In Partnership with: The ONLY Hospice report including Hospital, SNF & Home Health Info!

Texas & New Mexico 2011 State Hospice Organization Report

2009 Medicare Data1/19/11

In Partnership with:

The ONLY Hospice report including Hospital, SNF &

Home Health Info!

This is a State Hospice Organization Report completed for the Texas & New Mexico Hospice Organization.

This report is created from the most current 100% publically available data files from CMS, U.S. Census, CDC, and others. It is organized by county-specific information followed service area (i.e., all requested counties), state, and national aggregated information.

Medicare Data Year= 2009.

Questions or comments, please contact:Hospice Analytics, Inc.Cordt T. Kassner, PhD, Principal2355 Rossmere StreetColorado Springs, CO 80919P: 719-209-1237E: [email protected]: www.HospiceAnalytics.com

Texas & New Mexico Hospice Organization2011 State Hospice Organization Report (2009 Medicare Data)

Texas & New Mexico Hospice Organization 2

Suggestions on applying information in this report:1. Understand current trends regarding access to and utilization of hospice

services in your area – and how that compares to state and national trends.

2. How can access to and utilization of hospice services be strengthened in your area and across your state?

3. Using this information, is it possible to identify target populations as a starting place (e.g., target specific diagnoses with low hospice utilization, or outreach to hospital or skilled nursing facility providers caring for dying patients, etc.)?

4. Identify areas of high hospice access and utilization in your state (or perhaps a nearby state) – what can be learned from them? How might partnerships be formed and best practices shared? How can your state hospice organization help?

5. How might this information be used in statewide advocacy, regulatory, and education efforts?

6. What other questions do you have? How can information in the Medicare claims data, cost reports, etc., help provide an evidence-base for decision-making? How can your state hospice organization help?

Texas & New Mexico Hospice Organization 2011 State Hospice Organization Report (2009 Medicare Data)


Report Sections:

1. State Information2. Who Was Missed?3. County Information4. National Information5. Hospitals, SNFs, and HHAs


Texas New Mexico

Population 24,782,302 2,009,671

Total Deaths163,758

0.7% of population15,562

0.8% of population

Medicare Beneficiaries 3,051,891 318,375

Medicare Beneficiary Deaths121,653

74% of total deaths11,619

75% of total deaths

Medicare Hospice Patient Admissions79,557

49% of total deaths65% of Medicare deaths

7,78550% of total deaths

67% of Medicare deaths

Medicare Hospice Patient Deaths53,114

32% of total deaths43.7% of Medicare deaths


42.5% of Medicare deaths

2009 Demographics & Hospice Utilization


Thro

ckm

orto

nG

lassc

ock

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ullen

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phill

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cher

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acke

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rong

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and

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ithBr

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ithEc

tor

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oyd

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itaTo

m G

reen

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allCa

stro

McL

enna

nEa

stlan

dSw

isher

Trav

isG

regg

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%77

.8%

75.0

%75

.0%

74.1

%73

.1%

71.7

%68

.8%

68.8

%65

.9%

65.6

%64

.3%

63.9

%63

.3%

62.7

%62

.5%

62.0

%61

.5%

60.9

%60

.0%

59.5

%59

.1%

58.6

%58

.4%

58.3

%57

.9%

57.8

%57

.6%

57.1

%56

.8%

56.7

%56

.3%

55.6

%55

.2%

54.9

%54

.5%

53.9

%53

.9%

53.8

%53

.2%

52.6

%52

.6%

52.6

%52

.5%

52.3

%52

.3%

52.1

%51

.7%

51.7

%51

.7%

51.4

%

Texas County-Level Hospice Utilization Top 50 Counties (slide 1 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths


