Know Your Rights and Responsibilities.
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You have the right to:
- Be treated in a dignified and respectful manner and to
receive reasonable responses to reasonable requests
for service.
- To effective communication that provides information in
a manner you understand, in your preferred language
with provisions of interpreting, translation services, or auxillary aids at no cost, and in a manner that meets your needs in
the event of vision, speech, hearing or cognitive
impairments or limited ability to read, write, speak, or understand English. Information should be provided in easy to
understand terms that will allow you to formulate
informed consent.
- Information on how to obtain these free services and auxiliary aids.
- Care or services provided without discrimination based on gender, age, race, color, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, sexual orientation, and gender identity or expression.
- Information on the availability of the grievance procedure and how to file a grievance pursuant to §92.7 (b), the identification and contact information for the responsible employee designated pursuant to §92.7 (a), and how to file a discrimination complaint with the Office of Civil Rights (OCR).
- Discuss any concerns about discrimination with the Facility Compliance Officer.
- Respect for your cultural and personal values, beliefs
and preferences.
- Personal privacy, privacy of your health information
and to receive a notice of the facility's privacy
practices.
- Pain management.
- Accommodation for your religious and other spiritual
services.
- To access, request amendment to and obtain
information on disclosures of your health information in
accordance with law and regulation within a
reasonable time frame.
- To have a family member, friend or other support
individual to be present with you during the course of
your stay, unless that person's presence infringes on
others' rights, safety or is medically contraindicated.
- Participate in decisions about your care, including
developing your treatment plan, discharge planning
and having your family and personal physician
promptly notified of your admission.
- Select providers of goods and services to be received
after discharge.
- Refuse care, treatment or services in accordance with
law and regulation and to leave the facility against
advice of the physician.
- Have a surrogate decision-maker participate in care,
treatment and services decisions when you are unable
to make your own decisions.
- Receive information about the outcomes of your
care, treatment and services, including unanticipated
outcomes.
- Give or withhold informed consent when making
decisions about your care, treatment and services.
- Receive information about benefits, risks, side
effects to proposed care, treatment and services; the
likelihood of achieving your goals and any potential
problems that might occur during recuperation from
proposed care, treatment and service and any
reasonable alternatives to the care, treatment and
services proposed.
- Give or withhold informed consent to recordings,
filming or obtaining images of you for any purpose
other than your care.
- Participate in or refuse to participate in research,
investigation or clinical trials without jeopardizing
your access to care and services unrelated to the
research.
- Know the names of the practitioner who has primary
responsibility for your care, treatment or services and
the names of other practitioners providing your care.
- Formulate advance directives concerning care to be
received at end-of-life and to have those advance
directives honored to the extent of the facility's
ability to do so in accordance with law and regulation.
You also have the right to review or revise any
advance directives.
- Be free from neglect; exploitation; and verbal, mental,
physical and sexual abuse.
- An environment that is safe, preserves dignity and
contributes to a positive self-image.
- Be free from any forms of restraint or seclusion used
as a means of convenience, discipline, coercion or
retaliation; and to have the least restrictive method
of restraint or seclusion used only when necessary to
ensure patient safety.
- Access protective and advocacy services and to
receive a list of such groups upon your request.
- Receive the visitors whom you designate,
including but not limited to a spouse, a
domestic partner (including same-sex domestic
partner), another family member, or a friend. You
may deny or withdraw your consent to receive any
visitor at any time. To the extent this facility places
limitations or restrictions on visitation; you have the
right to set any preference of order or priority for
your visitors to satisfy those limitations or
restrictions.
- Examine and receive an explanation of the bill for
services, regardless of the source of payment.
You have the responsibility to:
- Provide accurate and complete information
concerning your present medical condition, past
illnesses or hospitalization and any other matters
concerning your health.
- Tell your caregivers if you do not completely
understand your plan of care.
- Follow the caregivers' instructions.
- Follow all medical center policies and procedures
while being considerate of the rights of other
patients, medical center employees and medical
center properties.
You also have the right to:
Lodge a concern with the state, whether you have used the
hospital's grievance process or not. If you have concerns
regarding the quality of your care, coverage decisions or
want to appeal a premature discharge, contact the State
Quality Improvement Organization (QIO).
Quality Improvement Organization
Toll Free: (888) 524-9900
TTY: (888) 985-8775
Mail: Livanta LLC
BFCC-QIO Program
10820 Guilford Road
Suite 202
Annapolis Junction, MD 20701-1105
If you have a Medicare complaint you may contact:
Illinois Department of Public Health
Phone: (800)252-4343
Mail: Illinois Department of Public Health
535 West Jefferson Street
Springfield, IL 62761
Regarding problem resolution, you have the right to:
Express your concerns about patient care and safety
to facility personnel and/or management without being
subject to coercion, discrimination, reprisal or
unreasonable interruption of care; and to be informed
of the resolution process for your concerns. If your
concerns and questions cannot be resolved at this level,
contact the accrediting agency indicated below:
The Joint Commission
Phone: (800) 994-6610
Fax: (630) 792-5636
Email: patientsafetyreport@jointcommission.org
Mail: Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181