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Patient Bill of Rights

In keeping with its Mission and Values to provide exceptional care that promotes the dignity and well-being of those we serve, Marianjoy, Inc., provides care, treatment, and services in a way that respects and fosters patients’ dignity, autonomy, positive self-regard, civil rights, and involvement in their care. It is the policy of Marianjoy to honor the diverse cultures, beliefs, and practices of our patients. The rights and responsibilities of a patient at Marianjoy are presented as a means to this end and are based on the Ethical and Religious Directives for Catholic Health Care Services (2002), which promotes respect for the dignity of the person and the responsibilities of caregivers in the professional–patient relationship.

All patients receiving care and treatment at Marianjoy will be informed of their rights and responsibilities during their stay. As a part of the admission process, patients will be given a Patient Handbook, which includes a description of patients’ rights and Marianjoy’s Notice of Privacy Practices. Marianjoy, Inc., will establish and maintain policies and procedures that support patient rights and responsibilities. Copies of patient rights will be posted throughout the organization. The nurse, physician, or case manager will discuss any questions the patient or family has regarding the rights and responsibilities. All Marianjoy staff will receive education during orientation and annually thereafter, explaining patient rights, their role in supporting those rights, and ethical issues.

The following patient’s rights and responsibilities have been set forth to facilitate mutual cooperation, effective communication, and a trusting physician/patient/staff relationship for all patients while at Marianjoy. All documents given to patients will include the following.

Patient Rights

As a patient of Marianjoy Rehabilitation Hospital & Clinics, Inc., or Marianjoy Medical Group, you have the right, consistent with laws and regulations, to:

  1. Reasonable access to treatment, care, and services within our capabilities and mission regardless of race, religion, gender, sexual orientation, ethnicity, age, disability, marital status, newborn status, or source of payment.
  2. Have a family member or representative of your choice as well as your own physician notified promptly of your admission to the hospital.
  3. Participate in the development, implementation, and revision of your plan of care, treatment, and services, and the involvement of your family, with your permission.
  4. Make informed decisions and provide consent, except in emergencies, about your care, treatment, and services.
  5. Receive, from an appropriate person within the facility, a clear explanation of:
  • All proposed treatment, care services, medications, interventions, or procedures;
  • Potential benefits, risks, or side effects;
  • Any problems related to recovery;
  • Any significant alternative treatment, care, or services;
  • Your condition, any changes in your condition, and your prognosis for recovery; and
  • The outcomes of your care.
  1. Refuse any care, treatment, or services, and the right to be informed of the possible consequences.
  2. Participate in resolving dilemmas about your care, treatment, services, or discharge, including withholding resuscitative services and declining or removing life-sustaining treatment.
  3. Identify someone to make decisions for you if or when you cannot make decisions about your care, treatment, or services, as permitted by law.
  4. Prepare and/or revise advance directives or instructions about your medical treatment, to appoint a decision maker, and to have staff comply with these directives, as permitted by law.
  5. Effective communication, including:
  • Interpreter and translation services;
  • Assistance to meet vision, speech, hearing, language, and cognitive impairment needs;
  • Age-appropriate information;
  • Visitors, mail, telephone calls, and other forms of communication;
  • Restrictions on communication that are evaluated for therapeutic effectiveness and determined with your and your family’s participation, as appropriate.
  1. Receive considerate and respectful care, consistent with sound medical and nursing practice, in a clean, safe, and secure environment free of unnecessary restraints.
  2. Be treated with consideration and respect in recognition of your individuality and dignity, including reasonable visual and auditory privacy, during personal hygiene activities and consultations, examinations, and treatments.
  3. Privacy and confidentiality of your health information. As required by law, you also have a right to:
  • See and receive a copy of health information about yourself;
  • Request to amend your health information;
  • Request a list of disclosures of your health information;
  • Request how Marianjoy limits and discloses information;
  • Ask that Marianjoy send information to you at a different address or in a different way; and
  • Receive a copy of the Notice of Privacy Practices that includes further explanations of these rights.
  1. Be assured of reasonable safety within the hospital, including the right to be free from mental, physical, sexual, and verbal abuse, neglect, mistreatment, exploitation, humiliation, and retaliation.
  2. Access or referral to appropriate services such as:
  • Self-help groups, economic, legal, disability, or other advocacy organizations;
  • Protective services such as guardianship;
  • State licensing and certification agencies and governmental fraud and abuse units.
  1. Effective management of your pain.
  2. Access to pastoral/spiritual care services.
  3. Know the name of the physician or other practitioner primarily responsible for your care and the name and professional status of those responsible for authorizing and performing procedures and treatments.
  4. Participate or refuse to participate in research and/or clinical trials after receiving an explanation of the nature and possible consequences of the research before the research or clinical trial is conducted without compromising your access to care, treatment, or services.
  5. Remain in this facility for care without being transferred to another facility unless you have received an explanation of the need for a transfer, provisions have been made for your continuing care, and the receiving institution has accepted you as a patient.
  6. Information about the cost of your care, including the right to look at and receive a reasonable explanation of your total bill and detailed charges for services received, regardless of the source of payment. You also have a right to request and receive information about financial assistance available through the hospital.
  7. Voice a complaint to your caregivers without fear of reprisal if you are dissatisfied with any aspect of your care. This would include issues related to quality of care, patient safety, coverage decisions, and premature discharge concerns. If these cannot be resolved promptly, you may call the director of patient relations at (630) 909-7080 to discuss your concerns. You also have the right to file a complaint with the Illinois Department of Public Health by calling (800) 252-4343.