Clay

Daws

onCa

llaha

nCo

keTa

rrant

Band

era

Kerr

Step

hens

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alBo

rden

Robe

rtsUp

shur

Mon

tgom

ery

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elsTi

tus

Hard

inG

oliad

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erso

nCo

ryell

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ward

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rson

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llG

arza

Park

erRu

skCh

erok

eeG

aines

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nley

Rains Le

eM

ason

Med

inaEr

ath

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tteM

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och

War

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lkFr

eest

one

Jack

Jack

son

Child

ress

Mila

m

43.0%

44.0%

45.0%

46.0%

47.0%

48.0%

49.0%

50.0%

51.0%

52.0%51

.4%

51.4

%51

.3%

51.2

%51

.2%

51.1

%51

.1%

51.1

%50

.9%

50.0

%50

.0%

49.8

%49

.6%

49.5

%49

.5%

49.5

%49

.1%

49.1

%49

.0%

48.9

%48

.9%

48.9

%48

.8%

48.7

%48

.6%

48.4

%48

.4%

48.1

%48

.1%

48.1

%48

.0%

48.0

%47

.9%

47.8

%47

.7%

47.6

%47

.6%

47.5

%47

.5%

47.5

%47

.3%

47.3

%47

.3%

47.1

%47

.0%

46.9

%46

.8%

46.3

%46

.2%

46.1

%

Texas County-Level Hospice Utilization Counties 51-100 (slide 2 of 5) Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths


Mor

risHo

ckley

Van

Zand

tJa

sper

Blan

coKa

ufm

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stro

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rang

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rays

onPa

nola

Lubb

ock

Hard

eman

Caldw

ellCa

rson

Mills

Limes

tone

Terry

Burn

etCo

llinCo

ttle

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onJe

ffers

onHa

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n Sa

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alker

Harri

son

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kett

Schle

icher

Dalla

sJo

nes

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rton

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wall

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onDi

cken

sBr

azor

ia Hill

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ellNo

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ton

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ueCo

lorad

oW

illacy

Lam

pasa

sKa

rnes

Cham

bers

Fann

inM

atag

orda

Yoak

umSa

n Pa

tricio

Naco

gdoc

hes37.0%

38.0%

39.0%

40.0%

41.0%

42.0%

43.0%

44.0%

45.0%

46.0%

47.0%45

.8%

45.7

%45

.6%

45.5

%45

.3%

45.2

%45

.1%

45.0

%44

.9%

44.9

%44

.6%

44.2

%44

.1%

44.0

%44

.0%

43.9

%43

.9%

43.9

%43

.8%

43.8

%43

.7%

43.7

%43

.6%

43.5

%43

.5%

43.5

%43

.5%

43.5

%43

.3%

43.2

%43

.2%

43.1

%42

.9%

42.9

%42

.8%

42.3

%42

.1%

42.1

%42

.1%

42.0

%41

.9%

41.8

%41

.5%

41.3

%41

.2%

41.0

%40

.7%

40.4

%40

.4%

40.4

%



Galv

esto

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ashin

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ood

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inkler

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ionAn

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a32.0%

33.0%

34.0%

35.0%

36.0%

37.0%

38.0%

39.0%

40.0%

41.0%40

.3%

40.1

%40

.0%

40.0

%40

.0%

39.8

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.7%

39.6

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.6%

39.4

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.3%

39.2

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.0%

39.0

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.8%

38.8

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.7%

38.6

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.5%

38.3

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.3%

38.2

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.2%

38.2

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.0%

38.0

%37

.9%

37.7

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.7%

37.7

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.7%

37.6

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.5%

37.5

%37

.4%

37.4

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.2%

37.1

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.9%

36.9

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.8%

36.5

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.4%

36.4

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.8%

35.7

%35

.7%

35.6

%35

.4%

35.4

%



Refu

gioAu

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zales

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ooks

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agan

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ving0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%35

.2%

35.2

%35

.1%

35.0

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.7%

34.6

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.6%

34.5

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.4%

34.4

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34.0

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.3%

33.3

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32.1

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31.0

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.0%

30.4

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29.4

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28.8

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28.1

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.0%

27.8

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27.6

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.9%

25.4

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.0%

25.0

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.5%

23.3

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22.5

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21.0

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.0%

21.0

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.0%

20.0

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.7%

15.8

%15

.6%

14.7

%14

.2%

9.3%

1.3%

0.0%

0.0%

0.0%


Perhaps billing errors


Sant

a Fe

Sand

oval

Bern

alillo

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nce

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cia

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es

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nt

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la

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ro

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y

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dalup

e

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a

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el

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ra

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os

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Juan

Hard

ing

McK

inley

Taos

Colfa

x0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%53

.6%

53.4

%

52.2

%

51.9

%

51.5

%

50.0

%

49.7

%

47.7

%

47.4

%

45.2

%

43.5

%

41.8

%

38.5

%

36.3

%

36.2

%

36.2

%

35.6

%

34.6

%

34.1

%

31.5

%

31.5

%

28.9

%

25.2

%

22.6

%

22.6

%

20.3

%

19.4

%

19.0

%

16.9

%

14.3

%

12.7

%

12.6

%

6.3%

New Mexico County-Level Hospice Utilization All 33 Counties Hospice Utilization= Medicare Hospice Deaths / Medicare Total Deaths

