Page 233 - CHHA Binder 2.3.20

4/11/2019

Health Care Proxy

Speaking of Health Care Proxy, the next
information page gives the patient
and/or caregiver information regarding
appointing someone as a Health Care
Proxy. The actual application form is in
another section of the SOC Packet
which we will see later.
Purpose:
Provides patient with information
regarding appointing a Health Care
Proxy in New York State.
Patient can assigns an Alternate
Agent if the Health Care Proxy is
not available.
Patient can make anatomical gift
of organ and/or tissue donation.

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VNSNY Patient Bill of Rights

Includes name and contact number
for the HHA Administrator to receive
complaints

Document must be reviewed with both
patient and legal representative
To inform patient of their rights as a
patient with VNSNY.
Inform patient of their responsibilities
as a patient with VNSNY.
Provide contact information at VNSNY
if patient has questions regarding their
rights.
Provide contact information for the
NYS Department of Health (DOH),
Community Health Accreditation
Program (CHAP), and Quality
Improvement Organization for Medicare
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