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It's important to establish a distinction in the reports between a percentage of change compared to a prior period versus the variable trended.  Say for example you hear a city's murder rate is up 266% versus last year, at first glance it sounds like a war zone right? 


That could be 3 in 2017 and 11 in 2018, so in this case the percentage of 266% over-emphasizes the change versus the underlying values. 


This makes a provider starting from a lower prior period look better in YOY change when the totals are a different story.  It it feels like data spin...