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Percent of Patients Having an Ambulatory Visit within 14 Days of Discharge, by Cohort and Race
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    Region
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    Percent of Patients Having an Ambulatory Visit within 14 Days of Discharge, by Cohort and Race
    (Cohort: All Medical Discharges; Race: Overall; Year: 2008-2009; Region Levels: HRR)
    Anchorage, AK 52.2%
    Birmingham, AL 58.9%
    Dothan, AL 56.4%
    Huntsville, AL 59.1%
    Mobile, AL 61.4%
    Montgomery, AL 59.9%
    Tuscaloosa, AL 54.4%
    Fort Smith, AR 54.9%
    Jonesboro, AR 57.6%
    Little Rock, AR 60.6%
    Springdale, AR 63.5%
    Texarkana, AR 61.3%
    Mesa, AZ 68.1%
    Phoenix, AZ 64.4%
    Sun City, AZ 70.5%
    Tucson, AZ 65.2%
    Alameda County, CA 61.7%
    Bakersfield, CA 68.7%
    Chico, CA 68.6%
    Contra Costa County, CA 62.4%
    Fresno, CA 67.1%
    Los Angeles, CA 62.3%
    Modesto, CA 67.1%
    Napa, CA 61.9%
    Orange County, CA 67.2%
    Palm Springs/Rancho Mira, CA 64.2%
    Redding, CA 63.1%
    Sacramento, CA 65.3%
    Salinas, CA 66.7%
    San Bernardino, CA 61.5%
    San Diego, CA 63.7%
    San Francisco, CA 56.4%
    San Jose, CA 66.3%
    San Luis Obispo, CA 68.1%
    San Mateo County, CA 64.0%
    Santa Barbara, CA 68.3%
    Santa Cruz, CA 67.4%
    Santa Rosa, CA 66.9%
    Stockton, CA 66.3%
    Ventura, CA 69.2%
    Boulder, CO 69.7%
    Colorado Springs, CO 61.4%
    Denver, CO 68.4%
    Fort Collins, CO 68.0%
    Grand Junction, CO 67.6%
    Greeley, CO 69.4%
    Pueblo, CO 69.4%
    Bridgeport, CT 66.3%
    Hartford, CT 63.8%
    New Haven, CT 65.9%
    Washington, DC 61.0%
    Wilmington, DE 62.0%
    Bradenton, FL 69.8%
    Clearwater, FL 67.4%
    Fort Lauderdale, FL 72.1%
    Fort Myers, FL 70.0%
    Gainesville, FL 62.0%
    Hudson, FL 65.9%
    Jacksonville, FL 62.7%
    Lakeland, FL 64.9%
    Miami, FL 53.7%
    Ocala, FL 67.7%
    Orlando, FL 68.3%
    Ormond Beach, FL 68.9%
    Panama City, FL 65.5%
    Pensacola, FL 63.2%
    Sarasota, FL 70.8%
    St. Petersburg, FL 62.9%
    Tallahassee, FL 60.3%
    Tampa, FL 62.7%
    Albany, GA 64.5%
    Atlanta, GA 63.2%
    Augusta, GA 60.8%
    Columbus, GA 65.8%
    Macon, GA 64.3%
    Rome, GA 59.4%
    Savannah, GA 65.6%
    Honolulu, HI 69.5%
    Cedar Rapids, IA 65.1%
    Davenport, IA 63.4%
    Des Moines, IA 66.1%
    Dubuque, IA 60.4%
    Iowa City, IA 63.0%
    Mason City, IA 71.2%
    Sioux City, IA 69.5%
    Waterloo, IA 67.2%
    Boise, ID 64.1%
    Idaho Falls, ID 62.9%
    Aurora, IL 65.1%
    Bloomington, IL 68.3%
    Blue Island, IL 60.7%
    Chicago, IL 53.8%
    Elgin, IL 63.6%
