Hospice GIP Care - Essay Example

Specifically, GIP is for pain control or symptom management that cannot be delivered in other settings. Documentation nonetheless, should include the precipitating event like the onset of uncontrollable symptoms or pain that warrant a GIP care and should also consist of any in-home interventions that were unsuccessful. Discharge planning, on the other hand, begins with admission and continues throughout the GIP stay. GIP is not custodial or residential; however, once the patient’s symptoms are stabilized, or pain is managed, he or she must return to a routine level of care. Medicare will not pay for GIP if the medical records do not indicate a clear need for a GIP level of care.

Successful GIP care requires appropriate and complete documentation that involves:
- Critically describing the services provided.
- Documenting care that the patient caregivers cannot manage at home. Some examples are frequent changes in the dose or schedule of medications or the need for IV medications.
- Identifying the precipitating event that led to GIP status.
- Describing failed attempts to control symptoms that occurred before admission.
- Identifying specific symptoms that are actively being addressed.