Download Patient Rights and Responsibilities

Patient Rights and Responsibilities
A. Texas Health Hospital recognizes the patient’s right to
have the patient or patient’s representative participation in the
Texas Health Hospital does not discriminate against any person on the
development of, or decisions concerning treatment and to
basis of race, color, national origin, ethnicity, culture, religion, language,
provide the information about the outcomes of care,
sex, sexual orientation, socio-economic status, gender, gender identity
treatment and services, including those related to sentinel
or expression, disability, marital status, diagnosis or age in admission,
events, that the patient and/or representative needs in order
treatment, or participation in its programs, services and activities, or in
to participate in current and future health care decisions.
employment.
B. Texas Health Hospital recognizes the patient’s right to receive
such information in a manner that is tailored to the patient'
The patient has the right to:
age, language, and ability to understand.
1. Receive a written statement of patient rights upon admission and be
informed of the location where patient rights are posted in Texas
Health Hospital.
2. Considerate and respectful care in a safe environment. This includes
consideration of the psychosocial, spiritual and cultural variables of
the patient and family through all phases of care delivery.
3. An environment that is free from all forms of abuse, includes but is
9.
Except in emergencies, when the patient lacks decisionmaking capacity and the need for treatment is urgent, the
patient is entitled to request and discuss information related
to specific procedures and/or treatments, risks, possible length
of recuperation, medically reasonable alternatives and their
risks, benefits and side effects and the possible results of not
not limited to: direct physical, mental, verbal and sexual abuse;
receiving care, treatment and services. The patient’s
harassment, including derisive and insulting language; neglect,
involvement in his or her care decisions may also include the
including withholding appropriate care and pain medication; and
right to have a family member or representative of his or her
exploitation. Texas Health Hospital reports allegations, observations,
choice and his or her own physician notified promptly of his or
and suspected cases of neglect, exploitation, and abuse to the
her admission to Texas Health Hospital.
appropriate authorities as required by law and consistent with its
policies and procedures.
4. Obtain access to protective and advocacy services in accordance with
Texas Health
procedures.
Hospital’s
policies
and
5. An environment that preserves dignity and contributes to a positive
self-image. Texas Health Hospital respects the patient’s right to be
treated in a dignified and respectful manner that supports his or her
dignity:
10. Receive written information about his or her right to refuse care,
treatment, and services.
11. Be informed of unexpected or unanticipated events, including
those events reported as sentinel events and the risks and
possible side effects of the outcomes of such events should they
occur.
12. Know the identity of physicians and other healthcare providers
involved in their care. The patient also has the right to know the
identity of anyone entering his or her room. The patient has the
A. The patient may keep and use personal clothing and possessions,
right to receive information about the name of the physician,
unless this infringes on other’s rights or is medically or therapeutically
the clinical psychologist, or other practitioner who has primary
contraindicated, at the discretion of the attending physician.
responsibility for his or her care, treatment, or services.
B. The patient may have access to telephone and mail service and may
do so in a private space if the facility so provides.
6. Texas Health Hospital respects the patient’s right to request and
obtain religious or other spiritual services, except where the attending
physician or physician attending in the absence of the attending
physician determines that the patient’s rights, safety, or medical
treatment is contraindicated.
7. Have complaints about care and/or services addressed and may do so
through a number of options, including Patient Advocates, Guest
Services, and the Ethics Committee, in a manner consistent with Texas
Health Hospital’s policies and procedures.
8. Obtain from physicians and other healthcare providers relevant,
current and clear information concerning diagnosis, treatment and
prognosis; information related to specific procedures and/or
treatments; procedure and treatment risks; possible length of
recuperation; medically reasonable treatment and/or procedure
alternatives, including relevant risks, benefits and side effects of
13. Make decisions about the plan of care prior to and during the
course of treatment. The patient has the right to consent or to
refuse a recommended treatment or plan of care to the extent
permitted by law and organizational policy and to be informed
of the medical consequences of this action. In the case of
refusal, the patient is entitled to other appropriate care and
services that Texas Health Hospital provides or to be
transferred to another healthcare provider or hospital. Texas
Health Hospital staff or healthcare provider will notify patients of
any policy that might affect patient choice within the institution.
14. The extent permitted by law, if the patient lacks decision making
capacity, the patient has the right to have a surrogate decision
maker participate in medical decisions as described above.
When a surrogate decision make is responsible for making care,
treatment and service decisions, the hospital respects the
decisions maker’s right to refuse care, treatment, and services
on the patient’s behalf, in accordance with law and regulation.
related alternatives; and the possible results of not receiving care,
treatment and services.
