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121. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 3,836 2,387 4,206 2,636 3,709 2,946 Congestive … Heart Failure 3,318 2,321 2,909 2,882 3,157 2,746 Composite: Potentially Preventable … 636 379 Asthma or Chronic Obstructive Pulmonary Disease 3,396 2,753 3,369 3,174 Congestive … Heart Failure 3,064 2,446 3,046 2,828 Composite: Potentially Preventable Infection 5,050

122. Table 19C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
     March 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 3,232 3,211 3,103 3,396 3,368 2,629 Congestive … Heart Failure 2,970 2,861 2,994 2,731 3,152 1,877 Composite: Potentially Preventable … 486 317 Asthma or Chronic Obstructive Pulmonary Disease 3,105 3,468 3,380 2,524 Congestive … Heart Failure 2,847 2,992 3,190 1,623 Composite: Potentially Preventable Infection 4,814

123. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 4,897 2,934 4,869 3,566 5,209 3,377 Congestive … Heart Failure 6,990 4,353 6,287 5,648 7,345 4,989 Composite: Potentially Preventable … 296 202 Asthma or Chronic Obstructive Pulmonary Disease 4,157 3,924 4,930 3,726 Congestive … Heart Failure 6,021 5,622 7,091 5,383 Composite: Potentially Preventable Infection 9,121

124. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 138 Asthma or Chronic Obstructive Pulmonary Disease 808 598 788 665 825 663 Congestive … Heart Failure 751 507 668 644 796 567 Composite: Potentially Preventable Infection … 130 218 129 Asthma or Chronic Obstructive Pulmonary Disease 758 661 824 690 Congestive … Heart Failure 719 528 842 580 Composite: Potentially Preventable Infection 4,526 4,200

125. Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
     February 01, 2023 - Pulmonary Disease Yes 2,593 4,933 3,707 1,680 No 3,901 3,862 3,964 4,192 Congestive … Heart Failure Yes 3,272 6,415 5,266 2,053 No 5,183 5,127 5,045 5,592 Composite … Obstructive Pulmonary Disease 9,644 8,391 1,802 3,187 3,821 2,099 4,059 3,883 Congestive … Heart Failure 12,935 11,011 2,391 4,673 5,071 2,836 5,388 5,143 Composite:

126. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 5,823 3,558 6,918 3,918 5,595 4,432 Congestive … Heart Failure 5,919 3,909 5,763 4,771 5,575 4,777 Composite: Potentially Preventable … 808 536 Asthma or Chronic Obstructive Pulmonary Disease 5,172 4,252 5,127 4,794 Congestive … Heart Failure 5,386 4,422 5,433 4,903 Composite: Potentially Preventable Infection 7,167

127. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 4,630 2,790 4,709 3,318 4,849 3,262 Congestive … Heart Failure 6,066 3,817 5,470 4,911 6,340 4,389 Composite: Potentially Preventable … 379 248 Asthma or Chronic Obstructive Pulmonary Disease 3,959 3,635 4,549 3,582 Congestive … Heart Failure 5,250 4,837 6,103 4,715 Composite: Potentially Preventable Infection 8,060

128. Table 19A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19.html
     March 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 4,482 3,600 3,831 3,916 3,979 3,485 Congestive … Heart Failure 6,072 4,727 5,315 4,849 5,364 4,353 Composite: Potentially Preventable … 304 226 Asthma or Chronic Obstructive Pulmonary Disease 3,713 4,176 3,991 3,370 Congestive … Heart Failure 5,010 5,378 5,459 3,835 Composite: Potentially Preventable Infection 7,782

129. Table 19D: I/DD Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
     March 01, 2023 - 112 Asthma or Chronic Obstructive Pulmonary Disease 811 694 781 672 789 605 Congestive … Heart Failure 840 587 770 545 762 453 Composite: Potentially Preventable Infection … 122 179 101 Asthma or Chronic Obstructive Pulmonary Disease 743 703 795 573 Congestive … Heart Failure 734 552 760 427 Composite: Potentially Preventable Infection 4,491 4,323

130. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 6,000 3,319 6,302 4,009 6,477 3,879 Congestive … Heart Failure 9,707 5,670 9,441 7,121 10,315 6,579 Composite: Potentially Preventable … 151 126 Asthma or Chronic Obstructive Pulmonary Disease 4,764 5,070 5,951 4,392 Congestive … Heart Failure 7,776 8,511 9,733 7,245 Composite: Potentially Preventable Infection 10,883

131. Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
     March 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 5,015 4,829 4,546 5,563 4,964 4,560 Congestive … Heart Failure 5,334 4,970 5,068 5,140 5,354 3,893 Composite: Potentially Preventable … 651 509 Asthma or Chronic Obstructive Pulmonary Disease 4,669 5,413 4,995 4,357 Congestive … Heart Failure 5,012 5,282 5,440 3,287 Composite: Potentially Preventable Infection 6,736

132. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 5,622 3,983 5,619 4,362 6,108 4,326 Congestive … Heart Failure 3,893 2,612 3,440 3,352 4,341 2,839 Composite: Potentially Preventable … 637 445 Asthma or Chronic Obstructive Pulmonary Disease 5,185 4,519 5,313 4,855 Congestive … Heart Failure 3,611 2,890 3,797 3,216 Composite: Potentially Preventable Infection 7,342

133. Exhibit 4.2 Costs for the Most Frequent Principal Diagnoses by Body System
     hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_4_2b.jsp
     January 01, 2006 - disease (stroke) 3.6% 0.6% Acute myocardial infarction (heart attack) 5.3% -1.4% Congestive … heart failure 8.5% 1.5% Cardiac dysrhythmias (irregular heart beat) 11.0% 1.3% Non-specific

134. A Comparison of All-Cause 7-Day and 30-Day Readmissions, 2014 #230
     hcup-us.ahrq.gov/reports/statbriefs/sb230-7-Day-Versus-30-Day-Readmissions.jsp
     October 01, 2017 - Schizophrenia, alcohol-related disorders, and congestive heart failure were among the leading diagnoses … Among Medicaid patients who were discharged with congestive heart failure or schizophrenia at the index … Alcohol-related disorders and congestive heart failure (CHF) were also among the diagnoses with the highest … Congestive heart failure; nonhypertensive (7-day readmission rate=7.4): 31.7%. … Congestive heart failure: Medicare: readmission rate within 7 days: 7.4; total readmission rate within

135. Statistical Brief #5
     hcup-us.ahrq.gov/reports/statbriefs/sb5.jsp
     May 01, 2006 - heart failure, and stroke were for women. … heart failure, and acute cerebro-vascular disease (stroke). … Women accounted for more than half of all hospital stays for congestive heart failure, non-specific chest … heart failure 1,119,900 54.5 53.8 * Acute cerebrovascular disease (stroke) 559,700 … heart failure 18—44 24,768 (60.1) 16,423 (39.8) ns 45—64 132,578 (55.7) 105,393 (44.3

136. HCUP Statistical Brief #14: Trends in Elderly Hospitalizations, 1997–2004 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb14.pdf
     October 01, 2006 - heart failure, pneumonia, acute myocardial infarction (heart attack), chronic obstructive pulmonary … and respiratory conditions, s congestive heart failure eumonia, were consis- among the most common … heart failure and pneumonia, were consistently among the most common reasons for hospitalizations among … heart failure (CHF), pneumonia, acute myocardial infarction or heart attack (AMI), chronic obstructive … heart failure (CHF) 799 (6.3) 786 (6.2) 820 (6.3) Pneumonia 727 (5.7) 743 (5.8) 713

137. Table 7: Prevalence of selected health conditions among adults by diabetes status. All project sites. Fiscal year 2010. | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab7.html
     December 01, 2017 - Eye disease 618 0.2% 414 1.0% 204 0.1% CVD includes ischemic heart disease, congestive … heart failure and other forms of heart disease, cerebrovascular disease and vascular disease.

138. The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
     January 01, 2023 - failure, and if successful, the approach could reduce heart failure hospital admissions and be applied … Medical Record SMART/FHIR Care Setting Patient Home Medical Condition Congestive … Heart Failure (CHF) Population Adults Individuals with Chronic Care Needs … A computable algorithm for medication optimization in heart failure with reduced ejection fraction. … A computable algorithm for medication optimization in heart failure with reduced ejection fraction.

139. 5Admiss (pdf file)
     hcup-us.ahrq.gov/reports/natstats/5admiss.pdf
     February 11, 2011 - Infant Birth (Liveborn) Coronary Atherosclerosis Pneumonia Congestive Heart Failure Heart Attack

140. e-Coaching: IVR-Enhanced Care Transition Support for Complex Patients - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2010
     January 01, 2010 - Target Population: Chronic Care * , Chronic Obstructive Pulmonary Disease, Congestive … Heart Failure, Elderly * Summary: For complex medical patients, the transition from hospital to home-based … The team is currently performing a randomized control trial (RCT) and recruiting patients with congestive … heart failure (CHF) or chronic obstructive pulmonary disease (COPD) who are discharging from the hospital