Percent of Medicare Decedents Enrolled in Hospice within Three Days of Death
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    (Click a region name
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    Percent of Medicare Decedents Enrolled in Hospice within Three Days of Death
    (Year: 2012; Region Levels: State)
    Florida 22.1%
    Arizona 21.0%
    Rhode Island 20.8%
    Iowa 20.5%
    Michigan 20.1%
    Delaware 20.0%
    Ohio 20.0%
    Utah 19.9%
    Texas 19.3%
    Georgia 19.3%
    Colorado 18.7%
    Illinois 18.2%
    Arkansas 17.6%
    New Mexico 17.4%
    Louisiana 17.4%
    Nevada 17.4%
    Connecticut 17.4%
    New Jersey 17.2%
    Oklahoma 17.0%
    Pennsylvania 16.9%
    South Carolina 16.8%
    Kansas 16.8%
    Indiana 16.6%
    North Carolina 16.4%
    Nebraska 16.1%
    Wisconsin 16.0%
    Missouri 16.0%
    Oregon 16.0%
    Maryland 15.9%
    New Hampshire 15.0%
    Hawaii 14.8%
    Mississippi 14.8%
    Minnesota 14.7%
    Virginia 14.6%
    Maine 14.6%
    Tennessee 14.5%
    Massachusetts 14.5%
    Alabama 14.4%
    California 14.3%
    Washington 14.2%
    West Virginia 13.7%
    Montana 13.7%
    Idaho 13.2%
    District of Columbia 13.0%
    South Dakota 12.9%
    Kentucky 12.8%
    New York 11.0%
    North Dakota 9.6%
    Wyoming 9.3%
    Vermont 8.8%
    Alaska 8.1%
    National Average 16.8%
    90th Percentile 20.0%
    50th Percentile 16.0%
    10th Percentile 12.8%
        • 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.

        • 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.