A. GENERAL

• Expect Logansport Memorial Hospital to give the necessary health services to the best of its ability.
• To have a family member or representative of his/her choice and his/her own physician notified promptly of his/her admission to the hospital.
• Be provided considerate and respectful care, treatment and services.
• Have impartial access to treatment, care and services within the hospital’s capability regardless of race, creed, color, financial responsibility, cultural, psychosocial, spiritual values, personal values, beliefs and preferences respected.
• Expect Logansport Memorial Hospital to respect the patient’s rights to and need for effective communication.
• Know the professional status of any person providing his/her care/services.
• Know the reasons for any proposed change in the professional staff responsible for his/her care.
• Know the relationship(s) of the hospital to other persons or organizations participating in the provision of his/her care.
• Support the right of each patient to personal dignity.

B. EXERCISE OF RIGHTS

• Participate in the development and implementation of his/her plan of care.
• Make informed decisions regarding his/her care.
• Be informed of his/her health status.
• Be involved in care planning and treatment.
• Impartial access to treatment, regardless of race, religion, sex, sexual orientation, ethnicity, age or handicap.
• Exercise rights while receiving care or treatment in the hospital without coercion.
• Formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives.
• Have a surrogate (parent, legal guardian, person having medical power of attorney) exercise the patient’s rights when the patient is incapable of doing so, without coercion, discrimination or retaliation.
• Informed consent of donation of organs and tissues.
• Be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising his/her access to services.
• Express spiritual beliefs, cultural practices and pastoral services as long as these do not harm others or interfere with treatment or plan of care.
• Patients, and when appropriate, their families are informed about the outcomes of care, treatment and services including unanticipated outcomes.
• To have pain treated as effectively as possible.
• Receive physical or spiritual support during times of illness and through the dying process.
• To have issues related to care at the end of life addressed with sensitivity.
• To refuse care, treatment and services in accordance with the law and regulations.
• Provide for the process to inform each patient, or when appropriate, the patient’s representative (as allowed under state law) of the patient’s rights in advance of furnishing or discontinuing patient care whenever possible.

C.  PRIVACY AND SAFETY

• To personal privacy and safety.
• Receive care in a safe setting.
• Be free from all forms of abuse or harassment.

D. CONFIDENTIALITY AND PATIENT RECORDS

• The right to confidentiality of his/her clinical records.
• Access information contained in his/her clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as its record keeping system permits.
• A surrogate decision-maker, as allowed by law, is identified when a patient cannot make decisions about his or her care, treatment and services..

E. PROBLEMS/CONCERNS/GRIEVANCES/ETHICAL ISSUES

• Expect prompt resolution of complaints and grievances by contacting the quality Logansport Memorial Hospital Data Coordinator at Extension 1383.
• Raise ethical issues concerning care, treatment or services with the care providers and/or with the hospital’s ethics committee by contacting the Logansport Memorial Hospital Quality Data Coordinator at Extension 1383.
• To access an internal grievance process by calling the Logansport Memorial Hospital Quality Data coordinator at Extension 1383 or her alternate.  Also the right to access an external agency by calling 1-800-246-8909 - Indiana State Department of Health, 2 N. Meridian Street, Indianapolis, Indiana, 46204.
• Expect that patients can freely voice complaints and recommend changes without being subject to coercion, discrimination reprisal or unreasonable interruption of care, treatment or services.

F. FINANCIAL

• Receive information regarding financial concerns by contacting the Logansport Memorial Hospital Financial Aid counselor Extension 1371.
• Examine and receive explanation of the hospital bill regardless of the source of payment.
• To access the cost, itemized when possible, of services rendered within a reasonable period of time.
• To be informed of the source of the hospital’s reimbursement for his/her services, and of any limitations which may be placed upon his/her care.

G. TRANSFERS/DISCHARGES

• To know the reasons for his/her transfer either within or outside the hospital.
• Be informed of realistic care alternatives when hospital care is no longer appropriate.

H. RESTRAINTS

• To be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff.

Responsibilities of the Patient or legally Authorized Representative

• You are responsible to report unexpected changes or conditions to your physician.
• You or your legal representative are responsible for providing accurate and complete information about your past and present health, including past illnesses, hospitalizations, use of medicine and other matters related to your health.
• You are responsible to provide information about present complaints as related to your health. You are responsible for asking questions when you do not understand information or instructions. If you believe you can’t follow through with your treatment, you are responsible for telling your doctor.
• You and your visitors are responsible for showing respect of the needs and property of other patients, staff and the hospital.
• You and your family must follow the hospital’s rules and regulations.
• You are responsible for providing information for insurance claims and for working with the hospital to arrange payment.
• Your health depends not just on your hospital care, but also on the decisions you make in your daily life. You are responsible for recognizing the effect of life-style on your personal health.
• You are responsible for discussing any advance directives with your physician, family and hospital.
• You are responsible to participate in the development of the treatment plan recommended by the physician and accept the consequences if you do not. This includes following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care to implement the physician orders, and as they enforce the applicable rules and regulations of the hospital