Perhaps billing errors


Arizon

a 1

Utah 2

Florida

3

Delaware

4

Iowa

5

Oregon

6

Colorad

o 7

Rhode

Islan

d 8

Michiga

n 9

Kansa

s 10

Ohio 1

1

Texas

12

Georgi

a 13

New M

exico

14

Nebras

ka 1

5

Nevad

a 16

Wiscon

sin 1

7

Idaho

18

Missou

ri 19

Minnes

ota 2

0

Nation

al

Washin

gton

21

Penns

lyvan

ia 22

Illinois

23

South

Carolina

24

New Je

rsey

25

New H

amsh

ire 2

6

North C

arolina

27

Maine

28

Louis

iana

29

Alabam

a 30

Massa

chus

etts

31

Californ

ia 32

Conne

cticu

t 33

Indian

a 34

Oklaho

ma 35

Tenne

ssee

36

Marylan

d 37

Montan

a 38

Virginia

39

West V

irginia

40

Arkans

as 4

1

Kentuc

ky 4

2

South

Dakota

43

Mississ

ippi 4

4

Hawaii

45

Distric

t of C

olumbia

46

North D

akota

47

Vermon

t 48

New York

49

Wyoming

50

Alaska

51

0%

10%

20%

30%

40%

50%

60%TX #12:43.7%

National:39.6%

NM #14:42.5%

2009 Hospice Utilization(Medicare Hospice Deaths / Total Medicare Deaths)


2009 Total Hospice PatientsNational= 1,079,676

Florida

1

Californ

ia 2

Texas

3

Penns

ylvan

ia 4

Ohio 5

Michiga

n 6

Illinois

7

New York

8

North C

arolina

9

Georgi

a 10

Arizon

a 11

New Je

rsey

12

Missou

ri 13

Alabam

a 14

Virginia

15

Indian

a 16

Tenne

ssee

17

Massa

chus

etts

18

Wiscon

sin 1

9

South

Carolina

20

Washin

gton

21

Oklaho

ma 22

Louis

iana

23

Oregon

24

Minnes

ota 2

5

Colorad

o 26

Iowa

27

Marylan

d 28

Mississ

ippi 2

9

Kentuc

ky 3

0

Kansa

s 31

Arkans

as 3

2

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

Delaware

42

New H

amps

hire

43

Montan

a 44

Hawaii

45

South

Dakota

46

North D

akota

47

Vermon

t 48

Distric

t of C

olumbia

49

Wyoming

50

Alaska

51

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000TX #3:79,557


NM #37:7,875

2009 Total Days of Hospice CareNational= 76,724,901 Days

Florida

1

Californ

ia 3

Ohio 5

Michiga

n 7

Arizon

a 9

Illinois

11

Missou

ri 13

Oklaho

ma 15

Virginia

17

Indian

a 19

Wiscon

sin 2

1

Massa

chus

etts

23

Colorad

o 25

Oregon

27

Kansa

s 29

Marylan

d 31

Arkans

as 3

3

West V

irginia

35

Nevad

a 37

Delaware

39

Rhode

Islan

d 41

New H

amps

hire

43

Hawaii

45

North D

akota

47

Vermon

t 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

8,000,000TX #2:

