As a patient you have the right…
- To have access to the right treatment and available space regardless of your race, creed, sex, national origin or source of payment.
- To make informed decisions regarding your care. This should be based on a clear explanation of your condition, proposed procedures, any risk of death or serious side effect, possible problems related to your recovery and probability of success.
- To have as much current information as possible on your diagnosis, treatment and any known outcome from the doctor responsible for your care.
- To not undergo any procedure unless you or your legally authorized representative gives voluntary, competent and understanding consent.
- To have access to an interpreter if you are unable to speak or understand English.
- To have your pain assessed and managed.
- To be able to request treatment
- To be able to consent or refuse to participate in clinical training programs or research.
- To consult with a specialist at your own request.
- To refuse treatment.
- If you or your legally authorized representative refuses treatment and will not allow us to care for you according to professional standards, we have the option of ending our relationship with you after reasonable notice.
- To be able to formulate advance directives and have hospital staff and practitioners who provide care in the hospital comply with these directives.
- To have a family member or representative of your choice and your own doctor notified of your admission to the hospital in a timely manner.
- To a complete explanation in advance if you must be transferred to another facility or organization.
- To be informed by your doctor of health care required after your discharge from the Hospital.
- To an itemized and detailed explanation of your complete hospital bill, regardless of the source of payment for your care.
- To be notified in advance if Medicare, Medicaid, or any third-party payers contracting with Mercy Hospital, Inc will cease paying.
- To personal privacy.
- To be interviewed and examined in surroundings that ensure reasonable privacy in every respect, including-To have a person of your own sex present during certain stages of a doctor examination, treatment or procedure.-To not remain disrobed any longer than is required for a specific procedure.
- To confidentiality of your patient records.
- To expect that any discussion or consultation in your case will be confidential and that individuals not directly involved in your care will not be present without your permission during the discussion or consultation.
- To have your medical record read only by individuals directly involved in your care or in monitoring the quality of your care. Other individuals will have access to your medical record only if you or your legally authorized representative gives written permission.
- To access information contained in your clinical record within a reasonable time frame.
- To receive care in a safe setting.
- To refuse to talk with or see anyone not directly involved in your care.
- To be placed in protective privacy when considered necessary for your personal safety.
- To expect reasonable safety as provided by the Hospital’s practices and environment.
- To be free from verbal or physical abuse or harassment.
- To be free from any restraint that is not clinically/medically necessary.
- Mercy Hospital, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability or sex.
Your Comments About Your Care / Grievance Policy
Mercy Hospital Inc. staff and physicians are interesting in your comments about your care. If you have a concern about care or information you are receiving, tell us about it in one of several ways:
- Tell your doctor or primary nurse or care giver. They may be able to correct the situation immediately. In some instances, they may seek assistance from a supervisor, department manager or administrative staff to address the issue.
- Phone 1-620-345-6391, Ask for Risk Manager or Privacy Officer.
- Fax 1-620-345-6344, Att: Risk Manager
- E-mail: firstname.lastname@example.org
- or write: Risk Management Office, Mercy Hospital Inc. P.O. Box 180 Moundridge, KS 67107
Your Comments are valuable and help us continuously improve our service to you.
If you prefer, you may call the Bureau of Child Care and Health Facilities at 1-(855)-408-8557
As a patient you have the responsibility to…
- Follow the treatment plan recom-mended by the practitioner with primary responsibility for your care. This may include following the instructions of nurses and other health care personnel who carry out doctor’s orders and/or plan of care.
- Notify the hospital if you are unable to keep appointments for outpatient services.
- Provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalization, medications and other matters concerning your health. Please report unexpected changes in your condition to the person in charge of your care.
- Let us know if you do not understand your course of treatment and what is expected of you.
- Meet financial obligations regarding your health care as promptly as possible.
- Treat other patients and personnel with respect.
- Provide complete and up-to-date information to Mercy Hospital Inc. so we can meet legal and financial requirements concerning your treatment.
Physicians on our medical staff will…
- Keep you informed of your diagnosis, treatment and expected outcome. Such information should be clear and complete enough so you can give your informed consent before the start of any procedure and/or treatment.
- Not knowingly permit research affecting your care or treatment without obtaining your prior consent.
- Cooperate with all committees of the medical staff to ensure high quality medical care and the appropriate use of services.
- Protect, with the Hospital, the confidentiality of your medical records.
Mercy Hospital Inc. Employee responsibilities
Mercy Hospital employees will:
- Respond to your requests for Hospital services within our capacity.
- Review and explain your bill upon your request.
- Try to help you obtain care, in other facilities if necessary, after your discharge if you require continuing care.
- Church Notification: At your request we will notify your pastor of your admission to our facility.
- Living Wills and Durable Power of Attorney for Health Care: These forms are available from Social Services, if you did not bring copies with you.
Organ and Tissue Donation: Information on organ and tissue donation is available from Social Services.