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