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Percent of Medicare Beneficiaries Admitted for an Ambulatory Care-Sensitive Condition
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    Region
    (Click a region name
    below to view its profile)
    Percent of Medicare Beneficiaries Admitted for an Ambulatory Care-Sensitive Condition
    (Year: 2012; Region Levels: State)
    Kentucky 6.2%
    West Virginia 6.1%
    Louisiana 5.5%
    Mississippi 5.4%
    Alabama 5.1%
    Tennessee 5.0%
    Oklahoma 5.0%
    Ohio 5.0%
    Arkansas 4.9%
    Indiana 4.9%
    Illinois 4.6%
    Michigan 4.6%
    Missouri 4.6%
    Texas 4.5%
    Pennsylvania 4.5%
    Massachusetts 4.4%
    Georgia 4.3%
    Kansas 4.3%
    New Jersey 4.3%
    Florida 4.2%
    New York 4.2%
    Connecticut 4.1%
    South Dakota 4.1%
    North Carolina 4.1%
    North Dakota 4.1%
    Iowa 4.0%
    Nebraska 4.0%
    Rhode Island 4.0%
    Maine 3.9%
    South Carolina 3.9%
    Virginia 3.9%
    Delaware 3.9%
    Maryland 3.9%
    Wyoming 3.8%
    Nevada 3.8%
    New Hampshire 3.7%
    Wisconsin 3.7%
    Vermont 3.6%
    New Mexico 3.6%
    Alaska 3.6%
    Montana 3.5%
    Arizona 3.4%
    District of Columbia 3.4%
    Minnesota 3.3%
    California 3.3%
    Washington 2.9%
    Colorado 2.9%
    Oregon 2.8%
    Idaho 2.8%
    Utah 2.6%
    Hawaii 2.6%
    National Average 4.2%
    90th Percentile 5.0%
    50th Percentile 4.0%
    10th Percentile 2.9%
        • 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).




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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.