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Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
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    Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Enrollees, by Race
    (Race: Overall; Year: 2014; Region Levels: State)
    Kentucky 77.0
    West Virginia 71.9
    Mississippi 67.8
    Louisiana 67.5
    Arkansas 62.0
    Alabama 61.1
    Tennessee 59.9
    Ohio 59.8
    Oklahoma 59.2
    Indiana 57.0
    Missouri 56.6
    Michigan 56.1
    Illinois 55.8
    Rhode Island 55.3
    Florida 55.1
    Texas 54.3
    Massachusetts 52.8
    Kansas 51.9
    Georgia 51.8
    Pennsylvania 51.5
    New Jersey 50.3
    Delaware 50.2
    North Carolina 49.0
    Iowa 48.2
    New York 47.6
    Maine 47.5
    South Dakota 47.0
    Nebraska 46.9
    Connecticut 46.3
    South Carolina 46.2
    North Dakota 46.2
    Wyoming 46.1
    Maryland 46.1
    Wisconsin 45.1
    New Hampshire 44.8
    Virginia 43.6
    New Mexico 43.1
    Nevada 42.4
    Montana 39.8
    District of Columbia 39.1
    Vermont 38.8
    Minnesota 37.1
    Arizona 37.0
    Alaska 36.0
    California 35.7
    Oregon 33.4
    Washington 32.6
    Idaho 32.1
    Colorado 32.1
    Utah 28.8
    Hawaii 23.5
    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.