Late Transitions in the Last 3 Days of Life
Identifying Attributes
Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
US National Health and Aging Trends Study
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Palliative Care
Defining Attributes
Definition
Late transitions in the last 3 days of life (changes in care settings in the last three days of life)
Numerator
Number of patients with changes in care settings in the last three days of life
Denominator
Number of proxy respondents
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Medicare claims data
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
No public reporting, but data can be requested by researchers
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Harrison, K. L., Cenzer, I., Ankuda, C. K., Hunt, L. J., & Aldridge, M. D. (2022). Hospice Improves Care Quality For Older Adults With Dementia In Their Last Month Of Life. Health affairs (Project Hope), 41(6), 821-830. Bhagianadh, D., & Arora, K. (2023). Classifying End-of-Life Patterns: Evidence From the National Health and Aging Trends Study. The Gerontologist, 63(6), 1039–1048.
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
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Date Modified 02 December 2025