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