SNF Days per Decedent, by Interval Before Death
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    (Click a region name
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    SNF Days per Decedent, by Interval Before Death
    (Interval Before Death: Last Two Years of Life; Year: 2014; Region Levels: State)
    Alabama 16.5
    Alaska 4.8
    Arizona 13.4
    Arkansas 18.1
    California 20.4
    Colorado 17.9
    Connecticut 25.0
    Delaware 21.1
    District of Columbia 18.9
    Florida 22.3
    Georgia 16.4
    Hawaii 11.6
    Idaho 15.6
    Illinois 25.7
    Indiana 26.6
    Iowa 15.0
    Kansas 18.5
    Kentucky 22.2
    Louisiana 20.0
    Maine 16.0
    Maryland 20.7
    Massachusetts 24.0
    Michigan 19.8
    Minnesota 15.8
    Mississippi 19.7
    Missouri 19.5
    Montana 13.5
    Nebraska 19.9
    Nevada 16.6
    New Hampshire 21.8
    New Jersey 25.6
    New Mexico 15.7
    New York 21.2
    North Carolina 19.0
    North Dakota 13.7
    Ohio 23.8
    Oklahoma 16.9
    Oregon 11.7
    Pennsylvania 22.4
    Rhode Island 23.7
    South Carolina 17.7
    South Dakota 16.8
    Tennessee 23.7
    Texas 21.6
    Utah 17.1
    Vermont 18.8
    Virginia 19.3
    Washington 17.3
    West Virginia 17.5
    Wisconsin 17.1
    Wyoming 16.6
    National Average 20.6
    90th Percentile 24.0
    50th Percentile 18.8
    10th Percentile 13.5
        • 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.

        • Skilled nursing facility utilization days from claims in the MedPAR file. SNF stays are determined using the variable SSLSSNF = N: SNF STAY, where digit 3 of the provider code = 5 or 6 (SNF facilities) OR short-stay hospitals where SPCLUNIT = U,W,Y,Z (swing beds in short-stay hospitals).

        • 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.