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Health care involves a partnership between patients, families, and health care providers, each of whom have certain rights and responsibilities. When you are well informed, participate in treatment decisions, and communicate openly with your doctor and other health professionals, you help make your care as effective as possible. The hospital encourages respect for the personal preferences and values of each individual. Jackson County Regional Health Center complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, physical or mental disability, ethnicity, religion, culture, language, socioeconomic status, source of payment, genetic information, pregnancy, sex, sexual orientation, gender identity, or expression.
While you are a patient in the hospital, you have the right to:
- Receive care in a safe environment.
- Considerate and respectful care based on the psychosocial, spiritual, and cultural needs of you and your family.
- Be well-informed about your illness; obtain from caregivers relevant, current and understandable information concerning diagnosis, treatment, and prognosis, except when treatment is urgent; discuss and request information related to specific procedures and/or treatment, the risks involved, length of recuperation and the medically reasonable alternatives and their accompanying risks and benefits.
- Be provided language assistance services, including translated documents and oral interpretation, free of charge and in a timely manner, when such services are necessary to provide meaningful access to individuals with limited English proficiency by requesting from your care provider.
- Be free from restraints and seclusion unless clinically necessary.
- Know the names and roles of people treating you.
- Know financial implications, both immediate and long term, of treatment choices, in so far as they are known including an explanation of billed services and available payment options.
- Receive appropriate pain management for acute, chronic and terminal conditions.
- Make decisions about your plan of care, prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and organizational policy, and to be informed of the medical consequences of this action. If you refuse a recommended treatment, you are entitled to other appropriate care.
- Have an Advance Directive (such as a Living Will, health care proxy or Durable Power of Attorney). These documents express your choices about your future care or name someone to decide if you cannot speak for yourself. If you have a written Advance Directive, you should provide a copy to the hospital, your family and your doctor. It will be honored to the extent permitted by law and organizational policy.
- Privacy. The hospital, your doctor and others caring for you will protect your privacy and can limit your visitors to individuals you authorize.
- Expect that treatment records are confidential unless you have given permission to release information or reporting is required or permitted by law. When the hospital releases records to others, such as insurers, it emphasizes that the records are confidential.
- Review your medical records and to have the information explained in a reasonable time frame, except when restricted by law and in accordance with hospital policy.
- Expect that the hospital will give you necessary health services to the best of its ability. Treatment, referral, or transfer may be recommended. If transfer is recommended or requested, you will be informed of risks, benefits, and alternatives. You will not be transferred until the other institution agrees to accept you.
- Know if the hospital has relationships with outside parties that may influence you treatment and care. These relationships may be with educational institutions, other health care providers, or insurers.
- Consent or decline to take part in research affecting your care. If you choose not to take part, you will receive the most effective care the hospital otherwise provides.
- Be told of realistic care alternatives when hospital care is no longer appropriate.
- Know about hospital rules that affect you and your treatment.
- Know about hospital resources, such as the patient advocate or ethics committee that can help you resolve problems and questions about your hospital stay and care and how to contact these services.
- Give consent for visitation rights to whomever you designate, including but not limited to, a spouse, domestic partner (including a same sex domestic partner), another family member, or a friend, and reserve the right to withdraw or deny such consent at any time.
- Expect an environment that preserves dignity, contributes to a positive self-image and optimal comfort and dignity.
- Expect to be free from mental, physical, sexual and verbal abuse, neglect and exploitation.
- Know that you must give your consent before recording or filming may be made for purposes other than the identification, diagnosis or treatment of the patients.
- To be informed about outcomes of care, treatment, and services, including unanticipated outcomes.
- Freely voice complaints and recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment and services.
- Have your family, representative, and physician notified of hospitalization.
As a patient, you are responsible for…
- Providing information about your health, including past and present illnesses, hospital stays, and use of medication.
- Providing a copy of your Advance Directives. If you have a Living Will, Durable Power of Attorney or another type of Advance Directive, please provide a copy to our staff.
- Asking questions when you do not understand information or instructions.
- Following through with your treatment. Tell your doctor if you believe you cannot follow through with your treatment.
- Telling us about your pain. Tell your physician or nurse if your pain medication does not reduce or relieve your pain.
- Reporting unexpected changes in your condition to the practitioner responsible for your care.
- Being considerate of the needs of other patients, staff, and Jackson County Regional Health Center.
- Working with the hospital to arrange payment. Provide information for insurance and work with the hospital to arrange payment, when needed. The hospital works to provide care efficiently and fairly to all patients and the community.
- Following the plan of care developed with your health care practitioner. Your family can play an important part in promoting your recovery, and there may be times when it may be appropriate to include them in your plan of care.
- Recognizing the effect of lifestyle on your personal health. Your health depends not just on your hospital care but, in the long term, on the decisions you make in your daily life.
- Expressing any concerns regarding your ability to comply with the proposed treatment, and every effort will be made to meet your specific needs and limitations.
- Understanding the consequences of treatment alternatives and of disagreement with the proposed course of treatment.
Jackson County Regional Health Center complies with federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Jackson County Regional Health Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Jackson County Regional Health Center
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Provides free language services to people whose primary language is not English such as:
- Qualified interpreters
- Information written in other languages
If you need these services, let your care provider know.
If you believe that Jackson County Regional Health Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with either of the following:
The Patient Advocate
601 Hospital Drive
Maquoketa, IA 52060-0910
The Compliance Officer at JCRHC
601 Hospital Drive
Maquoketa, IA 52060-0910
1-844-744-4004 (toll-free telephone)
You can file a grievance in person, by mail, fax, or email. If you need help filing a grievance, the Compliance Officer and/or the Patient Advocate is available to help you.
If you do not feel that the hospital has adequately addressed your concerns, you may contact one of the following agencies:
Center for Medicare and Medicaid Services
7500 Security Blvd
Baltimore ,MD 21244-1850
(877) 267-2323 (toll free)
(866) 266-1819 (toll free TTY)
Iowa Dept. of Inspections and Appeals
Health Facilities Division
Lucas State Office Building
Des Moines, IA 50309-0083
(877) 686-0027 (toll free)
(515) 242-5022 (FAX)
Joint Commission on Accreditation of Healthcare Organizations (complaints only accepted in writing)
Office of Quality and Patient Safety
One Renaissance Blvd
Oakbrook Terrace, IL 60180
www.jointcommission.org and use the “Report a Patient Safety Event” link in the “Action Center”
Information regarding other agencies may be obtained from the Patient Advocate at: (563) 652-7720.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Approved Curt Coleman, President