´óÏóAPP

Table 14: Outcome Indicators by County and State Supply of Health Care Providers, 2005^a

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HCBS Subpopulation	Outcome Indicator	Supply of Short-Term Acute-Care Hospital Beds per Capita		Supply of Nursing Home Beds (NFs and SNFs) per 65+
		>Median	≤M±ð»å¾±²¹²Ô	>Median	≤M±ð»å¾±²¹²Ô
National HCBS Population	Short-Term Complications of Diabetes	332	248	289	288
	Asthma or Chronic Obstructive Pulmonary Disease	4,773	3,039	4,590	3,155
	Congestive Heart Failure	5,732	4,583	5,600	4,672
	Composite: Potentially Preventable Infection	8,842	7,293	8,646	7,429
	Bacterial Pneumonia	5,485	4,423	5,417	4,451
	Urinary Tract Infection	3,358	2,869	3,229	2,978
	Infection Due to Device or Implant	802	715	820	694
	Dehydration	2,204	1,628	2,088	1,721
	Composite: ACSC Chronic Conditions	13,774	10,201	13,370	10,467
	Composite: ACSC Acute Conditions	8,183	6,565	8,085	6,602
	Composite: ACSC Overall	21,956	16,765	21,455	17,068
	Pressure Ulcer	3,799	3,199	3,745	3,230
	Injurious Falls	334	265	324	272
Dually Eligible HCBS Participants	Short-Term Complications of Diabetes	259	205	234	228
	Asthma or Chronic Obstructive Pulmonary Disease	5,044	3,212	4,824	3,376
	Congestive Heart Failure	6,659	5,212	6,476	5,350
	Composite: Potentially Preventable Infection	10,083	8,214	9,883	8,357
	Bacterial Pneumonia	6,228	4,939	6,174	4,957
	Urinary Tract Infection	3,854	3,275	3,709	3,400
	Infection Due to Device or Implant	782	692	793	679
	Dehydration	2,471	1,862	2,337	1,975
	Composite: ACSC Chronic Conditions	14,939	11,061	14,502	11,380
	Composite: ACSC Acute Conditions	9,399	7,435	9,300	7,477
	Composite: ACSC Overall	24,337	18,495	23,801	18,856
	Pressure Ulcer	4,200	3,634	4,114	3,703
	Injurious Falls	415	344	410	347
Medicaid-Only HCBS Participants	Short-Term Complications of Diabetes	548	371	444	464
	Asthma or Chronic Obstructive Pulmonary Disease	3,975	2,543	3,928	2,500
	Congestive Heart Failure	3,005	2,791	3,113	2,669
	Composite: Potentially Preventable Infection	5,192	4,666	5,136	4,689
	Bacterial Pneumonia	3,296	2,955	3,271	2,958
	Urinary Tract Infection	1,896	1,711	1,865	1,731
	Infection Due to Device or Implant	860	778	896	737
	Dehydration	1,416	963	1,381	970
	Composite: ACSC Chronic Conditions	10,346	7,749	10,159	7,774
	Composite: ACSC Acute Conditions	4,604	4,083	4,637	4,018
	Composite: ACSC Overall	14,949	11,832	14,796	11,790
	Pressure Ulcer	2,619	1,957	2,698	1,836
	Injurious Falls	96	38	80	50
I/DD Subpopulation	Short-Term Complications of Diabetes	164	144	144	169
	Asthma or Chronic Obstructive Pulmonary Disease	791	648	781	651
	Congestive Heart Failure	724	575	674	631
