Scenario: Penmen General Hospital has joined a new value-based care
Scenario: Penmen General Hospital has joined a new value-based care contract. One of the cost-reduction initiatives related to the contract is focused on avoidable hospitalizations related to the flu. You have been asked by the primary care group for support with this contract. Penmen General Hospital has compiled a data set on all flu-related hospitalizations from last year. This data set is accessible through your course projects. Penmen General Hospital has set a new goal of 90% flu vaccinations rate for high-risk adults in an effort to reduce the costs related to those hospitalizations and improve the health outcomes of the high-risk adults. This goal is part of a larger initiative to reduce avoidable hospitalizations by making sure high-risk patients get the flu vaccine. Based on last year’s hospitalization metrics, it could mean avoiding many preventable hospitalizations and deaths among your patient group. Penmen General Hospital will benefit financially through their value-based care contract by reducing the overall costs of care for their high-risk patients and by scoring well in the metric related to vaccination rate for high-risk adults. Value of Population Health: Describe how healthcare systems impact various populations differently and the value of population health management. Select Project Scenario: Describe which project scenario you will use in Project One, Project Two, and Project Three and why you selected it. Population: Describe the population from your selected project scenario that will be analyzed in Project One, Project Two, and Project Three. Average Total Cost Calculations: Regardless of your project scenario selection, use the knee-replacement data from the Project Data Set to calculate the average total cost for patients with diabetes, patients who had at least one hospital readmission, and patients who had zero follow-up meetings with the surgeon. Project Data Initial Observations: Review the provided data for your chosen scenario and state your initial observations, such as an interesting potential relationship between variables. Consider the following guiding questions (relevant to your chosen scenario) in your response: For the knee-replacement data, how does the average total cost vary based on the number of follow-up meetings with the surgeon? For the knee-replacement data, how does the average total cost vary based on the number of hospital readmissions? For the flu data, how does the average total cost vary for patients with a BMI in the 40s versus patients with a BMI in the 20s? For the flu data, how does the average total cost vary by patients with a primary language of English versus patients with a primary language of Spanish? Gaps in Care: Describe potential social determinants of health and areas for potential improvement for your selected population based on your initial observation of the provided data. Knowledge and Wisdom in Data: Discuss how you plan to transform the data in the Project Data Set into information, knowledge, and wisdom based on the data-information-knowledge-wisdom (DIKW) model. Patient ID Age Sex at birth Gender Ethnicity/Race Primary Language Distance Transportation Primary Diagnosis Risk for flu Comorbidity Psych Diagnosis BMI Hosp. Cost # of ED Visits ED Visit/s Cost Re-Hosp. 1 Cost Re-Hosp. 2 Cost # Days at SNF (Skilled Nursing Facility/Rehab) SNF (Skilled Nursing Facility/Rehab) Discharge Dispo. Total Cost 23192 35 Female Female White or Caucasian English <5 miles Private vehicle Influenza High Risk for complications Diabetes Yes 26 $11,643 0 $0 $2,144 $0 0 $0 Home-Self Care $13,787 23193 45 Male Female Black or African American Other 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 43 $12,455 2 $1,849 $8,462 $6,752 0 $0 Deceased $29,518 23194 62 