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Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Gender
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    Region
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    Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Gender
    (Gender: Overall; Year: 2014; Region Levels: State)
    Wyoming 46.1
    Wisconsin 45.1
    West Virginia 71.9
    Washington 32.6
    Virginia 43.6
    Vermont 38.8
    Utah 28.8
    Texas 54.3
    Tennessee 59.9
    South Dakota 47.0
    South Carolina 46.2
    Rhode Island 55.3
    Pennsylvania 51.5
    Oregon 33.4
    Oklahoma 59.2
    Ohio 59.8
    North Dakota 46.2
    North Carolina 49.0
    New York 47.6
    New Mexico 43.1
    New Jersey 50.3
    New Hampshire 44.8
    Nevada 42.4
    Nebraska 46.9
    Montana 39.8
    Missouri 56.6
    Mississippi 67.8
    Minnesota 37.1
    Michigan 56.1
    Massachusetts 52.8
    Maryland 46.1
    Maine 47.5
    Louisiana 67.5
    Kentucky 77.0
    Kansas 51.9
    Iowa 48.2
    Indiana 57.0
    Illinois 55.8
    Idaho 32.1
    Hawaii 23.5
    Georgia 51.8
    Florida 55.1
    District of Columbia 39.1
    Delaware 50.2
    Connecticut 46.3
    Colorado 32.1
    California 35.7
    Arkansas 62.0
    Arizona 37.0
    Alaska 36.0
    Alabama 61.1
    National Average 49.9
    90th Percentile 62.0
    50th Percentile 47.5
    10th Percentile 32.6
        • DENOMINATOR DEFINITION:
        • 100% of Medicare enrollees age 65-99 with full Part A entitlement and no HMO enrollment during the measurement period. Age, gender, race, and eligibility are determined using the Denominator file.

        • NUMERATOR DEFINITION:
        • Numerator counts are based on ICD-9-CM diagnosis codes. Surgical codes are usually excluded to ensure that the admission was for a medical condition. Conditions: Convulsions (780.3x): Chronic Obstructive Pulmonary Disease (COPD) (491xx, 492xx, 494xx, 496xx, 466.0x: 466.0x only w/secondary dx 491xx, 492xx, 494xx, 496xx): Bacterial Pneumonia (481xx, 482.2x, 482.3x, 482.9x, 483xx, 485xx, 486xx: excl. secondary dx 282.6x): Asthma (493xx): Congestive Heart Failure (CHF) (428xx, 402.01, 402.11, 402.91, 518.4x: excl. sx 36.01, 36.02, 36.05, 36.1x,37.5x, or 37.7x): Hypertension (401.0x, 401.9x, 402.00, 402.10, 402.90: excl. sx 36.01, 36.02, 36.05, 36.1x,37.5x, or 37.7x): Angina (411.1x, 411.8x, 413xx: excl. sx 01-86.99): Cellulitis (681xx, 682xx, 683xx, 686xx: excl. sx 01-86.99, unless 86.0x is the first and only sx code): Diabetes (250.0x, 250.1x, 250.2x, 250.3x, 250.8x, 250.9x): Gastroenteritis (558.9x): Kidney/Urinary Infection (590xx, 599.0x, 599.9x): Dehydration (276.5x).

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare population as the standard. Gender-specific rates are age and race adjusted; race-specific rates are age and sex adjusted.




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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.