Hospice GIP – General Inpatient Level of Care

Potential Indicators of GIP

  • Uncontrolled Pain or pain that requires frequent and/or escalating doses of IV opioids
  • Respiratory distress
    • Needs frequent suctioning/trach care
    • Needs Bipap/requires weaning or titration
    • Expectation of respiratory distress after withdrawal of respiratory support
    • High Flow oxygen requirements
  • Nausea and vomiting requiring IV antiemetics
  • Severe Delirium/Agitation requiring frequent assessment and management by staff
  • Seizures requiring frequent monitoring and/or IV medications to control
    • Seizure prophylaxis with IV medications for patients unable to take medications orally
  • Complicated wound care requiring frequent or painful wound changes
  • Other symptoms that cannot be managed effectively in the home or other settings
  • CMS states that dying, in the absence of significant symptoms, does not qualify as GIP

Documentation prior to GIP

  • Severity of symptoms
  • Effectiveness of (or lack of) current therapies to control symptoms
  • Amount of prn medications in last 24 hours to control symptoms
  • If patient not requiring IV medications to control symptoms, why you feel they need GIP
  • Inability to transport appropriate GIP patients to a dedicated hospice inpatient unit
    • Vitals unstable
    • High oxygen requirements

If the patient does not meet above guidelines but is still thought to be appropriate for hospice (e.g., has comorbidities, recent rapid decline), please call for an assessment.

Arkansas Hospice now offers Telehealth support for patients and their families in nursing homes, inpatient centers, and their homes.

CLICK HERE for patient enrollment information


14 Parkstone Circle | North Little Rock, AR 72116
(501) 748-3333 or Toll Free (877) 713-2348
Arkanas Hospice Arkanas Hospice Registered 501(c)(3). EIN: 71-0846826