Female Female Hispanic or Latino English 5-10 miles Private vehicle Influenza Average Risk for complications Asthma No 24 $8,922 0 $0 $0 $0 15 $4,221 SNF $13,143 23195 23 Male Male White or Caucasian English <5 miles Walk Influenza Average Risk for complications none Yes 27 $9,625 2 $1,922 $0 $0 0 $0 Home-Self Care $11,547 23196 58 Male Male Black or African American English 20-40 miles Private vehicle Influenza High Risk for complications Diabetes Unknown 19 $11,546 0 $0 $8,465 $7,622 19 $5,203 Other $32,836 23197 6 Female Female Asian English <5 miles Walk Influenza High Risk for complications Heart Disease Yes 18 $15,624 0 $0 $0 $0 15 $4,177 SNF $19,801 23198 84 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications none No 16 $9,631 0 $0 $0 $0 0 $0 Home-Self Care $9,631 23199 67 Male Male Black or African American English 10-20 miles Private vehicle Influenza High Risk for complications Heart Disease Yes 24 $10,739 0 $0 $6,792 $6,752 0 $0 Other $24,283 23200 78 Male Prefer not to state White or Caucasian English <5 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease Yes 32 $14,635 0 $0 $0 $0 14 $3,876 Home-Self Care $18,511 23201 61 Male Male White or Caucasian English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 40 $10,962 1 $1,432 $9,782 $0 0 $0 Home-Self Care $22,176 23202 44 Female Female Asian English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 43 $13,462 0 $0 $6,754 $12,682 19 $5,355 Other $38,253 23203 85 Female Female White or Caucasian English <5 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes Yes 18 $12,543 0 $0 $11,683 $6,789 0 $0 Deceased $31,015 23204 28 Female Female Hispanic or Latino English 5-10 miles Private vehicle Influenza Average Risk for complications none Yes 25 $9,623 0 $0 $0 $0 0 $0 Home-Self Care $9,623 23205 68 Male Male Black or African American English 20-40 miles Private vehicle Influenza High Risk for complications Heart Disease Yes 18 $11,836 0 $0 $8,741 $8,633 0 $0 Home-Self Care $29,210 23206 42 Male Non-binary White or Caucasian English 20-40 miles Private vehicle Influenza High Risk for complications COPD Yes 22 $9,823 2 $1,866 $12,362 $0 20 $5,466 SNF $29,517 23207 53 Female Female Native Hawaiian English >40 miles Private vehicle Influenza High Risk for complications Diabetes No 40 $12,428 0 $0 $0 $0 0 $0 Home-Self Care $12,428 23208 62 Female Female Hispanic or Latino Spanish 10-20 miles Private vehicle Influenza High Risk for complications Asthma No 44 $12,073 0 $0 $8,222 $7,845 12 $3,411 Home-Self Care $31,551 23209 57 Female Female White or Caucasian English 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease No 28 $13,376 0 $0 $0 $0 0 $0 Home-Self Care $13,376 23210 63 Female Non-binary Hispanic or Latino Spanish 10-20 miles Walk Influenza High Risk for complications Heart Disease No 45 $10,516 1 $1,211 $7,833 $7,110 0 $0 Home-Self Care $26,670 23211 59 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza Average Risk for complications none No 44 $13,637 0 $0 $0 $0 0 $0 Home-Self Care $13,637 23212 65 Female Female Hispanic or Latino Spanish >40 miles Private vehicle Influenza High Risk for complications Diabetes Yes 40 $11,966 0 $0 $7,523 $9,111 28 $7,611 Home-Self Care $36,211 23213 63 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD No 43 $15,409 0 $0 $0 $0 0 $0 Home-Self Care $15,409 23214 22 Female Non-binary American Indian or Alaska Native English <5 miles Private vehicle Influenza High Risk for complications Asthma No 36 $12,019 0 $0 $5,486 $0 0 $0 Home-Self Care $17,505 23215 73 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications Diabetes Yes 34 $13,941 0 $0 $5,692 $7,234 0 $0 Home-Self Care $26,867 23216 58 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications COPD No 35 $15,638 0 $0 $3,451 $0 17 $4,544 SNF $23,633 23217 94 Female Female Hispanic or Latino Spanish 