Patient’s Rights & Responsibilities

• The patient, or when appropriate, the patient’s representative will be notified of the patient’s rights prior to furnishing or discontinuing patient care.
• The patient has the right to impartial access to treatment, regardless of race, color, gender, national origin, religion, disability, age or sexual orientation without coercion, discrimination or retaliation.
• The patient has the right to participate in the development and implementation of his or her plan of care.
• The patient or the patient’s representative has the right to make informed decisions regarding his or her care including being informed of his or her care, being involved in care planning and treatment and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary to inappropriate.
• The patient has the right to formulate advance directives and to have practitioners and hospital staff who care for the patient comply with these directives.
• 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 personal privacy.
• The patient has the right to receive care in a safe setting.
• The patient has the right to be free from all forms of abuse and harassment.
• The patient has the right to the confidentiality of his or her clinical records and to access information contained in his or her clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical record and must meet these requests as quickly as its record keeping system permits.
• The patient has the right to be free from physical or mental abuse and corporal punishment and from restraint or seclusion, of any form, imposed as a means of coercion, discipline, convenience or retaliation by staff.
• The patient has the right to safe implementation of restraint or seclusion by trained staff.
• The patient has the right to be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising his/her care or service.
• The patient has a right to know the professional status of any person providing his/her care/services.
• The patient has the right to know the reason for any proposed change in the professional staff responsible for his/her care.
• The patient has a right to know the reasons for his/her transfer either within or outside the hospital.
• The patient has a right to know the relationship(s) of the hospital to other persons or organizations participating in the provision of his/her care.
• The patient has right to access to the cost, itemized when possible, of services rendered within a reasonable period of time.
• The patient has a right to be informed of the source of the hospital’s reimbursement for his/her services, and of any limitations which may be placed upon his/her care.
• The patient has the right to have their pain treated as effectively as possible.
• The patient’s family has the right of informed consent of donation of organs and tissues.
• The patient has the right to have a surrogate (parent, legal guardian, person with medical power of attorney) exercise the patient’s rights when the patient is incapable of doing so, without coercion, discrimination or retaliation.
• The patient has the right to file a grievance. A patient has the right to file a complaint or grievance with the Indiana State Department of Health, the Medicare Quality Improvement Organization or CMS, regardless of whether or not he has filed a complaint with the Hospital:

Indiana State Department of Health

2 North Meridian Street
Indianapolis, IN 46204
(317) 233-1325

Health Care Excel

2901 Ohio Boulevard
Suite 112
Terre Haute, IN 47803
(800) 288-1499

Centers of Medicare and Medicaid Services – Region 5

233 North Michigan Avenue
Suite 600
Chicago, IL 60601
(312) 886-6432