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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: 2015; Region Levels: State)
    Wyoming 43.1
    Wisconsin 45.0
    West Virginia 75.0
    Washington 32.7
    Virginia 42.8
    Vermont 39.4
    Utah 27.9
    Texas 53.2
    Tennessee 59.3
    South Dakota 50.5
    South Carolina 45.6
    Rhode Island 54.0
    Pennsylvania 51.7
    Oregon 33.9
    Oklahoma 59.9
    Ohio 57.0
    North Dakota 49.1
    North Carolina 49.0
    New York 46.8
    New Mexico 39.5
    New Jersey 49.6
    New Hampshire 47.1
    Nevada 42.2
    Nebraska 48.3
    Montana 41.1
    Missouri 56.6
    Mississippi 70.2
    Minnesota 36.6
    Michigan 55.4
    Massachusetts 54.3
    Maryland 46.7
    Maine 49.4
    Louisiana 65.8
    Kentucky 76.6
    Kansas 51.3
    Iowa 48.9
    Indiana 56.8
    Illinois 54.8
    Idaho 32.4
    Hawaii 23.3
    Georgia 50.2
    Florida 53.6
    District of Columbia 38.3
    Delaware 47.2
    Connecticut 46.2
    Colorado 31.2
    California 36.2
    Arkansas 61.8
    Arizona 36.1
    Alaska 36.0
    Alabama 62.0
    National Average 49.4
    90th Percentile 62.0
    50th Percentile 48.9
    10th Percentile 32.7
        • 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.