HUM 2000 MOD 6 ASSN

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HIT2000MOD6DB2CoreMeasuresDischargesDatabaseWorksheetv.9.23.15INFO.xlsx

Discharges 112010

Patient First Name Patient Last Name Gender DOB Zip Code Medical Record # Insurance Carrier Adm DateDisch Date Primary Diagnosis Diagnosis 2 Diagnosis 3 Diagnosis 4
Cristy Acey F 8/8/85 46825 73- 90- 05 MCARE 10/29/10 11/2/10 996.62 585.6 250.4 588
Jerry Acuff M 12/12/55 46755 16- 74- 90 MCARE 10/31/10 11/4/10 428 404.91 491.21 585.9
Zulma Alcon F 6/28/52 46755 61- 28- 41 MCARE 11/19/10 11/23/10 786.59 786.59 428 458.8
Kim Alvero F 10/10/90 46755 10- 66- 98 SELFP 11/21/10 11/30/10 786.59 401.9 V45.81 296.8
Divina Avina F 12/9/52 46755 66- 27- 24 MCAID 11/6/10 11/9/10 492 512.1 491.21 E879.8
Lucille Baskerville F 1/28/30 46825 41- 70- 98 MCARE 11/20/10 11/23/10 428 996.09 425.4 V53.32
Talisha Baskette F 1/17/51 46231 56- 43- 18 MCAID 11/4/10 11/8/10 413.9 794.39 496 574.2
Lyman Bedard M 11/6/48 46755 48- 06- 11 MCARE 10/29/10 11/1/10 786.59 491.21 401.9 530.81
Frida Belton F 4/13/42 46231 10- 88- 82 MCAID 11/18/10 11/22/10 428 414.01 586 564.09
Gisela Beringer F 7/27/45 46755 20- 54-09 MCARE 11/20/10 11/26/10 414.01 427.31 402.9 272.4
Delsie Bernabe F 8/2/53 46231 25- 73- 80 SELFP 11/24/10 11/4/10 413.9 424 427.81 427.31
Annmarie Bisignano F 4/7/49 46825 61- 31- 46 MCARE 11/6/10 11/10/10 428 599 427.31 496
Rocco Boddy M 6/13/39 46755 82- 66- 42 MCARE 11/7/10 11/10/10 428 453.42 453.41 425.4
Randy Bogen M 8/29/33 46231 95- 98- 54 MCARE 11/2/10 11/8/10 427.1 427.1 425.8 404.91
Ron Bosque M 7/15/49 46231 58- 29- 99 MCARE 11/21/10 11/23/10 427.31 427.31 401.9 272
Lavone Braham M 8/21/63 46231 03- 35- 20 MCARE 11/10/10 11/13/10 453.41 401.9 530.81 272.4
Cleopatra Brakebill F 7/11/37 46755 54- 04- 29 MCAID 11/11/10 11/11/10 786.59 599 473 401.9
Stephania Cafferty F 3/17/77 46755 99- 80- 98 MCARE 11/7/10 11/7/10 486 786.3 428 276.9
Bao Cajigas M 4/28/47 46231 31- 12- 38 MCARE 11/15/10 11/19/10 453.41 289.81 V10.05 V12.51
Eileen Canino F 6/16/52 46825 70- 46- 24 MCAID 11/12/10 11/18/10 162.3 427 512.1 338.12
Arletta Caperton F 10/23/61 46825 45- 21- 34 MCARE 11/15/10 11/18/10 441.4 518 780.6
Jenise Carden F 2/8/49 46231 14- 80- 04 MCARE 11/6/10 11/9/10 444.22 707.03 444.22 599
Sherman Chien M 1/14/35 46755 82- 39- 08 MCARE 11/5/10 11/8/10 427.31 V12.59 V10.42
Kami Condon F 2/16/34 46825 71- 80- 25 MCARE 11/6/10 11/14/10 428 414.01 441.4 401.9
Joy Coolbaugh F 2/16/61 46755 38- 73- 28 MCARE 11/15/10 11/19/10 453.41 459.81 558.9 401.9
Angelia Cort F 5/23/41 46231 08- 40- 94 MCARE 11/17/10 11/10/10 410.71 414.01 401.9 272.5
Yolanda Courson F 8/4/52 46231 91- 28- 21 MCARE 11/4/10 11/7/10 410.71 599 411.1 428
Zoraida Digby F 12/29/49 46231 04- 97- 41 MCAID 11/5/10 11/9/10 507 584.9 491.21 403.9
Francesco Domenick M 12/16/66 46755 55- 66- 42 MCARE 11/23/10 11/27/10 427.32 204.1 427.31
Darell Donner M 3/19/61 46825 23- 21- 62 MCARE 11/25/10 11/23/10 493.92 296.54 466 530.81
Rosalyn Dubay F 2/8/64 46231 57- 16- 91 SELFP 11/13/10 11/17/10 428 486 491.21 599
