Patient Bill of Rights
At Northwest Hospital & Medical Center, your health and wellness are our priorities. We believe the most effective care occurs when the health care team, the patient and family members work together
YOUR RIGHTS AND RESPONSIBILITIES AS A PATIENT
Specifically, you have the right to:
- Be informed of the hospital’s rules and regulations as they apply to your conduct.
- Expect dignity and privacy, including personal privacy, in treatment, consistent with providing you with good medical and psychiatric care.
- Receive considerate, respectful care at all times and under all circumstances.
- Expect prompt and reasonable responses to your questions.
- Know who is responsible for authorizing and performing your procedures or treatments.
- Know the identity and professional status of your caregivers.
- Know what patient support services are available, including access to an interpreter if language is a problem.
- Have access to your medical records according to hospital policy.
- Be informed of the nature of your condition, proposed treatment or procedure, risks, benefits and prognosis, and any continuing health
care requirements after your discharge in terms you can understand.
- Be informed of medical alternatives for care or treatment.
- Refuse treatment, except as otherwise provided by law, and to be informed of the consequences of your refusal.
- Receive access to medical treatment or accommodations regardless of race, sex, creed, sexual orientation, gender identity, national origin, religion, physical handicap, or sources of payment.
- Know if the medical treatment prescribed for you is for experimental purposes and to give your written consent to participate if you choose.
- Participate in the decision making process related to the plan of your care, including managing pain effectively.
- Have access to professionals to assist you with emotional and/or spiritual care.
- Exercise your cultural values and spiritual beliefs as long as they do not interfere with the well-being of others, or the planned course of any medical care.
- Participate in the discussion of ethical issues that may arise.
- Express concerns regarding any of these rights in accordance with the grievance process.
- Formulate Advance Directives and appoint a surrogate to make health care decisions on your behalf to the extent permitted by law.
- Be free from restraints or seclusion of any form that is not medically necessary.
- Be free from neglect and abuse.
- Have a family member and your physician notified of your admission.
- Obtain information as to any relationship the hospital has with other health care and educational institutions insofar as your care is concerned.
- Examine and receive an explanation of your bill, regardless of the source of payment.
- Designate visitors, including but not limited to spouse, domestic partner (including same-sex partner) and other family members or friends, and to be informed of any clinical restrictions or limitations.
- Expect that all communications and records pertaining to his care should be treated as confidential.
And you have a responsibility to:
- Providing accurate and complete information to your health care providers about your present and past medical conditions and all other matters pertaining to your health.
- Reporting unexpected changes in your condition to your health care providers.
- Participate actively in decisions regarding your health care including a pain management plan.
- Informing your health care providers whether or not you understand the plan of care and what is expected of you.
- Following the treatment plan recommended by your health care providers.
- Keeping appointments and, if you cannot, notifying the proper person.
- Knowing the consequences of your own actions if you refuse treatment or do not follow the health care providers’ instructions.
- Ask questions and seek clarification in order to understand and be informed about your diagnosis and treatment, as well as what is expected of you.
- Being considerate of the rights of other patients and hospital personnel and to follow hospital policy and regulations regarding care and conduct.
CONCERNS ABOUT YOUR CARE
For any concerns about the care or services you are receiving in this hospital, please contact:
Northwest Hospital Patient Relations Manager
You also have the right to contact:
DEPARTMENT OF HEALTH
TOLL FREE 1-800-633-6828
THE JOINT COMMISSION
A Quality Incident Report form is available online at http://www.jointcommission.org
Mail Report to:
Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Fax Report to:
Office of Quality Monitoring
Or email to: email@example.com
You can file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.