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Patient
Rights and Responsibilities
We recognize the autonomy of the people we serve by respecting your
rights and responsibilities to make decisions about your care, treatment,
and services.
In accessing
and receiving care, treatment, and services, you have the right:
- To receive
reasonable care, treatment, and services on a nondiscriminatory
basis pursuant to local, state, and federal laws, as well as within
the capabilities and mission of Mercy Iowa City
- To receive
care, treatment, and services that respect your cultural, psychosocial,
spiritual, and
personal values, beliefs, and preferences.
- To have respectful
care, treatment, and services in regard to your own personal dignity,
property, safety, and security.
- To receive
pastoral care and express spiritual beliefs and cultural practices
as long as these do not harm others or interfere with treatment.
- To receive
written information on your rights while receiving care, treatment,
or services from Mercy Iowa City.
- To be informed
within 24 hours of admission of the name of your physician or
other practitioner
primarily responsible for, and who will provide your care, treatment,
and services.
- To have qualified
staff introduce themselves and explain their position and duties,
as they are
involved in the care, treatment, and services you receive
- To be involved
in decisions about your care, treatment, and services
- To participate
in the consideration of ethical issues and other dilemmas that
arise in the provision of care, treatment, and services.
- To be informed
about the diagnosis, care, treatment, and service plans in terms
that you–or your legal representative and family can understand.
- To have interpretation
and/or translation services as necessary for effective communication
about receiving or refusing care, treatment, or services.
- To receive
effective communication about receiving care, treatment, and services
with respect to your age, vision, speech, hearing, language, or
cognitive abilities.
- To receive
appropriate assessment, education, and effective management of
your pain.
- To know that
the effectiveness and safety of care, treatment, and services
does not depend on your ability to pay.
- To receive
an explanation of the financial implications of care, treatment,
and service choices and an explanation of billing services.
- To be informed
of your medical condition and changes in your care, treatment,
and services
unless contraindicated and so documented in your medical record
by your physician.
- To access
the information contained in the medical record upon written request
within the limits of the law with access occurring only in the
presence of a nurse or other designated employee or physician.
- To have access,
request amendment to, and receive an accounting of disclosures
regarding your own health information as permitted under law.
- To receive
assistance in obtaining information for services to continue care
after discharge.
- To be given
a listing of local and state advocacy groups that can provide
you with protective and advocacy services.
In regard
to personal privacy and confidentiality, you have the right
- To personal
privacy and confidentiality of information.
- To receive
assurance of reasonable safety, free from abuse, restraint, neglect,
and exploitation from anyone, including staff, students, volunteers,
other patients, visitors, and family members
- To gain or
withhold informed consent to produce or use recordings, films,
or other images of the patient for purposes other than his or
her care.
- To be informed
of research, investigation, clinical trials, and educational activities
that you can decide to participate in or refuse. Your participation,
refusal, or discontinuing participation will not compromise access
to care, treatment, and services.
- To communicate,
associate, and meet publicly and privately with any person of
your choice, unless to do so would infringe upon the rights of
other patients, or the desire not do so is indicated by you or
your physician for therapeutic reasons.
- To send and
receive unopened mail and to have reasonable access to a telephone
to receive and place confidential calls.
- To be informed
of and participate in the decision to restrict communication when
indicated.
- To have your
legal representative approve care, treatment, and service decisions.
- To have family
members be involved in your care, treatment, and service decisions,
as appropriate and as allowed by law, with your permission or
that of your surrogate decision maker.
- To exclude
any or all family members from participating in care, treatment,
and service decisions.
- To expect
that the confidentiality of your medical record and the information
that it contains will be maintained. Access and disclosure will
be limited to individuals caring for you, responsible for relevant
quality improvement activities, or as required by
law or regulation.
In
regard to advance health care directives and end of life decisions,
you have the right:
- To be informed
upon admission to the extent to which Mercy Iowa City is able,
unable,
- To be informed
and involved in making decisions regarding the acceptance or refusal
of care, treatment, or services and the right to formulate advance
directives as provided by Iowa law. Care will not be compromised
based on your refusal of care, treatment, or services. Mercy Iowa
City honors and respects advance directives, as well as the right
not to have an advance directive.
- To request
and receive assistance in formulating an advance directive.
- To review
and revise advance directives. To expect health care professionals
and designated representatives to honor your advance directives,
living will, and/or durable power of attorney for health care
as duly executed by Iowa law within the limits of the law and
Mercy’s capabilities.
- To designate
a surrogate decision maker, as allowed by law, in the event that
you cannot make decisions, are not legally responsible, or cannot
communicate your wishes regarding your care, treatment, and services.
The surrogate decision maker, as allowed by law, has the right
to accept or refuse care, treatment, and services on your behalf.
- To accept
or refuse medical or surgical treatment including life-sustaining
treatment or withholding resuscitative services to the extent
permitted by law and to be informed of medical consequences of
your refusal.
- To receive
written information about your right to accept or refuse medical
or surgical treatment including life-sustaining treatment or withholding
resuscitative services.
- To retain
optimal comfort and dignity during end of life care through the
identification and treatment of symptoms that can respond to treatment
as desired by you or your surrogate decision maker.
In the
resolution of concerns, you have the right:
- To freely
voice concerns, complaints, and carerelated conflicts and recommend
changes without being subject to coercion, punishment, reprisal,
or unreasonable interruption of care, treatment, and services.
If an issue needs resolution, contact the Patient Representative
at 319-688-7054 or toll-free at 888-771-0874.
- To expect
reasonable response to your requests for care, needs, concerns,
care-related conflicts, and/or complaints.
- To appeal
grievances to an external agency by contacting Division of Health
Facilities, Iowa Department of Inspections and Appeals, Lucas
State Office Building, Des Moines, Iowa 50319, phone 515-281-4115.
- To voice
concerns regarding patient care or safety by contacting Office
of Quality Monitoring of Joint Commission, 800-994-6610 or by
email at complaint@jcaho.org
- To request
consultation of another physician.
- To ask questions
of your physicians and other health care providers.
- To ask and
be informed of business relationships among the hospital, other
providers, or payers that may influence your care, treatment,
and services.
Your
participation in your care is very important. As a patient, you
have the following responsibilities:
- To provide
accurate and complete information about your present condition,
pain status, medication use, past illnesses and hospitalizations,
and other matters that relate to your health and care.
- To report
perceived risks in your care and unexpected changes in your condition.
This can help
the health care team understand your environmentand provide feedback
about service needs and expectations.
- To attempt
to understand the care, treatment, and services offered or provided
by asking questions and seeking clarifications about your diagnosis,
treatment, prognosis, discharge instructions, and what is expected
of you.
- To report
changes in your condition, including pain, to staff members caring
for you.
- To follow
the treatment plan and care instructions as recommended by your
health care team. Refusing to accept a plan for care, treatment,
or services or to follow the physician’s instructions is
your decision. The consequences of refusal are your responsibility.
- To honor
the rights of other patients and visitors for confidentiality,
privacy, and a peaceful environment.
- To provide
accurate information regarding health insurance.
- To ensure
that the financial obligations for your care, treatment, and services
are promptly met or arrangements are made with Mercy Iowa City’s
Financial Planning and Assistance Program.
- To observe
the rules and regulations of Mercy Iowa City regarding care, treatment,
and services.
- To conduct
yourself in a manner that is respectful of hospital staff, visitors,
and property.
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