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Patient Rights and Responsibilities
recording after it is made, unless it has been used for an
agreed upon purpose before the consent was rescinded. If consent
15. An advance medical directive (such as a living will, healthcare proxy,
is withdrawn before the recording has been used, the patient has the
durable power of attorney for healthcare, or advance care plan)
right to expect that the portion of the recorded containing the
and/or designate a surrogate decision maker. The patient has the
patient's voice and/or image, if any, will be destroyed.
right to expect Texas Health Hospital will honor the intent of the
directive to the extent permitted by law and organizational policy.
23.
care will be treated as confidential by Texas Health Hospital, except
16. The patient or the patient’s representative will be advised of his or
in cases when reporting is permitted or required by law. This includes,
her rights under state law and organizational policy to make
but is not limited to, suspected abuse and public health hazards. The
informed medical choices and will be asked if he or she has an
patient has the right to expect that Texas Health Hospital will
advanced medical directive (AMD). Upon presentation of an AMD, a
emphasize the confidentiality of this information when it releases it to
copy of the document will be placed in the medical record. The
any other parties entitled to review information in these records.
patient has the right to timely information about organizational
The patient has the right to request a report of disclosures of his or
policy that may limit its ability to fully implement a legally valid AMD.
her health information that were made for any purposes other than
17. Designate visitors to be present with the patient for emotional
treatment, payment or healthcare operations, as those terms are
support during the course of stay, regardless of whether or not the
visitors are legally related to the patient. Texas Health Hospital will
not deny visitation privileges based on race, color, national origin,
defined in the Notice of Privacy Practices.
24.
releasing such information may be deemed harmful to the patient.
identity or disability. All visitors enjoy full and equal visitation
The patient also has the right to request an amendment to his or her
privileges consistent with patient preferences. The patient also has
medical record. In those situations, the treating physician may be
the right to withdraw or deny such consent at any time. Texas Health
circumstances as well as the clinical decisions that medical
contacted for guidance.
25.
subsequent regular assessments of pain, pain relief and to expect
behavioral health services needed by the patient.
26.
appropriate and medically indicated care and services. Texas Health
has the right to be educated on his or her role in managing pain, as
Hospital must provide evaluation, service and/or referral as
well as the potential limitations and side effects of pain treatments.
indicated by the urgency of the case. When medically appropriate
and legally permissible, or when a patient has so requested, a
19. Consideration of any personal, cultural, racial, spiritual, age, gender
patient may be transferred to another facility. The institution to
or other beliefs that might impact the patient's decisions regarding
which the patient is to be transferred must first accept the patient for
treatment and pain management. To receive treatment that supports
transfer. The patient must also have the benefit of complete
and respects the patient’s individuality, choices, strengths and
information and explanation concerning the need for transfer, risks,
abilities.
benefits and alternatives to such a transfer.
20. Be free from restraints or seclusion when imposed as a means of
has the right to be educated about the use of restraints or seclusion
27.
healthcare providers or payers that may influence the patient's
treatment and care.
21. Every consideration of privacy. Case discussion, consultation,
patient's privacy. The patient has the right to consent or to decline
video surveillance or audio and/or video recording for any purpose
other than intensive care monitoring.
22. Request that recording activity be terminated at any time.
The patient also has the right to rescind consent to use the
Ask and be informed of the existence of business relationships
among Texas Health Hospital, educational institutions, other
when either or both are medically indicated.
examination and treatment shall be conducted so as to protect each
Expect that, within its capacity and policies, Texas Health Hospital
will make reasonable response to the request of a patient for
that providers will be educated in pain management. The patient
coercion, discipline, convenience or retaliation by staff. The patient
To receive a referral to another healthcare institution if the hospital
is not authorized or not able to provide physical health services or
professionals may make about a patient's care or treatment.
18. Assessment and management of pain, including an initial and
Expect reasonable access to his or her medical record and to have
information explained or interpreted as necessary, except when
religion, sex, sexual orientation, socio-economic status, gender
Hospital may restrict visitation for medically or legally appropriate
Expect that all communications and records pertaining to his or her
28.
Consent or decline to participate in proposed research studies or
human experimentation affecting care and treatment or requiring
direct patient involvement, and to have those studies fully explained
prior to consent. A patient who declines to participate in research or
experimentation is entitled to the most effective care that Texas
Health Hospital otherwise can provide.
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Patient Rights and Responsibilities
29.
reasonable continuity of care when appropriate and
Expect
4.
The patient is responsible for asking questions or
acknowledging when he or she does not understand the
to be informed by physicians and other caregivers of available and
treatment course or care decision, such that the attending
realistic patient care options when the services of Texas Health
physician may tailor his or her communication to the patient’s
Hospital are no longer appropriate.
