Patient Rights & Responsibilities

Know Your Rights and Responsibilities.

You have the right to:

• Be treated in a dignified and respectful manner and to receive reasonable responses to reasonable requests for service.
• To effective communication that provides information in a manner you understand, in your
preferred language with provisions of interpreting, translation services, or auxiliary aids at no cost,
and in a manner that meets your needs in the event of vision, speech, hearing or cognitive impairments
or limited ability to read, write, speak, or understand English. Information should be provided in easy to understand terms that will allow you to formulate informed consent.
• Information on how to obtain these free services and auxiliary aids.
• Care or services provided without discrimination based on gender, age, race, color, ethnicity,
religion, national origin, culture, language, physical or mental disability, socioeconomic status, sexual orientation, and gender identity or expression.
• Information on the availability of the grievance procedure and how to file a grievance pursuant to §92.7 (b), the identification and contact information for the responsible employee designated pursuant to §92.7 (a), and how to file a discrimination complaint with the Office of Civil Rights (OCR).
• Discuss any concerns about discrimination with the Facility Compliance Officer.
• Respect for your cultural and personal values, beliefs and preferences.
• Personal privacy, privacy of your health information and to receive a notice of the facility’s privacy
practices.
• Pain management.
• Accommodation for your religious and other spiritual services.
• To access, request amendment to and obtain information on disclosures of your health information in accordance with law and regulation within a reasonable time frame.
• To have a family member, friend or other support individual to be present with you during the course of your stay, unless that person’s presence infringes on others’ rights, safety or is medically contraindicated.
• Participate in decisions about your care, including developing your treatment plan, discharge planning
and having your family and personal physician promptly notified of your admission.

• Select providers of goods and services to be received after discharge.
• Refuse care, treatment or services in accordance with law and regulation and to leave the facility
against advice of the physician.
• Have a surrogate decision-maker participate in care, treatment and services decisions when you are
unable to make your own decisions.
• Receive information about the outcomes of your care, treatment and services, including unanticipated
outcomes.
• Give or withhold informed consent when making decisions about your care, treatment and services.
• Receive information about benefits, risks, side effects to proposed care, treatment and services; the
likelihood of achieving your goals and any potential problems that might occur during recuperation
from proposed care, treatment and service and any reasonable alternatives to the care, treatment and
services proposed.
• Give or withhold informed consent to recordings, filming or obtaining images of you for any purpose
other than your care.
• Participate in or refuse to participate in research, investigation or clinical trials without jeopardizing
your access to care and services unrelated to the research.
• Know the names of the practitioner who has primary responsibility for your care, treatment or services and the names of other practitioners providing your care.
• Formulate advance directives concerning care to be received at end-of-life and to have those advance
directives honored to the extent of the facility’s ability to do so in accordance with law and regulation. You also have the right to review or revise any advance directives.
• Be free from neglect; exploitation; and verbal, mental, physical and sexual abuse.
• An environment that is safe, preserves dignity and contributes to a positive self-image.
• Be free from any forms of restraint or seclusion used as a means of convenience, discipline, coercion or
retaliation; and to have the least restrictive method of restraint or seclusion used only when necessary to
ensure patient safety.
• Access protective and advocacy services and to receive a list of such groups upon your request.

• Receive the visitors whom you designate, including but not limited to a spouse, a domestic partner
(including same-sex domestic partner), another family member, or a friend. You may deny or
withdraw your consent to receive any visitor at any time. To the extent this facility places limitations or restrictions on visitation; you have the right to set any preference of order or priority for your visitors to satisfy those limitations or restrictions.
• Inform each patient (or support person, where appropriate) of his or her visitation rights, including
any clinical restriction or limitation on such rights, when he or she is informed of his or her other rights under this section.
• Inform each patient (or support person, where appropriate) of the right, subject to his or her consent, to receive the visitors whom he or she designates, including, but not limited to, a spouse, a domestic partner (including a same-sex domestic partner), another family member, or a friend, and his or her right to withdraw or deny such consent at any time.
• Not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, or disability.
• Examine and receive an explanation of the bill for services, regardless of the source of payment.

You have the responsibility to:

• Provide accurate and complete information concerning your present medical condition, past
illnesses or hospitalization and any other matters concerning your health.
• Tell your caregivers if you do not completely understand your plan of care.
• Follow the caregivers’ instructions.
• Follow all medical center policies and procedures while being considerate of the rights of other patients, medical center employees and medical center properties.

You also have the right to:

Lodge a concern with the state, whether you have used the hospital’s grievance process or not. If you have concerns regarding the quality of your care, coverage decisions or want to appeal a premature discharge, contact the State Quality Improvement Organization (QIO).

Quality Improvement Organization
Toll-Free: 888-524-9900
TTY: 888-985-8775
Mail: Commence Health
BFCC-QIO Program PO Box 2687
Virginia Beach, VA 23450

If you have a Medicare complaint you may contact:

Illinois Department of Public Health
Phone: 800-252-4343
Mail: Illinois Department of Public Health
535 West Jefferson Street
Springfield, IL 62761

Regarding problem resolution, you have the right to:

Express your concerns about patient care and safety to facility personnel and/or management without
being subject to coercion, discrimination, reprisal or unreasonable interruption of care; and to be informed of the resolution process for your concerns. If your concerns and questions cannot be resolved at this level, you may contact the accrediting agency indicated below:

The Joint Commission
Phone: 800-994-6610
Fax: 630-792-5636
Email: PatientSafetyReport@jointcommission.org
Mail: Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

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