10-20 miles Private vehicle Influenza High Risk for complications Diabetes Yes 40 $14,308 0 $0 $9,211 $8,112 0 $0 Home-Self Care $31,631 23218 92 Female Female White or Caucasian English 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 31 $12,027 1 $1,122 $0 $0 0 $0 Home-Self Care $13,149 23219 39 Female Female White or Caucasian Other 10-20 miles Private vehicle Influenza High Risk for complications Asthma Yes 37 $13,385 0 $0 $5,466 $0 0 $0 Home-Self Care $18,851 23220 72 Female Female White or Caucasian English 10-20 miles Walk Influenza High Risk for complications COPD No 36 $13,967 2 $1,954 $0 $0 20 $5,549 SNF $21,470 23221 26 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza Average Risk for complications other No 34 $9,548 1 $1,121 $3,321 $5,411 0 $0 Home-Self Care $19,401 23222 21 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications Asthma No 35 $12,369 0 $0 $6,782 $0 0 $0 Home-Self Care $19,151 23223 33 Female Female Hispanic or Latino Spanish <5 miles Private vehicle Influenza High Risk for complications Diabetes Yes 44 $10,671 0 $0 $11,981 $9,835 0 $0 Home-Self Care $32,487 23224 18 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza Average Risk for complications none No 32 $12,501 0 $0 $0 $0 0 $0 Home-Self Care $12,501 23225 89 Female Female Hispanic or Latino Spanish 10-20 miles Private vehicle Influenza High Risk for complications Heart Disease No 34 $15,585 0 $0 $10,231 $7,851 0 $0 Home-Self Care $33,667 23226 64 Female Prefer not to state Black or African American English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease No 33 $13,534 0 $0 $0 $0 0 $0 Home-Self Care $13,534 23227 8 Female Prefer not to state Prefer not to state French >40 miles Private vehicle Influenza High Risk for complications Asthma No 20 $8,639 0 $0 $0 $0 0 $0 Home-Self Care $8,639 23228 57 Female Female Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza Average Risk for complications COPD Yes 21 $9,947 0 $0 $8,490 $10,421 8 $2,323 SNF $31,181 23229 20 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications Asthma No 36 $13,063 0 $0 $4,690 $0 0 $0 Home-Self Care $17,753 23230 35 Female Female Asian Other 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 26 $11,148 0 $0 $9,351 $7,938 0 $0 Home-Self Care $28,437 23231 51 Female Prefer not to state White or Caucasian English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD Yes 39 $9,128 0 $0 $4,095 $0 0 $0 Home-Self Care $13,223 23232 27 Female Female Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Asthma No 42 $14,333 0 $0 $4,644 $0 0 $0 Home-Self Care $18,977 23233 41 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD Yes 38 $9,477 0 $0 $4,847 $0 0 $0 Home-Self Care $14,324 23234 63 Female Female White or Caucasian English >40 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 32 $11,922 0 $0 $4,666 $0 0 $0 Home-Self Care $16,588 23235 70 Female Female Black or African American English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease No 31 $10,250 0 $0 $0 $0 19 $5,217 SNF $15,467 23236 43 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 29 $15,284 0 $0 $0 $0 0 $0 Home-Self Care $15,284 23237 16 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications Asthma No 36 $12,329 0 $0 $4,549 $0 0 $0 Home-Self Care $16,878 23238 68 Female Prefer not to state Hispanic or Latino Spanish <5 miles Private vehicle Influenza High Risk for complications Diabetes Yes 30 $10,117 0 $0 $11,662 $8,640 0 $0 Home-Self Care $30,419 23239 61 Female Female Asian English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 24 $13,117 0 $0 $0 $0 0 $0 Home-Self Care $13,117 23240 62 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 37 $8,524 0 $0 $0 $0 0 $0 Home-Self Care $8,524 23241 37 Female Female White or Caucasian French >40 miles Private vehicle Influenza High Risk for complications COPD No 33 $9,308 