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Discharge Rate per 1,000 Medicare Enrollees, by Condition
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    Region
    (Click a region name
    below to view its profile)
    Discharge Rate per 1,000 Medicare Enrollees, by Condition
    (Condition: All Medical Conditions; Year: 2009; Region Levels: State)
    Alabama 256.5
    Alaska 180.9
    Arizona 193.7
    Arkansas 243.7
    California 193.0
    Colorado 181.4
    Connecticut 214.7
    Delaware 202.9
    District of Columbia 183.7
    Florida 227.6
    Georgia 217.8
    Hawaii 97.9
    Idaho 153.9
    Illinois 261.0
    Indiana 237.7
    Iowa 204.8
    Kansas 227.2
    Kentucky 301.6
    Louisiana 263.4
    Maine 221.1
    Maryland 251.9
    Massachusetts 251.4
    Michigan 257.8
    Minnesota 196.0
    Mississippi 268.7
    Missouri 253.7
    Montana 193.9
    Nebraska 207.3
    Nevada 209.7
    New Hampshire 193.9
    New Jersey 241.2
    New Mexico 186.4
    New York 243.8
    North Carolina 221.2
    North Dakota 190.3
    Ohio 254.4
    Oklahoma 253.1
    Oregon 154.4
    Pennsylvania 246.8
    Rhode Island 220.6
    South Carolina 207.0
    South Dakota 202.8
    Tennessee 261.0
    Texas 225.8
    Utah 136.3
    Vermont 171.7
    Virginia 211.1
    Washington 173.2
    West Virginia 292.2
    Wisconsin 205.0
    Wyoming 204.0
    National Average 228.4
    90th Percentile 261.0
    50th Percentile 214.7
    10th Percentile 171.7
        • DENOMINATOR DEFINITION:
        • 100% of Medicare enrollees age 65-99 with full Part A and B entitlement and no HMO enrollment during the measurement period. Age, gender, race, and eligibility are determined using the Denominator file.

        • NUMERATOR DEFINITION:
        • All medical discharges: All medical DRGs

          All surgical discharges: All surgical DRGs

          Acute myocardial infarction (CMS definition (excluded one-day stay): principal diagnosis code (ICD-9) 410.00, 410.01, 410.10, 410.11, 410.20, 410.21, 410.30, 410.31, 410.40, 410.41, 410.50, 410.51, 410.60, 410.61, 410.70, 410.71, 410.80, 410.81, 410.90, and 410.91

          Congestive heart failure (CMS definition): principal diagnosis code (ICD-9) 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9

          Pneumonia (CMS definition): principal diagnosis code (ICD-9) 480.0, 480.1, 480.2, 480.3, 480.8, 480.9, 481, 482.0, 482.1, 482.2, 482.30, 482.31, 482.32, 482.39, 482.40, 482.41, 482.49, 482.81, 482.82, 482.83, 482.84, 482.89, 482.9, 483.0, 483.1, 483.8, 485, 486, and 487.0

          Hip fracture (Dartmouth Atlas definition): principal diagnosis code (ICD-9) 820xx

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare population for each cohort as the standard.




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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.