Page 22 - StLV Guide 2017
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16
Your Patient Rights
You have rights and a role regarding your treatment and care. Knowing your rights and role can help you make better decisions about your health care.
1.  e hospital prohibits discrimination to patients and visitors based on age, race, ethnicity, national origin, religion, culture, language, physical or mental disability, socioeconomic status, gender, or sexual orientation.
2. You have the right to receive information about your rights as a patient and how to present a complaint or grievance, including whom to contact with your complaint.
a) To learn more about the complaint- handling process or to  le a complaint, ask your nurse or another member of the hospital workforce, or call 832-534-5838 to speak to a hospital representative at any time during your stay to report your concern or complaint (grievance).
b) For grievances regarding civil rights discrimination, please submit your complaint in writing with your name, your address, a description of the alleged discriminatory action, and the resolution sought to the following:
CHI St. Luke’s Health | Attn: Division Corporate Responsibility O cer | PO Box 20269 | MC 3-121
Houston, TX 77225-0269 | 832-355-2146
c) If you feel that your concerns have not been resolved by the hospital, you may contact one of the following:
• Texas Department of State Health
Services
• U.S. Department of Health and
Human Services, O ce for Civil Rights
• Centers for Medicare and Medicaid
Services (CMS)
• DNV Healthcare Inc.
3. If you have Medicare coverage and are admitted to the hospital, you have the right to receive the Bene ciary Notice, the “Important Message from Medicare.”
4. You have the right to have a family member or person of your choice and your physician noti ed when you are admitted to the hospital.
5. You have the right to reasonable responses to requests and needs for care, treatment, and/or services, within the
hospital’s capacity, its stated mission, and applicable law and regulation.
6. You have the right to considerate and respectful care in a digni ed manner, including the following:
a) Care that considers psychosocial, spiritual, cultural, personal values, preferences, and other variables that in uence the perception of illness;
b) Care of the dying that optimizes comfort and dignity:
• By treating primary and secondary symptoms that respond to treatment according to individual wishes;
• By e ectively managing pain; and
• By recognizing psychosocial and
spiritual concerns about dying and grief.
7. You have the right to work together with your physician to make decisions about your care and treatment:
a) Receive information you need to make an informed decision about care and treatment that re ects your wishes;
b) Receive information necessary to give your informed consent before certain procedures or treatments;
c) Accept or refuse care, treatment, and/
or services, to the extent permitted by law, and receive information about the possible e ects of refusing care or treatment;
d) Receive information about the outcomes of care or treatment that was provided, including any unexpected outcomes; and e) Participate in the plan for your care, treatment, and discharge, and manage your pain.
8. You have the right to receive information in a manner you understand.
9. You have the right to participate in addressing ethical issues related
to your care.
10. You have the right to work together with your physician to express your choices about care and/or treatment before it is needed, such as through an advance directive. If you prefer, you may appoint someone to make health care decisions for you.
a) During admission, you will be asked if you have an advance directive or need assistance with writing an advance directive.
b) If you have an advance directive,
a copy, if available, will be placed in your medical record. As appropriate to your care, it will be reviewed with you or your decision maker.
c) Care, treatment and services are not based on whether or not you have an advance directive.
11. You have the right to the con dentiality of your medical record and information within legal limits.
12. You have the right to access information contained in your medical record within a reasonable time frame and under conditions established by hospital policy.
13. You have the right to personal privacy.
14. You have the right to receive care in a safe setting.
15. You have the right to be free from all forms of abuse and harassment, including neglect, exploitation, verbal abuse, mental abuse, physical abuse and sexual abuse.
16. You have the right to be free from bodily punishment, including the right to be free from restraint or seclusion of any form that is used as a means of coercion, discipline, convenience or retaliation
by the hospital workforce. Restraint or seclusion may only be used to ensure your immediate physical safety or the safety of others, and must be ordered by your physician and discontinued at the earliest possible time.
17. You have the right to be informed of any human experiments, research or clinical education programs that a ect your care, treatment, and/or services, including the respect and protection of your rights.
18. Your guardian, next of kin or legally authorized person has the right to exercise, to the extent permitted by law, your rights if you are unable to express your wishes about care, treatment, and/ or services.
19. You have the right to receive
visitors whom you designate including, but not limited to, a spouse, domestic partner (including a same-sex domestic partner), another family member or
a friend. You may make changes to withdraw or deny consent to a visitor
at any time.  e hospital may need to restrict visitors based on your clinical condition or to protect the rights and safety of others.  e number of visitors, visiting hours and overnight visitors may also be limited. Please check with your nurse about the speci c limitations for your room.
Still have questions about your rights or responsibilities? Call 832-355-2146 for answers.
PATIENT RIGHTS


































































































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