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Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort and Race
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    Region
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    Percent of Patients Visiting a Primary Care Clinician within 14 Days of Discharge, by Cohort and Race
    (Cohort: All Medical Discharges; Race: Overall; Year: 2008-2009; Region Levels: HRR)
    New Orleans, LA 25.3%
    Metairie, LA 27.8%
    Miami, FL 28.5%
    Ridgewood, NJ 30.1%
    Bronx, NY 30.6%
    Manhattan, NY 30.9%
    Hackensack, NJ 31.1%
    Slidell, LA 32.3%
    New Brunswick, NJ 32.7%
    Meridian, MS 32.9%
    Owensboro, KY 33.3%
    Newark, NJ 34.3%
    Alexandria, LA 34.3%
    Gulfport, MS 34.7%
    Palm Springs/Rancho Mira, CA 34.8%
    White Plains, NY 34.9%
    Anchorage, AK 35.4%
    Takoma Park, MD 35.7%
    Paterson, NJ 36.1%
    Munster, IN 36.2%
    Lafayette, LA 36.2%
    Morristown, NJ 36.3%
    San Francisco, CA 36.7%
    Chicago, IL 36.7%
    Washington, DC 36.9%
    Oxford, MS 37.1%
    Los Angeles, CA 37.2%
    East Long Island, NY 37.3%
    Ventura, CA 37.4%
    Bangor, ME 37.5%
    Baton Rouge, LA 37.5%
    Tuscaloosa, AL 37.8%
    Augusta, GA 37.8%
    Tupelo, MS 37.9%
    Jackson, MS 38.0%
    Boston, MA 38.0%
    Mobile, AL 38.0%
    Atlanta, GA 38.1%
    Camden, NJ 38.5%
    San Mateo County, CA 38.6%
    Paducah, KY 38.7%
    Alameda County, CA 38.9%
    Houma, LA 38.9%
    Shreveport, LA 39.0%
    Boise, ID 39.0%
    Missoula, MT 39.3%
    Dubuque, IA 39.4%
    Santa Cruz, CA 39.5%
    Lebanon, NH 39.5%
    Indianapolis, IN 39.6%
    Elmira, NY 39.7%
    Salisbury, MD 40.0%
    Colorado Springs, CO 40.1%
    San Diego, CA 40.2%
    Orange County, CA 40.3%
    Hattiesburg, MS 40.4%
    Idaho Falls, ID 40.5%
    St. Louis, MO 40.5%
    Hinsdale, IL 40.6%
    San Bernardino, CA 40.6%
    Dothan, AL 40.6%
    Savannah, GA 40.7%
    Albany, NY 40.9%
    Reno, NV 41.0%
    Fort Smith, AR 41.2%
    Baltimore, MD 41.2%
    Rome, GA 41.4%
    Great Falls, MT 41.4%
    Bridgeport, CT 41.4%
    Tampa, FL 41.5%
    Hartford, CT 41.6%
    Gary, IN 41.6%
    New Haven, CT 41.6%
    Birmingham, AL 41.7%
    Napa, CA 41.7%
    Contra Costa County, CA 41.7%
    St. Joseph, MI 41.7%
    St. Petersburg, FL 41.8%
    Lake Charles, LA 41.8%
    Columbia, MO 41.8%
    Boulder, CO 41.9%
    San Jose, CA 41.9%
    Jacksonville, FL 41.9%
    Huntsville, AL 42.0%
    South Bend, IN 42.1%
    Sarasota, FL 42.2%
    Blue Island, IL 42.2%
    Wilmington, DE 42.2%
    Joliet, IL 42.2%
    Las Vegas, NV 42.3%
    Winston-Salem, NC 42.4%
    Albuquerque, NM 42.4%
    Fort Lauderdale, FL 42.4%
    Duluth, MN 42.5%
    Buffalo, NY 42.5%
