Patient Rights and Responsibilities

The 'Patient's Bill of Rights and Responsibilities' is 
displayed in this facility and is distributed to each 
patient.  A copy is included in the patient's mailing or is 
given to the patient at the time of their first appointment.  
Information regarding the provider(s) in this organization is 
distributed to the patient and authenticated by the patient 
signature on the intake sheet.
 
This organization promotes patient's rights and encourages 
all patients and their families to ask questions, participate 
in their care, participate in all decisions related to their 
care, and to know their rights and responsibilities. This 
organization displays various posters to remind patients to 
participate in their care or Speak Up. Also, this 
organization provides the patient with information regarding 
infection control measures for hand hygiene practices, 
respiratory hygiene practices and contact precautions 
according to the patient's condition.  The information is 
discussed with the patient and his or her family members on 
the date the patient enters the practice.  JOINT COMMISSION 
ONLY: The patient's understanding of this information is 
evaluated and documented. SEE THE FORMS REPOSITORY, JOINT 
COMMISSION DISCLOSURE FORM JOINT COMMISSION, DELETE THESE 
INSTRUCTIONS
 
A 'Patient's Bill of Rights and Responsibilities' is posted 
in the facility.  
 
FOR MEDICARE ONLY:  YOU MUST INCLUDE THE NAME, NUMBER, AND 
ADDRESS OF A REPRESENTATIVE IN THE STATE AGENCY TO WHO 
PATIENTS CAN REPORT COMPLAINTS AS WELL AS THE WEBSITE FOR THE 
OFFICE OF MEDICARE BENEFICIARY OMBUDSMAN. 
 
INFORMATION REGARDING ADVANCED DIRECTIVES IS GIVEN TO THE 
PATIENT PRIOR TO THE PROCEDURE; PLEASE SEE THE POLICY 
ADVANCED DIRECTIVES IN VOLUME 1
 
The patient has the right to know the physician's 
relationship to the ownership/financial interest of the 
organization.  Disclosure must occur.  Disclosure is 
discussed in the Governance-Leadership policy; volume 4. 
 
This facility recognizes and respects each individual 
patient's cultural, psychosocial, religious, and personal 
values.
 
Although the facility encourages participation of family 
members, a patient's confidentiality must never be breached.  
The patient is the main focus and all directives from the 
patient regarding sharing of medical information will be 
respected.
 

Consents

 
All risks, benefits, and alternatives of a patient's 
procedure are explained to the patient and their family. 
 
The patient must sign an informed consent before a procedure. 
 In the case of cognitive disabilities or the patient being a 
minor, the person signing for the patient must be the legal 
health care proxy, legal guardian, have power of attorney , 
or be a legal surrogate decision-maker.  In this same 
scenario, the individual with the legal ability to sign the 
consent is the only individual who may receive information 
regarding the patient's medical status.
 
Second opinions are encouraged. A patient may choose to 
change physicians.
 
The patient and their family are given detailed verbal and 
written instructions specific to their procedure, prior to 
the procedure. 
 
The patient and their family are given detailed verbal and 
written instructions specific to their post procedure course.
 
The patient has the right to dispute information contained in 
their chart.  This process must be initiated by the patient 
with the disputes listed in writing addressed to the 
organization.  The Medical Director will be charged with 
responding to the patient's disputes.
 
This facility at this time does not participate in 
investigational studies or clinical trials.
 
All employees sign and understand the importance of the 
confidentiality statement.
 
 

Approved By Governing Board
RG.9
Control #323.9
GUPTA GASTRO