PATIENT RIGHTS AND RESPONSIBILITIES
62 The following patient rights and responsibilities are presented to the patient and family in the spirit of mutual trust and respect. Mission Statement: Four Seasons’ mission is to co-create the care experience. Patient Rights PATIENT RIGHTS & RESPONSIBILITIES 23. To be notified within 10 days
63
29. To be provided a copy of the declaration of Patient Rights and Responsibilities in ad- vance of care being furnished. 30. To be free from mistreatment, exploitation, neglect, or verbal, mental, sexual, and/or physical abuse, including injuries of un- known source and misappro- priation of patient property. Patient Responsibilities I have the responsibility: 1. To notify Four Seasons of changes in my address, health status, medications, medical provider, or admission to a health care facility. 2. To notify Four Seasons of my inability to keep a scheduled appointment. 3. To notify Four Seasons when I feel my rights are not being respected. 4. To sign a release when refus- ing medications, treatments, the recommended plan of care, or when refusing home care services. 5. To notify Four Seasons if I have any changes in my health insurance benefits, such as considering a Medicare Ad- vantage plan, HMO, etc. 6 . To cooperate with my and Four Seasons in my treatment program. 7. To provide a safe home envi- ronment in which care can be given.
31. To expect that the agency shall investigate, within 72 hours, complaints made to the agency by a client or the client’s family. 32.To know that my family or guardian may exercise my patient rights if I have been judged incompetent by a court of law. 8. To treat the person or persons involved in my care with re- spect, consideration, and digni- ty regardless of age, ancestry, color, ethnicity, gender, gender identity or expression, language, military/veteran status, nation- al origin, race, religion, sexual orientation, or other aspect of difference. 9. To provide Four Seasons with a current copy of my Advance Directives, if any. 10. To express any concerns re- garding the course of treat- ment or my ability to comply with instructions. 11. To recognize and respect the rights of our other patients, visitors, and staff. Threats, violence, disrespectful com- munication, or harassment of other patients or of any Four Seasons staff member, for any reason will not be tolerated. This prohibition applies to the patient as well as their family members, representatives, and visitors.
Specific to Elizabeth House: 33.To receive visitors, including children, in keeping with the security, privacy, and rights of others in the facility, as well as the Elizabeth House visitation policy. 34.To keep and use personal clothing and possessions. 35. To privacy and security of my- self and my possessions. Please Note: In addition, requests for changes of provider or other medical staff based on that individual’s race, ethnicity, religion, sexual orienta- tion, gender, or gender identity will not be honored except in rare circumstances on a case-by-case basis. All changes of request for provider will be based on Four Seasons policy. Patients and their families, representatives and visi- tors are expected to respect the property of other persons and that of Four Seasons.
1. To exercise my rights as a pa- tient of Four Seasons. 2. To be free from discrimination or reprisal for exercising my rights. 3. To be informed of and partici- pate in my plan of care. 4. To have my property and per- son treated with respect, con- sideration, and dignity, with full recognition of my individu- ality and right to privacy. 5. To receive care and services that are adequate, appropriate, and in compliance with rel- evant Federal and State laws and rules and regulations. 6. To be informed of the process for acceptance and continu- ance of service and eligibility determination. 7. To receive effective pain man- agement and symptom control from Four Seasons. 8. To have my Advance Direc- tives honored as permitted by local, state, and federal law. 9. To accept or refuse services, care, or treatment, and be in- formed about the consequenc- es of such action. 10. To choose my attending medi- cal provider. 11 . To receive a copy of Four Sea- sons’ Notice of Privacy Practic- es describing my privacy rights.
12. To have my personal and medi- cal records kept confidential, disclosed only with appropri- ate written consent or in ac- cordance with the Notice of Privacy Practices. 13. To inspect and copy my health information in accordance with the Notice of Privacy Practices. 14. To be informed of the agency’s on-call service. 15. To be informed of supervisory accessibility and availability. 16. To be advised of the agency’s procedures for discharge. 17. To receive a timely response to my reasonable requests of the agency. 18. To receive a written statement of services provided by the agency and any charges I may be liable for paying. 19. To receive information about the services covered under the hospice benefit. 20. To receive information about the scope of services Four Sea- sons will provide and specific limitations on those services. 21. To receive health teaching and education in a language or form that I can reasonably be expected to understand. 22. To be involved in resolving eth- ical issues or conflicts about care or service.
when the agency’s license has been revoked, suspended, can- celed, annulled, withdrawn, re- called, or amended. 24. To be advised of the opportu- nity to request a copy of the agency’s policies regarding pa- tient rights or responsibilities. 25. To voice grievances regarding treatment or care that is (or fails to be) furnished and the lack of respect for property by anyone who is furnishing services on behalf of Four Sea- sons, and not be subjected to discrimination or reprisal for doing so. 26. To receive care without regard to race, color, ethnicity, nation- al origin, religion, age, sex, sex- ual orientation, gender identity, genetic information, disability, veteran status, socioeconomic status, type of illness, or ability to pay. 27. To be advised of the address and telephone number for in- formation, questions, or com- plaints about services provided by the agency. 28 . To be advised of the address and telephone number of the section of the Department of Health and Human Services re- sponsible for the enforcement of the provisions of this part as well as the Joint Commission accrediting organization.
866.466.9734
FourSeasonsCare.org
FourSeasonsCare.org
866.466.9734
Four Seasons
Four Seasons
Made with FlippingBook - Online catalogs