Rights

• The patient, regardless of race, color, national origin, physical or mental disability, gender identity or
  expression, age, sexual orientation, religion, language, culture, socioeconomic status, or sources of
  payment, has the right to impartial access or treatment or accommodations that are available and
  medically indicated, and not be excluded from participation in, or denied benefits of, or otherwise be
  subjected to discrimination.
• The patient has the right, under all circumstances, to considerate and respectful care with appreciation
  of his/her individual dignity and to a positive self image with protection of his/her need for privacy.
  The care of the patient includes consideration of psychosocial, and spiritual and cultural variables that
  influence the perceptions of illness.
• The patient has the right to reasonable visual and auditory privacy and confidentiality of his or her
  medical record. The patient and/or the patient’s legally designated representatives have access to the
  information contained in the patient’s medical record, within the limits of the law, in a reasonable time
  frame. The patient has the right to access information contained in his/her clinical record within a
  reasonable time frame, and the right to request amendment to, and receive an accounting of
  disclosures of the information.
• The patient has the right to reasonable, informed participation in decisions involving his/her health
  care. The patient has the right to receive information and explanations from the practitioner regarding
  his/her condition, and for all proposed technical procedures, including the possibilities of any risk, the
  probability of success, potential benefits or side effects, including potential problems that might occur
  during recuperation.
• The patient has a right to participation in the consideration of ethical issues that arise in the provision
  of his/her care.
• The patient has the right, within the law, to obtain from the attending physician complete and current
  information concerning his/her diagnosis (to the degree which is known), treatment and prognosis
  including unanticipated outcomes and events in terms the patient can comprehend.
• When it is inadvisable to give such information to the patient, information should be available to a
  legally authorized individual. The patient has the right to a prompt and reasonable response to
  questions and requests.
• The patient has a right to refuse care, treatment and services to the extent permitted by law and
  regulations. When refusal of treatment by the patient or legally authorized representative prevents
  appropriate medical care in accordance with professional standards or needs, the patient or
  representative will be informed of the medical or financial consequences. The relationship with the
  patient may be terminated upon reasonable notice.
• The patient has the right to designate a representative decision-maker in the event the patient is
  incapable of understanding a proposed treatment or procedure or is unable to communicate his/her
  wishes regarding care or has been adjudicated incompetent in accordance with the law.
• The patient has the right to treatment for any emergency medical condition that will deteriorate from
  failure to provide treatment.
• The patient has the right to expect that, within the power of Madison County Memorial Hospital,
  reasonable response be made to his/her requests for services. The patient may be transferred only
  when medically and legally permissible and only after he/she has received complete information and
  explanation concerning the need for such a transfer. The institution to which the patient is to be
  transferred must first accept the patient transfer.
• The patient has the right to have a family member or representative of his or her choice and his or her
  own physician notified promptly of his or her admission to the hospital.
• The patient has the right to know what support services for effective communications are available,
  including whether an interpreter is available if he/she does not speak English or is deaf.
• The patient has the right to be given, upon request, full information and necessary counseling on the
  availability of known financial resources for his/her care.
• The patient who is eligible for Medicare has the right to know, upon request in advance of treatment,
  whether Madison County Memorial Hospital accepts the Medicare assignment rate.
• The patient has the right to expect that any discussion or consultation involving his/her care will be
  conducted discreetly and individuals not directly involved in the care will not be present without
  patient permission.
• The patient has the right to know the identity and professional status of individuals providing services
  and to know which practitioner is primarily responsible for his/her care. In addition, the patient has
  the right to obtain information as it relates to Madison County Memorial Hospital and other health
  care providers, in so far as his/her case is concerned.
• The patient has the right to be informed if the hospital proposed to engage in or perform human
  experimentation or other research/educational projects affecting his/her care or treatment and has the
  right to refuse to participate.
• The patient has the right to request and receive an itemized and detailed explanation of services
  rendered while in Madison County Memorial Hospital regardless of the source of payment for his/her
  care.
• The patient has the right to express his/her concerns, conflicts or grievances regarding admission,
  treatment, compliance with advance directive, discharge, care and services without compromising care
  and/or services directly to nursing or other clinical staff, physicians, hospital administration, Risk
  Management, Quality Department, the Ethics Committee, and the Agency for Health Care
  Administration, 2727 Mahan Drive, Tallahassee, Florida 32308, telephone #1-888-419-3456. The
  patient has the right to lodge a grievance with the Agency for Health Care Administration regardless
  of whether he/she has first used the hospital’s grievance process.
• Madison County Memorial Hospital supports the patient’s right to formulate advance directives,
  including organ donation, and the facility will comply with the patient’s advance directives to the
  extent permitted by law. Madison County Memorial Hospital will not condition the provision of the
  patient’s care or otherwise discriminate against the patient based on whether or not the individual has
  executed an advance directive.
• Comfort care and pain-relieving medications will always be provided to optimize the comfort and
  dignity of the dying patient.
• The patient and family have the right to expect acknowledgement of the psychosocial and spiritual
  needs in regard to the dying process. The hospital will accommodate the patient’s right to pastoral
  and other spiritual services.
• The patient has the right to receive care in a safe setting and the right to be free from all forms of
  abuse, harassment or exploitation. The patient has a right to access protective and advocacy services.
• The patient has the right to the assessment and management of his/her pain.
• The patient has the right to be free from restraints of any form or seclusion that is not medically
  necessary.
• The patient has the right to be informed of his/her responsibilities.
• The patient has the right to seek review by the Quality Improvement Organization (QIO) for quality-
  of-care issues, coverage decisions, and to appeal a premature discharge.
• The patient has the right to have visitors regardless of their legal relationship to the patient, the right to
  receive or refuse visitors without regard to visiting privileges on the basis of race, color, national
  origin, religion, sex, gender identity, sexual orientation, or disability; and ensure that all visitors enjoy
  full and equal visitation privileges. The hospital reserves to right to restrict or revoke visitation for a
  visitor who is disruptive/hostile/threatening towards staff or a patient, Code Gray Security
  Emergency, or a Disaster Preparedness Infection Control Communicable Disease concern (when
  deemed necessary by a regulatory agency).

Responsibilities

• The patient is responsible for providing accurate and complete information about present complaints,
  past illnesses, hospitalizations, medications and other matters relating to his/her health.
• The patient is responsible for reporting unexpected changes in his/her condition to the responsible
  physician.
• The patient is responsible for reporting whether he/she clearly understands and comprehends the plan
  of action for his/her needs and what is expected of him/her.
• The patient is responsible for following treatment plans recommended by the practitioner primarily
  responsible for his/her care. This plan may include following instructions of nurses and other
  healthcare personnel who implement the physicians’ orders and enforce hospital rules and regulations.
• The patient is responsible for keeping appointments and notifying the healthcare provider or facility
  when he/she is unable to do so for any reason.
• The patient is responsible for his/her action if he/she refuses treatment or does not follow the
  physician’s instructions.
• The patient is responsible for assuring that the financial obligations of his/her healthcare are fulfilled
  as promptly as possible.
• The patient is responsible for following Madison County Memorial Hospital rules and regulations
  affecting patient care and conduct.
• The patient is responsible for being considerate of the rights of other patients and Madison County
  Memorial Hospital personnel and for assisting in the control of noise. Minor visitors must be
  accompanied and strictly supervised by an adult. The patient is responsible for being respectful of the
  property of others and of Madison County Memorial Hospital.

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