Effective healthcare requires collaboration between patients, physicians and other health care professionals. Open and honest communication, respect for personal and professional values, and sensitivity to differences are integral to optimal patient care.
CTMC presents the following Patient Rights and Responsibilities with the expectation that it will contribute to more effective, safe patient care and satisfaction.
Patient Rights (These rights can be exercised on the patient’s behalf by a legally designated surrogate decision maker if the patient lacks decisionmaking capacity, is legallyincompetent, or is a minor.)
You have the right to:
• Impartial access to medical care, treatment or accommodations that are available and medically indicated, regardless of race, sex, national origin, religion, physical handicap or source of payment.
• Medical or obstetrical screening examination to determine if an emergency medical condition exists.
• Considerate and respectful care, with recognition of your personal dignity including freedom from abuse and harassment.
• This would include the right to have your cultural, psychosocial, spiritual, and personal values, beliefs, and preferences respected.
• Pastoral and other spiritual services upon request and availability.
• Obtain from physicians and other direct caregivers relevant, current, and understandable information concerning your diagnosis, treatment, and prognosis.
• This would include outcomes, to include unanticipated outcomes, of diagnostic tests, medical treatment and surgical intervention.
• Except in emergencies when you are deemed to lack decision-making capacity, you are entitled to informed consent.
• This would include the opportunity to discuss and request information related to the specific procedures and/or treatments, the risks involved, the possible length of recuperation, and the medically reasonable alternatives and their accompanying risks and benefits.
• An interpreter or other appropriate and reasonably available aids to ensure effective communication of relevant medical information.
• Know the identity of physicians, nurses, and others involved in your care, as well as when those involved are students, residents, or other trainees.
• Have a family member or representative of your choice notified promptly of your admission to the hospital with a reasonable attempt from hospital staff.
• Access protective and advocacy services. Resources are provided upon request.
• Effective pain management, to include pain assessment, timely intervention, and education about pain relief measures, their role in managing pain, and the limitations of pain management.
• Freedom from restraints unless clinically justified and ordered by a physician. Restraints will not be used as a means of coercion, discipline, convenience or retaliation by staff.
• Make decisions about your plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital policy and to be informed of the medical consequences of this action. In case of such refusal, you are entitled to other appropriate care and services that the hospital provides or transfer to another hospital. You will be informed of any policy that might affect your choice in this regard.
• Have an advance directive (such as a directive to physicians/living will or medical power of attorney) concerning treatment or designating a surrogate decision maker with the expectation that the hospital will honor the intent of that directive to the extent permitted by law and hospital policy. You will be asked if you have an advance directive upon admission, with a copy placed in your medical record when made available. You will be advised, upon request, of your rights under state law and hospital policy to make
informed medical choices and situations when the advance directive may be limited.
• Request amendment to your medical record following hospital policy.
• A notice of how your medical information will be used (Notice of Patient Privacy Practice).
• Request restrictions on the use of your medical information.
• Receive an accounting of disclosures of your medical information except when the disclosure was for treatment, payment, or healthcare operations or when made as a result of your authorization.
• Request confidential communications (i.e. receive mail only at work address).
• Consideration of privacy. Case discussion, consultation, examination, and treatment should be conducted so as to protect your privacy.
• Expect that all communications and records pertaining to your care will be treated as confidential by the hospital, except in cases such as suspected abuse and public health hazards when reporting is permitted or required by law.
• Expect that the hospital will emphasize the confidentiality of this information when it releases it to any other parties entitled to review information in these records.
• Review your records pertaining to your medical care and to have the information explained or interpreted as necessary, except when restricted by law and guided by hospital policy.
• Obtain a copy of your medical record upon discharge free of charge.
• Expect that, within its capacity and policies, CTMC will make a reasonable response to your request for appropriate and medically indicated care and services. The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case. When
medically appropriate and legally permissible, or when you have requested, you may be transferred to another facility.
• The institution to which you are transferred must first have accepted you for transfer. You will be given complete information and explanation concerning the need for, risks, benefits, and alternatives to such a transfer.
• Ask and be informed of the existence of business relationships among the hospital, educational institutions, other health care providers, or payers that may influence your treatment and care.
• Consent to or decline to participate in proposed research studies or human experimentation affecting care and treatment or requiring your direct involvement, and to have those studies fully explained prior to consent.
• Expect reasonable continuity of care when appropriate and to be informed by physicians and other caregivers of available and realistic patient care options when hospital care is no longer appropriate.
• Know the immediate and long-term financial implications of treatment choices, insofar as they are known.
• You have the right to be informed of the hospital's charges for services and available payment methods.
• Regardless of the source of payment for care, you have the right to request and receive an itemized bill for services rendered in the hospital.
• Be informed of hospital policies and practices that relate to patient care, treatment, and responsibilities.