0 $0 $0 $0 0 $0 Home-Self Care $9,308 23242 23 Female Female White or Caucasian Other 10-20 miles Private vehicle Influenza Average Risk for complications none No 36 $8,836 0 $0 $4,973 $0 0 $0 Home-Self Care $13,809 23243 71 Female Female American Indian or Alaska Native English <5 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 29 $14,896 0 $0 $0 $0 10 $2,811 SNF $17,707 23244 51 Female Prefer not to state White or Caucasian English 20-40 miles Private vehicle Influenza High Risk for complications COPD No 31 $12,120 0 $0 $0 $0 0 $0 Home-Self Care $12,120 23245 54 Female Female Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 45 $8,677 0 $0 $7,873 $6,586 0 $0 Home-Self Care $23,136 23246 67 Female Female Black or African American English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 32 $15,196 0 $0 $0 $0 0 $0 Home-Self Care $15,196 23247 88 Female Non-binary White or Caucasian Other 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 25 $15,462 0 $0 $0 $0 0 $0 Home-Self Care $15,462 23248 36 Female Female Asian English <5 miles Rideshare-Taxi-Bus Influenza Average Risk for complications none No 19 $14,144 0 $0 $0 $0 0 $0 Home-Self Care $14,144 23249 55 Female Female Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 44 $15,287 0 $0 $9,873 $11,115 0 $0 Home-Self Care $36,275 23250 95 Female Prefer not to state Black or African American English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease Yes 35 $15,666 0 $0 $0 $0 0 $0 Home-Self Care $15,666 23251 55 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza Average Risk for complications none No 44 $13,324 0 $0 $4,685 $0 0 $0 Home-Self Care $18,009 23252 65 Female Female Hispanic or Latino Spanish >40 miles Private vehicle Influenza High Risk for complications Diabetes Yes 39 $10,829 0 $0 $10,456 $8,548 0 $0 Home-Self Care $29,833 23253 94 Female Female White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications Heart Disease No 23 $11,886 0 $0 $0 $0 0 $0 Home-Self Care $11,886 23254 42 Female Female White or Caucasian English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 27 $15,735 0 $0 $0 $0 0 $0 Home-Self Care $15,735 23255 56 Female Non-binary White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications other No 26 $13,324 0 $0 $0 $0 0 $0 Home-Self Care $13,324 23256 90 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD Yes 23 $11,490 0 $0 $0 $0 17 $4,598 SNF $16,088 23257 21 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Asthma No 22 $9,209 0 $0 $0 $0 0 $0 Home-Self Care $9,209 23258 61 Female Female White or Caucasian French 10-20 miles Private vehicle Influenza High Risk for complications other Yes 23 $9,571 0 $0 $0 $0 0 $0 Home-Self Care $9,571 23259 69 Female Female Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 43 $9,564 0 $0 $8,484 $6,708 0 $0 Home-Self Care $24,756 23260 59 Female Female White or Caucasian English <5 miles Walk Influenza High Risk for complications COPD No 24 $12,769 0 $0 $0 $0 0 $0 Home-Self Care $12,769 23261 22 Female Female White or Caucasian English 5-10 miles Private vehicle Influenza Average Risk for complications other Yes 35 $11,812 0 $0 $0 $0 0 $0 Home-Self Care $11,812 23262 63 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza Average Risk for complications none No 29 $11,770 0 $0 $0 $0 0 $0 Home-Self Care $11,770 23263 67 Male Male Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 33 $10,741 0 $0 $4,862 $7,843 0 $0 Home-Self Care $23,446 23264 78 Male Male Hispanic or Latino Spanish >40 miles Private vehicle Influenza High Risk for complications COPD No 24 $9,227 0 $0 $7,774 $0 21 $5,699 SNF $22,700 23265 45 Male Male Black or African American English 5-10 miles Private vehicle Influenza Average Risk for complications Diabetes No 36 $8,744 0 $0 $7,822 $9,577 0 $0 Home-Self Care $26,143 23266 51 Male Prefer not to state White