Patient Responsibilities

PatientResponProvision of Information

A patient has the responsibility to provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to his/her health. He/she has the responsibility to report unexpected changes in his/her condition to the responsible practitioner. A patient is responsible for making it known whether he/she clearly comprehends a contemplated course of action and what is expected of him/her.

Compliance with Instructions


A patient is responsible for following the treatment plan recommended by the practitioner primarily responsible for his/her care. This may include following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care and implement the responsible practitioner's orders and as they enforce the applicable hospital rules and regulations. The patient is responsible for keeping appointments and, when he/she is unable to do so for any reason, for notifying the responsible practitioner or the hospital.



Refusal of Treatment

The patient is responsible for his/her actions if he/she refuses treatment or does not follow the practitioner's instructions.



Hospital Charges

The patient is responsible for assuring that the financial obligations of his/her health care are fulfilled as promptly as possible.

Hospital Rules and Regulations

The patient is responsible for following hospital rules and regulations affecting patient care and conduct.

Respect and Consideration

The patient is responsible for being considerate of the rights of other patients and hospital personnel and for assisting in the control of noise, smoking and the number of visitors. The patient is responsible for being respectful of the property of other persons and of the hospital.

ADDENDUM


"An Important Message from Medicare"

If you are a member of a medicare risk contracting health maintenance organization, (HMO), here is some additional information:

IMMEDIATE REVIEW OF HOSPITAL DISCHARGES

According to Federal law, any decision to discharge you from the hospital that is made by your Health Maintenance Organization, (HMO), or the hospital must be based solely on your medical need and not on any method of payment. Your attending physician must always be in agreement with the decision to discharge you or to transfer you to a lower level of care.

If you think you are being asked to leave the hospital too soon, ask your HMO or the hospital for a written "Notice of Noncoverage" immediately, if you have not already received one. You must have this notice to request a review by the Peer Review Organization, (PRO).

If you ask for immediate review by the PRO, it will replace the expedited appeals process described below and in your HMO Evidence of Coverage.

HOW DOES THIS AFFECT YOU FINANCIALLY?

If you request immediate review by the PRO, you will be financially responsible for hospital charges beginning at noon of the day following your receipt of the PRO review decision.

If the decision is not in your favor, you may request the PRO to reconsider your case immediately upon receipt of the PRO's decision. You may do this by contacting the PRO by phone or in writing. Since the PRO has already reviewed your case once, the hospital is permitted to begin billing you for the cost of your stay. Billing can begin at noon of the day following receipt of the first PRO decision.



EXPEDITED REVIEW REQUESTS

In the event you miss the deadline for requesting immediate PRO review, you are entitled to an expedited review through your HMO. However, if the outcome of the review determines that the hospital discharge was appropriate, the hospital is permitted to bill you for care as of the date you were scheduled to be discharged. If the outcome of the review determines that the hospital discharge was premature, the hospital will not be permitted to bill you for the care.