Patient’s Bill of Rights and Responsibilities

Patient Rights

A PATIENT AND THEIR HEALTH CARE SURROGATE HAS THE RIGHT TO:

• Receive information about rights, patient conduct and responsibilities.
• Be treated with respect, consideration and dignity.
• Be provided appropriate personal privacy.
• Have disclosures and records treated confidentially and be given the opportunity to approve or refuse record release except when release is required by law.
• Be given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons.
• Receive care in a safe setting.
• Be free from all forms of abuse, neglect or harassment.
• Exercise his or her rights without being subject to discrimination or reprisal with impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical disability, or source of payment.
• Voice complaints and grievances, without reprisal.
• Be provided, to the degree known, complete information concerning diagnosis, evaluation, treatment and know who is providing services and who is responsible for the care. When the patient’s medical condition makes it inadvisable or impossible, the information is provided to a person designated by the patient or to a legally authorized person.
• Exercise of rights and respect for property and persons, including the right to voice grievances regarding treatment or care that is (or fails to be) furnished.
• Be fully informed about a treatment or procedure and the expected outcome before it is performed.
• Have a person appointed under State law to act on the patient’s behalf if the patient is adjudged incompetent under applicable State health and safety laws by a court of proper jurisdiction. If a State court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with State law may exercise the patient’s rights to the extent allowed by State law.
• Refuse treatment to the extent permitted by law and be informed of medical consequences of this action.
• Know if medical treatment is for purposes of experimental research and to give his consent or refusal to participate in such experimental research.
• Have the right to change primary or specialty physicians if other qualified physicians are available.
• A prompt and reasonable response to questions and requests.
• Know what patient support services are available, including whether an interpreter is available if he or she does not speak English.
• Receive, upon request, prior to treatment, a reasonable estimate of charges for medical care and know, upon request and prior to treatment, whether the facility accepts the Medicare assignment rate.
• Receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have charges explained.
• Formulate advance directives and to appoint a surrogate to make health care decisions on his/her behalf to the extent permitted by law and provide a copy to the facility for placement in his/her medical record.
• Be informed about the facilities advance directives policy which does not honor a Do Not Resuscitate (DNR) request/directive, and lifesaving care and transfer to a higher level of care as required by prevailing laws and regulations.
• Know what patient support services or ADA devices are available, including an interpreter.
• Bring any person to the patient-accessible areas to accompany while receiving care or consulting with their health care provider, unless doing so would be a safety risk, or cannot be reasonably accommodated by the facility or provider.
• Be informed, when requested, of the names of physicians who have ownership in the facility.
• Have properly credentialed and qualified healthcare professionals providing patient care.

Patient Responsibilities

A PATIENT AND THEIR HEALTH CARE SURROGATE IS RESPONSIBLE FOR:

• Providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, unless specifically exempted from this responsibility by his/her provider.
• Providing to the best of his or her knowledge, accurate and complete information about his/her health, present complaints, past illnesses, hospitalizations, any medications, including over-the-counter products and dietary supplements, any allergies or sensitivities, and other matters relating to his or her health.
• Accept personal financial responsibility for any charges not covered by his/her insurance.
• Following the treatment plan recommended by his health care provider.
• Be respectful of all the health providers and staff, as well as other patients.
• Providing a copy of information that you desire us to know about a durable power of attorney, health care surrogate, or another advance directive.
• His/her actions if he/she refuses treatment or does not follow the health care provider’s instructions.
• Reporting unexpected changes in his or her condition to the health care provider.
• Reporting to his health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.
• Keeping appointments.

Concern or Complaint?

Contact the Facility

Contact Merikay Campbell, Director of Nursing, by phone at (832) 232-0550 or email mcampbell@qoroshealth.com.

Texas Health and Human Services Commission

Complaint hotline: 1-800-458-9858, Option 5 or email hfc.complaints@hhs.texas.gov

The role of the Medicare Beneficiary Ombudsman is to ensure that Medicare beneficiaries receive the information and help you need to understand your Medicare options and to apply your Medicare rights and protections.

If you are covered by Medicare, you may choose to contact the Medicare Ombudsman by phone at 1-800-MEDICARE (1-800-633-4227) online at www.Medicare.gov or Medicare Beneficiary Ombudsman (MBO) | CMS