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

        • 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.