Patients & Families Patient Rights & Responsibilities Patient Rights You have a right to: Be fully informed of your rights and receive notice during the initial visit before initiation of care. Be free from mental, physical, sexual, verbal abuse, neglect and exploitation. Receive information in a form and/or language that you can understand. Refuse care treatment or service in accordance with law and regulations. The patient’s family or guardian may exercise the patient’s rights when the patient has been judged incompetent. Be treated with dignity, respect and consideration by qualified professional staff. Privacy, security and respect of property. Voice complaints or grievances regarding treatment or care, that is (or fails to be) furnished, or regarding the lack of respect for property by anyone who is furnishing services on behalf of the Agency, and will not be subjected to discrimination or reprisal for doing so. Be treated without discrimination based on race, color, religion, sex, age, gender preference, national origin, handicap or decision regarding Advance Directives. Be informed in advance and to participate in planning care and treatment that is to be furnished, types (disciplines) of caregivers providing care or services, planned frequency of services, expected outcomes, potential risks or problems and barriers to treatment. Be fully informed in advance and to participate in planning changes in the plan of care and/or the level of care including transfer or discharge from Agency services. Receive care that is appropriate, timely and promotes continuity, and to be referred to an alternate resource if Agency is unable to meet patient care needs. Be advised in advance of the ownership or control of the Agency. St. Joseph Home Care Network is owned by the St. Joseph Health System and affiliated with St. Joseph Hospital-Eureka, Redwood Memorial Hospital, Santa Rosa Memorial Hospital, Petaluma Valley Hospital, and Queen of the Valley Medical Center. To be advised orally and in writing prior to the initiation of care regarding payment for services that may be expected from Medicare or other sources, and the approximate maximum dollar amount of charges, if any, for which the patient may be responsible. To be informed orally and in writing of any changes in expected reimbursement as soon as possible, but not later than 30 calendar days from the date the Agency becomes aware of a change. Receive appropriate initial and ongoing assessment and management of pain; education about your and your family’s role in managing pain when appropriate, as well as potential limitations and side effects of pain treatments. Your personal, cultural, spiritual and/or ethnic beliefs will be taken into account when providing care and when addressing pain management. Receive written information in advance of care provision to help you complete an Advance Health Care Directive, and to have your Advance Health Care Directive wishes honored. Confidentiality of written, verbal and electronic information including your medical records, information about your health, social and financial circumstances and about what takes place in your home; and the procedure regarding the disclosure of clinical records that may be requested. Please refer to our “Notice of Privacy Practices” describing your rights in detail. To choose whether or not to participate in research, investigational/experimental studies and/or clinical trials and have the Agency protect and respect your rights. To be advised of the toll free HHA hotline established by the state of California is operational 24 hours, 7 days a week to receive complaints or questions about the Agency. This hotline can also be used to lodge complaints concerning the implementation of the Advance Directives. Humboldt, Napa, and Sonoma Counties California Home Health Hotline number is 1-866-784-0703 and is available 24 hours a day, 7 days per week. Rescind consent, or request cessation of photographs, recording or filming for use up until a reasonable time before use of such. Patient Responsibilities Patients have a responsibility to: Agree to accept all caregivers without regard to race, color, religion, sex, age, gender preference, handicap, or national origin. Treat Agency personnel with dignity, respect and consideration. Remain under doctor’s care while receiving Agency services. Inform the Agency when you change physicians. Provide the Agency with complete and accurate health history to include prescribed and non-prescribed medications and herbal remedies. Provide to the Agency all requested insurance and financial records. Inform the Agency immediately with any change in your insurance plan or coverage. Sign required consents and releases. Participate in your plan of care. Tell us if you do not understand the plan of care or cannot comply with the plan or other instructions. Accept the consequences due to non-compliance for any treatment choice including reimbursement eligibility. Advise the Agency of any problems or dissatisfaction with care. Discuss pain, pain relief options and your questions, worries and concerns about pain medication with staff or appropriate medical personnel. Provide a safe and cooperative environment for care to be provided (such as keeping pets confined, not smoking and putting weapons away during your care). Notify the Agency when unable to keep appointments. Provide a copy of an Advance Directive, if applicable. All rights and responsibilities are assigned to person(s) legally authorized as a patient’s representative.