Allen Health Care Services
PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
As a patient of Allen Health Care Services, you have the right to:
1. Be informed of your rights both orally and in writing at the time of admission and prior to the initiation of care.
2. Receive competent, individualized care and service from Allen Health Care Services staff regardless of age, race, color, national origin, religion, sex, disease, disability, or decisions regarding advance directives, or any other category protected by law.
3. Be treated with dignity, courtesy, consideration, and respect, and have your property treated with respect, and to expect that all personnel providing patient care services are aware of these rights.
4. Be informed orally and in writing of the services available and related charges, as they apply to the primary insurance, other payers, and self-pay coverage before care is initiated. To be informed of any changes in the sources of payment and your financial responsibility as soon as possible, and no later than thirty (30) calendar days after Allen Health Care Services becomes aware of the change.
5. Be informed both verbally and in writing, in advance, of the Plan of Care, and of any changes in the Plan of Care; participate in the planning of your care, and in the development of the discharge plan, and to be transferred or discharged in a timely manner.
6. Be informed of all treatments prescribed, when and how services will be provided, and the names and functions of any person and affiliated program providing care and services, including photo identification of Allen Health Care Services staff.
7. Refuse care and treatment after being fully informed of and understanding the consequences of such actions, including research and experimental treatments;
8. To receive education about, and to initiate Advance Directives and appoint a health care agent, and to have these directives executed according to your wishes.
9. Have appropriate ongoing assessment and management of your pain, and to participate in education regarding effective pain management during time of service, and symptom management in preparation for discharge.
10. Expect continuity of care, and that all reasonable efforts be made to provide care by the same personnel. If a request of personnel change is made, that every effort will be made to accommodate that request.
11. Access to agency 24 hours a day, 7 days a week, for discussion or consultation, via an answering service and beeper system during non-business hours.
12. Expect that an RN will provide supervision of your plan of care under your doctor’s direction.
13. Expect, if unable to meet financial commitment for services, that the agency will assist with referral to community resources, and to be informed of any financial relationships between Allen Health Care Services and other providers to which you may be referred to by the agency.
14. Express complaints about the care and services provided or not provided; and about complaints concerning lack of respect for property by personnel furnishing services on behalf of Allen Health Care Services. Be informed of the procedures for submitting complaints to the agency; recommend changes in the policies and services to the Vice President for Clinical Services by calling 718-657-2966. The expression of such complaints shall be free from interference, coercion, discrimination or reprisal.
15. Register complaints with the Department of Health at 212-417-5888.
16. Report concerns about your safety, or have your family or representative report such concerns, to the Joint Commission for the Accreditation of Health Care Organizations, at 1-800-994-6610.
17. Expect that all personnel providing care have been carefully screened and trained, be of sound physical health, carry appropriate malpractice insurance and be covered by Workers’ Compensation
18. Privacy, including confidential treatment of records, and to refuse release to any individual outside the agency, except in the case of your transfer to a health care facility, or as required by law or third party payment contracts.
19. Access to your records on request.
20. Informed, when appropriate, about outcomes of care, including unanticipated outcomes.
21. Expect that if you lack capacity to exercise these rights, the rights shall be exercised by an individual, guardian or entity legally authorized to represent you.
As a patient of Allen Health Care Services, you have the responsibility to:
1. Be seen by your doctor if a change in your health status occurs.
2. Share complete and accurate health information.
3. Be responsible for following the recommended treatment plan.
4. Make it known if you do not understand or cannot follow the treatment plan.
5. Cooperate with and be respectful to all agency staff, and not discriminate against anyone because of race, creed, color, sex, age, national origin or disability.
6. Notify Allen Health Care Services in advance when you cannot keep a scheduled visit appointment.
7. Notify Allen Health Care Services if you receive services from another agency.
8. Notify Allen Health Care Services in the event of change in your health status.
9. Be responsible for your actions if you refuse treatment or do not follow Allen Health Care Services’ recommendations/directions.
10. Ask questions and provide feedback about the care and services.
11. Take responsibility for financial obligations of your care.
12. Maintain a home environment that facilitates effective home care.
Please feel free to contact your nurse or the Vice President for Clinical Services if you have any questions or comments regarding your rights and responsibilities.
Jane Cooperman, MS,RN-BC
Vice President of Clinical Services
Allen Health Care Services
175-20 Hillside Avenue
Jamaica, NY 11432
Phone: 718-689-1224
Fax: 718-298-5421