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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)
    Wyoming 11.2
    North Dakota 12.3
    New York 12.4
    Alaska 12.9
    South Dakota 13.7
    Vermont 15.5
    Kentucky 16.2
    Connecticut 16.9
    Montana 18.8
    Maryland 19.0
    Hawaii 19.3
    New Jersey 19.6
    Illinois 19.7
    Tennessee 20.1
    Washington 20.2
    Arkansas 20.3
    New Hampshire 20.5
    District of Columbia 20.7
    California 20.8
    West Virginia 20.9
    Maine 21.1
    Massachusetts 21.4
    Pennsylvania 21.8
    Nebraska 22.2
    Indiana 22.2
    Virginia 22.4
    Iowa 22.4
    Nevada 23.1
    Kansas 23.2
    Rhode Island 23.2
    Minnesota 23.5
    North Carolina 24.0
    Oregon 24.9
    Michigan 25.1
    Colorado 25.2
    Mississippi 25.4
    Missouri 25.7
    Florida 25.9
    Wisconsin 26.4
    New Mexico 26.5
    Ohio 26.9
    Delaware 27.1
    Louisiana 27.9
    Oklahoma 29.0
    Texas 29.1
    Idaho 30.6
    Alabama 31.2
    Georgia 31.2
    Arizona 32.2
    South Carolina 33.0
    Utah 36.0
    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.