Transitions LifeCare – Hospice Home GIP & Residential Criteria

Hospice Home GIP & Residential Criteria

 

General Inpatient Level of Care Criteria

  • The Hospice Home can accommodate up to 14 General Inpatient (GIP) level patients.
  • The GIP level of hospice care is of very short duration, usually less than one week.
  • Reasons for GIP level of service, according to Medicare regulations, must include at least one of the following:
    • Patient has uncontrolled pain or symptoms that cannot be managed in any other community based setting. Examples include, but are not limited to: extreme pain, agitation, nausea, extensive wound care.
    • Patient requires ongoing adjustment of medications requiring intensive nursing supervision and monitoring.
    • Patient is discharged from an acute hospital stay and his/her caregiver needs education/training on how to care for the patient. (This is usually a very limited stay such as 1-3 days.)
  • Upon admission to the Hospice Home for inpatient level of care, plans are initiated by the hospice team with patient/caregiver input to discharge the patient to an appropriate residence to receive the routine level of hospice care whenever possible.
  • Medicare, as well as some insurance plans, covers all costs for this level of care.
  • No patient will be denied admission to an inpatient bed solely for financial reasons.

Short-stay Residential Criteria

  • The Hospice Home can accommodate up to six residential patients who receive hospice care at the routine level.
  • Hospice patients are eligible for a residential bed if:
    • Their prognosis is two months or less to live, according to their physician AND
    • They do not require General Inpatient (GIP) level of hospice care AND
    • The hospice team, in coordination with the patient and their family/legal representative has determined that the person is eligible to be a residential patient.
  • Residential patients will be charged for room and board, as well as for medications and medical supplies that are not related to comfort or to their terminal diagnosis. All financial responsibilities will be explained to patient and/or legal representative prior to admission.
  • No patient will be denied admission to a residential bed solely for financial reasons.
 
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