    Phoenix, AZ 42.6%
    Pensacola, FL 42.8%
    Tallahassee, FL 42.9%
    Davenport, IA 43.0%
    Salinas, CA 43.0%
    Billings, MT 43.0%
    Joplin, MO 43.2%
    Cedar Rapids, IA 43.2%
    Syracuse, NY 43.3%
    Jonesboro, AR 43.4%
    Lexington, KY 43.4%
    Monroe, LA 43.8%
    Covington, KY 43.8%
    Albany, GA 43.9%
    Little Rock, AR 44.0%
    Binghamton, NY 44.1%
    Melrose Park, IL 44.1%
    Hudson, FL 44.1%
    Orlando, FL 44.3%
    Gainesville, FL 44.3%
    Portland, ME 44.4%
    Texarkana, AR 44.5%
    Louisville, KY 44.5%
    Peoria, IL 44.6%
    Montgomery, AL 44.7%
    Ocala, FL 44.7%
    Clearwater, FL 44.8%
    Fort Myers, FL 44.8%
    Kansas City, MO 44.8%
    Fort Wayne, IN 44.9%
    Manchester, NH 45.1%
    Macon, GA 45.2%
    Worcester, MA 45.4%
    Fresno, CA 45.5%
    Redding, CA 45.5%
    Detroit, MI 45.6%
    Royal Oak, MI 45.6%
    Pontiac, MI 45.9%
    Raleigh, NC 46.1%
    Kalamazoo, MI 46.2%
    Lakeland, FL 46.3%
    Santa Barbara, CA 46.4%
    Bradenton, FL 46.5%
    Springdale, AR 46.5%
    Elgin, IL 46.5%
    Tucson, AZ 46.6%
    Bakersfield, CA 46.6%
    Aurora, IL 46.6%
    Cape Girardeau, MO 46.7%
    Evansville, IN 46.7%
    Springfield, MO 46.7%
    Mesa, AZ 46.8%
    Evanston, IL 47.0%
    Minneapolis, MN 47.2%
    St. Cloud, MN 47.2%
    Bloomington, IL 47.4%
    Lansing, MI 47.4%
    Traverse City, MI 47.5%
    Des Moines, IA 47.5%
    Chico, CA 47.5%
    Durham, NC 47.5%
    St. Paul, MN 47.6%
    Iowa City, IA 47.9%
    Saginaw, MI 47.9%
    Santa Rosa, CA 47.9%
    Waterloo, IA 48.2%
    San Luis Obispo, CA 48.3%
    Mason City, IA 48.4%
    Fort Collins, CO 48.4%
    Sacramento, CA 48.4%
    Topeka, KS 48.5%
    Sun City, AZ 48.5%
    Ormond Beach, FL 48.5%
    Terre Haute, IN 48.5%
    Springfield, IL 48.7%
    Grand Rapids, MI 48.8%
    Columbus, GA 48.8%
    Rochester, NY 48.8%
    Panama City, FL 48.9%
    Wilmington, NC 49.2%
    Denver, CO 49.7%
    Rockford, IL 49.8%
    Wichita, KS 49.9%
    Urbana, IL 49.9%
    Stockton, CA 50.2%
    Marquette, MI 50.4%
    Muncie, IN 50.5%
    Modesto, CA 51.0%
    Petoskey, MI 51.5%
    Rochester, MN 51.8%
    Ann Arbor, MI 51.9%
    Hickory, NC 52.0%
    Dearborn, MI 52.0%
    Greenville, NC 52.1%
    Springfield, MA 52.2%
    Lafayette, IN 52.3%
    Greeley, CO 52.4%
    Flint, MI 52.6%
    Honolulu, HI 53.0%
    Muskegon, MI 53.4%
    Omaha, NE 54.1%
    Sioux City, IA 55.0%
    Grand Junction, CO 55.3%
    Pueblo, CO 58.9%
    Lincoln, NE 61.0%
    National Average 42.3%
    90th Percentile 50.4%
    50th Percentile 43.8%
    10th Percentile 36.9%
        • 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:
        • 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.