Ronna Dyer F 3/17/49 46231 93- 59- 42 MCARE 11/20/10 11/26/10 427.81 412 305.1
Ezra Edick M 5/27/55 46755 95- 48- 98 MCARE 11/21/10 11/24/10 411.1 410.71 715.9 733
Cyndy Effler F 8/1/70 46231 87- 03- 53 MCARE 10/28/10 11/3/10 427.31 305.1 525.9
Gillian Emrick F 11/26/67 46825 55- 66- 92 MCARE 11/13/10 11/16/10 486 518.81 491.21 599
Lakeshia Erb F 8/26/40 46825 62- 77- 42 MCARE 11/13/10 11/19/10 410.71 404.91 585.4 428
Kristopher Espitia M 1/10/38 46231 17- 11- 75 MCARE 11/22/10 11/26/10 780.2 807.2 E936.3 E935.2
Hassie Farrelly F 8/1/42 46755 44- 50- 16 MCARE 11/22/10 11/23/10 786.5 414.01 401.9 250
Stormy Geoghegan F 7/27/50 46755 13- 08- 54 MCARE 11/7/10 11/13/10 410.71 410.71 414.2 443.89
Jacklyn Gothard F 11/1/49 46755 69- 59- 39 MCARE 11/3/10 11/7/10 410.71 292.81 518 728.88
Stephen Greenlaw M 6/28/36 46755 34- 19- 85 MCARE 11/12/10 11/16/10 486 599 276.51
Hoa Gwin M 12/10/57 46755 98- 13- 18 MCARE 11/1/10 11/7/10 411.1 272 530.81
Camilla Halley F 12/28/85 46755 02- 32- 10 MCARE 11/14/10 11/18/10 441.4
Elden Hallinan M 11/5/55 46755 99- 41- 27 MCARE 11/11/10 11/15/10 486 584.9 599 295.3
Lyda Hallinan F 1/10/45 46755 48- 50- 49 MCAID 11/11/10 11/27/10 786.59 780.2 401.9 724.2
Otis Handley M 11/30/70 46231 89- 65- 09 MCARE 11/13/10 11/16/10 428 707.03 511.9 427.31
Myesha Harter F 11/7/50 46231 76- 20- 06 MCARE 11/17/10 11/19/10 427.31 414.01 272 401.9
Ida Haynie F 7/9/61 46755 94- 31- 83 MCARE 11/7/10 11/11/10 435.8 435.8 427.1 427.31
Cherie Heasley F 10/12/45 46755 86- 80- 33 MCARE 11/7/10 11/10/10 491.21 491.21 599 427
Milford Hochman M 12/1/40 46755 75- 77- 24 MCARE 11/7/10 11/9/10 428 425.4 414.01 530.81
Adena Hochmuth F 12/5/41 46825 93- 42- 07 MCARE 11/11/10 11/13/10 786.59 401.9 300.4 553.3
Basilia Hollinger F 7/8/83 46231 93- 61- 22 MCARE 11/4/10 11/7/10 453.41 415.19 305.1
Mozelle Houpt M 12/13/52 46825 57- 99- 37 MCAID 11/15/10 11/17/10 428 578.1 412 427.31
Loan Huie M 10/1/75 46755 37- 78- 45 MCARE 11/15/10 11/18/10 426 410.71 440 426.4
Britt Hultgren F 3/25/40 46755 91- 13-05 MCARE 11/24/10 11/27/10 428 415.19 453.41 574.01
Angella Hussein F 9/15/47 46231 93- 48- 05 MCAID 11/24/10 11/26/10 427.69 428 401.9 272
Shameka Jahn F 9/26/37 46755 31- 21- 17 MCARE 11/24/10 11/18/10 794.39 438.2 402.9 272.4
Eryn Johnsrud F 10/24/39 46755 88- 09- 63 MCARE 11/14/10 11/1/10 427.89 786.59 401.9 E941.3
Cody Kennerly M 8/12/57 46755 53- 65- 44 MCARE 11/16/10 11/19/10 414.01 410.41 401.9 327.23
Kyra Kibby F 5/14/58 46825 21- 26- 24 MCAID 11/5/10 11/9/10 786.59 714 695.4 401.9
Trenton Knorr M 6/9/70 46231 51- 67- 90 MCARE 11/19/10 11/23/10 486 486 293 290
Sebastian Kohn M 5/31/56 46231 79- 45- 16 MCARE 11/21/10 11/16/10 428 584.9 404.91 250.52
Dayle Kropf M 1/31/35 46825 11- 88- 49 MCARE 11/14/10 11/17/10 427.31 435.9 427.1 428
Frederic Kua M 12/29/48 46231 73- 21- 48 MCARE 11/10/10 11/16/10 410.71 427.31 428 427.81
Kelsie Laliberte F 10/11/34 46755 48- 97- 51 MCARE 11/23/10 11/26/10 428 486 438.2 276.1
Viva Laman F 9/16/29 46825 79- 82- 87 MCARE 11/22/10 11/18/10 285.21 584.9 276.4 599
