You have the right to:
1. Impartial access to medically indicated treatment and available accommodations, regardless of age, race, creed, sex, national origin, disability, or source of payment for care.
2. Respect, dignity, and personal safety including:
- Requesting protective services considered necessary.
- Freedom from abuse or from restraint or seclusion unless medically indicated to prevent harm to yourself or others.
3. Privacy and confidentiality for you, your medical record, and your Hospital account including:
- Audio-visual privacy during interviews and examinations.
- Knowing the identity and professional status of those who provide your care and services.
- Expecting discussions involving your case or account to be conducted with only those who are directly involved.
4. Information, both medical and financial, communicated in a manner understandable to you, regardless of language or hearing barriers, including:
- Your health status, and medical record as outlined by Hospital policy.
- At your own expense, the right to consult with another physician or specialist.
- The existence of any professional relationship to any other healthcare or educational institution involved.
- Requesting an itemized and detailed explanation of your Hospital statement.
- Timely notice prior to termination of your eligibility for reimbursement by any third party payor for the cost of your care.
5. Involvement in and voluntary consent to all aspects of your care including:
- Having your own physician and a person of your choice notified promptly of your admission to the Hospital.
- Expecting timely assessment and effective relief of pain.
- At your request your family may participate in your healthcare decisions.
- Preparing Advanced Directives and expecting Hospital compliance.
- Accessing Hospital resources for ethical issues.
- Voluntary participation in clinical training or research programs
- Transferring to another facility with explanation of need and the alternatives and risks.
- Your request for or refusal of treatment.
You are responsible for:
1. Providing, to the best of your knowledge, accurate and complete information about present health complaints and past health history.
2. Following and understanding your plan of treatment.
- Asking questions and expressing concerns when you do not understand or cannot comply with a contemplated plan of treatment and what is expected of you.
- The outcome when you refuse treatment or do not follow your plan of treatment.
- Being considerate of the rights and property of patients, staff, and Ransom Memorial Hospital.
- Providing accurate financial information and fulfilling your financial obligation.
Our goal is to exceed your expectations.
If we fail, we ask that you please tell one of the following people, so we can work together toward a timely and satisfactory resolution of the situation. Thank you for allowing us to take care of you and your loved ones.
- Any nurse, staff member, or volunteer
- Susan Ward, RN, Director of Patient Services and Risk Management (785) 229-8312 or from inside the hospital dial ‘8312’
- Larry Felix, Administrator, Direct Line (785) 229-8308, or from inside the hospital dial ‘8308’
Kansas Foundation for Medical Care, Inc.,
Topeka, Kansas 66614 (785) 273-2552
Kansas Department of Health & Environment, Complaint Hotline
(800) 842-0078 or www.kdheks.gov
The Joint CommissionPhone: (800) 994-6610 Email: email@example.com Fax: (630) 792-5636
Mail: Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181