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Notice of Nondiscrimination This facility and its affiliates comply with applicable federal civil rights laws and do not discriminate; exclude people; or treat them differently on the basis of race, color, national origin, age, disability, religion, sex, sexual orientation, marital status, pregnancy, gender, gender identity, or gender expression. Support During Your Stay H ave visitors present during visiting hours. Be informed when visitation is limited for clinical or safety reasons. G ive or deny visiting privileges to anyone you choose. C ontact a faith leader to support you during your stay. Privacy and Safety E xpect that all communications and records about your care are kept confidential by the hospital and its staff, except when you consent to sharing such information. G ive or refuse to give permission for recordings or images for purposes other than patient identification, treatment, quality improvement, or security. Personal privacy. Receive care in a safe setting. A ccess to your medical records in a reasonable time frame. B e free from chemical or physical restraint unless it is necessary for your safety or the safety of others. File Complaints R equest a timely review and resolution of your complaints by the hospital. Your social worker, nursing supervisor, director of nursing, or other patient advocate or representative can provide assistance. File a grievance or complaint through: A Beneficiary and Family Centered Care Quality
You may file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, on their complaint portal. Visit ocrportal.hhs. gov/ocr/smartscreen/main.jsf or scan the QR code.
Y our hospital’s accrediting organization. Most hospitals are accredited by The Joint Commission—you can file a complaint at jointcommission.org/report_a_complaint.aspx . If your hospital uses a different accrediting organization, ask staff for contact information. Patient Responsibilities As a patient, you have the responsibility to: Respect Others T reat hospital staff with courtesy and respect regardless of their race, religion, gender identity, ethnicity, culture, age, sex, sexual preference, ability, marital status, pregnancy status, education, or veteran status. U se polite language and behavior with all hospital staff. S how respect for other patients and the property of the hospital or others. F ollow hospital rules and procedures. Participate in Your Care P rovide to the best of your ability the most correct and up-to-date information about your personal identification, health, and insurance. A sk questions if you do not understand something. F ollow your treatment plan. T ell us if you have pain and whether it gets better with medication or treatment. L et us know about any changes in your symptoms. P ay bills that are not covered by your insurance plan. Let staff know if you need assistance or have questions about billing or insurance. K eep personal items you bring into the hospital secure or send them home. P rovide a current copy of your advance directives if you have them.
Improvement Organization (BFCC-QIO). You can find your state’s BFCC-QIO at qioprogram.org/locate-your-bfcc-qio . Y our state’s department of health. Visit usa.gov/state-health to search for yours.
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