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Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
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    Region
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    Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
    (Race: Overall; Year: 2014; Region Levels: State)
    Wyoming
    Wisconsin
    West Virginia
    Washington
    Virginia
    Vermont
    Utah
    Texas
    Tennessee
    South Dakota
    South Carolina
    Rhode Island
    Pennsylvania
    Oregon
    Oklahoma
    Ohio
    North Dakota
    North Carolina
    New York
    New Mexico
    New Jersey
    New Hampshire
    Nevada
    Nebraska
    Montana
    Missouri
    Mississippi
    Minnesota
    Michigan
    Massachusetts
    Maryland
    Maine
    Louisiana
    Kentucky
    Kansas
    Iowa
    Indiana
    Illinois
    Idaho
    Hawaii
    Georgia
    Florida
    District of Columbia
    Delaware
    Connecticut
    Colorado
    California
    Arkansas
    Arizona
    Alaska
    Alabama
    National Average
    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.