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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)
    Alabama 14.4%
    Alaska 8.1%
    Arizona 21.0%
    Arkansas 17.6%
    California 14.3%
    Colorado 18.7%
    Connecticut 17.4%
    Delaware 20.0%
    District of Columbia 13.0%
    Florida 22.1%
    Georgia 19.3%
    Hawaii 14.8%
    Idaho 13.2%
    Illinois 18.2%
    Indiana 16.6%
    Iowa 20.5%
    Kansas 16.8%
    Kentucky 12.8%
    Louisiana 17.4%
    Maine 14.6%
    Maryland 15.9%
    Massachusetts 14.5%
    Michigan 20.1%
    Minnesota 14.7%
    Mississippi 14.8%
    Missouri 16.0%
    Montana 13.7%
    Nebraska 16.1%
    Nevada 17.4%
    New Hampshire 15.0%
    New Jersey 17.2%
    New Mexico 17.4%
    New York 11.0%
    North Carolina 16.4%
    North Dakota 9.6%
    Ohio 20.0%
    Oklahoma 17.0%
    Oregon 16.0%
    Pennsylvania 16.9%
    Rhode Island 20.8%
    South Carolina 16.8%
    South Dakota 12.9%
    Tennessee 14.5%
    Texas 19.3%
    Utah 19.9%
    Vermont 8.8%
    Virginia 14.6%
    Washington 14.2%
    West Virginia 13.7%
    Wisconsin 16.0%
    Wyoming 9.3%
    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.


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