PATIENT RIGHTS AND RESPONSIBILITIES
AS A PATIENT OF AVITA HEALTH SYSTEM, YOU HAVE THE RIGHT TO:
Access to Care and Treatment, no matter your age, sex, religion, national origin, handicap, or ability to pay.
Respect and Dignity with respectful care that recognizes your personal dignity and individuality.
Freedom from Abuse: Freedom from physical, verbal, mental, sexual and emotional abuse or harassment.
Freedom from Restraints and Seclusion of any form that is not medically necessary. Restraint and seclusion may not be used for punishment or staff convenience.
Privacy and Confidentiality in keeping with the law. You may expect any discussion involving your care to be discreet, and individuals not directly involved with your care will not be present without your permission. Your personal privacy will be protected.
Privacy of Your Medical Record and Confidentiality regarding your medical record. You have the right to access the information in your record within a reasonable time frame.
Safety while you are a patient and in our care.
Know the Identity of Caregivers and the role of staff providing care to you.
Prompt Notification of your doctor and your designated representative when you have been admitted.
Communication and Access to Support, including visitors and written/phone communication, as long as it doesn’t interfere with your care or the care of other patients. If you need a translator or special equipment to communicate, we will arrange for those services at no cost to you.
Participate in Your Own Plan of Care: You, the patient, are the most important person in decisions about your healthcare. You have the right to be involved in care planning and treatment.
Refuse Treatment: You may refuse treatment, within the limits of the law.
Consultation: You may get a second opinion from another doctor or specialist (at your own request and cost).
Transfer and Continuity of Care and Information about a decision to transfer you to another facility for specialized services, including the alternatives to such a transfer. You also have the right to be informed by the staff of any discharge instructions or follow-up care.
Information and Consent about your illness and treatment options, communicated in a way you can understand. You have the right to make decisions regarding your care, and to be included in the consideration of ethical issues regarding your care. You will be allowed to decide whether or not to participate in any research, clinical trials or clinical training programs.
Advance Directives: You may write an Advance Directive (Living Will and/or Durable Power of Attorney for Healthcare or doctor ordered “Do Not Resuscitate”). You can expect that your healthcare providers will provide care that is consistent with these directives.
Pain Management: You have the right to have your pain relieved as completely as possible.
Information About Your Hospital Charges and Hospital Rules: You may request and receive an itemized bill for services rendered in the hospital. You have the right to know what the rules and regulations of the hospital are so that you can comply with them.
Beneficiary Notice of Non-Coverage and the right to appeal a premature discharge with your payer.
Complain or File a Grievance: You may voice a complaint by giving it in writing, or asking to speak with someone in charge. The complaint will be forwarded to the appropriate member of leadership where it will be reviewed and addressed. Any employee can provide you with directions on how to file a complaint/grievance. This information is also available on the Avita website. For your convenience, it is also included here.
HOW TO EXPRESS A COMPLAINT OR CONCERN AT BUCYRUS or galion COMMUNITY HOSPITAL
The staff of Bucyrus and Galion Community Hospitals will do everything they can to make sure that your care is appropriate and prompt. If you are ever dissatisfied with your treatment, please approach a member of the staff or the department manager and they will attempt to resolve things as quickly as possible. You may also contact our Complaint Coordinators:
BCH: 419-563-9328 or by emailing: ccbch@avitahs.org
GCH: 419-468-0827 or by emailing: ccgch@avitahs.org
Our Complaint Coordinator will make sure your information is forwarded to leadership. If you feel your concern was not adequately addressed, you may also file a complaint with someone outside the hospital.
The following organizations accept comments on Bucyrus and Galion Community Hospitals:
DNV Healthcare................................................866-523-6842
DNV Healthcare................................................hospitalcomplaint@dnv.com
Ohio Department of Health.............................800-669-3534
Medicare QIO: KePRO.....................................800-589-7337
AS A PATIENT OF AVITA HEALTH SYSTEM, YOU HAVE RESPONSIBILITIES:
Provision of Information: Provide, to the best of your ability, accurate and complete information about your present complaint, past illnesses, hospitalization, medications, and other matters pertaining to your health. You have the responsibility to report any changes in your condition to your healthcare provider.
Compliance with Instructions: Follow the treatment plan recommended by your practitioner, including the instructions of nurses and other health professionals as they carry out your plan of care. If you do not understand the information provided or your plan of care, you are responsible for asking questions. You are responsible for keeping appointments and, when unable to do so, for cancelling/rescheduling in a timely manner.
Refusal of Treatment: You are responsible for your actions if you refuse treatment or do not follow your practitioner’s instructions.
Hospital Regulations: Follow hospital rules and regulations. You will be informed of rules that apply to you when you become a patient.
Respect and Consideration: Be considerate of the rights of other patients, staff, and hospital property, including assisting in the control of noise and the number of visitors.
Advance Directives: Provide the hospital with copies of Advance Directives if you have them so they can be followed in the event of a terminal illness or if you are unable to speak for yourself.
Hospital Charges: Be prompt to pay hospital bills, to ask questions concerning the bill, and to provide the information necessary for insurance processing.
PATIENT EDUCATION REGARDING RIGHTS AND RESPONSIBILITIES:
Patients who are admitted to an Avita Health System hospital are offered a list of these rights and responsibilities. They are also posted in registration areas. In addition, the Complaint / Grievance information is posted at several visible areas throughout the system.
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BUCYRUS COMMUNITY HOSPITAL
629 N Sandusky Avenue
Bucyrus, OH 44820
419-562-4677
GALION COMMUNITY HOSPITAL
269 Portland Way S
Galion, OH 44833
419-846-4841
BCH WOUND CENTER
629 Sandusky Avenue
Bucyrus, OH 44820
419-563-9899
ORTHOPEDICS
955 Hosford Road
Galion, OH 44833
419-468-7059
gch ear, nose & throat services
2981 W 4th Street
Mansfield, OH 44906
419-775-1091
SURGERY CENTER
1593 Olentangy Road
Galion, OH 44833
419-468-7785
gch pain management
269 Portland Way S
Galion, OH 44833
419-462-4547 |
