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Percent of Patients Having an Ambulatory Visit within 14 Days of Discharge, by Cohort
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    Region
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    Percent of Patients Having an Ambulatory Visit within 14 Days of Discharge, by Cohort
    (Cohort: All Medical Discharges; Year: 2014; Region Levels: State)
    Wyoming 63.9%
    Wisconsin 65.6%
    West Virginia 56.0%
    Washington 68.0%
    Virginia 64.0%
    Vermont 66.9%
    Utah 66.9%
    Texas 60.8%
    Tennessee 61.1%
    South Dakota 67.4%
    South Carolina 65.2%
    Rhode Island 60.0%
    Pennsylvania 59.1%
    Oregon 64.8%
    Oklahoma 60.6%
    Ohio 59.8%
    North Dakota 72.3%
    North Carolina 64.6%
    New York 62.7%
    New Mexico 61.5%
    New Jersey 61.6%
    New Hampshire 66.3%
    Nevada 61.1%
    Nebraska 74.8%
    Montana 63.9%
    Missouri 62.9%
    Mississippi 59.4%
    Minnesota 64.3%
    Michigan 62.1%
    Massachusetts 65.7%
    Maryland 60.9%
    Maine 65.3%
    Louisiana 61.4%
    Kentucky 60.9%
    Kansas 66.4%
    Iowa 69.4%
    Indiana 61.4%
    Illinois 63.1%
    Idaho 63.0%
    Hawaii 68.9%
    Georgia 63.2%
    Florida 64.4%
    District of Columbia 59.4%
    Delaware 67.3%
    Connecticut 64.6%
    Colorado 66.7%
    California 65.1%
    Arkansas 62.0%
    Arizona 66.3%
    Alaska 56.5%
    Alabama 60.0%
    National Average 63.1%
    90th Percentile 68.0%
    50th Percentile 63.9%
    10th Percentile 59.4%
        • DENOMINATOR 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, 482.42, 482.49, 482.81, 482.82, 482.83, 482.84, 482.89, 482.9, 483.0, 483.1, 483.8, 485, 486, 487.0, and 488.11

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

        • NUMERATOR DEFINITION:
        • Carrier claims: CPT codes: 99201-99205, 99211-99215, 99381-99387, 99391-99397, 99241-99245, 99271-99275 and place of service = office (place of service code 11), outpatient hospital (22), rural health clinic (72) or federally qualified health center (50) and CMS specialty code 01-08, 10-11, 13-14, 16, 18, 20, 22, 24-26, 28-30, 33-34, 36-40, 44, 46, 50, 66, 70, 76-79, 81-86, 89-94, 97-99. Outpatient claims: revenue center code: 0510-0529 and provider ID from Provider of Services file as rural health center or federally qualified health center.

        • 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.