	Composite: Potentially Preventable Infection	4,522	4,295	4,707	4,030
	Bacterial Pneumonia	3,048	2,849	3,232	2,587
	Urinary Tract Infection	1,474	1,446	1,475	1,443
	Infection Due to Device or Implant	320	289	317	291
	Dehydration	752	636	756	622
	Composite: ACSC Chronic Conditions	2,285	1,867	2,155	2,012
	Composite: ACSC Acute Conditions	3,512	3,245	3,653	3,037
	Composite: ACSC Overall	5,797	5,112	5,808	5,048
	Pressure Ulcer	1,477	1,318	1,449	1,344
	Injurious Falls	86	56	84	58
SMI Subpopulation	Short-Term Complications of Diabetes	517	491	465	569
	Asthma or Chronic Obstructive Pulmonary Disease	5,367	4,459	5,298	4,513
	Congestive Heart Failure	3,522	3,221	3,411	3,373
	Composite: Potentially Preventable Infection	7,420	7,178	7,265	7,401
	Bacterial Pneumonia	4,800	4,571	4,812	4,539
	Urinary Tract Infection	2,621	2,607	2,453	2,862
	Infection Due to Device or Implant	711	783	742	740
	Dehydration	2,028	1,921	1,958	2,021
	Composite: ACSC Chronic Conditions	12,335	10,717	11,999	11,137
	Composite: ACSC Acute Conditions	7,096	6,863	7,055	6,912
	Composite: ACSC Overall	19,429	17,580	19,054	18,048
	Pressure Ulcer	2,713	2,642	2,609	2,796
	Injurious Falls	255	223	259	215
HCBS Population Ages 18-64 Without I/DD or SMI	Short-Term Complications of Diabetes	755	528	592	661
	Asthma or Chronic Obstructive Pulmonary Disease	6,463	3,649	6,075	3,820
	Congestive Heart Failure	5,746	4,576	5,671	4,568
	Composite: Potentially Preventable Infection	7,784	6,484	7,721	6,458
	Bacterial Pneumonia	4,505	3,642	4,407	3,675
	Urinary Tract Infection	3,280	2,842	3,314	2,783
	Infection Due to Device or Implant	1,962	1,572	1,957	1,552
	Dehydration	2,128	1,453	1,997	1,529
	Composite: ACSC Chronic Conditions	17,864	12,344	16,931	12,835
	Composite: ACSC Acute Conditions	6,870	5,499	6,942	5,346
	Composite: ACSC Overall	24,733	17,841	23,872	18,179
	Pressure Ulcer	5,536	4,402	5,759	4,127
	Injurious Falls	189	96	161	116
HCBS Population Age 65+	Short-Term Complications of Diabetes	167	108	159	114
	Asthma or Chronic Obstructive Pulmonary Disease	6,397	3,606	6,189	3,753
	Congestive Heart Failure	9,670	6,607	9,612	6,631
	Composite: Potentially Preventable Infection	13,254	9,483	12,911	9,732
	Bacterial     Pneumonia	8,143	5,747	8,056	5,800
	Urinary Tract     Infection	5,111	3,736	4,855	3,932
	Infection Due to Device or Implant	566	472	588	454
	Dehydration	3,315	2,183	3,164	2,296
	Composite: ACSC Chronic Conditions	19,734	12,826	19,554	12,920
	Composite: ACSC Acute Conditions	12,729	8,887	12,571	8,986
	Composite: ACSC Overall	32,461	21,712	32,124	21,904
	Pressure Ulcer	4,932	3,599	4,712	3,767
	Injurious Falls	608	453	613	448

