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Right to file a complaint Right to request how we contact you Right to release your clinical records Right to add information or amend your clinical record Right to receive changes in policy Patient rights/Client rights What are various patient rights/client rights? Right to file a complaint Where should the complaint be filed in case of harms relevant to health care? Who has the duty to ensure that a medical doctor and other health care providers are able to answer relevant questions? If you had forwarded this service agreement via e-mail, I would have updated you before printing the documents. Right to request how we contact you How would you like to be contacted? Telephone Fax Postal mail Other Right to release your clinical records Right to add information or amend your clinical record Right to receive changes in policy Some issues cannot be changed with a change in any policy. Do you know the issues that cannot be changed with a change in any policy? What issues cannot be changed with a change in any policy? Patients have the right to: Receive superior health care, regardless of race, creed, age, sex, sexual preference, handicap, __________ origin, or __________, religious beliefs and cultural preferences. Be treated with dignity and courtesy. Receive information (along with family when appropriate) about diagnosis and treatment plans, in language easily understood and with an explanation of any alternatives, including risks, benefits and burdens of each alternative. Receive information about pain and pain relief measures. Participate and be involved in the development and implementation of his or her plan of care and treatment. Request or refuse medical treatment to the extent allowed by the law unless request is deemed medically unnecessary or inappropriate. Provide informed consent after the procedure and its risks are explained. Review and provide consents before being recorded or filmed unless for identification, diagnosis or treatment of patients. Choose a recommended medical treatment option appropriate to choice; particular age; special physical, spiritual, emotional, cultural and intellectual needs; and other living circumstances. Expect that the same standards of quality are adhered to wherever a test or procedure is performed, whether inpatient or outpatient. Receive an explanation and alternatives if a transfer to another facility becomes necessary, including information concerning access to protective services. Be free from restraints of any form that are not medically necessary or not used to prevent harm to self or others, or are used as a means of coercion, discipline, convenience or retaliation by staff. Access to appropriate initial pain assessment, regular assessment and pain management by dedicated pain control specialists. Expect expressions of pain to be believed and responded to quickly, with patients being involved in care decisions. Participate voluntarily in research and educational projects, which will be fully explained in advance and for which written permissions will be requested. Know the names and professional responsibilities of their health care team. Have personal privacy respected and confidentiality of patient care information maintained. If you have a concern about how the hospital uses or discloses your medical information, call the __________ Compliance (confidential) hotline at __________. Access information contained in his or her clinical record within a reasonable time frame. Be heard, especially in the event of a conflict/complaint. Receive visitors, mail and telephone calls so long as they do not interfere with treatment. Receive information (to be provided to the family when appropriate) through effective communication about the outcomes of care, including unanticipated outcomes in which the outcome of care differs significantly from the anticipated outcome. Receive care in a safe setting, free from verbal or physical abuse or harassment. Be informed about continuing health care requirements-such as return visits and required medications-following hospital treatment. Formulate advance directives (with the patient having the right to amend or revoke his/her advance directive at any time as provided in the directive) and have hospital staff and practitioners who provide care in the hospital comply with those directives, with access to care, treatment and services not being dependent upon whether you have such a directive. Have a family member or representative notified of a patient's choice of advance directive and have the physician notified promptly upon a patient's admission to the hospital, if necessary. Patient Responsibilities Patients have the responsibility to: Notify a family member or representative of advance directive and notify physician promptly upon his or her admission to the hospital. Provide accurate and complete information about present condition and past medical history to physician. Notify physician or nurse of changes in health. Follow the instructions of physicians and nurses, comply with treatment plans and ask questions to clarify understanding. Express concerns and/or disagreement with health care decisions. Ask for pain relief intervention when pain first begins and discuss pain management options to assist in development of a pain management plan. Keep appointments for follow-up care or notify the clinic in advance if a cancellation is necessary. Be considerate of hospital personnel and property as well as other patients; respect their privacy and property. Provide the hospital with complete and accurate financial information and comply with agreed-upon payment arrangements. Policy __________ Hospital has an obligation to inform all patients with regard to patient rights and an obligation to respect such rights. Patients also have responsibilities to other patients, Weiss staff, the physicians and other health care providers. |