Patient Rights and Responsibilities

 

Your Rights as a Patient 

1. The patient shall be treated with consideration, respect, and full recognition of the  patient’s dignity and individuality, including privacy in treatment and personal care  and including being informed of the name, licensure status, and staff position of all  those with whom the patient has contact, pursuant to RSA 151:3-b.  

2. The patient shall be fully informed of a patient’s rights and responsibilities and of all procedures governing patient conduct and responsibilities. This information must be provided orally and in writing before or at admission, except for emergency admissions. Receipt of the information must be acknowledged by the patient in writing. When a patient lacks the capacity to make informed decisions, the signing of the acknow ledgment must be by the person legally responsible for the patient. 

3. The patient shall be fully informed in writing in language that the patient can  understand, before or at the time of admission and as necessary during the patient’s  stay, of the facility’s basic per diem rate and of those services included and not  included in the basic per diem rate. A statement of services that are not normally  covered by medicare or medicaid shall also be included in this disclosure.  

4. The patient shall be fully informed by a health care provider of his or her medical  condition, health care needs, and diagnostic test results, including the manner by  which such results will be provided and the expected time interval between testing and  receiving results, unless medically inadvisable and so documented in the medical  record, and shall be given the opportunity to participate in the planning of his or her  total care and medical treatment, to refuse treatment, and to be involved in  experimental research upon the patient’s written consent only. For the purposes  of this paragraph “health care provider” means any person, corporation, facility,  or institution either licensed by this state or otherwise lawfully providing health care  services, including, but not limited to, a physician, hospital or other health care facility,  dentist, nurse, optometrist, podiatrist, physical therapist, or psychologist, and any  officer, employee, or agent of such provider acting in the course and scope of  employment or agency related to or supportive of health care services.  

5. The patient shall be transferred or discharged after appropriate discharge planning  only for medical reasons, for the patient’s welfare or that of other patients, if the  facility ceases to operate, or for nonpayment for the patient’s stay, except as prohibited  by Title XVIII or XIX of the Social Security Act. No patient shall be involuntarily  discharged from a facility because the patient becomes eligible for medicaid as a  source of payment. 

6. The patient shall be encouraged and assisted throughout the patient’s stay to exercise  the patient’s rights as a patient and citizen. The patient may voice grievances and  recommend changes in policies and services to facility staff or outside representatives  free from restraint, interference, coercion, discrimination, or reprisal.  

7. The patient shall be permitted to manage the patient’s personal financial affairs. If the  patient authorizes the facility in writing to assist in this management and the facility  so consents, the assistance shall be carried out in accordance with the patient’s rights  under this subdivision and in conformance with state law and rules.  

8. The patient shall be free from emotional, psychological, sexual and physical abuse and  from exploitation, neglect, corporal punishment and involuntary seclusion.  

9. The patient shall be free from chemical and physical restraints except when they are  authorized in writing by a physician for a specific and limited time necessary to  protect the patient or others from injury. In an emergency, restraints may be  authorized by the designated professional staff member in order to protect the  patient or others from injury. The staff member must promptly report such action to  the physician and document same in the medical records.  

10.The patient shall be ensured confidential treatment of all information contained in  the patient’s personal and clinical record, including that stored in an automatic data  bank, and the patient’s written consent shall be required for the release of information  to anyone not otherwise authorized by law to receive it. Medical information contained  in the medical records at any facility licensed under this chapter shall be deemed to  be the property of the patient. The patient shall be entitled to a copy of such records  upon request. The charge for the copying of a patient’s medical records shall not  exceed $15 for the first 30 pages or $.50 per page, whichever is greater; provided, that  copies of filmed records such as radiograms, x-rays, and sonograms shall be copied at  a reasonable cost.  

11.The patient shall not be required to perform services for the facility. Where appropriate  for therapeutic or diversional purposes and agreed to by the patient, such services  may be included in a plan of care and treatment.  

12.The patient shall be free to communicate with, associate with, and meet privately with  anyone, including family and resident groups, unless to do so would infringe upon  the rights of other patients. The patient may send and receive unopened personal mail.  The patient has the right to have regular access to the unmonitored use of a telephone.  

13.The patient shall be free to participate in activities of any social, religious, and  community groups, unless to do so would infringe upon the rights of other patients.  

14.The patient shall be free to retain and use personal clothing and possessions as space  permits, provided it does not infringe on the rights of other patients.  

15.The patient shall be entitled to privacy for visits and, if married, to share a room with  his or her spouse if both are patients in the same facility and where both patients  consent, unless it is medically contraindicated and so documented by a physician.  The patient has the right to reside and receive services in the facility with reasonable  accommodation of individual needs and preferences, including choice of room and  roommate, except when the health and safety of the individual or other patients  would be endangered.  

16.The patient shall not be denied appropriate care on the basis of age, sex, gender  identity, sexual orientation, race, color, marital status, familial status, disability,  religion, national origin, source of income, source of payment, or profession.  

17.The patient shall be entitled to be treated by the patient’s physician of choice, subject  to reasonable rules and regulations of the facility regarding the facility’s credentialing  process.  

18.The patient shall be entitled to have the patient’s parents, if a minor, or spouse, or  next of kin, unmarried partner, or a personal representative chosen by the patient, if  an adult, visit the facility, without restriction, if the patient is considered terminally ill  by the physician responsible for the patient’s care.  

19.The patient shall be entitled to receive representatives of approved organizations as  provided in RSA 151:28.  

20.The patient shall not be denied admission to the facility based on medicaid as a source  of payment when there is an available space in the facility.  

21. Subject to the terms and conditions of the patient’s insurance plan, the patient shall  have access to any provider in his or her insurance plan network and referral to a  provider or facility within such network shall not be unreasonably withheld pursuant  to RSA 420-J:8, XIV.  

Responsibilities as a Patient 

1. Patients have the responsibility to provide, to the best of their knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, advance directives or changes in advance directives, and other matters relating to their health or care. Patients have the responsibility to report unexpected changes in their condition to the practitioner responsible for their care. Patients are responsible for requesting information about anything that is not understood and expressing concerns in regard to the services provided. 

2. Patients are responsible for following the treatment plan recommended by the  practitioner primarily responsible for their care. This includes following the instructions of nursing staff and other allied health personnel as they carry out the individualized  plan of care, implement the responsible practitioner’s orders, and enforce the applicable  Hospital Rules and Regulations. Patients are responsible for keeping appointments, and when unable to do so for any reason, notifying the responsible practitioner and/ or the Hospital. 

3. Patients must accept the consequences of their actions if they refuse treatment or do not follow practitioner orders. 

4. Patients are responsible for assuring that the financial obligations of their health care are fulfilled as promptly as possible. Patients experiencing financial difficulties may ask for assistance from the Customer Service Department. 

5. Patients are responsible for following Hospital Rules and Regulations affecting patient care and conduct. 

6. Patients are responsible for being considerate of the rights of other patients and Hospital staff and for assisting in the control of noise and the number of visitors.  

7. Patients are responsible for being respectful of the property of other persons and of the Hospital.  

8. Patients do not have the right and, in fact, are not allowed to bring weapons into the Hospital. 

March 2021

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