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Percent of Patients Having an Emergency Room Visit within 30 Days of Discharge, by Cohort and Race
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    Region
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    Percent of Patients Having an Emergency Room Visit within 30 Days of Discharge, by Cohort and Race
    (Cohort: All Medical Discharges; Race: Overall; Year: 2008-2009; Region Levels: HRR)
    Anchorage, AK 17.0%
    Birmingham, AL 17.7%
    Dothan, AL 16.8%
    Huntsville, AL 18.3%
    Mobile, AL 17.6%
    Montgomery, AL 17.6%
    Tuscaloosa, AL 16.2%
    Fort Smith, AR 18.6%
    Jonesboro, AR 18.8%
    Little Rock, AR 17.9%
    Springdale, AR 17.8%
    Texarkana, AR 21.0%
    Mesa, AZ 19.9%
    Phoenix, AZ 19.7%
    Sun City, AZ 17.6%
    Tucson, AZ 19.1%
    Alameda County, CA 20.6%
    Bakersfield, CA 20.2%
    Chico, CA 20.3%
    Contra Costa County, CA 21.9%
    Fresno, CA 21.6%
    Los Angeles, CA 17.2%
    Modesto, CA 21.9%
    Napa, CA 19.5%
    Orange County, CA 18.2%
    Palm Springs/Rancho Mira, CA 18.1%
    Redding, CA 20.2%
    Sacramento, CA 20.1%
    Salinas, CA 17.2%
    San Bernardino, CA 20.3%
    San Diego, CA 20.0%
    San Francisco, CA 19.5%
    San Jose, CA 19.2%
    San Luis Obispo, CA 21.4%
    San Mateo County, CA 17.4%
    Santa Barbara, CA 20.3%
    Santa Cruz, CA 17.0%
    Santa Rosa, CA 18.0%
    Stockton, CA 20.4%
    Ventura, CA 18.9%
    Boulder, CO 18.3%
    Colorado Springs, CO 17.9%
    Denver, CO 18.7%
    Fort Collins, CO 17.1%
    Grand Junction, CO 16.7%
    Greeley, CO 17.5%
    Pueblo, CO 18.0%
    Bridgeport, CT 18.8%
    Hartford, CT 19.1%
    New Haven, CT 19.5%
    Washington, DC 19.1%
    Wilmington, DE 18.5%
    Bradenton, FL 17.3%
    Clearwater, FL 17.4%
    Fort Lauderdale, FL 18.0%
    Fort Myers, FL 17.5%
    Gainesville, FL 18.6%
    Hudson, FL 17.2%
    Jacksonville, FL 18.5%
    Lakeland, FL 17.9%
    Miami, FL 19.6%
    Ocala, FL 16.9%
    Orlando, FL 17.6%
    Ormond Beach, FL 19.8%
    Panama City, FL 17.8%
    Pensacola, FL 18.8%
    Sarasota, FL 17.3%
    St. Petersburg, FL 17.7%
    Tallahassee, FL 17.4%
    Tampa, FL 18.1%
    Albany, GA 19.0%
    Atlanta, GA 19.8%
    Augusta, GA 18.8%
    Columbus, GA 18.6%
    Macon, GA 19.6%
    Rome, GA 20.6%
    Savannah, GA 18.8%
    Honolulu, HI 19.6%
    Cedar Rapids, IA 16.8%
    Davenport, IA 18.2%
    Des Moines, IA 17.0%
    Dubuque, IA 16.9%
    Iowa City, IA 17.3%
    Mason City, IA 17.5%
    Sioux City, IA 16.8%
    Waterloo, IA 16.1%
    Boise, ID 19.3%
    Idaho Falls, ID 14.6%
    Aurora, IL 20.1%
    Bloomington, IL 19.3%
    Blue Island, IL 17.5%
    Chicago, IL 17.9%
    Elgin, IL 18.0%
    Evanston, IL 18.9%
    Hinsdale, IL 18.1%
    Joliet, IL 19.1%
    Melrose Park, IL 17.6%
    Peoria, IL 18.9%
    Rockford, IL 19.1%
    Springfield, IL 18.1%
    Urbana, IL 20.0%
    Evansville, IN 18.0%
    Fort Wayne, IN 18.2%
