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Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
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    Region
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    Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
    (Race: Overall; Year: 2014; Region Levels: State)
    Hawaii 23.5
    Utah 28.8
    Colorado 32.1
    Idaho 32.1
    Washington 32.6
    Oregon 33.4
    California 35.7
    Alaska 36.0
    Arizona 37.0
    Minnesota 37.1
    Vermont 38.8
    District of Columbia 39.1
    Montana 39.8
    Nevada 42.4
    New Mexico 43.1
    Virginia 43.6
    New Hampshire 44.8
    Wisconsin 45.1
    Maryland 46.1
    Wyoming 46.1
    North Dakota 46.2
    South Carolina 46.2
    Connecticut 46.3
    Nebraska 46.9
    South Dakota 47.0
    Maine 47.5
    New York 47.6
    Iowa 48.2
    North Carolina 49.0
    Delaware 50.2
    New Jersey 50.3
    Pennsylvania 51.5
    Georgia 51.8
    Kansas 51.9
    Massachusetts 52.8
    Texas 54.3
    Florida 55.1
    Rhode Island 55.3
    Illinois 55.8
    Michigan 56.1
    Missouri 56.6
    Indiana 57.0
    Oklahoma 59.2
    Ohio 59.8
    Tennessee 59.9
    Alabama 61.1
    Arkansas 62.0
    Louisiana 67.5
    Mississippi 67.8
    West Virginia 71.9
    Kentucky 77.0
    National Average 49.9
    90th Percentile 62.0
    50th Percentile 47.5
    10th Percentile 32.6
        • FOOTNOTES:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare population as the standard. Race-specific rates are age and sex adjusted.

        • DENOMINATOR DEFINITION:
        • 100% of Medicare enrollees age 65-99 with full Part A entitlement and no HMO enrollment during the measurement period. Age, gender, race, and eligibility are determined using the Denominator file.

        • NUMERATOR DEFINITION:
        • Numerator counts are based on ICD-9-CM diagnosis codes. Surgical codes are usually excluded to ensure that the admission was for a medical condition. Conditions: Convulsions (780.3x): Chronic Obstructive Pulmonary Disease (COPD) (491xx, 492xx, 494xx, 496xx, 466.0x: 466.0x only w/secondary dx 491xx, 492xx, 494xx, 496xx): Bacterial Pneumonia (481xx, 482.2x, 482.3x, 482.9x, 483xx, 485xx, 486xx: excl. secondary dx 282.6x): Asthma (493xx): Congestive Heart Failure (CHF) (428xx, 402.01, 402.11, 402.91, 518.4x: excl. sx 36.01, 36.02, 36.05, 36.1x,37.5x, or 37.7x): Hypertension (401.0x, 401.9x, 402.00, 402.10, 402.90: excl. sx 36.01, 36.02, 36.05, 36.1x,37.5x, or 37.7x): Angina (411.1x, 411.8x, 413xx: excl. sx 01-86.99): Cellulitis (681xx, 682xx, 683xx, 686xx: excl. sx 01-86.99, unless 86.0x is the first and only sx code): Diabetes (250.0x, 250.1x, 250.2x, 250.3x, 250.8x, 250.9x): Gastroenteritis (558.9x): Kidney/Urinary Infection (590xx, 599.0x, 599.9x): Dehydration (276.5x).




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.