or Caucasian Other 10-20 miles Private vehicle Influenza High Risk for complications Heart Disease No 29 $10,884 0 $0 $0 $0 0 $0 Home-Self Care $10,884 23267 44 Male Male Asian English 10-20 miles Private vehicle Influenza Average Risk for complications none No 20 $11,312 0 $0 $0 $0 0 $0 Home-Self Care $11,312 23268 67 Male Male Hispanic or Latino Spanish 10-20 miles Private vehicle Influenza High Risk for complications other No 43 $15,322 0 $0 $11,549 $8,806 0 $0 Home-Self Care $35,677 23269 14 Male Male White or Caucasian English 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications Asthma No 25 $15,575 0 $0 $0 $0 0 $0 Home-Self Care $15,575 23270 93 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD No 22 $15,023 0 $0 $0 $0 0 $0 Home-Self Care $15,023 23271 59 Male Male Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza Average Risk for complications other Yes 38 $9,320 0 $0 $7,135 $11,727 0 $0 Home-Self Care $28,182 23272 36 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 39 $11,582 0 $0 $10,605 $0 0 $0 Home-Self Care $22,187 23273 22 Male Male White or Caucasian English >40 miles Private vehicle Influenza High Risk for complications Asthma No 29 $8,975 0 $0 $0 $0 0 $0 Home-Self Care $8,975 23274 94 Male Male White or Caucasian English 20-40 miles Private vehicle Influenza High Risk for complications COPD No 36 $11,062 0 $0 $3,971 $0 0 $0 Home-Self Care $15,033 23275 50 Male Male White or Caucasian English 5-10 miles Rideshare-Taxi-Bus Influenza Average Risk for complications other No 35 $9,413 0 $0 $4,114 $0 11 $3,121 SNF $16,648 23276 80 Male Male White or Caucasian English <5 miles Rideshare-Taxi-Bus Influenza Average Risk for complications none No 24 $14,147 0 $0 $0 $0 0 $0 Home-Self Care $14,147 23277 31 Male Male White or Caucasian English 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease Yes 22 $14,071 0 $0 $0 $0 0 $0 Home-Self Care $14,071 23278 85 Male Male Hispanic or Latino Spanish 10-20 miles Private vehicle Influenza High Risk for complications Diabetes No 25 $14,777 1 $1,432 $9,943 $8,951 0 $0 Deceased $35,103 23279 40 Male Male Black or African American English 10-20 miles Private vehicle Influenza High Risk for complications Diabetes No 29 $15,993 0 $0 $7,511 $8,797 0 $0 Home-Self Care $32,301 23280 63 Male Prefer not to state White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 31 $12,402 0 $0 $11,512 $9,136 0 $0 Home-Self Care $33,050 23281 68 Male Male Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 24 $12,222 0 $0 $10,816 $9,399 0 $0 Home-Self Care $32,437 23282 43 Male Non-binary White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD No 21 $10,586 0 $0 $0 $0 0 $0 Home-Self Care $10,586 23283 42 Male Male White or Caucasian English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 24 $9,037 0 $0 $0 $0 0 $0 Home-Self Care $9,037 23284 78 Male Male White or Caucasian Other 20-40 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease No 24 $13,487 0 $0 $0 $0 0 $0 Home-Self Care $13,487 23285 13 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Asthma No 37 $12,565 0 $0 $4,237 $0 0 $0 Home-Self Care $16,802 23286 15 Male Male American Indian or Alaska Native French 10-20 miles Private vehicle Influenza High Risk for complications Asthma No 25 $9,540 0 $0 $0 $0 0 $0 Home-Self Care $9,540 23287 12 Male Prefer not to state White or Caucasian English >40 miles Private vehicle Influenza High Risk for complications Asthma Yes 35 $9,552 0 $0 $4,817 $0 20 $5,411 SNF $19,780 23288 71 Male Male Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 19 $11,124 0 $0 $11,577 $0 0 $0 Home-Self Care $22,701 23289 67 Male Male White or Caucasian French 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 20 $11,262 0 $0 $0 $0 0 $0 Home-Self Care $11,262 23290 74 Male Male White or Caucasian French 5-10 miles Private vehicle Influenza