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Percent of Medicare Decedents Enrolled in Hospice within Three Days of Death
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    Region
    (Click a region name
    below to view its profile)
    Percent of Medicare Decedents Enrolled in Hospice within Three Days of Death
    (Year: 2012; Region Levels: State)
    Alaska 8.1%
    Vermont 8.8%
    Wyoming 9.3%
    North Dakota 9.6%
    New York 11.0%
    Kentucky 12.8%
    South Dakota 12.9%
    District of Columbia 13.0%
    Idaho 13.2%
    Montana 13.7%
    West Virginia 13.7%
    Washington 14.2%
    California 14.3%
    Alabama 14.4%
    Massachusetts 14.5%
    Tennessee 14.5%
    Maine 14.6%
    Virginia 14.6%
    Minnesota 14.7%
    Mississippi 14.8%
    Hawaii 14.8%
    New Hampshire 15.0%
    Maryland 15.9%
    Oregon 16.0%
    Missouri 16.0%
    Wisconsin 16.0%
    Nebraska 16.1%
    North Carolina 16.4%
    Indiana 16.6%
    Kansas 16.8%
    South Carolina 16.8%
    Pennsylvania 16.9%
    Oklahoma 17.0%
    New Jersey 17.2%
    Connecticut 17.4%
    Nevada 17.4%
    Louisiana 17.4%
    New Mexico 17.4%
    Arkansas 17.6%
    Illinois 18.2%
    Colorado 18.7%
    Georgia 19.3%
    Texas 19.3%
    Utah 19.9%
    Ohio 20.0%
    Delaware 20.0%
    Michigan 20.1%
    Iowa 20.5%
    Rhode Island 20.8%
    Arizona 21.0%
    Florida 22.1%
    National Average 16.8%
    90th Percentile 20.0%
    50th Percentile 16.0%
    10th Percentile 12.8%
        • DENOMINATOR DEFINITION:
        • The denominator for this measure comprised all Medicare beneficiaries who died between the ages of 66 and 99 during 2012. Beneficiaries without continuous Part A and B coverage in the last six months of life or who were enrolled in risk-bearing HMOs were excluded.

        • NUMERATOR DEFINITION:
        • Among the decedents indicated in the denominator, late initiation of hospice service (within three or fewer days of death) was determined using the Hospice file. Rates were adjusted for age, sex, and race using the indirect method.

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare decedent population as the standard. Gender-specific rates are age and race adjusted; race-specific rates are age and sex adjusted.




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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.