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Continuing Care performance report

Measure: Percent of seniors who receive home and community-based waiver services.

Most seniors receive services in long-term care programs get services in community settings instead of institutions. These services are called home and community-based services or HCBS.

To help track progress, counties similar in size are grouped together and called a "cohort." Cohort 5 includes Minnesota's largest counties in terms of population and has the highest percent of people in HCBS. Larger counties usually perform better on this measure. All cohorts improved over the past five years.

Why this measure is important?

This measure is important because HCBS are less expensive to provide when people can stay in their homes and other HCBS settings. HCBS also provides people more control over services, which promotes independence. There is less chance to control one's services in institutions.

What is included in the measure?

People who are 65 years and older who receive LTC services. The measure includes people who receive services in institutions and home and community-based services.

What does it mean?

A higher percent means more people get services in their homes and other HCBS settings. When the percent is low, more people receive services in institutions, not in their communities. A higher percent is desired because that means there are fewer people living in institutions.

How is it calculated?

The number of seniors in HCBS in January of each fiscal year divided by the total number of seniors who receive HCBS and institutional LTC services for the same time.

Percent of seniors who receive HCBS by graph

Graph of percent of seniors who receive HCBS

Percent of seniors who receive HCBS by table / by map (PDF)

Year

2009

2010

2011

2012

2013

Statewide

62.4%

64.3%

65.9%

67.2%

68.5%

Cohort 1

50.7%

51.2%

53.2%

52.9%

53.9%

Cohort 2

58.1%

58.7%

59.9%

60.7%

62.1%

Cohort 3

61.1%

62.6%

63.3%

63.8%

65.0%

Cohort 4

64.8%

66.2%

67.0%

67.3%

68.4%

Cohort 5

66.4%

66.8%

70.9%

72.8%

74.1%

Data source

DHS Data Warehouse

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