Patient rights and responsibilities

• Have your family/representative and physician notified promptly of your admission, plan of care and expected outcomes.
• Exercise your rights while receiving care or treatment in the facility/clinic without coercion, discrimination or retaliation.
• Have your cultural, psychosocial, pastoral, spiritual and personal values, beliefs and preferences respected.
• Considerate and respectful care, free from all forms of abuse or harassment.
• Treatment, care and services consistent with Cass Regional's mission and capacity and in compliance with law and regulations.
• Access information contained in your clinical record with a complete explanation from your physician, in understandable terms, of your diagnosis, plan of treatment and prognosis. You have the right to: (1) an accounting of disclosures of PHI (protected health information) outside of what is authorized for treatment, payment and operations; (2) privacy restrictions on any or all parts of your medical record; (3) request an amendment to your health record.
• Have your pain evaluated and addressed as part of your plan of care.
• Receive from your physician the information needed for you to give your permission for any procedure or treatment.
• Have, in accordance with the law and Health Insurance Portability and Accountability Act (HIPAA) standards, all activities, conversations and records related to your medical care kept confidential. Under HIPAA standards, you have the right to opt out of the facility directory, fundraising activities and clergy list.
• Refuse/forgo/withdraw treatment or resuscitative services as permitted by law and to be told what might happen because of your decision. This includes participation in any unusual, experimental or research project without compromising your access to services.
• Participate in developing and implementing a care plan.
• Formulate an advance directive and have your advance directive honored.
• Personal dignity and privacy.
• Be examined, use the toilet, bathe, dress, receive treatments and be interviewed in surroundings that ensure reasonable visual and auditory privacy.
• Refuse to see anyone not officially connected with your care.
• Wear clothing and other symbolic items as long as they do not interfere with your care.
• Appoint a surrogate (parent, legal guardian, person with medical power of attorney) to make health care decisions on your behalf when you are incapable of doing so, without coercion, discrimination or retaliation.
• Identify a designated health care representative to assist you in health care decisions. You may have a family member, friend or other individual be present for emotional support during the course of your stay and allow for the presence of a support individual of your choice, unless the individual's presence infringes on others' rights, safety or is medically or therapeutically contraindicated. The individual may or may not be your surrogate decision-maker or legally authorized representative.
• Request a room change if you are dissatisfied.
• Be cared for in an environmentally, physically and emotionally safe setting.
• A notice of noncoverage.
• Know the name and professional status of your caregiver and be provided the opportunity to select alternate providers if so desired.
• Have visitors, make phone calls and receive mail.
• Obtain, at your expense, another physician's opinion about your care.
• Require consent prior to recording or filming made for purposes other than the identification, diagnosis or treatment of your condition.
• Access Case Management for transportation, protective and advocacy services.
• Receive an itemized copy and explanation of your bill.
• Be free from unnecessary use of physical or chemical restraint and/or seclusion as a means of coercion, discipline, staff convenience or retaliation.
• Know what hospital rules apply to your conduct as a patient.
• Make informed decisions and actively participate in your plan of care, as well as receive complete information about your diagnosis, health status, plan of treatment and prognosis from your physician in terms you can understand.
• Express a concern about your care or bill by calling the hospital patient representative office at 816.380.5888, ext. 4140, or the clinic representative office at 816.380.5888, ext. 4800.
• Have the right to contact organizational management and The Joint Commission about patient safety and quality of care concerns.
• Contact the state directly to express a concern regarding your care or bill:
  Missouri Department of Health and Senior Services
  912 Wildwood
  Jefferson City, MO 65109
  573.751.6400
  
  The Joint Commission (TJC)
  Customer Service
  One Renaissance Boulevard
  Oak Brook Terrace, IL  60181
  630.792.5800

• Give complete information about your medical history and the medications you are taking.
• Ask questions about your care and what is expected.
• Let us know when you do not understand instructions.
• Let your physician or nurse know of changes in your health.
• Let us know your needs.
• Show respect and consideration of staff.
• Cooperate with the staff and other patients by following guidelines, which have been explained.
• Respect the rights of other patients regarding visiting, noise and language and to abide by the tobacco use policy.
• Tell the nursing staff when you have personal valuables with you. The hospital cannot be responsible for items not placed in the hospital safe.
• Respect the property of others and the hospital/clinic.
• Follow instructions as needed to comply with the agreed-upon care plan.
• Accept consequences of not following instructions.
• Pay your hospital/clinic bill and release information required for filing an insurance claim.
• Follow hospital/clinic rules and regulations.

Cass Regional Medical Center
Chief Executive Officer
2800 E. Rock Haven Road
Harrisonville, MO 64701
816.380.3474

Senior and Disability Hotline
P.O. Box 570
Jefferson City, MO 65102
800.392.0210

The Joint Commission (TJC)
Customer Service
One Renaissance Blvd.
Oak Brook Terrace, IL 60181
630.792.5800

Missouri Foundation for Health
415 S. 18th St., Suite 400
St. Louis, MO 63103
800.655.5560

Office for Civil Rights
601 E. 12th St., Room 353
Kansas City, MO 64106
800.368.1019