Table 8: Outcome Indicators for the Home and
Community-Based Services Population by Participant Attributes, 2005a
Table
8E: SMI Subpopulation
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 |
446 |
779 |
607 |
243 |
312 |
467 |
533 |
594 |
168 |
107 |
502 |
553 |
Min |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
Max |
1,835 |
3,590 |
941 |
25,263 |
s |
6,431 |
2,877 |
4,013 |
783 |
s |
3,145 |
2,437 |
Asthma or Chronic Obstructive Pulmonary Disease |
5,477 |
4,115 |
4,940 |
2,533 |
4,065 |
2,944 |
6,384 |
4,141 |
8,513 |
6,096 |
4,744 |
6,118 |
Min |
s |
s |
s |
s |
s |
s |
1,578 |
1,006 |
2,475 |
s |
s |
s |
Max |
13,360 |
15,789 |
19,048 |
14,679 |
s |
13,055 |
15,821 |
12,381 |
25,806 |
19,672 |
12,818 |
14,829 |
Congestive Heart Failure |
2,913 |
4,954 |
4,278 |
2,463 |
2,966 |
2,488 |
4,017 |
2,154 |
7,727 |
13,422 |
3,300 |
3,933 |
Min |
s |
s |
s |
s |
s |
s |
1,294 |
s |
s |
s |
s |
s |
Max |
10,463 |
11,905 |
8,791 |
21,053 |
s |
7,978 |
12,011 |
7,358 |
23,295 |
52,174 |
10,933 |
11,042 |
Composite: Potentially Preventable Infection |
8,134 |
5,876 |
6,768 |
4,441 |
5,769 |
5,904 |
8,286 |
5,195 |
14,400 |
27,645 |
7,040 |
8,407 |
Min |
4,649 |
s |
s |
s |
s |
2,888 |
4,989 |
3,361 |
8,333 |
s |
3,015 |
4,143 |
Max |
29,618 |
57,143 |
26,087 |
21,053 |
s |
31,188 |
28,782 |
20,937 |
40,834 |
70,423 |
30,726 |
26,810 |
Bacterial Pneumonia |
5,362 |
3,454 |
3,916 |
3,105 |
3,733 |
4,278 |
4,995 |
3,497 |
8,741 |
16,122 |
4,459 |
5,584 |
Min |
3,186 |
s |
s |
s |
s |
1,667 |
3,182 |
1,701 |
5,021 |
s |
2,299 |
s |
Max |
17,384 |
14,286 |
11,111 |
12,632 |
s |
21,034 |
14,278 |
11,901 |
23,271 |
39,437 |
16,400 |
18,231 |
Urinary Tract Infection |
2,772 |
2,422 |
2,852 |
1,336 |
2,036 |
1,626 |
3,291 |
1,698 |
5,659 |
11,523 |
2,581 |
2,822 |
Min |
s |
s |
s |
s |
s |
s |
1,468 |
735 |
2,188 |
s |
996 |
974 |
Max |
12,233 |
34,286 |
26,087 |
3,887 |
s |
10,154 |
14,504 |
9,036 |
17,563 |
37,113 |
14,326 |
8,579 |
Infection
Due to Device or Implant |
682 |
1,069 |
600 |
815 |
509 |
522 |
891 |
801 |
523 |
348 |
748 |
760 |
Min |
s |
s |
s |
s |
s |
s |
s |
382 |
s |
s |
s |
s |
Max |
2,897 |
5,952 |
3,800 |
3,515 |
s |
2,901 |
3,509 |
4,628 |
3,030 |
3,162 |
3,582 |
3,153 |
Dehydration |
1,977 |
2,443 |
1,870 |
1,301 |
1,222 |
1,516 |
2,302 |
1,504 |
3,453 |
7,807 |
1,928 |
2,243 |
Min |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
Max |
5,890 |
13,095 |
3,967 |
13,423 |
s |
9,972 |
6,327 |
5,806 |
10,487 |
18,182 |
6,601 |
5,140 |
Composite: ACSC Chronic Conditions |
11,082 |
14,031 |
14,240 |
7,095 |
9,630 |
8,103 |
14,088 |
9,367 |
20,317 |
23,474 |
11,291 |
13,614 |
Min |
s |
s |
s |
s |
s |
1,389 |
2,454 |
2,971 |
7,175 |
s |
2,988 |
s |
Max |
27,203 |
34,983 |
46,667 |
71,111 |
s |
25,023 |
30,702 |
27,425 |
50,582 |
69,565 |
26,390 |
28,481 |
Composite: ACSC Acute Conditions |
7,789 |
5,581 |
6,386 |
4,406 |
5,545 |
5,154 |
8,260 |
4,903 |
13,926 |
27,618 |
6,636 |
8,457 |
Min |
4,493 |
s |
s |
s |
s |
1,887 |
4,989 |
3,363 |
7,254 |
s |
2,988 |
4,435 |
Max |
22,535 |
34,286 |
34,783 |
21,053 |
s |
19,583 |
24,929 |
14,986 |
32,959 |
66,667 |
25,825 |
17,325 |
Composite:
ACSC Overall |
18,869 |
19,609 |
20,626 |
11,501 |
15,175 |
13,256 |
22,347 |
14,269 |
34,240 |
51,093 |
17,926 |
22,069 |
Min |
9,170 |
s |
s |
s |
s |
3,611 |
11,974 |
4,995 |
14,508 |
s |
5,975 |
8,746 |
Max |
49,738 |
48,185 |
50,000 |
88,889 |
s |
44,606 |
51,218 |
33,445 |
80,351 |
102,632 |
52,215 |
42,172 |
Pressure Ulcer |
2,658 |
3,470 |
2,422 |
1,613 |
1,534 |
2,710 |
2,665 |
2,098 |
4,545 |
9,171 |
2,740 |
2,569 |
Min |
s |
s |
s |
s |
s |
435 |
648 |
436 |
s |
s |
485 |
s |
Max |
9,819 |
25,000 |
60,870 |
21,053 |
s |
13,223 |
10,425 |
7,934 |
16,685 |
41,237 |
12,441 |
11,765 |
Injurious Falls |
295 |
107 |
171 |
156 |
238 |
137 |
313 |
139 |
599 |
1,096 |
214 |
362 |
Min |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
s |
Max |
2,142 |
854 |
368 |
228 |
s |
1,176 |
1,934 |
1,133 |
5,381 |
4,724 |
1,810 |
1,523 |
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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