BUMC Basics.pdf - Anesthesia Home

28
“necessity” for inpatient care; must have viable
disposition to return to community upon discharge
• BIR (Baylor Institute for Rehab)
BUMC long term acute care; write “transfer to BIR
when bed available” (no separate orders)
• BSH (Baylor Specialty Hospital)
BUMC physical rehabilitation hospital; just complete
the BSH order set prior to transfer
• NH (nursing home)
• Hospice (end of life care)
Must be terminally ill with life expectancy < 6months;
hospice can be at home, NH, hospital or freestanding
hospice facility; note: inpatient hospice is for an
actively dying patient
The patient’s funding (Medicaire/Medicaid/private) affects their
options; the social workers and care coordinators can help you
figure out each patient’s options. “Charity beds” are available
at BIR and BSH on a case-by-case basis. You can write an
order for a “BIR [or BSH] consult” and the liaison will review the
pt’s case.