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Hospice Days per Decedent during the Last Six Months of Life
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    Region
    (Click a region name
    below to view its profile)
    Hospice Days per Decedent during the Last Six Months of Life
    (Year: 2014; Region Levels: State)
    Alabama 31.2
    Alaska 12.9
    Arizona 32.2
    Arkansas 20.3
    California 20.8
    Colorado 25.2
    Connecticut 16.9
    Delaware 27.1
    District of Columbia 20.7
    Florida 25.9
    Georgia 31.2
    Hawaii 19.3
    Idaho 30.6
    Illinois 19.7
    Indiana 22.2
    Iowa 22.4
    Kansas 23.2
    Kentucky 16.2
    Louisiana 27.9
    Maine 21.1
    Maryland 19.0
    Massachusetts 21.4
    Michigan 25.1
    Minnesota 23.5
    Mississippi 25.4
    Missouri 25.7
    Montana 18.8
    Nebraska 22.2
    Nevada 23.1
    New Hampshire 20.5
    New Jersey 19.6
    New Mexico 26.5
    New York 12.4
    North Carolina 24.0
    North Dakota 12.3
    Ohio 26.9
    Oklahoma 29.0
    Oregon 24.9
    Pennsylvania 21.8
    Rhode Island 23.2
    South Carolina 33.0
    South Dakota 13.7
    Tennessee 20.1
    Texas 29.1
    Utah 36.0
    Vermont 15.5
    Virginia 22.4
    Washington 20.2
    West Virginia 20.9
    Wisconsin 26.4
    Wyoming 11.2
    National Average 23.3
    90th Percentile 31.2
    50th Percentile 22.4
    10th Percentile 13.7
        • DENOMINATOR DEFINITION:
        • 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.

        • NUMERATOR DEFINITION:
        • Hospice utilization days from claims in the Hospice file.

        • 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.