Hospital Care Intensity Index, Last Two Years of Life, by Component
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    (Click a region name to the left to view its profile)
    Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming National Average 90th Percentile 50th Percentile 10th Percentile
    Hospital Care Intensity Index, Last Two Years of Life, by Component
    (Component: Overall Index; Year: 2014; Region Levels: State)
    0.98 0.70 0.95 0.90 1.13 0.70 1.07 1.03 1.10 1.25 0.91 0.92 0.51 1.11 0.91 0.70 0.82 1.02 1.02 0.67 1.01 0.95 1.05 0.66 0.97 0.89 0.57 0.79 1.23 0.75 1.45 0.72 1.35 0.80 0.69 0.95 0.85 0.54 1.07 0.88 0.88 0.71 0.92 1.09 0.49 0.65 0.93 0.65 1.01 0.73 0.67 1.00 1.13 0.91 0.65
        • FOOTNOTES:
        • The HCI is based on two variables: the number of days patients spent in the hospital and the number of physician encounters (visits) they experienced as inpatients. It is computed as the age-sex-race-illness standardized ratio of patient days and visits. For each variable, the ratio of a given hospital’s utilization rate to the national average was calculated, and these two ratios were averaged to create the index.

        • 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.

        • 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.