Otelia Lashua F 6/29/49 46231 25- 51- 29 MCARE 11/14/10 11/3/10 786.59 593.4 591 276.1
Elouise Lavallie F 8/1/64 46825 86- 52- 94 MCARE 10/30/10 11/10/10 428 486 491.21 714
Natisha Lavin F 4/28/41 46825 21- 27- 58 MCARE 11/6/10 11/8/10 453.41 162.9 196.1 787.01
Ariel Lebouef F 12/14/47 46755 24- 09- 52 MCARE 11/14/10 11/16/10 518.81 402.01 733.13 599
Leon Lenox M 4/3/38 46825 60- 11- 76 MCARE 11/14/10 11/27/10 518.81 426.53 560.39 427
Bernie Leonhardt M 4/12/50 46755 87- 80- 16 MCARE 11/17/10 11/23/10 427.31 427.31 428 443.89
Elvira Lin F 7/28/31 46825 87- 31- 52 MCARE 11/13/10 11/17/10 428 496 250
Cassie Loesch F 10/16/36 46755 13- 96- 23 MCARE 11/23/10 11/27/10 458.29 627.1 182 345.9
Tracey Lohman F 3/11/61 46231 47- 18- 97 MCARE 11/23/10 11/25/10 794.31 401.9 250 V45.01
Laronda Magnus F 11/17/49 46755 61- 28- 75 MCARE 11/20/10 11/23/10 786.6 512.1 496 250
Meaghan Markus F 11/10/46 46231 29- 48- 49 SELFP 11/8/10 11/12/10 466 278 305.1 V17.3
Annett Mccafferty F 10/8/28 46755 57- 86- 44 MCARE 11/21/10 11/23/10 996.74 453.8 183 283
Ezekiel Mcloud M 8/29/51 46825 45- 78- 54 MCARE 11/19/10 11/11/10 491.21 276.2 441.4 V46.2
Ronni Mcmurtry M 4/22/51 46755 64- 27- 34 MCARE 11/14/10 11/18/10 996.62 585.6 425.4 41.11
Sharyl Meints F 4/11/33 46231 55- 60- 63 SELFP 11/20/10 11/22/10 428 454.2 496 427.31
Clement Molitor M 10/2/41 46825 24- 04- 63 MCARE 11/18/10 11/16/10 780.6 496 280.9 780.6
Kala Neeld F 9/10/42 46231 31- 03- 16 MCARE 11/14/10 11/7/10 414.01 411.1 491.21 272
Eleonore Paetzold F 6/19/44 46755 56- 24- 68 MCARE 10/31/10 11/3/10 427.81 203 585.4 285.22
Vina Pankow F 4/11/36 46825 94- 24- 75 SELFP 11/22/10 11/26/10 453.4 415.11 996.77 444.22
Jack Parada M 11/10/60 46231 03- 35-09 MCARE 11/4/10 11/10/10 997.2 585.6 403.11 287.31
Leena Paris F 2/4/61 46231 44- 74- 93 MCARE 11/4/10 11/10/10 411.1 401.9 272.4 790.21
Patient First Name Patient Last Name Gender DOB Zip Code Medical Record # Insurance Carrier Adm DateDisch Date Primary Diagnosis Diagnosis 1 Diagnosis 2 Diagnosis 3
Era Pesola M 3/22/52 46825 42- 75- 27 MCARE 11/17/10 11/20/10 428 425.4 427.81 427.31
Agustina Plott F 11/24/54 46755 86- 70- 25 MCARE 11/26/10 11/29/10 786.51 530.81 790.5 305.1
Shayne Popejoy M 9/15/49 46825 93- 77- 70 MCARE 11/8/10 11/11/10 786.59 414.01 401.9 250
Fanny Potvin F 11/13/42 46825 49- 72- 16 MCARE 11/9/10 11/9/10 415 518.81 517.2 710.1
Olene Poyner F 4/2/61 46825 92- 75- 61 MCARE 11/1/10 11/3/10 486 518.89 305.1 V16.1
Erick Preas M 8/4/84 46755 31- 17- 06 MCARE 11/18/10 11/22/10 453.41 486 401.9 372.1
Tamra Purtee F 6/7/60 46755 54- 66- 49 MCARE 11/8/10 11/10/10 786.59 562.11 401.9 V45.82
Katrina Quesenberry F 8/18/36 46231 97- 69- 29 BCBSH 11/10/10 11/13/10 428 496 593.9 401.9
Janessa Rakestraw F 2/7/59 46825 85- 58- 87 MCARE 11/21/10 11/23/10 411.1 278.01 427.69 250.92
Lizette Reindl F 3/22/76 46755 12- 39- 26 MCARE 11/21/10 11/17/10 786.59 V15.81
Savannah Remer F 8/18/37 46755 80- 10- 23 MCARE 11/13/10 11/21/10 411.1 600 272
Lane Rhodes M 7/8/43 46231 34- 78- 18 MCARE 10/29/10 11/2/10 786.51 585.9 272.4