6,391,782


NM #34:677,755

Mississ

ippi

1

Alabam

a 3

Delaware

5

South

Carolina

7

Louis

iana

9

Texas

11

Missou

ri 13

Florida

15

North C

arolina

17

Nation

al

Rhode

Islan

d 20

Tenne

ssee

22

Ohio 2

4

Indian

a 26

New Je

rsey

28

Maine

30

Iowa

32

Montan

a 34

Kentuc

ky 3

6

Michiga

n 38

New H

amps

hire

40

Oregon

42

South

Dakota

44

Washin

gton

46

Marylan

d 48

Alaska

50

-

20

40

60

80

100

120

2009 Mean Days / Patient of Hospice Care

TX #11:80

National:71


NM #6:87

Mississ

ippi

1

Utah 3

Delaware

5

South

Carolina

7

Arizon

a 9

Georgi

a 11

Missou

ri 13

Texas

15

West V

irginia

17

Montan

a 19

Colorad

o 21

New H

amps

hire

23

Nation

al

Maine

26

Vermon

t 28

Florida

30

North D

akota

32

Tenne

ssee

34

Nevad

a 36

Rhode

Islan

d 38

Kentuc

ky 4

0

Hawaii

42

New Je

rsey

44

Alaska

46

New York

48

Illinois

50

-

10

20

30

40

50

60

2009 Median Days / Patient of Hospice Care

National:24

TX #15:27


NM #8:36

2009 Total Medicare Hospice PaymentsNational= $12,064,905,206

Flor

ida

1C

alifo

rnia

2

Texa

s 3

Penn

sylv

ania

4

Ohi

o 5

Ariz

ona

6G

eorg

ia

7Ill

inoi

s 8

Mic

higa

n 9

New

Yor

k 1

0N

orth

Car

olin

a 1

1N

ew J

erse

y 1

2Al

abam

a 1

3M

isso

uri

14So

uth

Car

olin

a 1

5O

klah

oma

16

Virg

inia

17

Mas

sach

uset

ts 1

8Te

nnes

see

19

Indi

ana

20

Wis

cons

in 2

1Lo

uisi

ana

22

Was

hing

ton

23

Mis

siss

ippi

24

Col

orad

o 2

5O

rego

n 2

6M

inne

sota

27

Iow

a 2

8M

aryl

and

29

Kent

ucky

30

Kans

as 3

1U

tah

32

Con

nect

icut

33

Arka

nsas

34

New

Mex

ico

35

Nev

ada

36

Wes

t Virg

inia

37

Del

awar

e 3

8Id

aho

39

Rho

de Is

land

40

Neb

rask

a 4

1M

aine

42

New

Ham

pshi

re 4

3M

onta

na 4

4H

awai

i 45

Sout

h D

akot

a 4

6D

istri

ct o

f Col

umbi

a 4

7N

orth

Dak

ota

48

Verm

ont

49W

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

$1,400,000,000NM #35

$100,104,518


TX #3$954,727,454

2009 Mean Medicare Hospice Payments / Patient

Del

awar

e 1

Ariz

ona

2M

issi

ssip

pi

3U

tah

4Fl

orid

a 5

Alab

ama

6So

uth

Car

olin

a 7

Okl

ahom

a 8

New

Mex

ico

9G

eorg

ia 1

0Te

xas

11

Rho

de Is

land

12

Cal

iforn

ia 1

3N

evad

a 1

4D

istri

ct o

f Col

umbi

a 1

5C

olor

ado

16

Idah

o 1

7Lo

uisi

ana

18

New

Jer

sey

19

Nor

th C

arol

ina

20

Nat

iona

l

Ohi

o 2

1W

isco

nsin

22

Mas

sach

uset

ts 2

3M

isso

uri

24Vi

rgin

ia 2

5Pe

nnsy

lvan

ia 2

6W

est V

irgin

ia 2

7Ka

nsas

28

Tenn

esse

e 2

9M

aine

30

Indi

ana

31

New

Ham

pshi

re 3

2Ill

inoi

s 3

3W

ashi

ngto

n 3

4C

onne

ctic

ut 3

5N

ew Y

ork

36

Haw

aii

37O

rego

n 3

8M

inne

sota

39

Mic

higa

n 4

0Ar

kans

as 4

1Io

wa

42

Kent

ucky

43

Wyo

min

g 4

4M

aryl

and

45

Verm

ont

46M

onta

na 4

7Al

aska

48

Sout

h D

akot

a 4

9N

ebra

ska

50

Nor

th D

akot

a 5

1$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000National:$11,175

TX #11:$12,001


NM #9:$12,859

Wyoming

1

New York

3

Distric

t of C

olumbia

5

South

Dakota

7

Conne

cticu

t 9

Minnes

ota 1

1

Massa

chus

etts

13

North D

akota

15

Washin

gton

17

New Je

rsey

19

Californ

ia 21

Illinois

23

North C

arolina

25

Indian

a 27

Oregon

29

Rhode

Islan

d 30

Penns

ylvan

ia 32

Michiga

n 34

Louis

iana

36

Florida

38

Delaware

40

Idaho

42

South

Carolina

44