• Be informed of available resources for resolving disputes, grievances, and conflicts. Resources include but are not limited to: the Patient Advocate Ext. 3526, hospital ethics committee, or state authority (Texas Department of State Health Services at 1-888-973-0022). Any concerns or questions you raise will not adversely affect your care or subject you to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment or services.
The collaborative nature of health care requires that patients, or their families/surrogates, participate in their care. The effectiveness of care and patient satisfaction with the course of treatment depends, in part, on the patient fulfilling certain responsibilities.
You are responsible for:
• Providing information about past illnesses, hospitalizations, medications, and other matters related to your health status.
• Requesting additional information or clarification about your health status or treatment when you do not fully understand information and instructions.
• Promptly reporting changes in your condition to your healthcare providers.
• Providing a copy of your written advance directive if you have one.
• Informing your physicians and other caregivers if you anticipate problems in following prescribed treatment or instructions. If you refuse to follow the treatment plan, you understand that you are responsible for any adverse outcomes as a result of your actions.
• Following hospital rules and regulations. Patients should be aware of the hospital's obligation to be reasonably efficient and equitable in providing care to other patients and the community.
• Showing respect and consideration to others.
• Providing necessary information for insurance claims and for assuring that the financial obligations of your health care are fulfilled as promptly as possible. When necessary, working with the hospital to make payment arrangements.
• Recognizing the impact of your lifestyle on your personal health. A person's health depends on much more than health care services.
We want you to be very satisfied with the care and service you receive at CTMC. We are committed to resolving any concerns you may have during your stay quickly and while you are here.
If you have a concern about your care while you are still a patient, Please ask to speak with the unit manager or director.
If you want to file a complaint after you have been discharged, please call 512-753-3653.
Information about your medical condition is considered confidential. Friends and family members may call the Patient Information Desk at (512) 353-8979 to obtain your admission status as well as your room’s telephone number, unless you have asked us not to release this information.
MAKE YOUR WISHES KNOWN
At CTMC, we support your right to make certain decisions concerning your medical treatment. Federal law also allows for your rights and personal wishes to be respected even if you are too sick to make decisions yourself.
It is your right under certain conditions, to decide whether to accept or deny medical treatment, including termination of treatment that would prolong your life artificially. These rights may be spelled out by you in the form of Advance Directives
Advance Directives are witnessed written or oral statements to family members and physicians that legally specify the care you want to receive should you become unable to communicate your wishes.
Advanced Directives allow you to indicate to your family members and physicians personal choices regarding life prolonging medical treatments and other pertinent issues. Examples of Advance Directives include living wills, medical powers of attorney, and organ donation. These documents will allow you to make legally valid decisions about your future medical
treatment even when you are no longer able to communicate your wishes. Before deciding which choices about your medical care are best, you should discuss the issues involved with your family and physician.
At the time of admission to CTMC, you should have been asked whether you have executed an advance directive. If you have executed one, please provide a copy to the hospital. Your admission and care will not be affected if you have not completed an Advance Directive.
CTMC recognizes the importance of Advance Directives for Healthcare. We gladly provide the following information for your use. Having a completed Advance Directive on file with us will ensure that your wishes are known and respected. If you have any questions about this information, please feel free to contact our CTMC Patient Advocate at (512) 753-3526
or ask your nurse.
What are Advance Directives?
A document which states your choices about medical treatment or the name of someone you have chosen to make decisions about your medical treatment, if you unable to make these decisions or choices yourself. This is called an “Advance Directive,” because it is signed in advance to let your doctor or other healthcare providers know your wishes concerning medical treatment. Advance Directives allow you to make legally valid decisions about your future medical care.
What is a Living Will?
A Living Will is a document that states your wishes regarding whether or
not you want life-prolonging treatments or procedures administered to you
if you are in a terminal condition, a persistent vegetative state or an endstage
condition(s). It is called a “Living Will” because it takes effect while
you are still living.
What is Medical Power of Attorney?
A document by which you give authority to another person to make decisions about financial or health related issues. You can change or revoke this document at any time before you become incapacitated to make decisions.
There may be times when you and your family will be faced with difficult treatment choices. Our Ethics Committee is available as a resource for information and advice and participates in the ethical policy making process at CTMC. The Ethics Committee guides, educates and assists members of the hospital family, patients, and caregivers as they confront difficult and in many cases, painful decisions. The members of the committee can be consulted when families or caregivers feel the need for clarification of ethical issues.
Requests for committee interaction can be made through your physician or other health care providers. If you have any concerns, please ask to speak with the charge nurse on your unit for further assistance.
At CTMC, we recognize the need to maintain patient and other information in a confidential manner. For this reason, patient information will not be shared in an unauthorized manner and sensitive information concerning personnel and management issues will be maintained in the strictest confidence and utilized only by those individuals authorized to
review and act upon such information.
WRIST IDENTIFICATION BANDS
The wrist identification band you received upon admission should not be removed at any time during your stay. It provides positive identification of you to all those who serve you and is a safeguard for your protection.