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