High Risk for complications COPD No 19 $9,419 0 $0 $0 $0 0 $0 Home-Self Care $9,419 23291 91 Male Male White or Caucasian English 10-20 miles Private vehicle Influenza High Risk for complications COPD No 38 $10,412 0 $0 $3,989 $0 0 $0 Home-Self Care $14,401 23292 61 Male Male Native Hawaiian Other 5-10 miles Private vehicle Influenza High Risk for complications Heart Disease No 20 $14,877 0 $0 $0 $0 0 $0 Home-Self Care $14,877 23293 49 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Diabetes No 43 $15,190 0 $0 $7,736 $0 0 $0 Home-Self Care $22,926 23294 47 Male Prefer not to state Native Hawaiian English 20-40 miles Private vehicle Influenza Average Risk for complications other No 24 $14,032 0 $0 $0 $0 0 $0 Home-Self Care $14,032 23295 9 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications Asthma No 40 $11,947 0 $0 $4,725 $0 0 $0 Home-Self Care $16,672 23296 32 Male Male White or Caucasian French 5-10 miles Rideshare-Taxi-Bus Influenza Average Risk for complications none No 40 $11,768 0 $0 $0 $0 0 $0 Home-Self Care $11,768 23297 67 Male Male Hispanic or Latino Spanish 5-10 miles Private vehicle Influenza High Risk for complications COPD Yes 36 $12,630 0 $0 $4,249 $0 12 $3,399 SNF $20,278 23298 90 Male Male White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD No 21 $12,324 0 $0 $0 $0 0 $0 Home-Self Care $12,324 23299 47 Male Male White or Caucasian English 5-10 miles Walk Influenza High Risk for complications Heart Disease No 44 $13,043 0 $0 $4,207 $0 0 $0 Home-Self Care $17,250 23300 62 Male Male American Indian or Alaska Native Other 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Heart Disease No 34 $10,710 0 $0 $0 $0 0 $0 Home-Self Care $10,710 23301 77 Male Male Black or African American English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 35 $13,437 0 $0 $4,582 $0 0 $0 Home-Self Care $18,019 23302 79 Male Male Other Pacific Islander English 10-20 miles Private vehicle Influenza High Risk for complications COPD No 19 $13,454 0 $0 $0 $0 0 $0 Home-Self Care $13,454 23303 52 Male Male Hispanic or Latino Spanish >40 miles Private vehicle Influenza High Risk for complications Diabetes No 25 $9,294 0 $0 $7,305 $7,643 0 $0 Home-Self Care $24,242 23304 51 Male Male White or Caucasian English 20-40 miles Rideshare-Taxi-Bus Influenza Average Risk for complications none No 20 $12,614 0 $0 $0 $0 0 $0 Home-Self Care $12,614 23305 76 Male Non-binary White or Caucasian English 5-10 miles Private vehicle Influenza High Risk for complications COPD Yes 27 $9,085 0 $0 $0 $0 0 $0 Home-Self Care $9,085 23306 18 Male Male Black or African American English <5 miles Private vehicle Influenza Average Risk for complications other Yes 43 $14,318 0 $0 $4,564 $0 0 $0 Home-Self Care $18,882 23307 95 Male Male Hispanic or Latino Spanish 10-20 miles Rideshare-Taxi-Bus Influenza High Risk for complications COPD No 22 $13,747 2 $2,311 $11,231 $9,833 0 $0 Deceased $37,122 23308 26 Male Non-binary White or Caucasian French 5-10 miles Private vehicle Influenza High Risk for complications Asthma No 39 $8,592 0 $0 $0 $0 14 $3,987 SNF $12,579 23309 76 Male Male Black or African American English 5-10 miles Rideshare-Taxi-Bus Influenza High Risk for complications Diabetes No 38 $9,457 0 $0 $11,258 $6,609 0 $0 Home-Self Care $27,324 23310 55 Male Prefer not to state White or Caucasian English 20-40 miles Private vehicle Influenza High Risk for complications COPD No 33 $13,785 0 $0 $0 $0 0 $0 Home-Self Care $13,785 23311 42 Male Male Asian English >40 miles Private vehicle Influenza High Risk for complications COPD Yes 21 $14,038 0 $0 $4,550 $0 0 $0 Home-Self Care $18,588 23312 18 Male Male White or Caucasian English <5 miles Rideshare-Taxi-Bus Influenza High Risk for complications Asthma No 42 $15,948 0 $0 $4,670 $0 0 $0 Home-Self Care $20,618
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