state hospice organization report medicare 2012 hospice utilization 1/30/14 please contact cordt...
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State Hospice Organization ReportMedicare 2012 Hospice Utilization
1/30/14
Please contact Cordt Kassner, PhD, at Hospice Analytics with anyquestions, comments, feedback, or for additional information:
P: 719-209-1237
W: www.HospiceAnalytics.com
Iowa
A Proud Supporter Of
www.HospiceAnalytics.com 2
www.HospiceAnalytics.com 3
2012 Demographics & Hospice Utilization
Iowa National
Population 3,074,186 313,878,238
Total Deaths 28,307 2,512,991
Medicare Beneficiaries 564,438 52,209,911
Medicare Beneficiary Deaths 23,525 2,022,574
Medicare Hospice Beneficiary Admissions17,111
73% of Medicare deaths1,257,735
62% of Medicare deaths
Medicare Hospice Beneficiary Deaths12,951
55.1% of Medicare deaths897,379
44.4% of Medicare deaths
Medicare Hospice Total Days of Care 1,064,790 Days 89,817,308 Days
Medicare Hospice Mean Days / BeneficiaryMedicare Hospice Median Days / Beneficiary
62 Days21 Days
71 Days25 Days
Medicare Hospice Total PaymentsMedicare Hospice Mean Payment / Beneficiary
$161,950,703$9,465
$14,882,743,293$11,842
www.HospiceAnalytics.com 4
Arizon
a 1
Utah 2
Iowa
3
Delaware
4
Florida
5
Oregon
6
Rhode
Islan
d 7
Colorad
o 8
Michiga
n 9
Ohio 1
0
Texas
11
Georgi
a 12
Wiscon
sin 1
3
Nebras
ka 1
4
Kansa
s 15
Idaho
16
Missou
ri 17
South
Carolina
18
Minnes
ota 1
9
New M
exico
20
Louis
iana
21
Nation
al
Illinois
22
Penns
ylvan
ia 23
Oklaho
ma 24
Nevad
a 25
Washin
gton
26
North C
arolina
27
Maine
28
New H
amps
hire
29
Massa
chus
etts
30
Montan
a 31
Alabam
a 32
Conne
cticu
t 33
New Je
rsey
34
Arkans
as 3
5
Californ
ia 36
Indian
a 37
Marylan
d 38
Tenne
ssee
39
Virginia
40
Hawaii
41
West V
irginia
42
Kentuc
ky 4
3
Mississ
ippi 4
4
South
Dakota
45
Distric
t of C
olumbia
46
Vermon
t 47
New York
48
Wyoming
49
North D
akota
50
Alaska
51
0%
10%
20%
30%
40%
50%
60%
70%National:
44.4%IA #3:55.1%
2012 Hospice Utilization(Medicare Hospice Deaths / Total Medicare Deaths)
www.HospiceAnalytics.com 5
Bent
onW
ebst
erC
erro
Gor
doW
orth
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sH
ardi
nG
rund
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eLi
nnPl
ymou
thC
ass
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a Vi
sta
Fran
klin
Mad
ison
Woo
dbur
yLu
cas
Dub
uque
John
son
Brem
erH
umbo
ldt
Way
neC
edar
War
ren
Iow
aD
es M
oine
sJo
nes
Blac
k H
awk
Sac
Gut
hrie
Stor
yBo
one
Audu
bon
Mon
roe
Polk
Pow
eshi
ekTa
ma
Dal
las
Cal
houn
Rin
ggol
dW
right
Mar
ion
Poca
hont
as Ida
Stat
eEm
met
Jasp
erLo
uisa
Chi
ckas
awW
ashi
ngto
nH
anco
ck
0%
10%
20%
30%
40%
50%
60%
70%
80%
72.2
