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Patient Rights and Responsibilities

PATIENT RIGHTS   

Policy Statement
Information in writing regarding rights and responsibilities as a patient will be made available to each inpatient, outpatient, ambulatory, observation status (MOSA), outreach services patient and/or family, and home health services. As used throughout this page, the masculine pronoun shall apply to both genders.
 
Access to Care
Patients have the right to health care that is accessible and that meets professional standards. Treatment will be provided according to hospital mission/philosophy and will be relevant to the laws and regulations. 

Respect and Dignity
The patient has the right to considerate and respectful care with consideration of his emotional and spiritual well-being, including the expression of the patient's (and his or her) family's spiritual beliefs and cultural practices. This care will be provided in an ethical manner.
  
Information
The patient will be involved in all aspects of his care. A family member or surrogate may also be involved in care decisions. The patient may also exclude family members from care decisions. The patient has the right to obtain from his physician complete current information concerning his diagnosis, treatment, and prognosis in terms the patient can be reasonably expected to understand. The patient will be involved in solving dilemmas related to his care, including complaint resolution. When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate person on his behalf, if the patient so consents. 
 
Consent
  • The patient has the right to receive from his physician information necessary to give informed consent prior to the start of any procedure and/or treatment, the advantages and disadvantages, recuperative problems, the possible result of non-treatment. All patients have the opportunity to participate in their Plan of Care. The patient also has the right to exclude anyone from participating in his health care decisions. Except in emergencies, such information for informed consent should include but not necessarily be limited to the specific procedure and/or treatment, the expected outcome, the material risks and the reasonable alternatives involved. Where reasonable alternatives for care or treatment exist, or when the patient requests information concerning medical alternative, the patient has the right to such information. The patient has the right to designate a Health Care Representative or health care decision maker, to make healthcare decisions on his behalf should the patient become incapacitated.
  • The patient has the right to be advised if the hospital proposes to engage in or perform human experimentation affecting his care or treatment. If the patient chooses to participate in research projects, the informed consent will include a description of expected benefit, description of potential risks and discomforts, description of advantages to alternative services, description of the procedure involving the research, and the option to refuse participation in the research. Participation by patients in clinical training programs or in the gathering of data for research purposes should be voluntary, and the patient has the right to refuse to participate. A refusal to participate will not compromise access to quality care. The written consent form will include those as well as identify the person providing this information and the date the agreement is established.  
 
Right to Make Choices
The patient has the right to refuse treatment to the extent permitted by law and to be informed of the medical consequences of his action. The patient has the right to leave the hospital at any time unless the patient is considered a serious risk to himself or others. The patient has the right to make choices with regards to Advanced Directives. Each patient will be asked to determine if an Advanced Directive exists. If a directive is desired, the hospital will provide the assistance. If the directive is in effect but not available for the chart, the essence of the directive will be documented in the medical record.  
 
Pain Management
The patient has the right to pain management.  
 
Privacy
The patient has the right to every consideration of his privacy concerning his own medical care program. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly. Those not directly involved in providing his care must have the permission of the patient to be present.  
 
Confidentiality
  • The patient has the right to expect that all communications and records pertaining to his care should be treated as confidential.
  • The patient has the right to access information contained in his clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet those requests as quickly as its recordkeeping system permits.  
 
Pastoral Counseling Services
The patient has a right to pastoral counseling services which will be available upon request.
 
Protective Services
  • The patient has the right to receive care in a safe setting.
  • The patient has the right to access protective services. The patient will be given in writing a list of pertinent groups or agencies when requested.
  • The patient has the right to be free from all forms of abuse or harassment.  

Organ/Tissue Donation and Procurement The patient has the right to information related to organ or tissue donation and appropriate agencies involved.

Transfer of Continuity of Care
The patient has the right to expect that within its capacity a hospital must make reasonable response to the request of a patient for services. The hospital must provide evaluation, services, and/or referral as indicated by the urgency of the case. When medically permissible, a patient may be transferred to another facility only after he has received complete information and explanation concerning the needs for alternatives to such a transfer. The institution to which the patient is to be transferred must first have accepted the patient for transfer. The patient has the right to expect reasonable continuity of care. He has the right to know in advance what appointment times and physicians are available and where. The patient has the right to expect that the hospital will provide a mechanism whereby he is informed by his physician or a delegate of the physician of the patient’s continuing health care requirements following discharge.  

