Percent of Cancer Patients Hospitalized during the Last Month of Life
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    (Click a region name
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    Percent of Cancer Patients Hospitalized during the Last Month of Life
    (Year: 2012; Region Levels: State)
    Hawaii 52.9%
    Minnesota 53.9%
    Utah 54.9%
    Vermont 55.2%
    Oregon 55.2%
    Idaho 55.2%
    Iowa 56.0%
    Maine 56.2%
    Colorado 56.5%
    Montana 56.8%
    Wyoming 57.0%
    Wisconsin 57.1%
    Arizona 58.1%
    New Hampshire 58.2%
    Kansas 58.3%
    South Dakota 58.4%
    Delaware 58.4%
    North Dakota 58.5%
    Nebraska 58.5%
    Washington 59.2%
    North Carolina 59.6%
    Alaska 60.1%
    South Carolina 60.1%
    Georgia 60.6%
    Massachusetts 60.6%
    New Mexico 61.0%
    Ohio 61.0%
    Oklahoma 61.4%
    Louisiana 61.4%
    Missouri 61.8%
    Alabama 61.9%
    Indiana 62.1%
    Virginia 62.1%
    Texas 62.2%
    Florida 62.6%
    Kentucky 62.6%
    Mississippi 62.6%
    Connecticut 62.6%
    Pennsylvania 62.8%
    District of Columbia 62.8%
    Rhode Island 63.1%
    West Virginia 63.3%
    Arkansas 63.5%
    Maryland 63.7%
    Michigan 63.8%
    Tennessee 64.3%
    California 64.3%
    Illinois 64.4%
    New York 64.7%
    Nevada 65.3%
    New Jersey 66.2%
    National Average 61.6%
    90th Percentile 64.3%
    50th Percentile 61.0%
    10th Percentile 55.2%
        • 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.