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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
    Idaho
    Washington
    Oregon
    California
    Alaska
    Arizona
    Minnesota
    Vermont
    District of Columbia
    Montana
    Nevada
    New Mexico
    Virginia
    New Hampshire
    Wisconsin
    Maryland
    Wyoming
    North Dakota
    South Carolina
    Connecticut
    Nebraska
    South Dakota
    Maine
    New York
    Iowa
    North Carolina
    Delaware
    New Jersey
    Pennsylvania
    Georgia
    Kansas
    Massachusetts
    Texas
    Florida
    Rhode Island
    Illinois
    Michigan
    Missouri
    Indiana
    Oklahoma
    Ohio
    Tennessee
    Alabama
    Arkansas
    Louisiana
    Mississippi
    West Virginia
    Kentucky
    National Average
    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.