Neil Ribeiro M 8/8/41 46755 95- 65- 03 MCARE 10/29/10 11/30/10 414.01 250 530.81 401.9
Ling Ritz M 12/16/47 46231 99- 43- 61 MCARE 11/14/10 11/17/10 250.13 250.13 584.9 427.1
Evangelina Robinett F 4/19/55 46231 04- 37- 45 SELFP 11/15/10 11/8/10 420.9 244.9 780.57 V04.81
Crista Rowles F 12/31/32 46231 38- 81- 78 MCARE 11/4/10 11/9/10 427.31 401.9 780.79 496
Tania Sacks F 12/10/31 46755 43- 68- 50 MCARE 11/5/10 11/8/10 414.01 401.9 272 715.9
Tina Sandifer F 8/15/88 46755 56- 64- 95 MCARE 11/20/10 11/22/10 428 454.2 593.9 782.3
Adeline Sanford F 3/12/41 46755 86- 13- 30 MCARE 11/18/10 11/13/10 486 531.4 204.1 599
Cary Scheurer M 6/19/55 46755 70- 45- 87 MCAID 11/22/10 11/28/10 414.01 411.1 599 280.9
Livia Shankle F 2/18/35 46231 09- 67- 24 MCARE 11/26/10 11/29/10 428 425.4 600.9 416.8
Reed Shattles M 11/5/47 46755 70- 02- 99 MCARE 11/27/10 11/1/10 441.4 V10.05
Nan Shotwell F 8/21/44 46231 57- 81- 87 MCAID 10/28/10 11/17/10 466 401.9 790.29 496
Adelle Spinner F 1/4/33 46825 87- 11- 84 MCARE 11/4/10 11/8/10 786.59 414.02 401.9 272
Laura Stead F 11/17/72 46755 98- 33- 81 MCARE 11/3/10 11/5/10 780.2 305.1
Darin Tolman M 8/21/45 46825 56- 95- 74 MCAID 10/31/10 11/3/10 276.4 518.81 276.4 295.72
Nilsa Torpey F 12/12/29 46231 35- 81- 92 MCARE 11/8/10 11/10/10 411.1 401 530.81 305.1
Lashawna Vreeland F 11/5/76 46755 28- 19- 78 MCARE 11/6/10 11/10/10 493.91 486 518.81 427.31
Latia Waite F 6/23/54 46755 93- 87- 17 MCAID 11/16/10 11/18/10 486 276.51 250.4 403.9
Crysta Weis F 5/27/63 46231 65- 01- 33 BCBSH 10/29/10 11/4/10 428 250 585.9
Treasa Weissinger F 11/9/46 46231 11- 62- 30 MCARE 11/3/10 11/7/10 786.59 414.01 292.84 327.23
Maurita Wiener F 6/4/32 46231 57- 69- 44 MCARE 11/16/10 11/22/10 441.4 491.21 416.9 600.91
Inga Wommack F 5/10/44 46231 30- 04- 10 MCARE 11/11/10 11/17/10 428 404.91 585.4 425.4
Nevada Wrona F 6/3/69 46755 02- 87- 66 MCAID 11/27/10 11/29/10 451 444.22 401.9 433.1
Susannah Yarbrough F 12/29/35 46755 18- 72- 27 MCARE 10/31/10 11/4/10 162.9 198.3 197.7 253.6
Marquis Yeater M 11/4/30 46755 96- 07- 85 MCARE 11/5/10 11/8/10 491.21 491.21 486 458
Ardell Yeung F 4/23/67 46755 48- 71- 53 MCARE 11/8/10 11/11/10 786.51 300 530.81 401.9
Hortencia Yost F 6/30/40 46231 32- 97- 16 BCBSH 11/20/10 11/23/10 428 584.9 404.91 585.4

Discharges 122010

Patient First Name Patient Last Name Gender DOB Zip Code Medical Record # Insurance Carrier Adm DateDisch Date Primary Diagnosis Diagnosis 2 Diagnosis 3 Diagnosis 4
Jerry Acuff M 12/12/55 46755 16- 74- 90 MCARE 11/25/10 12/1/10 428 491.21 585.9
Hermine Agrawal F 3/14/55 46755 29- 12- 83 MCARE 12/15/10 12/18/10 786.59 593.4 591 276.1
Maria Alloway F 7/22/74 46825 80- 61- 82 MCARE 12/22/10 12/24/10 404.91 707.03 410.71 599
Erika Ammon F 7/10/40 46825 14- 41- 17 MCARE 12/1/10 12/8/10 414.01 411.1 491.21 272
Gert April F 1/10/48 46231 99- 89- 46 MCARE 12/19/10 12/23/10 786.59 491.21 401.9 530.81
Shary Asaro F 2/18/29 46231 48- 19- 76 MCAID 12/17/10 12/21/10 411.1 278.01 427.69 250.92
Nicole Austin F 8/6/90 46755 63- 28- 60 MCAID 12/15/10 12/19/10 410.71 427.31 428 427.81
