Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005^a

Table 18G: HCBS Population Age 65+

Select for:

• Table 18A: National HCBS Population.
• Table 18B: Dually Eligible HCBS Participants.
• Table 18C: Medicaid-Only HCBS Participants.
• Table 18D: I/DD Subpopulation.
• Table 18E: SMI Subpopulation.
• Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI.

Outcome Indicator	Percentage of Population 18-64 With Any Disability		Percentage of Population 65+ With Any Disability		Percentage of Population 18-64 Receiving SSDI		Percentage of State Population Diagnosed With Mental Retardation and Receiving SSDI
	>Median	≤Median	>Median	≤Median	>Median	≤Median	>Median	≤Median
Short-Term Complications of Diabetes	162	122	107	174	172	100	162	121
Asthma or Chronic Obstructive Pulmonary Disease	6,496	4,081	4,181	5,790	6,304	3,513	6,708	3,953
Congestive Heart Failure	10,299	6,890	7,185	9,081	9,730	6,359	10,648	6,685
Composite: Potentially Preventable Infection	14,827	9,462	10,368	12,279	13,788	8,757	15,218	9,215
Bacterial Pneumonia	8,940	5,827	6,349	7,467	8,250	5,498	9,185	5,675
Urinary Tract Infection	5,887	3,635	4,019	4,812	5,538	3,259	6,033	3,540
Infection Due to Device or Implant	623	464	462	589	610	427	638	455
Dehydration	3,700	2,217	2,441	3,033	3,420	2,015	3,789	2,158
Composite: ACSC Chronic Conditions	20,180	13,911	14,009	18,575	19,737	12,385	20,893	13,500
Composite: ACSC Acute Conditions	14,083	8,982	9,860	11,635	12,998	8,399	14,372	8,786
Composite: ACSC Overall	34,260	22,892	23,868	30,208	32,733	20,783	35,263	22,285
Pressure Ulcer	5,116	3,763	3,806	4,740	5,358	3,126	5,260	3,679
Injurious Falls	688	445	513	534	620	432	729	423

Notes:

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; SSDI = Social Security Disability Income.

^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.

Source data uses the term mental retardation. Elsewhere in this report we refer to this condition as part of the I/DD subpopulation.

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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