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Discharge Rate per 1,000 Medicare Enrollees, by Condition
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    Region
    (Click a region name
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    Discharge Rate per 1,000 Medicare Enrollees, by Condition
    (Condition: All Medical Conditions; Year: 2009; Region Levels: State)
    Wyoming 204.0
    Wisconsin 205.0
    West Virginia 292.2
    Washington 173.2
    Virginia 211.1
    Vermont 171.7
    Utah 136.3
    Texas 225.8
    Tennessee 261.0
    South Dakota 202.8
    South Carolina 207.0
    Rhode Island 220.6
    Pennsylvania 246.8
    Oregon 154.4
    Oklahoma 253.1
    Ohio 254.4
    North Dakota 190.3
    North Carolina 221.2
    New York 243.8
    New Mexico 186.4
    New Jersey 241.2
    New Hampshire 193.9
    Nevada 209.7
    Nebraska 207.3
    Montana 193.9
    Missouri 253.7
    Mississippi 268.7
    Minnesota 196.0
    Michigan 257.8
    Massachusetts 251.4
    Maryland 251.9
    Maine 221.1
    Louisiana 263.4
    Kentucky 301.6
    Kansas 227.2
    Iowa 204.8
    Indiana 237.7
    Illinois 261.0
    Idaho 153.9
    Hawaii 97.9
    Georgia 217.8
    Florida 227.6
    District of Columbia 183.7
    Delaware 202.9
    Connecticut 214.7
    Colorado 181.4
    California 193.0
    Arkansas 243.7
    Arizona 193.7
    Alaska 180.9
    Alabama 256.5
    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.