Arizon

a 46

Mississ

ippi 4

8

Alabam

a 50

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Percent NoPercent Yes

2009 Medicare Hospice Percent Cancer Diagnosis National= 32% Cancer; TX= 27% (#45); NM= 26% (#47)


Compare: Texas Compare: New Mexico Compare: National 0%

20%

40%

60%

80%

100%

57,711 5,760743,180

21,846 2,025347,682

CancerNon-Cancer

2009 Patients Cancer / Non-Cancer



20%

40%

60%

80%

100%

21,8462,025

344,811

20,780

2,542

301,000

11,3241,340

152,457

8,8151,335 142,144

10,6491,014 137,457

6,149 1,008 134,995

Ill-definedNervousRespiratoryMentalCirculatoryCancers

2009 Top 6 ICD-9 Diagnostic Categories (out of 19)



20%

40%

60%

80%

100%

53,114 4,943758,473

9,694 1,217131,389

16,749 1,625 201,000

Still PTDC AliveDC Deceased

2009 Patient Status at Discharge



20%

40%

60%

80%

100%

4,735 381 56,208

6,896 579 89,957

8,357771 109,316

11,8921,166 155,716

15,6851,520 216,582

31,992 3,368 463,083

>8480-8475-7970-7464-69<64

2009 Patients in Age Categories



20%

40%

60%

80%

100%

31,646 3,155 439,903

47,911 4,630 650,959

FemaleMale

2009 Patients by Sex



85%

90%

95%

100%

67,210

6,736960,848

6,802

118

87,651

4,228

674

20,126

490

17

8,618123

154

3,503583 71 8,343

OtherNorth American NativeAsianHispanicBlackWhite

2009 Patients by Race



88%

90%

92%

94%

96%

98%

100%

6,229,903 662,28775,313,071

96,6379,422

1,590,715

11,1251,583 165,40127,895 57 170,279

Cont. Home CareRespite CareGeneral InptRoutine Home Care

2009 Patients by Level of Care (days)



10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

3,676,004412,669 45,887,608

2,047,53482,572 14,701,238

672,313

112,1789,361,433

549,13146,286 8,509,253

212,641

11,404

3,529,112

All Other SettingsInpatient HospiceSNFAssisted Living FacilityLTC Facility / Non-SNFHome

2009 Location of Care (new in 2007)



20%

40%

60%

80%

100%

2,718,073 246,32429,766,570

2,172,190 183,67628,754,434

306,815 36,368 4,622,109

78,292 8,531 1,223,418

Physician and NPSocial ServicesSkilled NursingHospice Aide

2009 Visits by Discipline (new in 2008)


Please refer to the Excel spreadsheet enclosed with this report for additional information.

Also, additional detailed county-level information is available through Market Reports for your hospice provider members.

Additional Information


Report Sections:



This section highlights what information is available for Medicare beneficiaries who died outside of hospice care.

Who was missed?That is, who died without hospice care?


County-Specific InformationMedicare

Beneficiaries

Medicare Beneficiaries

Who Died


Who DiedWith Hospice


Who DiedWithout Hospice

Compare: Texas 3,051,891 121,653 53,114 68,539

Compare: New Mexico 318,375 11,619 4,943 6,676

Compare: National 48,753,141 1,936,900 758,475 1,178,425

2009 Counties & Hospice Patients



20%

40%

60%

80%

100%

9,259 930 133,169

9,506 933142,544

9,315 866

142,044

10,767 1,039

173,799

11,758 1,094

211,401

18,405 1,884383,664

>8480-8475-7970-7464-69<64

2009 Medicare Beneficiaries Who Died Without Hospice: Age Categories



20%

40%

60%

80%

100%

35,265 3,530 586,916

33,745 3,216 599,705

FemaleMale

2009 Medicare Beneficiaries Who Died Without Hospice: Sex



80%

85%

90%

95%

100%

53,604 5,301

977,736

8,855

116

134,972

764

101

16,481

678

21

20,1894,886

641

29,155

125

553

6,223

North American NativeHispanicAsianOtherBlackWhite

2009 Medicare Beneficiaries Who Died Without Hospice: Race


Report Sections:



