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