Patty Backman F 2/20/55 46755 71- 55- 31 MCARE 12/25/10 12/30/10 451 444.22 401.9 433.1
Cindy Baity F 10/12/34 46825 41- 30-04 MCARE 12/19/10 12/21/10 491.21 786.59 401.9 300.01
Lucille Baskerville F 1/28/30 46825 41- 70- 98 MCARE 11/30/10 12/3/10 428 996.09 425.4 V53.32
Alberto Beavers M 12/23/26 46755 50- 65- 29 SELFP 12/20/10 12/24/10 428 996.09 425.4 V53.32
Kate Blank F 9/26/68 46755 28- 64- 49 MCARE 12/4/10 12/8/10 414.01 250 530.81 401.9
Kyle Bosque M 1/19/72 46755 26- 57- 01 MCARE 12/1/10 12/5/10 428 438.2 404.91 496
Virginie Bourassa F 2/20/55 46755 76- 93- 40 MCARE 12/16/10 12/21/10 427.32 204.1 427.31
Isaac Bulman M 8/11/59 46825 32- 44- 54 BCBSH 12/22/10 12/27/10 414.01 411.1 599 280.9
Wanda Burstein F 8/12/65 46231 67- 47- 90 MCARE 12/13/10 12/15/10 426 410.71 440 426.4
Alex Bushard M 4/27/27 46755 60- 24- 51 BCBSH 12/11/10 12/15/10 444.22 707.03 444.22 599
Larry Buzbee M 3/30/72 46755 16- 52- 26 MCARE 12/2/10 12/9/10 414.01 427.31 402.9 272.4
Claudette Cauley F 8/14/35 46825 53- 07- 42 MCARE 12/5/10 12/7/10 428 454.2 593.9 782.3
Paula Cawthon F 7/5/68 46231 54- 87- 15 MCARE 12/14/10 12/19/10 441.4 518 780.6
Victor Champlin M 3/13/61 46755 16- 63- 40 MCARE 12/12/10 12/14/10 491.21 491.21 599 427
Harvey Cirilo M 8/25/54 46825 17- 95- 49 MCARE 12/20/10 12/23/10 518.81 426.53 560.39 427
Tony Clendening M 3/14/55 46231 91- 06- 19 BCBSH 12/24/10 12/31/10 428 486 491.21 599
Ian Clerk M 3/8/56 46755 22- 83- 29 MCARE 12/13/10 12/18/10 428 453.42 453.41 425.4
Van Cordeiro M 7/28/44 46825 62- 94- 70 MCARE 12/2/10 12/4/10 250.13 250.13 584.9 427.1
Vince Corkery M 8/15/70 46755 46- 79- 96 MCARE 12/22/10 12/24/10 428 424 250 496
Richard Cosio M 7/18/47 46755 64- 29- 37 MCARE 12/18/10 12/20/10 492 512.1 491.21 E879.8
Richard Cosio M 7/18/47 46755 64- 29- 37 MCARE 12/28/10 12/30/10 492 512.1
Josephine Cuadrado F 4/3/66 46755 70- 49- 65 MCARE 12/3/10 12/5/10 427.31 401.9 780.79 496
Lee Cullison M 7/26/72 46231 53- 17- 74 BCBSH 12/19/10 12/24/10 486 276.1 250.02 414.8
Rebekah Dahlin F 8/5/52 46755 36- 24- 80 MCAID 12/1/10 12/3/10 486 531.4 204.1 599
Chantal Dahmen F 11/9/32 46231 35- 48- 39 MCARE 11/29/10 12/1/10 428 496 593.9 401.9
Emily Delpozo F 3/14/55 46755 50- 02- 70 BCBSH 12/16/10 12/23/10 428 584.9 404.91 250.52
Peter Fabry M 12/6/41 46755 27- 96- 28 MCAID 12/7/10 12/12/10 780.2 305.1
Fiona Farrington F 12/25/42 46825 44- 79-06 MCARE 12/16/10 12/18/10 507 584.9 491.21 403.9
Danny Felker M 12/20/37 46231 28- 54- 20 BCBSH 12/3/10 12/7/10 491.21 276.2 441.4 V46.2
Julia Filson F 4/7/68 46231 21- 22- 99 BCBSH 12/16/10 12/18/10 786.5 414.01 401.9 250
Sebastien Fortes M 9/6/44 46755 07- 93- 81 MCARE 12/1/10 12/4/10 786.59 599 473 401.9
Olga Forward F 10/10/52 46825 78- 75- 48 MCARE 11/30/10 12/3/10 410.71 404.91 585.4 428
Katia Fraser F 10/2/70 46755 67- 77- 54 MCARE 12/21/10 12/24/10 427.89 786.59 401.9 E941.3
Marco Fryar M 6/9/74 46231 92- 08- 19 BCBSH 12/3/10 12/5/10 427.31 435.9 427.1 428
Ana Gaal F 5/6/27 46755 97- 99- 50 MCARE 12/4/10 12/7/10 428 785.51 518.81 570
