1. You, or your representative, have the right to be informed of the patient’s rights in advance of furnishing or discontinuing patient care whenever possible.
2. You have the right to treatment regardless of race, religion, sex, sexual orientation, ethnicity, age or handicap.
3. You have the right to exercise your rights while receiving care or treatment in the hospital without coercion, discrimination or retaliation.
4. You have the right for a surrogate (parent, legal guardian, person with medical power of attorney) to exercise your rights when you are incapable of doing so, without coercion, discrimination or retaliation.
5. You have the right to participate in the development and implementation of his or her plan of care
a. You have the right to be included in inpatient treatment/care plan, outpatient treatment/care plan, discharge plan, and the pain management plan.
b. You have the right to decline services by students.
c. You have the right to clear information about organizational and business relationships. Providers such as pathology, radiology, and anesthesia provide contracted services which may be billed separately from the hospital bill.
d. You have the right to information regarding HMO, PPO, or other insurance. You have the right to be provided this information in a manner that is easily understood by the patient.
e. You have the right to be informed of the facility policies and procedures regarding disclosure of clinical records.
f. You and your family have the right to be treated with discretion and sensitivity regarding your values and beliefs surrounding tissue/ organ donation. Your family has the right of informed consent of donation of organs and tissues.
6. You, or your representative, have the right to make informed decisions regarding your care. Your rights include: being informed of your health status, being involved in care planning and treatment, and being able to request or refuse treatment.
a. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary to inappropriate.
b. You, or your representative, have the right to be given the information, explanations, consequences, and options needed in order to make informed decisions regarding your care.
c. You have the right to make informed decisions regarding care presuming that you have been provided information about your health status, diagnosis and prognosis.
7. You have the right to formulate advance directives and to have the hospital staff and practitioners who provide care comply with these directives.
8. You have the right to have a family member or representative of your choice and your own physician be notified promptly of your admission to the hospital.
9. The right to personal privacy.
a. You have the right to personal privacy including at a minimum; privacy during personal hygiene activities, during treatments and when requested as appropriate. Facility staff must knock before entering your room.
b. You have the right to limit the release or disclosure of information such as the presence in the hospital, or personal information without your prior consent, this includes limiting access to the patient by those who are providing care.
c. Video or electronic monitoring (does not include audio or monitoring intensive care units) methods cannot be used without consent. Monitoring screens/systems must not be visible/audible to the public. This does not include required continuous monitoring when harm to self or others exists.
d. You have the right to privacy when physicians or staff discuss clinical care or conduct examinations.
10. The right to receive care in a safe setting.
a. You have the right to receive care in a safe setting including environmental safety, infection control, and security.
b. Vulnerable patients, including newborns and children also have the right to a safe setting and will be protected by the hospital.
c. Your right to emotional health and safety, as well as physical safety, is protected by the hospital.
11. The right to be free from all forms of abuse or harassment.
a. The hospital shall provide education on the prevention, identification and reporting of suspected abuse (including sexual assault) and neglect to each health care worker regardless of discipline.
b. The hospital has developed criteria to assure that the staff is educated concerning identification and reporting of abuse (including sexual assault) and neglect in the pediatric patient, elderly patient, adult patient(domestic violence concerns) and vulnerable adult patients.
12. You have the right to confidentiality of your clinical records.
13. You have the right to access information contained in your clinical records within a reasonable time frame and in a manner that you can understand, except when restricted by law.
14. You have the right to be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff.
15. You have the right to be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising your access to services.
16. You have the right to know the professional status of any person providing your care/services.
17. You have the right to know the reasons for any proposed change in the professional staff responsible for your care.
18. You have the right to know the reasons for your transfer either within or outside the hospital.
19. You have the right to be informed of the relationship of the hospital to other persons or organizations participating in the provision of your care.
20. You have the right to an itemized statement of charges, when possible, for services rendered within a reasonable amount of time.
21. You have the right to be informed of the source of the hospital’s reimbursement for services, and of any limitations which may be placed upon your care.
22. You have the right to have pain treated effectively as possible.
23. You have the right to file a grievance (complaint).
a. To your facility, by notifying the patient advocate Misty Ulmer at extension 3586.
b. To an outside organization, if you have original Medicare, call the Quality Improvement Organization 1-800-633-4227 or visit website www.medicare.gov and select “find helpful phone numbers and websites”. If you have a Medicare Advantage Plan, call your plan or the QIO.
24. You have the right to know your Medicare appeal rights.