Table 4.

Predictors of Quality among Persons with Diabetes and Mental Illnesses (n=118,190)

Characteristics	At least two HEDIS indicators (OR)	ACSC Inpatient Admission (OR)
Individual characteristics
Age, 10 years	1.04 (1.03 - 1.06)**	0.89 (0.87 – 0.90)**
Female sex	1.16 (1.13 - 1.20)**	0.89 (0.87 - 0.92)**
Race
Black	0.83 (0.80 - 0.86)**	1.06 (1.02 - 1.10)*
Hispanic	1.14 (1.08 - 1.20)**	0.90 (0.85 - 0.95)*
Other	0.81 (0.75 - 0.88)**	0.77 (0.71 - 0.84)**
Medicaid eligibility due to disability	1.04 (0.94 - 1.15)	1.14 (1.09 – 1.20)**
Number of Comborbid medical conditions	1.03 (1.02 - 1.03)**	1.72 (1.71 - 1.74)**
County characteristics
Urban/rural (≥84%)	0.84 (0.76 - 0.94)**	1.18 (1.08 - 1.28)**
Median Household Income (≥$39168)	1.07 (0.98 - 1.16)	1.01 (0.94 - 1.08)
PCP shortage area	0.87 (0.80 - 0.95)**	1.00 (0.93 - 1.08)
>=1 FQHC	0.98 (0.91 - 1.06)	0.91 (0.86 - 0.97)
MHP shortage area	0.95 (0.88 - 1.03)	1.01 (0.95 - 1.07)
>=1 CMHC	1.04 (0.94 - 1.15)	1.05 (0.97 - 1.13)
State Characteristics
MH managed care penetration >60%	1.01 (0.92 - 1.12)	1.14 (1.06 – 1.24)**
Medicaid/Medicare fee index greater than median	1.25 (1.16 - 1.35)**	0.87 (0.81 - 0.92)**
DMH expense per client (≥$2997)	1.23 (1.13 - 1.33)**	0.78 (0.73 - 0.84)**
Medicaid enrollment as a % of population (≥0.15%)	1.08 (1.00 - 1.17)	0.97 (0.91 - 1.03)
Federal Matching Medicaid Rate (>62%)	1.50 (1.37 - 1.65)**	1.12 (1.04 - 1.21)*
Presence of Medicaid copayment	0.97 (0.91 - 1.05)	0.80 (0.75 - 0.84)**

^*indicates p value <0.05,

^**indicates p value <0.01,

^†indicates p value <0.0001.

P values obtained using the Stepdown Bonferroni adjustment for each significant association