%70
.1%
66.5
%65
.9%
64.4
%63
.6%
63.0
%62
.7%
62.7
%62
.7%
62.6
%62
.3%
61.4
%61
.4%
61.0
%60
.8%
60.5
%59
.7%
59.5
%59
.4%
59.3
%59
.2%
59.2
%59
.1%
59.0
%59
.0%
58.9
%58
.8%
58.7
%58
.6%
58.5
%58
.3%
58.2
%58
.0%
57.9
%57
.6%
57.2
%56
.2%
56.0
%55
.8%
55.7
%55
.6%
55.3
%55
.1%
54.8
%54
.7%
54.7
%54
.4%
54.4
%53
.8%
2012 Hospice Utilization x County – IA (slide 1/2)(Medicare Hospice Deaths / Total Medicare Deaths)
www.HospiceAnalytics.com 6
IA #3:55.1%
Win
neba
goC
raw
ford
Butle
rSc
ott
Uni
onPa
lo A
ltoPo
ttaw
atta
mie
Faye
tteW
apel
loBu
chan
anC
linto
nD
icki
nson
Tayl
orD
avis
Shel
byM
usca
tine
Floy
dH
amilt
onM
ahas
kaSi
oux
Keok
ukD
ecat
urLy
onD
elaw
are
Adai
rM
itche
llW
inne
shie
kJa
ckso
nC
hero
kee
Mar
shal
lO
'Brie
nG
reen
eM
illsN
atio
nal
Jeffe
rson
Mon
ona
Page Le
eC
arro
llH
arris
onC
lay
Koss
uth
Osc
eola
Appa
noos
eH
enry
Cla
yton
Frem
ont
Mon
tgom
ery
Van
Bure
nH
owar
dAl
lam
akee
0%
10%
20%
30%
40%
50%
60%
70%
80%
53.7
%53
.5%
53.1
%53
.1%
53.0
%52
.9%
52.9
%52
.1%
51.9
%51
.7%
51.7
%51
.7%
51.6
%50
.7%
50.6
%50
.2%
49.1
%49
.0%
48.9
%48
.9%
48.7
%48
.1%
48.1
%48
.0%
47.9
%47
.7%
47.4
%47
.1%
46.9
%46
.8%
46.5
%44
.8%
44.8
%44
.4%
43.6
%43
.5%
42.6
%42
.1%
42.0
%42
.0%
41.8
%41
.6%
39.0
%38
.8%
38.6
%38
.5%
38.3
%37
.3%
35.1
%28
.2%
27.9
%
2012 Hospice Utilization x County – IA (slide 2/2)(Medicare Hospice Deaths / Total Medicare Deaths)
www.HospiceAnalytics.com 7
National:44.4%
2012 Medicare Hospice Beneficiary Admissions National= 1,257,735
Californ
ia 1
Florida
2
Texas
3
Penns
ylvan
ia 4
Ohio 5
Michiga
n 6
Illinois
7
New York
8
Georgi
a 9
North C
arolina
10
Arizon
a 11
New Je
rsey
12
Missou
ri 13
Virginia
14
Alabam
a 15
Indian
a 16
Tenne
ssee
17
Massa
chus
etts
18
Wiscon
sin 1
9
South
Carolina
20
Washin
gton
21
Louis
iana
22
Minnes
ota 2
3
Oklaho
ma 24
Oregon
25
Colorad
o 26
Marylan
d 27
Iowa
28
Kentuc
ky 2
9
Mississ
ippi 3
0
Arkans
as 3
1
Kansa
s 32
Conne
cticu
t 33
Utah 3
4
Nevad
a 35
West V
irginia
36
New M
exico
37
Nebras
ka 3
8
Idaho
39
Maine
40
Rhode
Islan
d 41
New H
amps
hire
42
Delaware
43
Hawaii
44
Montan
a 45
South
Dakota
46
Vermon
t 47
North D
akota
48
Distric
t of C
olumbia
49
Wyoming
50
Alaska
51
0
20,000
40,000
60,000
80,000
100,000
120,000IA #28:17,111
www.HospiceAnalytics.com 8
2012 Medicare Total Days of Hospice Care National= 89,817,308 Days
Californ
ia 1
Texas
3
Penns
ylvan
ia 5
Michiga
n 7
Illinois
9
New York
11
South
Carolina
13
New Je
rsey
15
Wiscon
sin 1
7
Massa
chus
etts
19
Louis
iana
21
Washin
gton
23
Mississ
ippi 2
5
Oregon
27
Marylan
d 29
Utah 3
1
Arkans
as 3
3
New M
exico
35
Conne
cticu
t 37
Nebras
ka 3
9
Maine
41
New H
amps
hire
43
Hawaii
45
Distric
