Hello, .

Your Rights As A Patient

You have the right to...

1.   Receive information about our organization, its services, its practitioners and providers, and patients' rights.      

2.   Considerate and respectful care, recognition of their dignity, and to be made comfortable. You have the right to respect for your cultural, psychosocial, spiritual, and personal beliefs, and preferences.

3.   Have family members (or another representative of our choosing) and your own physician notified promptly of your admission to the hospital.

4.   Designate a representative to participate in care and treatment decisions.

5.   Receive information about your health status, course of treatment, prospects for recovery and outcome of care (including unanticipated outcomes) in terms you can understand. You have the right to effective communication and to participate in the development and implementation of your plan of care. You have the right to participate in ethical questions that arise in the course of your care, including issues of conflict resolution, withholding resuscitative services, and forgoing or withdrawing life-sustaining treatment.

6.   Make decisions regarding medical care, and receive as much information about any proposed treatment or procedure as you may need in order to give informed consent or to refuse a course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved, alternate courses of treatment or non-treatment, and the risks involved in each, and the name of the person who will carry out the procedure or treatment.

7.    A candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost of benefit coverage.

8.    Request or refuse treatment, to the extent permitted by law. However, you do not have the right to demand inappropriate or medically unnecessary treatment or services. You have the right to leave the hospital even against the advice of physicians, to the extent permitted by law.

9.    Reasonable responses to any reasonable requests made for services.

10.  The right, subject to your consent, to receive the visitors whom he or she designates, including, but not limited to, a spouse, a domestic partner (including a same-sex domestic partner), another family member, or a friend, and his or her right to withdraw or deny such consent at any time, and to be informed of any clinical restriction or limitation on such rights.

11.   Appropriate assessment and management of your pain, information about pain, pain relief measures and to participate in pain management decisions. You may request or reject the use of any or all medication, if you suffer from severe chronic intractable pain. The doctor may refuse to prescribe opiate medication, but if so, must inform you that there are physicians who specialize in the treatment of severe chronic pain with methods that include the use of opiates.

12.   Formulate advance directives. This includes designating a decision maker if you become incapable of understanding a proposed treatment or become unable to communicate your wishes regarding care. Hospital staff and practitioners who provide care in the hospital shall comply with these directives. All patient rights apply to the person who has legal responsibility to make decisions regarding medical care on your behalf.

13.   Have personal privacy respected. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly. You have the right to be told the reason for the presence of any individual. You have the right to have visitors leave prior to an examination and when treatment issues are being discussed. Privacy curtains will be used in semi-private rooms.

14.   Confidential treatment of all communications and records pertaining to your care and stay in the hospital. You will receive a separate "Notice of Privacy Practices" that explains your privacy rights in detail and how we may use and disclose your protected health information.

15.   Receive care in a safe setting, free from mental, physical, sexual or verbal abuse and neglect, exploitation or harassment. You have the right to access protective and advocacy services including notifying government agencies of neglect or abuse.

16.   Be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience, or retaliation by staff.

17.   Reasonable continuity of care and to know in advance the time and location of appointments as well as the identity of the persons providing the care.

18.   Be informed, by the physician, or a delegate of the physician, of continuing health care requirements following discharge from the hospital.

19.   Know which hospital rules and policies apply to your conduct while a patient.

20.   Have your wishes considered, if you lack decision-making capacity, for the purposes of determining who may visit. Designate a support person to be present throughout the stay unless restricted by policy and to make decisions regarding visitation.

21.   Examine and receive an explanation of the hospital's bill regardless of the source of payment.

22.   Exercise these rights without regard to sex, economic status, educational background, race, color, religion, ancestry, national origin, sexual orientation or marital status of the source of payment for care.

23.   File or voice a complaint, grievance, and appeal or seek independent assessment about the organization, the care provided, or their rights as a patient; and to receive a timely response from the organization without reprisal or prejudicial treatment.

24.   File a complaint with the hospital or directly to the State Department of Health Services regardless of whether you use the hospital's grievance process.

25.   Receive, in accordance with 42 CFR 489.27 (b), as a Medicare beneficiary the "An Important Message from Medicare Notice" (IM) within two days of admission. In addition, the IM is to also be given to each Medicare beneficiary within two days of their anticipated discharge when the length of stay is longer than two days. This is a message that explains your right to appeal your discharge.

26.   Access information contained in your medical record in a timely manner.

Please notify a staff member or your Physician if you have any questions.

 CIHQ: 2013 - All Rights Reserved - Rev. 7.13
 

Main Campus

981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015

Sign Up for Our E-Newsletter

Accreditations & Affiliations