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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: 2015; Region Levels: State)
    Alabama 60.1%
    Alaska 57.7%
    Arizona 64.6%
    Arkansas 60.9%
    California 63.8%
    Colorado 65.5%
    Connecticut 63.3%
    Delaware 66.7%
    District of Columbia 54.8%
    Florida 62.5%
    Georgia 62.9%
    Hawaii 68.0%
    Idaho 62.7%
    Illinois 63.5%
    Indiana 61.9%
    Iowa 67.0%
    Kansas 66.1%
    Kentucky 59.8%
    Louisiana 61.9%
    Maine 63.1%
    Maryland 59.8%
    Massachusetts 62.6%
    Michigan 60.6%
    Minnesota 64.8%
    Mississippi 59.4%
    Missouri 61.7%
    Montana 62.5%
    Nebraska 73.8%
    Nevada 58.4%
    New Hampshire 63.8%
    New Jersey 60.6%
    New Mexico 61.1%
    New York 61.3%
    North Carolina 65.9%
    North Dakota 72.1%
    Ohio 58.2%
    Oklahoma 59.8%
    Oregon 62.2%
    Pennsylvania 57.8%
    Rhode Island 59.0%
    South Carolina 64.8%
    South Dakota 66.1%
    Tennessee 60.4%
    Texas 60.4%
    Utah 65.2%
    Vermont 64.0%
    Virginia 63.7%
    Washington 66.2%
    West Virginia 56.4%
    Wisconsin 63.5%
    Wyoming 64.0%
    National Average 62.1%
    90th Percentile 66.7%
    50th Percentile 62.6%
    10th Percentile 58.2%
        • 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.


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