continued from previous page TABLE 7. DISCHARGES BY TYPE OF DISCHARGE Type of Discharge Percentage Deaths 83.3 % Live Discharges - Patient Initiated Transfers (change in hospice provider) 2.1 % Revocations 6.3 % Live Discharges - Hospice Initiated No longer terminally ill 6.9 % Moved out of service area 1.0 % Discharged for cause 0.3 % TABLE 8. LEVEL OF CARE BY PERCENTAGE OF DAYS OF CARE Level of Care Discharges and Transfers In 2015, live discharges comprised 16.7% of all discharged Medicare patients. Level of Care In 2015 the vast majority of days of care were at the Routine Homecare (RHC) level. Location of Care In 2015 most of days of care were provided at a private residence. Location of RHC 55.8% of RHC days of care occurred in a private residence, 40.9% in a nursing facility and 1.1% in a hospice inpatient facility, an acute care hospital, or an unspecified location. Percentage of Days of Care Routine Home Care (RHC) 97.8 % WHO PROVIDES CARE? Continuous Home Care (CHC) 0.3 % How many hospices were in operation in 2015? Inpatient Respite Care (IRC) 0.3 % General Inpatient Care (GIP) 1.6 % In 2015, 4,199 hospices were paid by CMS to provide care under the Medicare hospice benefit. Hospice Type TABLE 9. LOCATION OF CARE BY PERCENTAGE OF DAYS OF CARE Location In 2015 the majority of hospices were independent organizations. The others were provider-based. Percentage of Days of Care TABLE 14. HOSPICE PROVIDER TYPE Home 56.0 % Nursing Facility* 41.3 % Provider Type Percentage Hospice Inpatient Facility 1.3 % Freestanding 72. 2 % Acute Care Hospital 0.5 % Hospital 14.2 % Other 0.9 % Home Health Agency 12.9 % * Includes skilled nursing facilities, nursing facilities, assisted living facilities, and RHC days in a hospice inpatient facility. 18 NHPCO NewsLine | Winter 2017 Nursing Home 0.6 %