Patient Rights to Pain Management

Patients at Marianjoy have the right to:

  • Information about pain and pain relief measures.
  • A concerned staff committed to pain prevention.
  • Health professionals who respond quickly to reports of pain.
  • State-of-the-art pain management therapies and tools.
  • Dedicated pain relief specialists.
  • Have their expressions of pain believed.

Patient Responsibilities

As a patient at Marianjoy Rehabilitation Hospital, you have the responsibility for:

  1. Providing, to the best of your ability, accurate and complete information about your present complaints, past illnesses, hospitalizations, medications, perceived risks in your care, unexpected changes in your condition, and other matters related to your health.
  2. Asking questions when you do not understand your care, treatment, or services provided to you, or what you are expected to do.
  3. Following the care, treatment, or service plan developed and express any concerns about your ability to follow the proposed care plan, treatment, or service to care providers.
  4. Accepting the consequences if you do not follow your care, treatment, or service plan.
  5. Following Marianjoy’s rules and regulations affecting your care and conduct, including visitation and smoking policies and assisting our efforts to limit noise.
  6. Being considerate of Marianjoy staff and other patients and their property.
  7. Promptly meeting your financial obligations.
  8. Providing a copy of an Advance Directive (i.e., Living Will or Power of Attorney for Health Care) if you have completed one.
  9. Safeguarding your personal belongings and securing any valuables in Marianjoy’s safe, as needed, to prevent loss.
  10. Keeping scheduled appointments and notifying the appropriate department and/or professional when unable to keep an appointment.

Responsibilities of the Rehabilitation Team

  • The interdisciplinary team will ascertain that the patient knows and demonstrates understanding of their responsibilities as a patient.
  • A planned approach will be coordinated by the interdisciplinary team in collaboration with the patient/family to encourage appropriate patient behavior to facilitate rehab goals.
  • The interdisciplinary team will issue a verbal warning for the first violation of rules and regulations to adult patients and the legal guardian of minors. This verbal warning will be issued by a designated member of the interdisciplinary team and documented in the medical record.
  • For repeated violations, the interdisciplinary team will set a discharge date for the patient that will ensure adequate post-hospital care. The continuing care physician will be notified by the attending physician at the time of discharge.

In the situations described above that pertain to infants, children, or adolescent patients, or those adults under guardianship, the parents or legal guardians will be given all due consideration, explanation, and legal consents as representatives of these patients. This shall include all situations where conflicts occur and mediation is necessary. Consideration shall be given to include the adolescent in decisions where his or her level of understanding is deemed appropriate.

Subacute Provisions

Upon registration, patients will be issued a Subacute Handbook listing patient rights and responsibilities.

Outpatient Provisions

Upon registration, outpatients will be issued an Outpatient Handbook listing patient rights and responsibilities.

References

Joint Commission on Accreditation of Healthcare Organizations Hospital Manual, 2005.

Medicare Conditions of Participation

Office of Civil Rights Limited English Proficiency Policy Guidance

Use and Disclosure Policy, Wheaton Franciscan Services, Inc.

HIPAA Standards for Privacy of Individually Identifiable Health Information (45 CFR, Parts 160 and 164, HHS).

Illinois Hospital Licensing Requirements