Identity
The patient has the right to know the identity and professional status (i.e. RN, LPN, Lab Tech., etc.) of individuals providing services to him and to know which physician or other practitioner is primarily responsible for his care. He has the right to know, by name, the physician responsible for coordinating his care. The patient also has the right to know the name of the person responsible for the procedures and/or treatment. This includes the patient’s right to know of the existence of any professional or business relationship among individuals who provide treatment, upon request, as well as the relationship to any other health care or educational institutions involved in his care.  

Personal Safety
The patient has a right to expect reasonable safety insofar as the hospital practices and environment are concerned. The patient has a right to protective services.  
 
Communication
  • The patient has the right to have a family member or representative of his choice and his own physician notified promptly of his admission to the hospital.
  • The patient has the right of access to people outside the hospital by means of visitors, and by verbal communication, written communication, and sign language. When the patient does not speak or understand the predominant language of the community, he should have access to an interpreter. This is particularly true where language barriers are a continuing problem. When the patient does not hear adequately, he should have access to a sign language interpreter and/or hearing device.
  • There will be times when the usual forms of outside communication (newspapers, visitors, telephone calls, mail, etc.) will be requested to be withheld by the patient (or guardian, if the patient is a minor) or by the physician for specific medical reasons. Any restrictions on communications are evaluated for their therapeutic effectiveness, fully explained to the patient and family, and determined with their participation.
  • The patient has available to him the opportunity to talk with any supervising person regarding his care or service at any time. The patient will also be provided a satisfaction survey to submit any comments or suggestions.  
 
Hospital Charges
The patient has the right to examine and receive an explanation of his hospital service bill regardless of source of payment.  
 
Hospital Rules and Regulations
The patient has a right to know what hospital rules and regulations apply to his conduct as a patient. Patients having concerns regarding the quality of patient care or ethical issues are to bring them to the attention of the attending physician or nurse leader of the unit. Your interest and concern can help the hospital meet its commitment to corporate compliance. If you suspect a corporate compliance problem exists or you wish guidance on how to proceed, talk with your nurse or physician; report the issue to the Hospital's Corporate Compliance Officer at 812-385-9228; or you may also contact the Indiana State Department of Health at 317-233-1235 or TTY 317-233-5577

Method of Distribution
A copy of the Patient Rights & Responsibilities brochure brochure will be made available to each patient who receives services from Gibson General Hospital community, including but not limited to inpatient, outpatient, ambulatory, observation status (MSOS), and outreach services patient and/or family, and home health services.  


PATIENT RESPONSIBILITIES
 
A patient has the responsibility to provide accurate and complete information about present complaints, past illnesses, hospitalizations, and medications. He has the responsibility to report unexpected changes in his condition to the practitioner in charge of his care. A patient is responsible for making it known whether he clearly comprehends a contemplated course of action and what is expected of him.

Compliance 
A patient is responsible for following the treatment plan recommended by the attending physician responsible for his care. This may include following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care and implement the responsible practitioner’s orders, and as they enforce the applicable hospital rules and regulations. The patient is responsible for keeping appointments, and when he is unable to do so for any reason, for notifying the responsible practitioner or the hospital.  

Refusal of Treatment 
The patient may withhold resuscitative services and forgo or withdraw life sustaining treatment. The patient is responsible for his actions if he refuses prescribed treatment or does not follow the practitioner’s instructions.  

Hospital Charges 
The patient is responsible for assuring that the financial obligations of his health care are fulfilled as promptly as possible.  

Respect and Consideration 
The patient is responsible for being considerate of the rights of other patients and hospital personnel and for assisting in the control of smoking, and the number of visitors. The patient is responsible for being respectful of the property of other persons and of the hospital.  

Personal Safety 
The safety of health care delivery is enhanced by the involvement of the patient, as appropriate to his/her condition, as a partner in the health care process and as an informed participant in the health care choices. The patient and family are responsible for reporting perceived risks in their care and unexpected changes in the patient's condition. This can be accomplished by asking questions of the hospital staff.  
 

CONTACTS FOR DISCUSSING CONCERNS 
 
Gibson General Hospital Corporate Compliance
812-385-9228
 
Indiana State Department of Health
2 N. Meridian St., Indianapolis, IN 46204-7373
317-233-1235 or TTY 317-233-5577

The Medicare Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) for Indiana is:

Livanta LLC
10820 Guilford Road, Suite 202
Annapolis Junction, MD 20701-1105
Toll Free Beneficiary Helpline: 1-888-524-9900, TTY 1-888-985-8775
Website: https://www.livantaqio.com/en/states/indiana

 
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