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POLICY PC/PS49Subject:
Patients’ Rights and Responsibilities
Applies to:
All Methodist Hospitals,TMH Physician Organization
Originating Area:
Business Practices Committee
Effective Date:
November 1988
Date Revised/Reviewed:
October 2008
Target Review Date:
October 2011
___________________________________________________________________________ POLICY STATEMENT
The Methodist Hospital System and its Medical Staffs recognize and promote certainbasic rights of patients or surrogate decision makers in hospitals and non-hospitalsettings in accordance with applicable laws, regulations, and accreditation standards.In turn, patients have certain responsibilities, including the responsibility to make theirneeds and wishes known.
RATIONALE
The mission of The Methodist Hospital System is to provide high quality, cost-effectivehealth care that delivers the best value to the patients we serve in a spiritualenvironment of caring, in association with internationally recognized teaching andresearch. In order to fulfill this mission, each Hospital, its Medical Staff and its patientsor surrogate decision makers must acknowledge the existence of shared obligationsbased upon patients’ fundamental rights and responsibilities. These rights are listedbelow:
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The right to a reasonable response to their requests and needs for treatment orservice, within the entity’s capacity, mission, and applicable laws and regulations;
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The right to know how Methodist is required and permitted by law to use anddisclose their health information;
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The right to know their health information rights, including the right to access andrequest amendment of their health information and to obtain an accounting ofdisclosures regarding their health information as permitted under applicable law;
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The right to and need for effective communication;
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The right to considerate and respectful care, including the consideration ofdevelopmental age, sensory impairment, psychosocial, spiritual, and culturalvariables, and the comfort and dignity of dying patients by addressing and treatingsymptoms that respond to medically appropriate treatment as desired by the patientor surrogate decision maker;
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The right to know the name of the physician who has primary responsibility forcoordinating the care and the names and professional relationships of otherphysicians and non-physicians who will see the patient;
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The right to receive information about the illness, course of treatment, andprospects for recovery in terms that the patient can understand;
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The right, in collaboration with their physicians, to make decisions involving theirhealth care, including the acceptance or refusal of treatment and the use ofadvance directives;
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The right to receive, at the time of hospital admission, in a language or method thatthe patient understands, information about Methodist’s patient rights policy, andthe mechanism for initiation, review, and when possible, resolution of patientcomplaints regarding quality of care;
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The right to voice a concern to the appropriate entity personnel or to the TexasDepartment of State Health Services;
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The right to voice a concern about any healthcare provider licensed by the State ofTexas;
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For concerns regarding health information privacy, the right to voice the concern toappropriate entity personnel or to the Secretary of the United States Department ofHealth and Human Services;
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The right to participate in, or have their qualified personal representative participatein, the consideration of ethical issues arising in their care;
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The right to participate or not to participate in any human experimentation,research, or education projects for which the patient is eligible;
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The right, within legal limits, to personal privacy and confidentiality of information.Case discussion, consultation, examination, and treatment are confidential andshould be conducted discreetly. The patient has the right to be told the reason forthe presence of any individual during these events;
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The right to consent or refuse to consent to recording or filming (photographic,video, electronic or audio material) or use of any personal identifiable informationfor purposes other than the identification, diagnosis, or treatment of the patient.
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The right, within legal limits, to access, or have their qualified personalrepresentative access information contained in their medical records;
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The right of their guardian, next of kin, or qualified personal representative toexercise, to the extent permitted by law, the rights delineated on their behalf if theyare incapable of understanding treatment, unable to communicate their wishes, are judged incompetent, or are minors;
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The right to be informed, along with their family, when appropriate, of theoutcomes of care including unanticipated outcomes;
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The right to have their pain managed effectively;
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The right to receive a high standard of patient safety;
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The right to be free from restraint or seclusion of any form, imposed as a means ofcoercion, discipline, convenience, or retaliation by staff;
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The right to an environment that preserves dignity and contributes to a positive self-image;
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The right to be free from mental, physical, sexual, and verbal abuse, neglect, andexploitation;
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The right to access protective and advocacy services;
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The right to be informed of continuing health care needs following discharge fromthe hospital;
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The right to exercise the above rights without regard to sex, economic status,educational background, race, color, religion, ancestry, national origin, sexualorientation, marital status, or the source of payment for care;In turn, patients should accept certain responsibilities, including:
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The responsibility to identify themselves, for providing reasonably accurate andcomplete information about their medical history and unexpected changes in their
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