HCBS Subpopulation	Supply of Home Health Agencies per Capita		Supply of ICFs-MR per Capita		Supply of Psychiatric Hospital Beds per Capita
	>Median	≤M±ð»å¾±²¹²Ô	>Median	≤M±ð»å¾±²¹²Ô	>Median	≤M±ð»å¾±²¹²Ô
National HCBS Population	320	268	267	347	298	279
	4,485	3,462	3,765	4,143	4,729	3,007
	5,643	4,798	5,008	5,474	5,801	4,465
	9,040	7,375	7,593	9,254	8,736	7,331
	5,598	4,494	4,690	5,597	5,456	4,405
	3,441	2,881	2,903	3,657	3,279	2,926
	846	697	737	810	819	694
	2,081	1,786	1,787	2,225	2,145	1,661
	13,195	11,064	11,636	12,648	13,761	10,059
	8,331	6,689	6,980	8,327	8,116	6,561
	21,525	17,751	18,616	20,974	21,876	16,619
	3,858	3,242	3,356	3,845	3,772	3,200
	342	269	259	406	342	254
Dually Eligible HCBS Participants	258	214	214	277	240	222
	4,857	3,586	3,941	4,479	4,922	3,247
	6,537	5,490	5,749	6,313	6,636	5,165
	10,320	8,315	8,628	10,375	9,886	8,322
	6,398	5,004	5,284	6,273	6,156	4,950
	3,922	3,311	3,344	4,102	3,731	3,372
	820	680	722	769	783	687
	2,315	2,047	2,039	2,456	2,390	1,915
	14,480	11,893	12,592	13,773	14,781	11,034
	9,579	7,586	7,995	9,377	9,240	7,500
	24,058	19,478	20,586	23,149	24,020	18,533
	4,179	3,726	3,809	4,158	4,107	3,701
	432	343	333	497	425	331
Medicaid-Only HCBS Participants	503	423	413	589	472	437
	3,390	3,107	3,285	2,991	4,151	2,334
	3,013	2,815	2,980	2,601	3,303	2,504
	5,274	4,684	4,762	5,415	5,292	4,556
	3,247	3,032	3,065	3,281	3,364	2,881
	2,027	1,652	1,696	2,134	1,929	1,675
	926	747	776	952	926	713
	1,393	1,038	1,099	1,432	1,415	951
	9,415	8,688	9,024	8,796	10,707	7,330
	4,661	4,117	4,206	4,733	4,751	3,929
	14,076	12,804	13,229	13,529	15,458	11,258
	2,915	1,857	2,116	2,775	2,771	1,795
	77	58	57	95	93	39
I/DD Subpopulation	145	163	153	159	137	180
	710	738	750	675	795	629
	622	683	694	576	684	617
	4,485	4,363	4,500	4,248	4,787	3,906
	3,025	2,901	3,048	2,769	3,275	2,516
	1,460	1,461	1,452	1,479	1,512	1,391
	338	279	319	279	289	330
	739	666	697	703	743	638
	2,029	2,146	2,184	1,907	2,172	1,985
	3,496	3,303	3,484	3,195	3,651	3,029
	5,526	5,450	5,668	5,101	5,823	5,014
	1,542	1,291	1,426	1,359	1,414	1,390
	78	68	63	92	86	54
SMI Subpopulation	552	475	459	637	467	564
	5,560	4,602	4,789	5,540	5,496	4,234
	3,842	3,097	3,332	3,576	3,523	3,208
	8,274	6,678	6,834	8,679	7,489	7,067
	5,287	4,313	4,456	5,399	4,975	4,304
	2,987	2,365	2,378	3,280	2,514	2,764
	919	622	706	839	738	745
	2,236	1,814	1,846	2,368	2,025	1,921
	12,890	10,829	11,373	12,454	12,399	10,561
	7,933	6,371	6,608	8,093	7,253	6,623
	20,823	17,199	17,979	20,548	19,651	17,183
	3,040	2,444	2,503	3,188	2,637	2,751
	307	198	200	359	266	206
HCBS Population Ages 18-64 Without I/DD or SMI	687	586	562	843	648	612
	5,323	4,577	4,792	5,215	6,550	3,528
	5,267	4,965	5,085	5,119	6,075	4,285
	7,705	6,585	6,538	8,734	7,998	6,286
	4,327	3,801	3,810	4,709	4,579	3,566
	3,378	2,784	2,728	4,025	3,419	2,720
	1,804	1,701	1,648	2,056	2,092	1,459
	1,929	1,622	1,580	2,304	2,133	1,438
	15,608	14,178	14,381	16,076	18,153	12,009
	6,776	5,613	5,703	7,399	7,110	5,278
	22,383	19,789	20,082	23,473	25,262	17,286
	5,865	4,198	4,511	6,164	5,868	4,109
	160	120	120	190	175	105
HCBS Population Age 65+	150	126	123	170	171	102
	6,290	4,066	4,528	5,796	6,269	3,604
	9,781	6,990	7,460	9,492	9,750	6,414
	13,723	9,775	10,276	13,812	12,792	9,731
	8,543	5,878	6,280	8,411	7,933	5,832
	5,180	3,897	3,996	5,401	4,858	3,899
	607	464	492	579	580	457
	3,138	2,441	2,478	3,309	3,205	2,232
	19,483	13,958	14,978	18,641	19,765	12,520
	13,154	9,214	9,806	12,963	12,401	9,017
	32,636	23,170	24,783	31,601	32,163	21,535
	4,562	3,990	4,013	4,724	4,778	3,679
	665	445	444	756	630	428

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; NF = nursing facility; SNF = skilled nursing facility; ICFs-MR = intermediate care facilities for the mentally retarded.

^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: ´óÏóAPP (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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