SUMMARY OF NOTICE OF PRIVACY PRACTICES
This notice describes how information about you may be used and released and how you can get access to this information. Please review it carefully.
In regard to your health information, you have the right to:
- Request a restriction on certain uses and releases of your health information.
- Obtain a copy of this Notice.
- Inspect and receive a copy of your health information.
- Request that we amend your health information
- Know how we have used or disclosed your health information.
- Receive confidential communication about your health information.
- Request communication about your health information in alternative ways.
- Cancel your authorization to release information
It is our responsibility to:
- Protect the privacy of your health information
- Provide you with this Notice of our Privacy Practices
- Abide by the terms of this Notice
- Accommodate reasonable requests
We may make changes in our privacy practices based on laws and regulations. If we do change them, we post the changes.
As a natural outgrowth of our organizational values and mission, the board of directors, the medical staff and the employees of Missouri Delta Medical Center jointly affirm and recognize the following rights and responsibilities of patients:
Access to care
As a patient, you have the right to impartial care and treatment that is available in our Medical Center and Clinics. We do not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, disability, or age in admission to , participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by Missouri Delta Medical Center directly or through a contractor or any other entity with which Missouri Delta Medical Center arranges to carry out its programs and activities.
This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the age Discrimination Act of 1975 and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statues at Title 45 Code of Federal Regulations Parts 80, 84, and 91.
Patients can freely voice complaints and recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment and service.
Respect and dignity
You have the right to be treated with dignity and respect at all times and under all circumstances. You have the right to pastoral counseling and spiritual care services.
You have the right to have your cultural, psychosocial, spiritual and personal values, beliefs and preferences respected. You may wear appropriate clothing and religious or other symbolic items as long as they do not interfere with diagnostic procedures or treatments.
You can expect information about pain and pain relief measures, health professionals who respond quickly to reports of pain and state-of-the-art pain management. Privacy and confidentiality You have the right, within the law, to personal and medical information privacy. You may refuse to talk or see anyone not officially connected with Missouri Delta Medical Center, including visitors or persons officially connected with Missouri Delta Medical Center but not directly involved in your care.
You can expect that your medical records will be treated as confidential information and that only those persons who are directly involved in your care or in monitoring it
will have access to your records. Only your written authorization can change this.
You, or your surrogate decision maker, have the right to consent to or refuse proposed treatment. You also have the right to know about alternative methods of treatment, the probable outcomes and the right to consult with a specialist. You have the right to be informed if the Medical Center proposes to engage in or perform human experimentation affecting your care or treatment. You have the right to refuse to participate in such research projects.
Often you or your family may feel there is a need for protective services (i.e., guardianship, conservatorship, child or adult protective services). You may have a complaint you wish to file. The medical center will provide you with a list of those names, addresses and phone numbers and will assist you in any way they can.
You have the right to reasonable safety as far as Medical Center practices and environment are concerned.
Sometimes patients, families and staff have difficult choices and ethical questions they need to talk about (e.g., questions on end-of-life care) or issues related to your rights and responsibilities (e.g., safety, pain management, confidentiality). Members of the Ethics Committee are available to address difficult ethical issues. To access the Ethics Committee, call 573-472-7441 or ask your healthcare provider to contact a supervisor or manager.
You have the right to information regarding the identity and professional status of the physician treating you. You, or your surrogate decision maker, or when appropriate, your family, have the right to discuss the outcome of all procedures with your physician. This explanation should be sufficiently clear for you to understand. You also have the right to participate in planning your care and to know the risks involved. If we are unable to give this information to you, it should be given to person(s) legally authorized to receive it. You have the right to be included in any discussions/decisions regarding ethical issues in your care.
Transfer and continuity of care
You have the right to participate in your discharge planning, including available service options and a choice of agencies that provide the services. You have the right not to be transferred to another facility unless the reason for it and the alternatives have been explained to you and unless the next facility agrees to accept you. You have the right to be instructed in your continued self-care before your discharge from Missouri Delta Medical Center.
Medical center charges
You have the right to receive an itemized bill and explanation of it. You also have the right to notice of termination of a third party payer’s reimbursement. Medical center rules and regulations You have the right to be free from abuse, harassment, neglect or exploitation. You also have the right to know Medical Center rules and regulations for patient care and for handling complaints.
Provision of information
As a patient, you have the responsibility to provide information about your present and past illnesses, treatments and about your understanding of the treatment plan designed for you. You and your family are responsible for reporting unexpected changes in your condition to the responsible practitioner.
It is the responsibility of the patient to discuss relief options with doctors and nurses, help the doctors and nurses assess pain, and tell the doctors and nurses if the pain is not relieved.
Respect and consideration
You have the responsibility to respect other patients and the personnel involved in your care and treatment. You are responsible for being respectful of the property of other persons and Missouri Delta Medical Center.
Compliance with instructions
You have the responsibility to participate in the teaching and treatment plan recommended by the personnel who care for you. You and your family are responsible for following the treatment plan developed with your practitioners. You should express any concerns you have about your ability to follow the proposed course of treatment. The Medical Center, in turn, will make every effort to adapt the treatment plan to your specific needs and limitations. You and your family should understand the consequences of failing to follow the recommended course of treatment or of using other treatments. If you or your family refuses treatment or fails to follow the practitioner’s instructions, you are responsible for the outcome. Sometimes disagreements occur about a course of treatment. Usually these disagreements can be talked through and resolved. However, if they continue, you should talk to your physician or care coordinator. They can assist you in finding other ways to help resolve them.
Medical center charges
You have the responsibility for assuring that the financial obligations of your health care are met as promptly as possible. These rights and responsibilities apply to all patients, including neonatal, pediatric and adult. If you have any questions regarding this information, please ask your healthcare provider to contact a supervisor or manager.
The doctors, nurses and clinical staff at Missouri Delta Medical Center are dedicated to keeping patients healthy by providing very good care. If Missouri Delta Medical Center does not meet a need or room exists for improvement, please call 573-471-1600 and ask to speak to the department manager/director to voice your concern or contact our patient representative Karen Bryant at 573-472-7592 or 1800-678-3577. If your concern is not resolved, you may contact:
Department of Health and Senior Services,
P.O. Box 570, Jefferson City, MO 65102-0570
– or –
Joint Commission on Accreditation of Healthcare Organizations
1 Renaissance Blvd.
Oakbrook Terrace, IL 60181