Table 8: Outcome Indicators for the Home and
Community-Based Services Population by Participant Attributes, 2005a
Table
8B: Dually Eligible HCBS Participants
Outcome Indicator |
White Only, Non-Hispanic |
Black Only, Non-Hispanic |
Hispanic |
Other Race or Multiple Races,
Non-Hispanic |
Unknown Race |
Male |
Female |
Ages 18-64 |
Ages 65-84 |
Age 85+ |
MSA |
Non-MSA |
Short-Term
Complications of Diabetes |
195 |
451 |
208 |
92 |
151 |
266 |
213 |
378 |
153 |
74 |
225 |
261 |
Min |
s |
s |
s |
s |
s |
s |
121 |
s |
s |
s |
s |
s |
Max |
706 |
1,662 |
6,316 |
4,771 |
s |
1,345 |
619 |
1,490 |
1,021 |
235 |
821 |
831 |
Asthma or Chronic Obstructive Pulmonary Disease |
4,646 |
3,708 |
3,149 |
1,802 |
3,865 |
3,400 |
4,458 |
2,791 |
5,510 |
3,041 |
3,677 |
5,585 |
Min |
1,063 |
s |
s |
s |
s |
633 |
1,369 |
325 |
2,362 |
1,288 |
905 |
s |
Max |
9,973 |
8,539 |
8,955 |
30,000 |
s |
8,334 |
11,696 |
6,435 |
14,482 |
7,905 |
8,571 |
11,072 |
Congestive Heart Failure |
5,565 |
8,374 |
5,800 |
2,891 |
5,656 |
4,390 |
6,715 |
2,546 |
7,529 |
10,071 |
5,534 |
7,348 |
Min |
1,796 |
s |
s |
s |
s |
1,420 |
1,666 |
312 |
3,747 |
3,374 |
1,398 |
2,664 |
Max |
10,692 |
14,644 |
25,397 |
14,035 |
s |
9,970 |
12,890 |
10,816 |
13,739 |
18,767 |
11,524 |
12,232 |
Composite: Potentially Preventable Infection |
10,053 |
8,542 |
7,726 |
5,095 |
8,349 |
8,545 |
9,410 |
5,631 |
9,983 |
16,128 |
8,468 |
11,256 |
Min |
5,974 |
s |
s |
s |
s |
6,011 |
5,558 |
3,271 |
5,193 |
8,896 |
5,646 |
6,681 |
Max |
17,151 |
35,556 |
36,364 |
27,038 |
s |
17,470 |
16,542 |
9,978 |
20,951 |
31,034 |
15,497 |
18,170 |
Bacterial Pneumonia |
6,373 |
4,362 |
4,539 |
3,426 |
5,113 |
5,811 |
5,419 |
3,435 |
6,126 |
9,714 |
5,025 |
7,278 |
Min |
3,964 |
s |
s |
s |
s |
3,975 |
3,284 |
2,238 |
3,279 |
5,215 |
3,582 |
4,186 |
Max |
10,817 |
22,222 |
9,185 |
14,517 |
s |
11,941 |
9,382 |
5,891 |
13,104 |
21,944 |
8,391 |
11,300 |
Urinary Tract Infection |
3,680 |
4,180 |
3,187 |
1,669 |
3,236 |
2,734 |
3,991 |
2,196 |
3,857 |
6,414 |
3,443 |
3,978 |
Min |
s |
s |
s |
s |
s |
1,242 |
2,017 |
751 |
1,914 |
2,824 |
1,850 |
1,446 |
Max |
7,713 |
13,333 |
36,364 |
13,519 |
s |
6,665 |
8,493 |
4,848 |
9,597 |
15,214 |
7,876 |
7,645 |
Infection
Due to Device or Implant |
572 |
1,401 |
882 |
362 |
601 |
743 |
731 |
1,066 |
605 |
225 |
743 |
739 |
Min |
s |
s |
s |
s |
s |
s |
224 |
215 |
s |
s |
s |
s |
Max |
1,139 |
3,558 |
12,857 |
2,985 |
s |
1,426 |
1,460 |
1,816 |
2,231 |
589 |
1,568 |
1,488 |
Dehydration |
2,106 |
3,022 |
1,691 |
1,080 |
2,061 |
1,737 |
2,376 |
1,238 |
2,403 |
3,936 |
2,008 |
2,683 |
Min |
s |
s |
s |
s |
s |
475 |
714 |
375 |
1,064 |
1,007 |
452 |
620 |
Max |
4,227 |
6,171 |
4,420 |
5,783 |
s |
3,483 |
4,796 |
2,391 |
5,238 |
8,114 |
4,383 |
4,589 |
Composite: ACSC Chronic Conditions |
12,505 |
17,164 |
12,947 |
6,321 |
12,111 |
10,425 |
14,251 |
7,962 |
16,349 |
15,590 |
12,062 |
16,209 |
Min |
3,408 |
s |
s |
s |
s |
3,243 |
3,452 |
1,126 |
7,806 |
3,988 |
2,919 |
4,948 |
Max |
23,903 |
29,841 |
44,444 |
109,091 |
s |
18,993 |
26,365 |
17,105 |
31,276 |
26,495 |
21,492 |
26,641 |
Composite: ACSC Acute Conditions |
9,218 |
7,983 |
7,030 |
4,579 |
7,775 |
7,149 |
9,031 |
4,652 |
9,483 |
15,315 |
7,608 |
11,006 |
Min |
s |
s |
s |
s |
s |
4,430 |
5,247 |
2,335 |
4,848 |
7,669 |
5,016 |
6,250 |
Max |
16,012 |
26,667 |
43,750 |
24,652 |
s |
15,066 |
15,687 |
8,565 |
19,300 |
26,941 |
13,115 |
17,587 |
Composite:
ACSC Overall |
21,723 |
25,144 |
19,975 |
10,900 |
19,884 |
17,572 |
23,281 |
12,613 |
25,831 |
30,902 |
19,668 |
27,213 |
Min |
8,723 |
s |
s |
s |
s |
7,673 |
9,820 |
3,754 |
12,971 |
11,656 |
7,935 |
10,256 |
Max |
39,914 |
44,860 |
74,074 |
109,091 |
s |
34,059 |
41,284 |
22,863 |
50,576 |
50,856 |
32,463 |
44,228 |
Pressure Ulcer |
3,472 |
6,789 |
3,352 |
1,525 |
3,397 |
4,095 |
3,804 |
3,300 |
3,854 |
5,806 |
3,982 |
3,777 |
Min |
1,663 |
s |
s |
s |
s |
1,775 |
1,548 |
1,208 |
1,220 |
1,064 |
1,625 |
918 |
Max |
7,916 |
20,000 |
16,970 |
11,285 |
s |
11,025 |
10,192 |
7,947 |
11,816 |
13,629 |
9,756 |
9,500 |
Injurious Falls |
455 |
223 |
286 |
233 |
382 |
193 |
477 |
129 |
454 |
836 |
328 |
556 |
Min |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
Max |
2,128 |
841 |
562 |
6,579 |
s |
1,066 |
2,181 |
340 |
2,539 |
5,521 |
2,275 |
2,762 |
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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