Percent of Decedents Enrolled In Hospice during the Last Six Months of Life
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    (Click a region name
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    Percent of Decedents Enrolled In Hospice during the Last Six Months of Life
    (Year: 2014; Region Levels: State)
    North Dakota 30.7%
    Alaska 32.2%
    Wyoming 32.4%
    New York 33.4%
    Vermont 37.0%
    South Dakota 39.7%
    Kentucky 43.4%
    Montana 44.1%
    District of Columbia 44.9%
    West Virginia 45.1%
    Hawaii 45.7%
    Tennessee 45.7%
    Washington 47.0%
    Massachusetts 47.1%
    California 47.4%
    New Jersey 47.8%
    Connecticut 48.1%
    New Hampshire 48.1%
    Virginia 48.8%
    Maryland 49.3%
    Maine 50.0%
    Nevada 50.1%
    Mississippi 50.3%
    Nebraska 50.5%
    Indiana 50.6%
    Minnesota 50.6%
    Pennsylvania 50.8%
    Illinois 52.0%
    Idaho 52.5%
    North Carolina 53.1%
    Kansas 53.2%
    Missouri 53.6%
    Arkansas 53.7%
    New Mexico 53.9%
    Wisconsin 54.7%
    Alabama 54.8%
    Colorado 55.2%
    Louisiana 55.4%
    Oklahoma 56.1%
    Oregon 57.0%
    Michigan 57.2%
    Iowa 58.3%
    Texas 58.5%
    South Carolina 58.5%
    Rhode Island 59.2%
    Ohio 59.5%
    Georgia 60.1%
    Florida 61.2%
    Delaware 61.6%
    Utah 65.5%
    Arizona 65.8%
    National Average 52.0%
    90th Percentile 60.1%
    50th Percentile 50.6%
    10th Percentile 37.0%
        • 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.

        • Number of beneficiaries with one or more claims in the Hospice file.

        • 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.