Hospice Days per Cancer Patient during the Last Month of Life
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    Hospice Days per Cancer Patient during the Last Month of Life
    (Year: 2012; Region Levels: State)
    Alabama 10.4
    Alaska 4.9
    Arizona 11.3
    Arkansas 9.6
    California 8.2
    Colorado 11.2
    Connecticut 7.9
    Delaware 11.4
    District of Columbia 8.9
    Florida 10.6
    Georgia 11.2
    Hawaii 10.5
    Idaho 10.4
    Illinois 8.9
    Indiana 8.9
    Iowa 12.1
    Kansas 10.0
    Kentucky 9.3
    Louisiana 10.3
    Maine 9.8
    Maryland 9.1
    Massachusetts 8.8
    Michigan 9.7
    Minnesota 10.9
    Mississippi 10.0
    Missouri 10.0
    Montana 10.1
    Nebraska 8.8
    Nevada 8.4
    New Hampshire 9.5
    New Jersey 8.2
    New Mexico 9.2
    New York 7.1
    North Carolina 10.8
    North Dakota 8.0
    Ohio 10.6
    Oklahoma 10.2
    Oregon 11.3
    Pennsylvania 8.9
    Rhode Island 9.4
    South Carolina 10.8
    South Dakota 9.4
    Tennessee 9.1
    Texas 9.9
    Utah 11.1
    Vermont 8.3
    Virginia 9.5
    Washington 9.3
    West Virginia 9.8
    Wisconsin 10.6
    Wyoming 8.5
    National Average 9.4
    90th Percentile 11.2
    50th Percentile 9.7
    10th Percentile 8.2
        • We identified a 20% sample of all Medicare beneficiaries who died between the ages of 66 and 99 years during the period 2003-07. Data for 2010-12 are based on a 100% sample of claims. We excluded beneficiaries without continuous Part A and Part B coverage in the last six months of life or who were enrolled in Medicare health maintenance organizations (i.e., Medicare Advantage). From these decedents, we identified those with poor prognosis cancer diagnoses on at least one hospital claim or at least two clinician visits in the last six months of life. We then categorized decedents into one of 26 cancer types based on their predominant cancer diagnosis using a modified Clinical Classification Software (CCS) approach; please see the Methods of our cancer report for details.

        • ADJUSTMENTS:
        • Although all of these patients died of serious cancer, groups of patients across hospitals or regions may have differed by other characteristics such as the composition of age, sex or race. All rates are adjusted with the following patient level characteristics: age, race (black/non-black), sex, cancer type, and non-cancer chronic conditions.


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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.