    Evanston, IL 64.9%
    Hinsdale, IL 60.8%
    Joliet, IL 62.7%
    Melrose Park, IL 60.9%
    Peoria, IL 63.3%
    Rockford, IL 66.3%
    Springfield, IL 65.5%
    Urbana, IL 68.7%
    Evansville, IN 61.7%
    Fort Wayne, IN 62.7%
    Gary, IN 60.2%
    Indianapolis, IN 58.5%
    Lafayette, IN 68.5%
    Muncie, IN 63.1%
    Munster, IN 59.0%
    South Bend, IN 61.5%
    Terre Haute, IN 67.8%
    Topeka, KS 64.8%
    Wichita, KS 67.9%
    Covington, KY 60.8%
    Lexington, KY 60.1%
    Louisville, KY 60.2%
    Owensboro, KY 57.3%
    Paducah, KY 57.0%
    Alexandria, LA 54.1%
    Baton Rouge, LA 60.8%
    Houma, LA 64.4%
    Lafayette, LA 59.0%
    Lake Charles, LA 60.0%
    Metairie, LA 53.3%
    Monroe, LA 60.0%
    New Orleans, LA 49.5%
    Shreveport, LA 57.5%
    Slidell, LA 57.0%
    Boston, MA 59.8%
    Springfield, MA 69.0%
    Worcester, MA 63.0%
    Baltimore, MD 58.4%
    Salisbury, MD 63.0%
    Takoma Park, MD 61.9%
    Bangor, ME 56.3%
    Portland, ME 61.6%
    Ann Arbor, MI 67.1%
    Dearborn, MI 65.9%
    Detroit, MI 63.7%
    Flint, MI 65.8%
    Grand Rapids, MI 61.3%
    Kalamazoo, MI 65.1%
    Lansing, MI 62.8%
    Marquette, MI 63.4%
    Muskegon, MI 66.7%
    Petoskey, MI 65.3%
    Pontiac, MI 64.6%
    Royal Oak, MI 64.4%
    Saginaw, MI 62.6%
    St. Joseph, MI 64.8%
    Traverse City, MI 60.7%
    Duluth, MN 55.9%
    Minneapolis, MN 61.5%
    Rochester, MN 67.0%
    St. Cloud, MN 63.2%
    St. Paul, MN 59.2%
    Cape Girardeau, MO 62.7%
    Columbia, MO 59.7%
    Joplin, MO 59.1%
    Kansas City, MO 61.0%
    Springfield, MO 62.7%
    St. Louis, MO 57.9%
    Gulfport, MS 56.1%
    Hattiesburg, MS 60.3%
    Jackson, MS 55.4%
    Meridian, MS 55.9%
    Oxford, MS 56.3%
    Tupelo, MS 58.4%
    Billings, MT 62.9%
    Great Falls, MT 59.0%
    Missoula, MT 59.2%
    Durham, NC 68.1%
    Greenville, NC 70.9%
    Hickory, NC 66.8%
    Raleigh, NC 65.6%
    Wilmington, NC 68.6%
    Winston-Salem, NC 61.5%
    Lincoln, NE 74.0%
    Omaha, NE 70.8%
    Lebanon, NH 55.9%
    Manchester, NH 63.3%
    Camden, NJ 61.4%
    Hackensack, NJ 60.8%
    Morristown, NJ 66.1%
    New Brunswick, NJ 65.3%
    Newark, NJ 61.2%
    Paterson, NJ 63.0%
    Ridgewood, NJ 63.6%
    Albuquerque, NM 60.3%
    Las Vegas, NV 62.9%
    Reno, NV 62.6%
    Albany, NY 63.9%
    Binghamton, NY 65.2%
    Bronx, NY 51.0%
    Buffalo, NY 60.1%
    East Long Island, NY 63.2%
    Elmira, NY 59.1%
    Manhattan, NY 54.8%
    Rochester, NY 65.0%
    Syracuse, NY 65.3%
    White Plains, NY 64.9%
    National Average 62.1%
    90th Percentile 68.5%
    50th Percentile 62.9%
    10th Percentile 56.8%
        • 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.