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Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort
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    Region
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    Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort
    (Cohort: All Medical Discharges; Year: 2015; Region Levels: State)
    Alabama 42.5%
    Alaska 46.2%
    Arizona 44.9%
    Arkansas 46.3%
    California 42.6%
    Colorado 50.0%
    Connecticut 40.0%
    Delaware 46.3%
    District of Columbia 32.3%
    Florida 39.5%
    Georgia 42.4%
    Hawaii 51.0%
    Idaho 47.5%
    Illinois 46.5%
    Indiana 45.7%
    Iowa 51.9%
    Kansas 51.3%
    Kentucky 44.9%
    Louisiana 41.7%
    Maine 47.4%
    Maryland 39.5%
    Massachusetts 44.6%
    Michigan 44.8%
    Minnesota 54.5%
    Mississippi 41.4%
    Missouri 44.8%
    Montana 44.7%
    Nebraska 58.7%
    Nevada 39.0%
    New Hampshire 49.3%
    New Jersey 34.4%
    New Mexico 46.2%
    New York 38.6%
    North Carolina 50.2%
    North Dakota 55.9%
    Ohio 42.9%
    Oklahoma 44.9%
    Oregon 47.3%
    Pennsylvania 41.3%
    Rhode Island 41.2%
    South Carolina 45.0%
    South Dakota 51.6%
    Tennessee 45.2%
    Texas 41.2%
    Utah 53.5%
    Vermont 48.8%
    Virginia 46.2%
    Washington 49.9%
    West Virginia 41.8%
    Wisconsin 50.3%
    Wyoming 50.2%
    National Average 43.7%
    90th Percentile 51.9%
    50th Percentile 45.2%
    10th Percentile 39.5%
        • 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.


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