2009 Demographics & Hospice Utilization

National

Population 307,006,550

Total Deaths2,486,097

0.8% of population

Medicare Beneficiaries 47,645,019

Medicare Beneficiary Deaths1,899,969

76% of total deaths

Medicare Hospice Patients1,079,676


Medicare Hospice Patient Deaths752,943

30% of total deaths39.6% of Medicare deaths

Total Days of Hospice Care 76,724,901 Days

Mean Days / Patient of Hospice Care 71 Days

Median Days / Patient of Hospice Care 24 Days

Total Medicare Hospice Payments $12,064,905,206


Report Sections:



2009 Summary of Health Care Providers forMedicare Beneficiaries at the End of Life

2009 Settings In Which Medicare Beneficiaries Died – N (%)

CountyTotal

Beneficiary Deaths

Hospice Deaths Hospital Deaths SNF Deaths HHA Deaths Other Deaths

Compare: Texas 121,653 53,114 (44%) 28,836 (24%) 5,421 (4%) 5,006 (4%) 29,276 (24%)

Compare: New Mexico 11,619 4,943 (42%) 2,031 (17%) 445 (4%) 298 (2%) 3,902 (34%)

Compare: National 1,899,969 758,475 (40%) 408,986 (22%) 102,651 (5%) 44,938 (2%) 584,919 (31%)


The 2009 Medicare Data Was Recently Released:Who Provides Healthcare at the End of Life?

Snapshots

1/19/11

Texas New Mexico National 0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Hospice 44% Hospice 42% Hospice 40%

Inpt Hospital 24%Inpt Hospital 17% Inpt Hospital 22%

SNF 4%

SNF 4%SNF 5%

Home Health 4%

Home Health 2%Home Health 2%

None of These 24%None of These 34% None of These 31%

Note: Information reflects Medicare beneficiaries only; categories are not mutually exclusive.


Summary:

Inpatient Hospitals in Texas cared for 480,298 Medicare beneficiaries, of whom 72,786 died (15%). (Compare national=15%.)

Of those who died:◦ 28,836 (40%) died in a Inpatient Hospital (compare national=40%)◦ 42,869 (59%) were admitted to a hospice (compare national=51%)◦ 30,550 (42%) died under hospice care (compare national=37%)

Of those admitted to hospice:◦ 50% died within 14 days of admission (compare national=14 days)◦ Hospice mean length of stay=51 days (compare national=46 days)

2009 Texas Medicare Inpatient Hospitals


Summary:

Inpatient Hospitals in New Mexico cared for 36,723 Medicare beneficiaries, of whom 5,327 died (14%). (Compare national=15%.)

Of those who died:◦ 2,031 (38%) died in a Inpatient Hospital (compare national=40%)◦ 3,032 (57%) were admitted to a hospice (compare national=51%)◦ 2,034 (38%) died under hospice care (compare national=37%)


2009 New Mexico Medicare Inpatient Hospitals



20%

40%

60%

80%

100%

112,693 8,074 1,657,816

70,3715,304

1,001,501

50,6724,428

751,976

43,6233,573

636,827

43,559 3,859 633,174

Injury and PoisoningMusculoskeletal SystemDigestive SystemRespiratory SystemCirculatory System

2009 Top 5 Inpatient Hospital Diagnostic Categories (out of 19)


2009 Demographics & Inpatient Hospital Utilization

Texas New Mexico National

Population 24,782,302 2,009,671 307,006,550

Total Deaths163,758


0.8% of population2,486,097

0.8% of population

Medicare Beneficiaries 3,051,891 318,375 47,645,019



75% of total deaths1,899,969

76% of total deaths

Medicare Inpatient Hospital Patients

480,298 36,723 6,938,545

Medicare Inpatient Hospital Patient Deaths







Total Days of Inpatient Hospital Care

5,123,919 Days 308,652 Days 63,792,525 Days

Mean Days / Patient of Inpatient Hospital Care

11 Days 8 Days 9 Days

Median Days / Patient of Inpatient Hospital Care

5 Days 4 Days 5 Days

Total Medicare Inpatient Hospital Payments $8,502,411,681 $582,071,099 $116,664,490,101


Summary:

Skilled Nursing Facilities in Texas cared for 109,602 Medicare beneficiaries, of whom 26,892 died (24%). (Compare national=23%.)