Arlene Gamache F 2/18/29 46755 99- 39- 26 MCARE 12/17/10 12/21/10 794.39 438.2 402.9 272.4
Joaquin Gamble M 6/5/64 46231 33- 88-07 BCBSH 12/6/10 12/8/10 786.59 780.2 401.9 724.2
Colin Ghee M 8/28/36 46825 20- 78- 91 MCARE 12/10/10 12/15/10 441.4 V10.05
Dolly Gibby F 6/5/38 46231 28- 19- 99 MCARE 11/30/10 12/4/10 491.21 491.21 486 458
Helene Gillham F 1/4/55 46755 47- 44- 98 MCARE 12/24/10 12/27/10 428 425.4 600.9 416.8
Hanna Goodwill F 10/2/51 46825 53- 40-08 BCBSH 12/2/10 12/5/10 428 578.1 412 427.31
Grace Guard F 5/4/49 46755 48- 05- 23 SELFP 12/4/10 12/8/10 410.71 410.71 414.2 443.89
Rose Hammack F 9/9/56 46755 26- 58- 22 BCBSH 12/10/10 12/12/10 427.31 414.01 272 401.9
Matthew Hartwell M 10/19/74 46755 45- 10- 82 MCARE 12/16/10 12/18/10 466 401.9 790.29 496
Franklin Hauge M 2/29/44 46755 77- 91-04 MCARE 12/21/10 12/23/10 410.71 518.81 415.19 453.42
Omar Heacock M 2/15/40 46755 37- 41- 33 MCARE 11/30/10 12/7/10 410.71 292.81 518 728.88
Danielle Heath F 11/29/37 46755 28- 86- 83 MCAID 12/12/10 12/16/10 427.69 428 401.9 272
Karl Herzberg M 9/14/68 46825 67- 06- 52 MCARE 12/14/10 12/18/10 415 518.81 517.2 710.1
Isaias Hoerr M 5/6/62 46231 36- 76- 95 MCARE 11/30/10 12/5/10 285.21 584.9 276.4 599
Sam Holtzclaw M 5/15/30 46825 22- 24- 72 MCARE 12/8/10 12/12/10 427.31 291.81 577.1 491.21
Tammy Howery F 5/15/30 46755 55- 41- 03 MCARE 12/19/10 12/24/10 786.59 562.11 401.9 V45.82
Edouard Hunsucker M 2/15/40 46755 51- 70- 81 MCARE 11/28/10 12/5/10 466 278 305.1 V17.3
Ida Husain F 9/9/56 46825 80- 97- 82 MCARE 12/3/10 12/8/10 427.31 427.31 428 443.89
Tanya Huston F 7/5/34 46755 26- 08- 42 MCARE 11/29/10 12/4/10 786.59 414.01 401.9 250
Teddy Jimenez M 9/9/56 46755 43- 12- 19 MCAID 12/2/10 12/7/10 786.59 V15.81
Oscar Jiminez M 6/5/38 46231 32- 80- 55 MCARE 12/25/10 12/29/10 411.1 272 530.81
Fred Judkins M 3/22/45 46231 41- 83- 74 MCARE 12/6/10 12/8/10 411.1 401 530.81 305.1
Leslie Kimbro F 8/21/72 46755 56- 35- 41 MCAID 12/20/10 12/27/10 428 250 585.9
Bonnie Kluesner F 12/26/30 46231 54- 30- 75 MCARE 12/12/10 12/15/10 428 404.91 585.4 425.4
Bill Lasky M 11/20/30 46231 11- 79- 44 MCARE 12/2/10 12/7/10 428 415.19 453.41 574.01
Chris Locklin M 10/31/33 46231 18- 01- 34 MCAID 12/22/10 12/24/10 996.62 585.6 425.4 41.11
Wilfred Mcateer M 5/5/37 46231 74- 99- 21 MCARE 12/3/10 12/7/10 427.31 V12.59 V10.42
Ingrid Mccardell F 10/26/58 46755 63- 61- 70 MCARE 11/27/10 12/2/10 453.4 415.11 996.77 444.22
Pablo Mccormack M 2/8/45 46231 07- 58- 43 MCARE 11/30/10 12/3/10 493.91 486 518.81 427.31
Don Mccoy M 2/22/39 46231 45- 51- 85 MCAID 12/18/10 12/22/10 427.81 203 585.4 285.22
Henri Mccray M 2/20/55 46755 77- 72- 70 MCARE 12/5/10 12/8/10 428 496 250
Odette Mcilrath F 3/8/56 46231 65- 72- 97 MCARE 12/8/10 12/11/10 453.41 486 401.9 372.1
Gonzalo Meisinger M 2/9/48 46231 26- 02- 64 MCAID 12/1/10 12/5/10 427.31 427.31 401.9 272
Nicholas Merida M 7/10/40 46825 81- 43- 75 SELFP 12/7/10 12/11/10 996.62 585.6 403.91 682.3
Lorenzo Mershon M 1/14/73 46231 24- 63- 41 MCARE 11/26/10 12/3/10 411.1 600 272
