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)
    Wyoming 8.5
    Wisconsin 10.6
    West Virginia 9.8
    Washington 9.3
    Virginia 9.5
    Vermont 8.3
    Utah 11.1
    Texas 9.9
    Tennessee 9.1
    South Dakota 9.4
    South Carolina 10.8
    Rhode Island 9.4
    Pennsylvania 8.9
    Oregon 11.3
    Oklahoma 10.2
    Ohio 10.6
    North Dakota 8.0
    North Carolina 10.8
    New York 7.1
    New Mexico 9.2
    New Jersey 8.2
    New Hampshire 9.5
    Nevada 8.4
    Nebraska 8.8
    Montana 10.1
    Missouri 10.0
    Mississippi 10.0
    Minnesota 10.9
    Michigan 9.7
    Massachusetts 8.8
    Maryland 9.1
    Maine 9.8
    Louisiana 10.3
    Kentucky 9.3
    Kansas 10.0
    Iowa 12.1
    Indiana 8.9
    Illinois 8.9
    Idaho 10.4
    Hawaii 10.5
    Georgia 11.2
    Florida 10.6
    District of Columbia 8.9
    Delaware 11.4
    Connecticut 7.9
    Colorado 11.2
    California 8.2
    Arkansas 9.6
    Arizona 11.3
    Alaska 4.9
    Alabama 10.4
    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.