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CAPC Palliative Care Discussion Forum
Hospital and Hospice Partnerships

In Reply To: Changing hospice inpatients to "Routine Level"
Next Reply: Re:Re:Changing hospice inpatients to "Routine Level"
Next Message: Re:Changing hospice inpatients to "Routine Level"

Post Re:Changing hospice inpatients to "Routine Level"
Author: SharolHerr [CAPC/PCLC Faculty]
Date: May 20, 2010 3:52 pm
If the patient has stabilized and is ready for discharge it isn't likely that they would meet the inpatient, acute care criteria for continued stay. Therefore, it is difficult to see a supporting rationale for the transition to acute care. Being less of a loss is not compelling when you see that the patient doesn't meet acute inpatient criteria. Sounds to me like you would want to begin discharge discussion on day of admission to the inpatient hospice setting and then be prepared to pursue disposition and placement when hospitalization criteria is no longer met. Of course that is easier said than done. After over 13 years disposition and discharge planning and management continue to be one of our greatest challenges. Sharol Herr, RN, BSN, MSEd, CHPN; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.
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+ Re:Re:Changing hospice inpatients to "Routine Level" (by yaegerj on 05/20/2010)
Thank you Sharol.
I know they would not meet criteria for inpatient stay but would still be a hospice patient so the per diem for routine hospice care should be billed right?

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