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51 member hospices provide care for terminally ill people in a range of settings including their own homes, nursing homes, assisted living facilities, acute care facilities and hospice residences
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Massachusetts has 8 residential facilities: Amherst, Cambridge, Cape Cod, Danvers, Needham, Reading, Wayland, Worcester
- In 2005, Massachusetts hospices cared for approximately 17, 498 patients (31% of all deaths in Massachusetts)
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53% of patients had a non-cancer diagnosis (e.g., congestive heart failure, terminal decline, Alzheimer’s Disease, end stage pulmonary disease)
|
|
2005
|
2004
|
1991
|
|
Number of patients cared for in MA
|
17,498
|
16,540
|
5,359
|
|
Average LOS
|
53 days
|
45 days
|
45 days
|
|
Median LOS
|
23.5 days
|
15.3 days
|
NK
|
|
% of Patients with Cancer Diagnosis
|
47%
|
52%
|
84%
|
|
% of Patients Who Died at Home
|
53%
|
55%
|
82%
|
|
% of Patients Who Died in a Nursing Home
|
31%
|
26%
|
2%
|
|
% of all MA Deaths Cared for by Hospice
|
31%
|
29%
|
10%
|
Source: Data from member hospices 2006
NHPCO National Data Set 2005
Massachusetts Hospice Patients by Diagnosis
|
Diagnosis
|
2005 % of Total MA Hospice Patients
|
2004 % of Total MA Hospice Patients
|
|
Cancer
|
47%
|
52%
|
|
Dementia
|
12%
|
10%
|
|
Debility Unspecified
|
10%
|
13%
|
|
Heart
|
10%
|
11%
|
|
Other
|
10%
|
NA
|
|
Lung
|
5%
|
4%
|
|
Stroke/Coma
|
2%
|
2%
|
|
Kidney
|
2%
|
2%
|
|
Other Motor Neuron
|
1%
|
2%
|
|
Liver
|
1%
|
1%
|
|
HIV
|
.3%
|
<1%
|
|
ALS
|
.3%
|
<1%
|
Massachusetts Hospice Patients by Site of Death
|
Location of Death
|
2005 % of Total MA Hospice Patients
|
2004 % of Total MA Hospice Patients
|
|
Home
|
53%
|
55%
|
|
Skilled Nursing Facility
|
31%
|
26%
|
|
Hospital
|
14%
|
12%
|
|
Residential Setting
|
1%
|
3%
|
|
Free-Standing
|
.8%
|
3%
|
|
Inpatient Hospice Unit
|
0%
|
0%
|
Source: 2005 National Hospice & Palliative Care Organization National Data Set