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Inpatient Days per Decedent, by Interval Before Death and Level of Care Intensity
(Interval Before Death: Last Six Months of Life; Level of Care Intensity: Overall; Year: 2014)
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    • YEAR:
    • Interval Before Death:
    • Level of Care Intensity:
    • Region Type:

      • DENOMINATOR DEFINITION:
      • Click here to read about changes in methods between the 2001-05 and 2003-07 analyses. The study population includes beneficiaries with one of nine chronic conditions who were enrolled in traditional (fee-for-service) Medicare and died during the measurement period. To allow for two years of follow-back for all patients, the population is restricted to those whose age on the date of death was 67 to 99 years, and to those having full Part A and Part B entitlement throughout the last two years of life. Persons enrolled in managed care organizations were excluded from the analysis. For the hospital-specific analyses, patients had to be hospitalized for chronic illness at least once during their last two years of life to be included. For regional analyses, all patients diagnosed with a chronic illness were included.

      • NUMERATOR DEFINITION:
      • Any inpatient days within the interval before the death date in the MedPAR file. For stays that began prior to the designated period before the death date, only the portion of the event that occurred within the window is used. ICU days are determined by the following indicators in the MedPAR claim: ICARECNT (intensive care day count), CRNRYDAY (coronary care day count). ICU days are further designated as "high-intensity" and "intermediate-intensity" using the Inpatient file according to the proportion of each ICU stay (revenue center codes 0200-0219) that is intermediate-intensity (revenue center codes 0206, 0214) and high-intensity (0200-0205, 0207-0213, 0215-0219).

      • ADJUSTMENTS:
      • Rates are adjusted for age, sex, race, primary chronic condition, and the presence of more than one chronic condition using ordinary least squares regression.




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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.