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 24 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 Routine Level of Care Criteria

  • If General Inpatient level of care is not needed, but the patient is at the end of life and does not have anywhere to live, or is without a needed caregiver, the Hospice home may be able to accommodate them at the routine level of care.
  • Patients are evaluated for this short term level of care using a medical criteria.
  • Routine level of care patients will be charged for room and board, as well as for medication and medical supplies that are not related to comfort or to their terminal illness.
  • All Financial responsibilities will be explained to the patient and/or legal representative prior to admission.
  • No patient will be denied admission to a routine bed solely for financial reasons.
 
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