The Dartmouth Atlas of Health Care – Care of Chronically Ill Patients during the Last Two Years of Life – (2017)
We have developed a “drill-down” strategy that uses an index to locate states, regions, and hospitals according to their propensity to rely on the acute care hospital in managing chronic illness. We call this metric the hospital care intensity index, or HCI. It reflects both the amount of time spent in hospital and the intensity of physician services delivered in the hospital.
Resource: Tracking the Care of Patients with Severe Chronic Illness: The Dartmouth Atlas of Health Care. John Wennberg, Elliott Fisher, David Goodman and Jonathan Skinner (2008)
Hospital Care Intensity 2017 – by HRR
More information on Hospital Referral Regions (HRR)