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)
    Wyoming 16.6
    Wisconsin 17.1
    West Virginia 17.5
    Washington 17.3
    Virginia 19.3
    Vermont 18.8
    Utah 17.1
    Texas 21.6
    Tennessee 23.7
    South Dakota 16.8
    South Carolina 17.7
    Rhode Island 23.7
    Pennsylvania 22.4
    Oregon 11.7
    Oklahoma 16.9
    Ohio 23.8
    North Dakota 13.7
    North Carolina 19.0
    New York 21.2
    New Mexico 15.7
    New Jersey 25.6
    New Hampshire 21.8
    Nevada 16.6
    Nebraska 19.9
    Montana 13.5
    Missouri 19.5
    Mississippi 19.7
    Minnesota 15.8
    Michigan 19.8
    Massachusetts 24.0
    Maryland 20.7
    Maine 16.0
    Louisiana 20.0
    Kentucky 22.2
    Kansas 18.5
    Iowa 15.0
    Indiana 26.6
    Illinois 25.7
    Idaho 15.6
    Hawaii 11.6
    Georgia 16.4
    Florida 22.3
    District of Columbia 18.9
    Delaware 21.1
    Connecticut 25.0
    Colorado 17.9
    California 20.4
    Arkansas 18.1
    Arizona 13.4
    Alaska 4.8
    Alabama 16.5
    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.