Hospice

Scenario:   34 year old mom with ALS who desires to discontinue all nutrition and not pass away at home.  She and her husband do not want their 4 year old daughter to witness the transition and death in the home and is requesting inpatient care.

The organization is aware of the need for GIP requires uncontrolled symptoms that can't be managed at home.  I'm looking to you for out of the box documentation to support the psychosocial/emotional needs of the 4 year old to help support GIP.

Any wisdom, resources or advise is appreciated.

Thanks!

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Julie McGowan, MSN, RN, CHPN
Dublin GA
+1 (478) 697-3052
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In this situation, routine home care could be provided in an inpatient facility.  In situations where the GIP or respite level of care is necessary due to the needs of anyone other than the patient, it is only the caregiver(s)' needs that are considered.  See Medicare Benefit Policy Manual, Chapter 9, Section 40.1.5.  As difficult as this case is, the psychosocial/emotional needs of the child would not support the GIP level of care or respite level of care because the child is not the patient's caregiver. 

Happy to discuss offline.

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Katie Wehri
Vice President of Regulatory Affairs, Quality & Compliance
National Alliance for Care at Home
Washington DC
+1 (202) 547-7424
kwehri@allianceforcareathome.org
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