Nestor Mills M 12/14/47 46755 50- 26- 76 MCARE 11/29/10 12/3/10 786.59 401.9 300.4 553.3
Gaston Montesino M 12/6/47 46231 59- 92- 64 MCARE 12/14/10 12/18/10 453.41 459.81 558.9 401.9
Whitney Musgrove F 10/20/65 46231 08- 52- 70 SELFP 12/20/10 12/24/10 786.51 300 530.81 401.9
Sean Nemeth M 9/9/56 46231 19- 56- 29 BCBSH 12/21/10 12/24/10 996.74 453.8 183 283
Philippe Nowack M 3/8/56 46755 55- 36- 23 MCARE 12/22/10 12/24/10 428 414.01 441.4 401.9
Florence Nowicki F 3/15/43 46231 88- 76- 73 MCARE 12/24/10 12/26/10 428 599 424.9 412
Teresa Oakes F 9/15/73 46231 44- 35- 79 MCARE 12/6/10 12/13/10 427.31 305.1 525.9
Fay Ohler F 7/26/42 46755 42- 75-04 MCARE 12/3/10 12/5/10 997.2 585.6 403.11 287.31
Rafael Osterman M 1/10/30 46755 56- 62- 98 MCARE 12/29/10 12/31/10 411.1 410.71 715.9 733
Tobias Oxley M 6/5/38 46755 55- 02- 78 BCBSH 12/18/10 12/21/10 486 494 515 276.9
Vina Pankow F 4/11/36 46825 94- 24- 75 SELFP 11/29/10 12/3/10 453.4 415.11 444.22
Laura Paramo F 7/18/72 46825 63- 26- 14 MCARE 11/28/10 12/5/10 486 584.9 599 295.3
Debby Parkison F 4/17/38 46755 46- 55- 89 BCBSH 12/20/10 12/24/10 413.9 424 427.81 427.31
Mindy Pasquariello F 2/15/40 46231 54- 23- 26 SELFP 12/8/10 12/10/10 276.4 518.81 276.4 295.72
Patient First Name Patient Last Name Gender DOB Zip Code Medical Record # Insurance Carrier Adm DateDisch Date Primary Diagnosis Diagnosis 2 Diagnosis 3 Diagnosis 4
Melissa Pawlak F 7/24/75 46755 42- 40- 38 BCBSH 12/1/10 12/3/10 453.41 415.19 305.1
Cristobal Prescott M 11/24/37 46825 10- 78- 29 MCARE 12/2/10 12/4/10 786.59 401.9 V45.81 296.8
Ernesto Ramage M 5/29/42 46825 70- 52- 79 MCARE 12/18/10 12/25/10 162.3 427 512.1 338.12
Rina Ransdell F 12/6/41 46825 60- 22- 99 MCARE 12/20/10 12/24/10 486 786.3 428 276.9
Rina Ransdell F 12/6/41 46825 60- 22- 99 MCARE 12/25/10 12/29/10 486 786.3 428 276.9
Fernand Redinger M 8/29/42 46825 63- 20- 57 MCARE 11/30/10 12/2/10 411.1 707.12 707.14 428
Beryl Roybal F 8/21/30 46825 31- 01- 13 MCARE 12/17/10 12/24/10 411.1 411.1 401.9 427.31
Nana Ruddick F 6/2/42 46755 63- 93- 45 MCARE 12/2/10 12/6/10 458.29 627.1 182 345.9
Irma Rumery F 2/19/59 46231 67- 07- 96 MCARE 12/18/10 12/23/10 786.59 714 695.4 401.9
Earl Ruther M 1/28/40 46755 82- 02- 92 BCBSH 12/10/10 12/17/10 453.41 289.81 V10.05 V12.51
Gordon Rutherford M 8/1/48 46755 32- 21- 65 MCARE 12/23/10 12/26/10 453.41 162.9 196.1 787.01
Dorian Sabine M 11/8/39 46755 10- 49- 82 MCARE 11/27/10 12/1/10 441.4
Tina Sandifer F 8/15/88 46755 03- 01 -88 MCARE 11/29/10 12/2/10 410.71 404.91 585.4 428
Nate Santistevan M 2/15/40 46231 31- 80- 46 MCARE 12/20/10 12/24/10 518.81 38.9 518.81 491.21
Paulette Schaff F 7/10/40 46755 47- 55- 95 SELFP 12/5/10 12/7/10 411.1 272.2 401.9 790.21
Arthur Schmitt M 1/10/30 46755 50- 82- 88 BCBSH 11/30/10 12/4/10 427.81 412 305.1
Valerie Schoenrock F 11/5/57 46755 58- 84- 26 MCARE 12/29/10 12/31/10 493.92 296.54 466 530.81
Sally Schuld F 12/6/41 46231 38- 78- 59 MCARE 12/4/10 12/7/10 486 599 276.51
Sally Schuld F 12/6/41 46231 38- 78- 59 MCARE 12/23/10 12/26/10 486 599 276.51
Jerry Seckman M 12/27/62 46231 95- 99- 43 MCARE 11/30/10 12/2/10 786.6 512.1 496 250
