Skip Navigation U.S. Department of Health and Human Services www.hhs.gov/
Agency for Healthcare Research Quality www.ahrq.gov
www.ahrq.gov/
Assessing the Health and Welfare of the HCBS Population

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.

Return to Contents
Return to Document

 

AHRQAdvancing Excellence in Health Care