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