Medicare FFS Rehospitalization - Kaiser State Health Facts

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Medicare Fee-for-Service Patients who were Rehospitalized within 30 Days after Hospital Discharge, 2004

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	Rate of Rehospitalization

United States	19.6%

Alabama	19.5%
Alaska	16.2%
Arizona	17.6%
Arkansas	20.3%
California	19.5%
Colorado	16.2%
Connecticut	18.4%
Delaware	18.0%
District of Columbia	23.2%
Florida	19.0%
Georgia	19.1%
Hawaii	17.1%
Idaho	13.3%
Illinois	21.7%
Indiana	17.7%
Iowa	19.6%
Kansas	19.2%
Kentucky	21.2%
Louisiana	21.9%
Maine	17.6%
Maryland	22.0%
Massachusetts	20.2%
Michigan	19.4%
Minnesota	18.2%
Mississippi	21.1%
Missouri	20.8%
Montana	16.5%
Nebraska	17.3%
Nevada	17.4%
New Hampshire	18.1%
New Jersey	21.9%
New Mexico	16.3%
New York	20.7%
North Carolina	18.5%
North Dakota	19.0%
Ohio	19.9%
Oklahoma	20.1%
Oregon	15.7%
Pennsylvania	19.7%
Rhode Island	19.8%
South Carolina	18.1%
South Dakota	19.5%
Tennessee	19.8%
Texas	19.4%
Utah	14.2%
Vermont	18.2%
Virginia	18.8%
Washington	16.4%
West Virginia	21.3%
Wisconsin	17.0%
Wyoming	16.6%

Guam	NA
Puerto Rico	19.2%
Virgin Islands	20.3%

(show/hide notes)

Notes:

The rates include all patients in fee-for-service Medicare programs who were discharged between October 1, 2003, and September 30, 2004.

Authors' analysis based on data from the Medicare Provider Analysis and Review (MEDPAR) file for the 15-month period from October 1, 2003, through December 31, 2004. MEDPAR does not contain any discharges from 855 critical access hospitals or discharges of patients who were enrolled in managed-care plans. Inpatient claims were linked via Health Insurance Claim Number–Beneficiary Identification Code. Follow-up visits were identified using the 5% national sample of linked physician and hospital claims for 2003 that is maintained in the CMS Chronic Condition Data Warehouse, using different intervals depending on the amount of previous or follow-up data needed for the analysis. Please refer to article linked below for more details regarding methodology.

Sources:

Stephen F. Jencks, M.D., M.P.H., Mark V. Williams, M.D., and Eric A. Coleman, M.D., M.P.H., Rehospitalizations among Patients in the Medicare Fee-for-Service Program, New England Journal of Medicine, April 2, 2009. Available at: http://content.nejm.org/cgi/content/full/360/14/1418?ijkey=3CQjS3yxXjOtY&keytype=ref&siteid=nejm.

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