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