SPH Hospitalist Wiki

General Inpatient Hospice (GIP) Workflow

Properties2
tagshospice, gip, workflows, discharge-planning, case-management
aliasesGIP Workflow, General Inpatient Hospice, Hospice Referral Workflow, GIP Admission, Comfort Measures Workflow, Hospice Discharge Process

2 min read

Overview

Workflow for hospice referrals when a patient is wanting comfort measures.

Steps

  1. Notify Case Management as soon as hospice is decided upon

    • Contact CM on to reach out to family for hospice service selection
    • CM will notify hospice of consultation and we need to place the order in EPIC
      • EPIC workflow: Discharge tab -> Order Reconciliation -> "Amb ref to Hospice" ->
        • Internal Referral if for SPH Hospice
        • Outgoing Referral if for another group (e.g. Headwaters, Enhabit, etc)

  2. If after hours or CM unavailable, call the desired Hospice Group directly

    Hospice Services

    SPH Hospice (main)(406) 444-2244
    SPH Hospice RN(406) 465-1670
    Headwaters Hospice(406) 422-0114
    Enhabit(406) 443-4140
    Stillwater Hospice(406) 916-4500
    Link to original

  3. Hospice will see the patient and send the attending an EPIC Chat with determination of GIP or not

  4. Discharge/readmit to GIP as soon as possible if hospice has given the OK (NOT needed if patient isn’t yet admitted (e.g. in ER or Direct Admit).

    • Use the Hospice admission order set to make sure the patient is readmitted to the correct GIP status

  5. If already admitted, notify the nursing team when you have completed the discharge/readmission order set to GIP hospice, call the patient’s primary nurse and ask them to get a new HAR from admitting, which creates a new chart for GIP status

  6. If not GIP appropriate, consider if this is an avoidable day while working with the patient, family, and CM to find a disposition for discharge.

Graph View