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Next Reply: Re:Hospice level beds in tertiary care hospital
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Post Hospice level beds in tertiary care hospital
Author: docput
Date: Dec 9, 2009 10:48 am
My medical director came up to me the other day and asked about inpatient hospice level beds run by the hospital.
He was not talking about a designated palliative care unit but more the idea of beds that could be designated hospice level
if the patient were thought to be more towards end of life. The idea being to improve the stats of the hospital.
Does anyone do that in your hospital or know of a place that does? One place that I know, has the beds but as
a unit and given by philanthropy. Is there any way to pay for these beds with saved costs to hospital combined with what
insurance would pay for the bed with a decreased reimbursement?
Replies: order by [Date] [Author] [Subject]
+ Re:Hospice level beds in tertiary care hospital (by lynceronsky on 12/15/2009)
General inpatient hospice beds are an important part of the continuum of palliative care and hospice services. A contractual agreement with a hospice is one way to approach inpatient hospice. The hospice partner would ensure adherence to medicare guidelines and standards, including appropriate level of hospice care, hospice as the care manager, and reimbursement to the hospital. The hospital would receive a per diem payment for general inpatient care, one of the four levels of hospice care, from the patient's hospice agency. A hospice partner is a key factor in operationalizing this concept and addressing the hospital-hospice interface.
Lyn Ceronsky
PCLC Faculty
Fairview Health Service
A CAPC Palliative Care Leadership Center
Minneapolis, MN
Re:Hospice level beds in tertiary care hospital (by SharolHerr on 02/04/2010)
There have been discussions about this on the forum in the "Hospital and Hospice Partnerships" section. In direct response to your questions; Patients can be transitioned to Hospice GIP (General Inpatient Care) if they meet medicare hospice criteria for the GIP rate. This would require the hospital to have a contract with a hospice program. There have been discussions re: hospital mortality statistics and there are several sources that determine hospital mortality. The primary reasons that have been sited, beyond the obvious of wanting to provide the appropriate level of care and services when a patient is predicatably dying, are to improve hospital mortality statistics and for financial reasons. The financial benefit is creating another revenue stream for patients that have most likely exceeded reimbursement for the acute level of care. Please see the "Hospital and Hospice Partnerships" section for more details and discussion. Sharol Herr, RN, MSEd, CHPN; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.

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