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Hospital and Hospice Partnerships

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Post Inpatient Hospice
Author: balstada
Date: Oct 8, 2008 11:02 am
We are a hospital-based Hospice program and are struggling with the process of switching an inpatient admission to an inpatient hospice admission. The need to switch these patients to hospice inpatient status has been occuring more frequently lately. Would anyone be willing to share their policies/procedures and/or process? Our current policy states that we continue with the same episode of care but we are now considering discharging the patient and readmitting to the same room (no change for patient/family, just a new account #). We would like to know how others are accomplishing this. Thank you. Amy Balstad, MS, RN, Palliative Care Services, St. Luke's Health System.
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+ Re:Inpatient Hospice (by SharolHerr on 11/24/2008)
We do lots of hospital inpatient hospice transitions and are unable to do split-billing for one account number. Therefore, the patients are discharged from acute care and readmitted as an inpatient hospice patient. This keeps billing clear and assures that the plan of care has been thoroughly reviewed and the most appropriate plan is in place. I will send to your e-mail account a couple of tools that we use to coach folks through the steps of the process. Sharol Herr, RN, MSED, Nurse Clinician/Education Coordinator. Mount Carmel Health Palliative Care Leadership Center. Columbus, Ohio.
Re:Inpatient Hospice (by DeidraAPRN on 12/12/2008)
We just received our first patient that had to be discharged and readmitted in this fashion and the process was less than smooth. Any assistance you can offer to make the process more seamless would be greatly appreciated.

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