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This is a discussion on Hospice and GIP admissions in Hospice Nursing, part of Nursing Specialties ... I have recently started working for a new hospice company. For whatever reason, they LOVE to admit...by NC29mom Oct 9, '12I have recently started working for a new hospice company. For whatever reason, they LOVE to admit patients already hospitalized (GIP). I just don't get it. I thought to admit under "GIP status", the patient had to be having an UNMANAGED SYMPTOM r/t hospice diagnosis. My previous hospice employer NEVER admitted Pts in this manner. When one of our patient's were admitted to the hospital with an admitting dx r/t hospice dx, then they were considered "GIP". If the hospital admitting dx was NOT related, then they remained "routine home care". Anyway, this new company admits 2-3 already hospitalized Pt's a week. I feel like it takes away from our home patients, who truely seem to need us more. We are already very short staffed, and to expect daily visits on a hospital patient can be time consuming (we have very LARGE coverage area, I have put 10,000 miles on my car in just 4 weeks). Any thoughts, anybody???
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- Oct 10, '12 by tewdlesIf the percentage of GIP level of care is high for your agency they will be on the radar for scrutiny. The national average for GIP level of care is less than 3% of hospice population...do you know how you would compare?
The bottom line will be whether or not your agency can justify that LOC for each of the patients and whether or not your documentation and interventions meet the criteria for GIP.
- Oct 11, '12 by NC29momDoes the 20% GIP cap still count when Pt's are ADMITTED already GIP (and die, say 4-5 days later still GIP?)? I've tried to investigate this myself on medicareuniversity, among other sites. I just want to make sure I know what is going on.....
- Oct 11, '12 by tewdlesQuote from NC29momHonestly, I had never questioned that!Does the 20% GIP cap still count when Pt's are ADMITTED already GIP (and die, say 4-5 days later still GIP?)? I've tried to investigate this myself on medicareuniversity, among other sites. I just want to make sure I know what is going on.....
AND...I don't know the answer. Dang...and I wan't to just have a night "off".
- Oct 14, '12 by Ginapixiwe used to have some when i still worked, usually they were in such a state that transport was not feasable or not wanted and death was most often within 24 hrs - we basically made sure the symptoms remained controlled (nothing the hospital staff could not do, however some physicians seemed to listen to hospice recommendations better than hospital staff)