30. Be informed of organizational policies and practices that relate to
patient care, treatment, and responsibilities. The patient has the
right to be informed of available resources for resolving disputes,
grievances, and conflicts, such as the Ethics Committee, Guest
Services Representatives, or Patient Advocate, or other mechanisms
available within Texas Health Hospital, as well of appropriate
external agencies in which to appeal.
31. Be informed of Texas Health Hospital's charges for services, noncovered changes, and available payment methods. The patient has a
needs and understanding.
5.
The patient is responsible for following instructions, policies,
rules, and regulations in place to support quality care for
patients and a safe environment for all individuals in the
hospital.
6.
The patient is responsible for supporting mutual consideration
and respect by maintaining civil language and conduct in
interactions with staff and licensed independent practitioners.
7.
The patient, his or her family, and any other individual who
may visit the patient, are responsible for being considerate of
other patients an Texas Health Hospital staff and for
contributing to a safe environment. The patient, his or her
family and visitors are responsible for communicating any and
all concerns for their safety and the safety of others to staff of
Texas Health Hospital.
8.
Communicating to Texas Health Hospital’s staff any personal,
cultural, spiritual and/or other ethnic beliefs that might impact
the patient's healthcare decision making.
9.
Informing Texas Health Hospital of any requirements to use
alternative telephone numbers, addresses or other means
necessary to communicate with his or her family or surrogate
and any requests to restrict uses and disclosures of personal
persons or purposes.
right to obtain a schedule of hospital rates and charges. The patient
has the right to know of the immediate and long-term financial
implications of treatment choices, insofar as they are known.
32. Have a family member or representative to be present with the
patient’s for emotional support during the course of stay, unless
presence infringes on others’ rights, safety or is medically or
therapeutically contraindicated.
33. To receive assistance from a family member, representative, or other
individual in understanding, protecting, or exercising the patient’s
rights to the extent permitted by law.
PATIENT RESPONSIBILITIES
10. The patient should be aware of Texas Health Hospital’s
The collaborative nature of healthcare requires that patients and/or their
families/surrogates participate in their care. The effectiveness of care and
patient satisfaction with the course of treatments depends, in part, on
the patient fulfilling certain responsibilities.
obligation to be reasonably efficient and equitable in
The patient is responsible for:
families
1.
Providing information
about
past
illnesses,
known
or
suspected allergies, hospitalizations, current medications,
family's health history, environmental factors and
other
matters related to his or her health status. To participate
effectively in decision
making,
the
patient
must
be
encouraged to take responsibility for asking questions when
he or she does not understand information or instructions,
and to request additional information about his or her health
status or treatment.
2.
Ensuring that Texas Health Hospital has a copy of his or her
written advance medical directive,
if
one
has
been
completed. The patient is also responsible for informing
healthcare providers about any anticipated problems in
following prescribed treatments.
3.
providing care to other patients and the community. First
Texas l Hospital’s rules and regulations are designed to help
the organization meet this obligation. Patients and their
are
responsible
for
making
reasonable
accommodations to the needs of Texas Health Hospital, other
patients, medical staff and organization employees.
11. The patient is responsible for providing information for
insurance claims and cooperating with Texas Health Hospital
to make payment arrangements. The patient is also
otherwise responsible for meeting financial commitments to
Texas Health Hospital for treatment and services he/she
receives.
12. A patient's health depends upon much more than the delivery
of adequate healthcare services. The patient is responsible for
recognizing the impact of his or her lifestyle on their personal
health and for reporting perceived and know risky behavior to
their healthcare providers.
Reporting to a member of Texas Health Hospital a known
or perceived unsafe circumstances or practices including the
use of illegal drugs or use of drugs not prescribed for use by
the patient.
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Patient Rights and Responsibilities
The physicians, nurses, and the entire staff at Texas Health Hospital are committed to assure you safe and reasonable care.
Should you have a complaint or grievance related to Texas Health Hospital, you may request to speak with the Texas Health
Patient Representative or Administrator.
If your complaint or grievance is not resolved to your satisfaction, you may contact:
Department of State Health Services
Complaint hotline: 888.973.0022
Health Facility Compliance Group (MC 1979)
Texas Department of State Health Services
Privacy and Security Officer
PO Box 149347
email: [email protected]
Austin, TX 78714-9347
Presentation of a complaint will not compromise your care under any circumstances.
By signing this form, you acknowledge that you have received a copy of Texas Health Hospital’s Patient Rights Notice.
Patient Name (please print)
Signature of Patient, Parent, or Legal Guardian
Date
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