |
475 |
641 |
Asthma
or Chronic Obstructive Pulmonary Disease |
6,002 |
4,761 |
5,510 |
4,825 |
6,142 |
4,727 |
4,956 |
5,398 |
4,690 |
6,216 |
Congestive
Heart Failure |
3,624 |
3,379 |
3,355 |
3,467 |
3,275 |
3,477 |
3,565 |
2,808 |
3,236 |
4,112 |
Composite:
Potentially Preventable Infection |
8,167 |
7,092 |
7,778 |
7,132 |
8,724 |
6,942 |
7,231 |
7,786 |
6,858 |
8,943 |
Bacterial Pneumonia |
5,405 |
4,496 |
5,250 |
4,455 |
6,027 |
4,328 |
4,564 |
5,322 |
4,354 |
5,871 |
Urinary Tract Infection |
2,761 |
2,595 |
2,528 |
2,677 |
2,698 |
2,614 |
2,667 |
2,465 |
2,504 |
3,072 |
Infection
Due to Device or Implant |
807 |
735 |
766 |
744 |
798 |
738 |
748 |
765 |
724 |
844 |
Dehydration |
2,107 |
1,963 |
2,103 |
1,948 |
1,977 |
1,999 |
2,044 |
1,760 |
1,905 |
2,301 |
Composite:
ACSC Chronic Conditions |
12,973 |
11,444 |
11,986 |
11,689 |
12,288 |
11,640 |
12,023 |
10,632 |
11,159 |
13,914 |
Composite:
ACSC Acute Conditions |
7,968 |
6,752 |
7,567 |
6,782 |
8,487 |
6,614 |
6,891 |
7,626 |
6,551 |
8,629 |
Composite:
ACSC Overall |
20,938 |
18,196 |
19,552 |
18,470 |
20,776 |
18,252 |
18,913 |
18,258 |
17,709 |
22,543 |
Pressure
Ulcer |
2,456 |
2,774 |
2,238 |
2,907 |
2,566 |
2,742 |
2,770 |
2,395 |
2,604 |
3,047 |
Injurious
Falls |
345 |
217 |
327 |
209 |
331 |
221 |
232 |
308 |
213 |
354 |
HCBS Population Ages 18-64
Without I/DD or SMI |
Short-Term Complications of
Diabetes |
655 |
621 |
638 |
625 |
647 |
625 |
652 |
528 |
536 |
970 |
Asthma
or Chronic Obstructive Pulmonary Disease |
6,321 |
4,488 |
6,085 |
4,476 |
7,240 |
4,373 |
4,797 |
5,288 |
4,341 |
6,905 |
Congestive
Heart Failure |
4,860 |
5,151 |
5,074 |
5,092 |
5,021 |
5,102 |
5,402 |
3,691 |
4,787 |
6,196 |
Composite:
Potentially Preventable Infection |
8,223 |
6,726 |
7,857 |
6,775 |
8,878 |
6,653 |
6,994 |
7,313 |
6,521 |
9,012 |
Bacterial Pneumonia |
5,029 |
3,739 |
4,719 |
3,780 |
5,424 |
3,714 |
3,918 |
4,474 |
3,713 |
5,154 |
Urinary Tract Infection |
3,194 |
2,986 |
3,138 |
2,995 |
3,454 |
2,939 |
3,075 |
2,839 |
2,808 |
3,858 |
Infection
Due to Device or Implant |
1,726 |
1,750 |
1,834 |
1,714 |
1,774 |
1,738 |
1,811 |
1,449 |
1,679 |
1,985 |
Dehydration |
1,944 |
1,698 |
2,024 |
1,658 |
1,991 |
1,700 |
1,785 |
1,607 |
1,644 |
2,150 |
Composite:
ACSC Chronic Conditions |
16,180 |
14,382 |
16,171 |
14,292 |
17,321 |
14,217 |
15,080 |
13,419 |
13,548 |
19,300 |
Composite:
ACSC Acute Conditions |
7,379 |
5,743 |
7,065 |
5,768 |
8,302 |
5,618 |
5,934 |
6,835 |
5,528 |
8,210 |
Composite:
ACSC Overall |
23,559 |
20,123 |
23,234 |
20,059 |
25,623 |
19,833 |
21,013 |
20,253 |
19,075 |
27,506 |
Pressure
Ulcer |
5,013 |
4,865 |
4,992 |
4,865 |
5,107 |
4,851 |
5,038 |
4,275 |
4,612 |
5,950 |
Injurious
Falls |
213 |
116 |
218 |
109 |
230 |
117 |
121 |
210 |
108 |
244 |
HCBS Population Age 65+ |
Short-Term Complications of
Diabetes |
128 |
137 |
150 |
130 |
140 |
134 |
138 |
117 |
131 |
153 |
Asthma
or Chronic Obstructive Pulmonary Disease |
6,631 |
4,386 |
6,351 |
4,333 |
8,055 |
4,261 |
4,597 |
6,170 |
4,244 |
7,485 |
Congestive
Heart Failure |
9,780 |
7,512 |
9,745 |
7,372 |
10,942 |
7,437 |
7,864 |
8,610 |
7,231 |
11,238 |
Composite:
Potentially Preventable Infection |
14,255 |
10,322 |
13,766 |
10,228 |
16,309 |
10,185 |
10,600 |
13,913 |
10,046 |
15,872 |
Bacterial Pneumonia |
9,235 |
6,151 |
8,810 |
6,092 |
10,966 |
6,021 |
6,278 |
9,428 |
6,061 |
9,954 |
Urinary Tract Infection |
5,021 |
4,171 |
4,956 |
4,137 |
5,344 |
4,164 |
4,322 |
4,485 |
3,984 |
5,918 |
Infection
Due to Device or Implant |
512 |
517 |
527 |
512 |
512 |
517 |
528 |
453 |
496 |
603 |
Dehydration |
3,337 |
2,516 |
3,312 |
2,470 |
3,368 |
2,562 |
2,685 |
2,706 |
2,427 |
3,810 |
Composite:
ACSC Chronic Conditions |
19,577 |
14,968 |
19,392 |
14,723 |
22,163 |
14,774 |
15,591 |
17,664 |
14,467 |
22,234 |
Composite:
ACSC Acute Conditions |
13,889 |
9,716 |
13,414 |
9,601 |
15,785 |
9,623 |
10,019 |
13,484 |
9,503 |
15,261 |
Composite:
ACSC Overall |
33,465 |
24,682 |
32,805 |
24,322 |
37,946 |
24,395 |
25,609 |
31,146 |
23,968 |
37,491 |
Pressure
Ulcer |
4,049 |
4,237 |
4,031 |
4,256 |
3,540 |
4,320 |
4,407 |
3,134 |
4,076 |
4,721 |
Injurious
Falls |
778 |
456 |
729 |
451 |
973 |
440 |
458 |
854 |
445 |
861 |
Notes:
ACSC = ambulatory care-sensitive condition; HCBS = home and
community-based services; I/DD = intellectual and development disabilities;
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
persons in the States of Arizona, Maine, Washington, and Wisconsin.
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.
Median is defined as the value at which half of States are below
and half of States are above.
Source for Outcome Indicators: Agency
for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX)
data, and Medicare Provider Analysis and Review (MedPAR) data.
Sources for column
heading data are described in the Appendix.
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