t of C
olumbia
47
North D
akota
49
Alaska
51
0
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
8,000,000IA #28:
1,064,790
www.HospiceAnalytics.com 9
Alabam
a 1
South
Carolina
2
Mississ
ippi
3
Oklaho
ma 4
Idaho
5
Delaware
6
Georgi
a 7
Utah 8
Arizon
a 9
Nevad
a 10
Texas
11
Louis
iana
12
New M
exico
13
Missou
ri 14
Distric
t of C
olumbia
15
Colorad
o 16
Ohio 1
7
North C
arolina
18
Florida
19
Californ
ia 20
Nation
al
West V
irginia
21
Wiscon
sin 2
2
Virginia
23
Penns
ylvan
ia 24
Kansa
s 25
Massa
chus
etts
26
Tenne
ssee
27
Montan
a 28
New Je
rsey
29
Indian
a 30
Michiga
n 31
Rhode
Islan
d 32
Arkans
as 3
3
Hawaii
34
Maine
35
Iowa
36
Minnes
ota 3
7
Illinois
38
Vermon
t 39
New H
amps
hire
40
Kentuc
ky 4
1
Nebras
ka 4
2
Washin
gton
43
Oregon
44
Marylan
d 45
Wyoming
46
New York
47
North D
akota
48
Alaska
49
Conne
cticu
t 50
South
Dakota
51
-
10
20
30
40
50
60
70
80
90
100
2012 Medicare HospiceMean Days of Care / Beneficiary
IA #36:62
National:71
www.HospiceAnalytics.com 10
Alabam
a 1
Idaho
2
South
Carolina
3
Utah 4
Mississ
ippi
5
Delaware
6
Arizon
a 7
Oklaho
ma 8
Georgi
a 9
Nevad
a 10
New M
exico
11
Colorad
o 12
Louis
iana
13
Missou
ri 14
Distric
t of C
olumbia
15
Texas
16
Montan
a 17
North C
arolina
18
Californ
ia 19
Massa
chus
etts
20
West V
irginia
21
Oregon
22
Virginia
23
Wiscon
sin 2
4
Nation
al
Kansa
s 25
Maine
26
Minnes
ota 2
7
Vermon
t 28
Washin
gton
29
New H
amps
hire
30
Ohio 3
1
Penns
ylvan
ia 32
Hawaii
33
Tenne
ssee
34
Florida
35
Indian
a 36
Iowa
37
Nebras
ka 3
8
North D
akota
39
New Je
rsey
40
Wyoming
41
Alaska
42
Kentuc
ky 4
3
Michiga
n 44
Arkans
as 4
5
Marylan
d 46
New York
47
Illinois
48
Rhode
Islan
d 49
South
Dakota
50
Conne
cticu
t 51
-
5
10
15
20
25
30
35
40
45
2012 Medicare HospiceMedian Days of Care / Beneficiary
National:24
IA #37:21
www.HospiceAnalytics.com 11
2012 Total Medicare Hospice Payments National= $14,882,743,293
Cal
iforn
ia
1Fl
orid
a 2
Texa
s 3
Ohi
o 4
Penn
sylv
ania
5
Geo
rgia
6
Ariz
ona
7M
ichi
gan
8Ill
inoi
s 9
New
Yor
k 1
0N
orth
Car
olin
a 1
1N
ew J
erse
y 1
2So
uth
Car
olin
a 1
3Al
abam
a 1
4M
isso
uri
15M
assa
chus
etts
16
Virg
inia
17
Wis
cons
in 1
8Te
nnes
see
19
Indi
ana
20
Loui
sian
a 2
1O
klah
oma
22
Was
hing
ton
23
Col
orad
o 2
4M
inne
sota
25
Ore
gon
26
Mis
siss
ippi
27
Mar
ylan
d 2
8Io
wa
29
Nev
ada
30
Kent
ucky
31
Uta
h 3
2Ar
kans
as 3
3Ka
nsas
34
Con
nect
icut
35
New
Mex
ico
36
Wes
t Virg
inia
37
Idah
o 3
8D
elaw
are
39
Neb
rask
a 4
0M
aine
41
Rho
de Is
land
42
New
Ham
pshi
re 4
3H
awai
i 44
Mon
tana
45
Dis
trict
of C
olum
bia
46
Sout
h D
akot
a 4
7Ve
rmon
t 48
Nor
th D
akot
a 4
9W
yom
ing
50
Alas
ka 5
1
$0
$200,000,000
$400,000,000
$600,000,000
$800,000,000
