| We want to encourage you, as the patient, to speak openly with your health care team, take part in your treatment choices, and promote your own safety by being well informed and involved in your care. Because we want you to think of yourself as a partner in your care, we want you to know your rights as well as your responsibilities during your stay in our facilities. We invite you and your family to join us as active members of your care team. |
YOUR RIGHTS
CONSIDERATE AND RESPECTFUL CARE—You have the right to be treated in a safe and secure setting, free from discrimination, abuse, or harassment.
TEACHING FACILITY—This facility is a teaching environment where residents, students, and other health care professionals may participate in your care under appropriate supervision. Except in emergency situations, you may request that residents or students not be involved in your care. It is not always possible to honor such requests, but we will try to do so to the extent that such restriction will not adversely affect your treatment or safety.
INFORMATION ABOUT TREATMENT—You have the right to be informed by your physician of your diagnosis, treatment, prognosis, and proposed procedures, including the risks, benefits and alternatives in terms that you understand. You have the right to know the names and roles of involved in your care. You, or your authorized representative, may access your medical record within a reasonable time frame, as permitted by law.
PARTICIPATION—You have the right to participate in decisions about your care, including planning and treatment. You may decide whether family members or others participate in your care. You have the right to refuse treatment, including life-sustaining treatment, to the extent permitted by law.
TREATMENT AND TRANSER— You have the right to receive care within the facility’s capacity, mission, and policies. If care cannot be provided, or is no longer appropriate, you will be informed of available alternatives. When medically appropriate and accepted by the receiving facility, you may be transferred to another facility.
INFORMED CONSENT—Except in emergency situations, you have the right to receive information about the benefits, risks, and alternatives of procedures or treatments requiring consent. You may refuse any recommended procedure or treatment and the risk associated with refusal will be explained to you.
ADVANCE HEALTH CARE DIRECTIVES—You have the right to create an Advance Health Care Directive and to a person to make health care decisions on your behalf if you are unable to do so, consistent with applicable law and facility policy.
PROTECTIVE SERVICES—You have the right to request information about protective service when appropriate. Information will be provided upon request.
PAIN MANAGEMENT—You have the right to have appropriate assessment and management of pain consistent with your condition and treatment plan.
ETHICAL ISSUES/END OF LIFE CARE— You have the right to participate in discussions about ethical issues related to your care, including end-of-life decisions. Your comfort and dignity will guide all aspects of care with respect to your own personal values and beliefs. You may request assistance from the Ethics Committee, please contact 808-322-6976.
PRIVACY AND CONFIDENTIALITY—You have the right to privacy and confidentiality of your health information, whether as an inpatient or outpatient, consistent with applicable laws. You will be provided with a Notice of Privacy Practices which includes privacy of substance use disorder records. Case discussion, consultation, examination, and treatment will be conducted in a manner that reasonably protects your privacy. You may review and request amendments or copies of your record within required timeframes.
CONCERNS AND COMPLAINTS— You have the right to make a complaint without fear of retaliation. Reasonable attempts will be made to resolve the complaint to your satisfaction. If a resolution cannot be met, the complaint will be handled as a grievance and you will receive a response in writing. You may file complaints to any care provider, or by asking to speak to the unit manager or clinical coordinator. For further questions, you may contact the patient advocate at 808-322-5822 or refer to the patient handbook. You may also contact the external oversight agencies below:
- Hawaiʻi State Department of Health – Office of Health Care Assurance (OHCA), 601 Kamokila Boulevard, – Room 385, Kapolei, Hawaii 96707 – Phone: (808) 692-7400
- Centers for Medicare & Medicaid Services (CMS) – Region IX, 90 7th Street, Suite 5-300, San Francisco, CA 94103 Phone: (415) 744-3501. By email at ROSFOSO@cms.hhs.gov.
- The Joint Commission, Office of Quality and Patient Safety, One Renaissance Boulevard,
Oakbrook Terrace, IL 80181, – Phone: (800) 994-6610 or Online: jointcommission.org or Email: patentsafetyreport@jointcommission.org
CULTURAL AND RELIGIOUS BELIEFS—You have the right to express spiritual beliefs and cultural practices, as long as these do not harm others or interfere with treatment. Pastoral counseling will be provided upon request, when available.
COMMUNICATION SUPPORT—You have the right to effective communication including free language assistance services, such as qualified interpreters and auxiliary aides when needed.
RESTRAINTS—You have the right to be free from restraint or seclusion unless medically necessary to ensure safety and authorized in accordance with law and facility policy. If restraints are indicated, the least restrictive method will be used in accordance with facility policy and be monitored.
BILLING EXPLANATION—You have the right to a detailed billing explanation and to receive, examine and obtain an itemized bill, regardless of the source of payment. You may question charges associated with billing and will be advised of the availability of financial assistance, if appropriate.
YOUR RESPONSIBILITIES
COMMUNICATION
Provide complete and accurate information about your health and medical history, including present condition, past illnesses, hospital stays, medicines, vitamins, herbal products, and any other matters that pertain to your health, including perceived safety risks and insurance coverage.
PARTICIPATION
Ask questions when you do not understand information or instructions. Notify staff if you are unable to follow recommended care or keep appointments.
PRIVACY/PHOTOGRAPHY
Refrain from capturing images, video, or other recorded images of staff, patients, or visitors.
RESPECT
Treat staff, other patients and visitors with courtesy and respect; abide by all hospital rules and safety regulations; and be mindful of noise levels, privacy, and number of visitors.
Refrain from verbal or physical abuse toward staff, patients or visitors.
PERSONAL BELONGINGS
Leave valuables at home whenever possible.
You are responsible for all personal belongings you choose to keep with you.
FINANCIAL
Provide complete and accurate information about your health insurance coverage to pay your bills in a timely manner.
Assure that your financial obligations for health care received are fulfilled as soon as possible.
Your responsibilities do not affect your right to receive medically necessary care.