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Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort
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    Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort
    (Cohort: All Medical Discharges; Year: 2014; Region Levels: State)
    District of Columbia 35.5%
    New Jersey 35.7%
    New York 39.9%
    Mississippi 40.1%
    Maryland 41.0%
    Florida 41.1%
    Louisiana 41.3%
    Texas 41.4%
    Nevada 41.5%
    Rhode Island 41.6%
    West Virginia 41.6%
    Connecticut 41.7%
    Georgia 41.9%
    Alabama 42.0%
    Pennsylvania 42.9%
    Alaska 43.2%
    California 44.0%
    Indiana 44.3%
    Ohio 44.3%
    South Carolina 44.3%
    Oklahoma 44.5%
    Tennessee 44.8%
    Arizona 45.6%
    Missouri 46.0%
    Kentucky 46.2%
    Michigan 46.3%
    Illinois 46.5%
    Virginia 46.8%
    New Mexico 47.0%
    Montana 47.1%
    Arkansas 47.4%
    Delaware 47.6%
    Massachusetts 48.0%
    Idaho 48.2%
    North Carolina 48.7%
    Wyoming 50.1%
    Maine 50.1%
    Colorado 50.4%
    Oregon 50.8%
    Kansas 51.6%
    New Hampshire 51.6%
    Washington 51.8%
    Wisconsin 52.2%
    Hawaii 52.7%
    Vermont 52.8%
    Iowa 53.4%
    South Dakota 53.7%
    Minnesota 53.8%
    Utah 54.0%
    North Dakota 55.6%
    Nebraska 60.9%
    National Average 44.5%
    90th Percentile 53.7%
    50th Percentile 46.3%
    10th Percentile 41.0%
        • 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 08 (family practice), 11 (internal medicine), 38 (geriatric medicine). Outpatient claims: revenue center code: 0510-0529 and provider ID from Provider of Services file as rural health center or federally qualified health center. Restricted to CMS specialties: family medicine, general internal medicine, general practice and geriatrics.

        • 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.