    Gary, IN 17.1%
    Indianapolis, IN 19.6%
    Lafayette, IN 19.4%
    Muncie, IN 17.6%
    Munster, IN 16.6%
    South Bend, IN 17.4%
    Terre Haute, IN 20.3%
    Topeka, KS 16.6%
    Wichita, KS 15.4%
    Covington, KY 19.5%
    Lexington, KY 21.5%
    Louisville, KY 19.3%
    Owensboro, KY 15.7%
    Paducah, KY 18.1%
    Alexandria, LA 19.9%
    Baton Rouge, LA 18.2%
    Houma, LA 20.3%
    Lafayette, LA 19.2%
    Lake Charles, LA 19.4%
    Metairie, LA 20.0%
    Monroe, LA 18.6%
    New Orleans, LA 19.6%
    Shreveport, LA 17.6%
    Slidell, LA 19.3%
    Boston, MA 19.8%
    Springfield, MA 20.8%
    Worcester, MA 21.6%
    Baltimore, MD 19.2%
    Salisbury, MD 19.9%
    Takoma Park, MD 18.9%
    Bangor, ME 21.1%
    Portland, ME 20.9%
    Ann Arbor, MI 19.3%
    Dearborn, MI 19.6%
    Detroit, MI 19.8%
    Flint, MI 18.6%
    Grand Rapids, MI 19.9%
    Kalamazoo, MI 19.3%
    Lansing, MI 19.8%
    Marquette, MI 20.0%
    Muskegon, MI 19.7%
    Petoskey, MI 18.5%
    Pontiac, MI 20.7%
    Royal Oak, MI 20.1%
    Saginaw, MI 19.4%
    St. Joseph, MI 17.9%
    Traverse City, MI 18.6%
    Duluth, MN 17.6%
    Minneapolis, MN 17.7%
    Rochester, MN 18.6%
    St. Cloud, MN 16.4%
    St. Paul, MN 17.6%
    Cape Girardeau, MO 19.1%
    Columbia, MO 18.0%
    Joplin, MO 19.7%
    Kansas City, MO 18.7%
    Springfield, MO 18.2%
    St. Louis, MO 19.3%
    Gulfport, MS 18.4%
    Hattiesburg, MS 20.0%
    Jackson, MS 17.6%
    Meridian, MS 17.3%
    Oxford, MS 17.7%
    Tupelo, MS 19.2%
    Billings, MT 17.2%
    Great Falls, MT 14.8%
    Missoula, MT 17.0%
    Durham, NC 20.1%
    Greenville, NC 19.4%
    Hickory, NC 19.0%
    Raleigh, NC 19.4%
    Wilmington, NC 20.0%
    Winston-Salem, NC 19.6%
    Lincoln, NE 15.1%
    Omaha, NE 15.9%
    Lebanon, NH 19.7%
    Manchester, NH 19.9%
    Camden, NJ 20.1%
    Hackensack, NJ 18.1%
    Morristown, NJ 17.7%
    New Brunswick, NJ 18.8%
    Newark, NJ 18.9%
    Paterson, NJ 18.7%
    Ridgewood, NJ 17.4%
    Albuquerque, NM 17.2%
    Las Vegas, NV 19.3%
    Reno, NV 19.7%
    Albany, NY 19.5%
    Binghamton, NY 19.2%
    Bronx, NY 18.5%
    Buffalo, NY 18.6%
    East Long Island, NY 17.7%
    Elmira, NY 20.1%
    Manhattan, NY 16.5%
    Rochester, NY 19.4%
    Syracuse, NY 18.5%
    White Plains, NY 17.2%
    National Average 18.7%
    90th Percentile 20.3%
    50th Percentile 18.7%
    10th Percentile 16.9%
        • 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:
        • 1) Outpatient claims: revenue center code: 0450-0459 (emergency room) and 0981 (professional fees-emergency room) and revenue center visit date not within an acute short-stay or critical access hospital claim that has emergency room payment; or 2) Hospital claims: Any acute short-stay or critical access hospital claims from the MedPAR file with emergency room payment and did not have associated Outpatient claims defined as above.

        • 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.