$1,000,000,000
$1,200,000,000
$1,400,000,000
$1,600,000,000 IA #29:$161,590,703
www.HospiceAnalytics.com 12
2012 Mean Medicare Hospice Payments / Beneficiary
Nev
ada
1Ar
izon
a 2
Del
awar
e 3
Cal
iforn
ia
4So
uth
Car
olin
a 5
Geo
rgia
6
Flor
ida
7U
tah
8D
istri
ct o
f Col
umbi
a 9
Alab
ama
10
Idah
o 1
1Te
xas
12
Mis
siss
ippi
13
Col
orad
o 1
4O
klah
oma
15
New
Mex
ico
16
Loui
sian
a 1
7M
assa
chus
etts
18
Nat
iona
l
Ohi
o 1
9N
orth
Car
olin
a 2
0N
ew J
erse
y 2
1R
hode
Isla
nd 2
2W
isco
nsin
23
Haw
aii
24M
isso
uri
25Pe
nnsy
lvan
ia 2
6Vi
rgin
ia 2
7Ill
inoi
s 2
8W
ashi
ngto
n 2
9W
est V
irgin
ia 3
0N
ew Y
ork
31
New
Ham
pshi
re 3
2C
onne
ctic
ut 3
3Ka
nsas
34
Min
neso
ta 3
5M
ichi
gan
36
Mai
ne 3
7Te
nnes
see
38
Ore
gon
39
Mar
ylan
d 4
0In
dian
a 4
1Ve
rmon
t 42
Arka
nsas
43
Mon
tana
44
Iow
a 4
5Ke
ntuc
ky 4
6N
ebra
ska
47
Alas
ka 4
8W
yom
ing
49
Sout
h D
akot
a 5
0N
orth
Dak
ota
51
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000 IA #45:$9,465
National:$11,842
www.HospiceAnalytics.com 13
2012 Medicare Hospice BeneficiariesTop Six ICD-9 PRIMARY Diagnoses (out of 19 categories)
Compare: Iowa Compare: National0%
20%
40%
60%
80%
100%
27% 29%
19% 18%
12% 12%
8%10%
11%9%
7%9%
15% 12%
All Others
Nervous
Respiratory
Mental
Ill-defined
Circulatory
Cancers
www.HospiceAnalytics.com 14
2012 Medicare Hospice BeneficiariesStatus at Discharge
Compare: Iowa Compare: National0%
20%
40%
60%
80%
100%
88.9% 87.0%
11.1% 13.0%
DC Alive
DC Deceased
Note: Not including beneficiaries still on service. www.HospiceAnalytics.com 15
2012 Medicare Hospice BeneficiariesRace
Compare: Iowa Compare: National0%5%
10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%
100%
98%
88%
1%
8%
0%2%
0% 1%0% 0%0% 1%
Other
North Amer Native
Asian
Hispanic
Black
White
www.HospiceAnalytics.com 16
2012 Medicare Hospice BeneficiariesLevels of Care (days)
Compare: Iowa Compare: National90%
92%
94%
96%
98%
100%
97.8%97.5%
1.7%1.9%
0.5%0.3%
0.0%0.4%
Cont. Home Care
Respite Care
General Inpt
Routine Home Care
www.HospiceAnalytics.com 17
2012 Medicare Hospice BeneficiariesLocations of Care (days)
Compare: Iowa Compare: National0%
20%
40%
60%
80%
100%
37%
57%
53%
24%
7%17%
1% 1%2% 1%
All Other Settings
Inpatient Hospice
Assisted Living Facility
Skilled / Non-Skill Nrsng Fac
Home
www.HospiceAnalytics.com 18
Thank you
* Review the new National Hospice Locator at www.HospiceAnalytics.com –
geo-maps and detailed information on every known hospice in the United States!
Please contact Cordt Kassner, PhD, at Hospice Analytics with anyquestions, comments, feedback, or for additional information:
P: 719-209-1237
W: www.HospiceAnalytics.com
www.HospiceAnalytics.com 19