Of those who died:◦ 5,421 (20%) died in a SNF (compare national=24%)◦ 19,134 (71%) were admitted to a hospice (compare national=54%)◦ 12,919 (48%) died under hospice care (compare national=37%)


2009 Texas Medicare Skilled Nursing Facilities


Summary:

Skilled Nursing Facilities in New Mexico cared for 6,959 Medicare beneficiaries, of whom 1,713 died (25%). (Compare national=23%.)

Of those who died:◦ 445 (26%) died in a SNF (compare national=24%)◦ 1,098 (64%) were admitted to a hospice (compare national=54%)◦ 656 (38%) died under hospice care (compare national=37%)


2009 New Mexico Medicare Skilled Nursing Facilities



20%

40%

60%

80%

100%

21,126 754 279,198

13,309 468 174,535

8,688 389 147,228

12,165 394 144,695

5,673 241 103,291

NervousInjury and PoisoningMusculoskeletalRespiratoryCirculatory

2009 Top 5 SNF Diagnostic Categories (out of 19)


2009 Demographics & SNF Utilization


Population 24,782,302 2,009,671 307,006,550

Total Deaths163,758



0.8% of population





76% of total deaths

Medicare SNF Patients 109,602 6,959 1,822,074

Medicare SNF Patient Deaths5,421


4453% of total deaths




Total Days of SNF Care 4,702,557 Days 247,453 Days 67,514,523 Days

Mean Days / Patient of SNF Care 31 Days 36 Days 37 Days

Median Days / Patient of SNF Care 43 Days 25 Days 27 Days

Total Medicare SNF Payments$1,521,348,459 $85,174,671 $24,476,518,870


Summary:

Home Health Agencies in the selected Texas counties cared for 351,248 Medicare beneficiaries, of whom 36,471 died (10%). (Compare national=12%.)

Of those who died:◦ 5,006 (14%) died in a HHA (compare national=11%)◦ 24,834 (68%) were admitted to a hospice (compare national=64%)◦ 16,338 (45%) died under hospice care (compare national=43%)


2009 Texas Medicare Home Health Agencies


Summary:

Home Health Agencies in the selected New Mexico counties cared for 16,155 Medicare beneficiaries, of whom 2,167 died (13%). (Compare national=12%.)

Of those who died:◦ 298 (14%) died in a HHA (compare national=11%)◦ 1,620 (75%) were admitted to a hospice (compare national=64%)◦ 972 (45%) died under hospice care (compare national=43%)


2009 New Mexico Medicare Home Health Agencies



20%

40%

60%

80%

100%

95,699 3,029718,447

61,237

1,429

292,923

47,155

1,629285,855

20,706

1,117223,076

24,8391,263 215,401

NervousRespiratoryMusculoskeletalEndocrine DiseasesCirculatory

2009 Top 5 HHA Diagnostic Categories (out of 19)


2009 Demographics & HHA Utilization


Population 24,782,302 2,009,671 307,006,550

Total Deaths163,758



0.8% of population





76% of total deaths

Medicare HHA Patients 351,248 16,155 3,288,479

Medicare HHA Patient Deaths5,006


2982% of total deaths




Total HHA Visits 39,841,484 Visits 711,306 Visits 207,308,047 Visits

Mean Visits / HHA Patient 113 Visits 44 Visits 63 Visits

Median Visits / HHA Patient 36 Visits 21 Visits 20 Visits

Total Medicare HHA Payments$4,270,780,195 $96,151,270 $24,903,480,624


Thank you

Please contact Hospice Analytics with any questions, comments, feedback, or for additional information:

W: www.HospiceAnalytics.comP: 719-209-1237

E: [email protected]


In Partnership with: The ONLY Hospice report including Hospital, SNF & Home Health Info!

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