Vicky Shipley F 5/15/30 46755 47- 87- 35 BCBSH 12/5/10 12/7/10 780.6 496 280.9 780.6
Lisa Stanwood F 9/8/72 46231 82- 33- 95 MCARE 12/11/10 12/18/10 428 707.03 511.9 427.31
Nadine Steinman F 2/18/29 46825 50- 03- 42 MCARE 12/24/10 12/28/10 786.51 585.9 272.4
Gabrielle Stjean F 6/20/46 46231 92- 75- 70 MCAID 11/28/10 12/2/10 428 404.91 491.21 585.9
Kirk Stockton M 12/6/71 46755 90- 37- 47 MCARE 12/23/10 12/27/10 486 518.89 305.1 V16.1
Humberto Swart M 1/3/56 46755 22- 85- 48 BCBSH 11/29/10 12/2/10 486 486 293 290
Walter Swearngin M 1/10/30 46825 42- 30- 20 MCARE 12/19/10 12/21/10 996.62 585.6 250.4 588
Sara Talbott F 2/22/39 46825 02- 59- 45 BCBSH 12/27/10 12/31/10 428 425.4 414.01 530.81
Barry Temples M 4/19/30 46825 50- 72- 39 MCARE 11/26/10 12/1/10 162.9 198.3 197.7 253.6
Wendy Twedt F 5/2/33 46231 36- 07- 01 MCAID 11/30/10 12/4/10 486 276.51 250.4 403.9
Bret Vong M 3/19/31 46231 16- 07- 40 MCARE 12/14/10 12/21/10 401 305 305.9 305.1
Otto Walck M 5/6/49 46825 94- 44- 87 MCARE 12/16/10 12/19/10 435.8 435.8 427.1 427.31
Michael Wallingford M 6/7/76 46231 19- 68- 85 BCBSH 12/25/10 12/27/10 453.41 401.9 530.81 272.4
Andrea Wein F 5/21/28 46231 69- 83- 15 SELFP 11/28/10 12/1/10 518.81 491.21 483.8 276.1
Crysta Weis F 5/27/63 46231 65- 01- 33 BCBSH 12/23/10 12/29/10 428 250 585.9
Karen Welborn F 7/24/68 46825 10- 66- 65 MCARE 11/28/10 12/2/10 786.51 427 427.31
Jose Welter M 3/18/65 46755 82- 57- 90 MCARE 12/21/10 12/23/10 794.31 401.9 250 V45.01
Bertha Wetter F 5/15/30 46231 61- 67- 58 MCARE 11/27/10 12/4/10 410.71 599 411.1 428
Joyce Wilcher F 1/6/68 46231 71- 21- 41 MCARE 12/25/10 12/27/10 428 427.31 401.9 530.81
Ophelia Willits F 7/10/40 46755 87- 37- 45 SELFP 12/17/10 12/24/10 786.59 414.02 401.9 272
Erin Wiltshire F 12/6/41 46755 61- 27- 05 MCARE 11/24/10 12/1/10 420.9 244.9 780.57 V04.81
Rene Winegarden M 3/8/56 46825 72- 66- 37 SELFP 12/3/10 12/7/10 786.59 414.01 292.84 327.23

2010 IPPS 30-day Readmit Rates

Inpatient Prospective Payment Services 30-day Readmission Rates
Core Measure
Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10
Readmits
AMI 5 5 3 5 6 7 4 5 6 5 3

Kelly J. Fast: Kelly J. Fast: Student to fill in for assignment.
CHF 3 8 5 6 7 8 6 5 8 4 3
Pneu 6 9 5 8 9 5 5 4 4 4 4
Total Discharges 133 155 122 125 139 144 133 122 123 130 125
Percentage of Readmits
AMI
CHF
Pneu
401 305 305.9 305.1
427.31 786.59 496 V17.3
785.1 427.31 401.9 496
486 494 515 276.9
410.71 518.81 415.19 453.42
428 785.51 518.81 570
428 427.31 401.9 530.81
518.81 38.9 518.81 491.21
786.59 576.2 577.1 535.3
414.01 401.9 427.31 356.9
447.1 440.4 447.1 441.4
411.1 411.1 401.9 427.31
518.81 491.21 483.8 276.1
428 427.1 414.01 V45.82
411.1 707.12 707.14 428
411.1 272.2 401.9 790.21
427.81 427.31 402.9 530.81
404.91 707.03 410.71 599
428 424 250 496
401 293 780.2 304.3
518.81 491.21 428.1 415
996.62 585.6 403.91 682.3
411.1 530.81 272 724.1
428 438.2 404.91 496
491.21 786.59 401.9 300.01
486 276.1 250.02 414.8
428 599 424.9 412
786.51 427 427.31
427.31 291.81 577.1 491.21