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