Patient Bill of Rights

BILL OF PATIENT RIGHTS AND RESPONSIBILITIES Download PDF

 Home care clients have a right to be notified in writing of their rights and obligations before treatment has begun. The client’s family or guardian may exercise the client’s rights when the client has been judged incompetent. Home care providers have an obligation to protect and promote the rights of their clients, including the following rights.

Rights

Rights As the patient/caregiver, you have the RIGHT to:

  • Be treated with dignity and respect.
  • 24 hour on-call for urgent medical needs.
  • Confidentiality of patient records and information pertaining to a patient’s care.
  • Be presented with information at admission in order to participate in and make decisions concerning
    your plan of care and treatment.
  • Be presented with information at admission in order to participate
    in and make decisions concerning your plan of care and treatment.
  • Be notified in advance of the types of care, frequency of care and the clinical specialty providing care.
  • Be notified in advance of any change in your plan of care and treatment.
  • Be provided equipment and service in a timely manner.
  • Receive an itemized explanation of charges.
  • Be informed of company
    ownership.
  • Express grievances without fear of reprisal or discrimination.
  • Receive respect for the treatment of one’s property.
  • Refuse or discontinue service or equipment (with timely removal of equipment) within the confines of the law and be informed of the 
  • consequences of this action.
  • Be informed of potential
    reimbursement for services under Medicare, Medicaid or other third party insurers based on the patient’s condition and insurance
    eligibility (to the best of the
    company’s knowledge).
  • Be notified of potential financial responsibility for products or services not fully reimbursed by
    Medicare, Medicaid or other third party insurers (to the best of the
    company’s knowledge).
  • Be notified within 30 working days of any changes in charges for which you may be liable.
  • Be admitted for service only if the company can provide safe, professional care at the scope and level of intensity needed, if the company is unable to provide care then the company will provide alternative resources.
  • Rent or purchase inexpensive or routinely purchased durable
    medical equipment. (For Medicare patients)
  • Have the manufacturers’ warranty for equipment purchased from
    company honored.
  • Have equipment rented from company repaired or replaced at no cost when such repairs are not due to neglect or abuse.
  • Receive essential information in a language or method of communication that you understand.
  • Each patient has a right to have his or her cultural, psychosocial, spiritual, and personal values, beliefs, and preferences respected.
  • Patients have the right to be free from mental, physical, sexual, and verbal abuse, neglect and exploitation.
  • The patient has the right to access, request amendment to, and receive an accounting of disclosures regarding his or her own health information as permitted under applicable law.

Client Responsibilities

Rights As the patient/caregiver, you have the RIGHT to:

  • Be treated with dignity and respect.
  • 24 hour on-call for urgent medical needs.
  • Confidentiality of patient records and information pertaining to a patient’s care.
  • Be presented with information at admission in order to participate in and make decisions concerning
    your plan of care and treatment.
  • Be notified in advance of the types of care, frequency of care and the clinical specialty providing care.
  • Be notified in advance of any change in your plan of care and treatment.
  • Be provided equipment and service in a timely manner.
  • Receive an itemized explanation of charges.
  • Be informed of company ownership.
  • Express grievances without fear of reprisal or discrimination.
  • Receive respect for the treatment of one’s property.
  • Refuse or discontinue service or equipment (with timely removal of equipment) within the confines of the law and be informed of the consequences of this action.
  • Be informed of potential
    reimbursement for services under Medicare, Medicaid or other third party insurers based on the patient’s condition and insurance
    eligibility (to the best of the
    company’s knowledge).
  • Be notified of potential financial responsibility for products or services not fully reimbursed by
    Medicare, Medicaid or other third party insurers (to the best of the company’s knowledge).
  • Be notified within 30 working days of any changes in charges for which you may be liable.
  • Be admitted for service only if the company can provide safe, professional care at the scope and level of intensity needed, if the
    company is unable to provide care then the company will provide
    alternative resources.
  • Rent or purchase inexpensive or routinely purchased durable
    medical equipment. (For Medicare patients)
  • Have the manufacturers’ warranty for equipment purchased from company honored.
  • Have equipment rented from company repaired or replaced at no cost when such repairs are not due to neglect or abuse.
  • Receive essential information in a language or method of communication that you understand.
  • Each patient has a right to have his or her cultural, psychosocial, spiritual, and personal values, beliefs, and preferences respected.
  • Patients have the right to be free from mental, physical, sexual, and verbal abuse, neglect and exploitation.
  • The patient has the right to access, request amendment to, and receive an accounting of disclosures regarding his or her own health information as permitted under applicable law.

 

HIPAA NOTICE OF PRIVACY PRACTICES

YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

The Health Insurance Portability & Accountability Act of 1996 (HIPAA) is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used. HIPAA provides penalties for covered entities that misuse personal health information.

Your Rights
You have the right to:
 
  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communication
  • Ask us to limit the information we share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated
 
Your Choices
You have some choices in the way that we use and share information as we:
 
  • Tell family and friends about your condition
  • Provide disaster relief
  • Include you in a hospital directory
  • Provide mental health care
  • Market our services and sell your information
  • Raise funds
 
Our Uses and Disclosures
We may use and share your information as we:
 
  • Treat you
  • Run our organization
  • Bill for your services
  • Help with public health and safety issues
  • Do research
  • Comply with the law
  • Respond to organ and tissue donation requests
  • Work with a medical examiner or funeral director
  • Address workers’ compensation, law 
    enforcement, and other government requests
  • Respond to lawsuits and legal actions
 
Your Rights

When it comes to your health information, you have certain rights.

This section explains your rights and some of our responsibilities to help you.
 

Get an electronic or paper copy of your medical record

  • You can ask to see or get an electronic or paper copy of your medical record
    and other health information we have about you. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within
    30 days of your request. We may charge a reasonable, cost-based fee.
 

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is
    incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.
 

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a
    different address.
  • We will say “yes” to all reasonable requests.
 

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations.
    We are not required to agree to your request, and we may say “no” if it would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask
    us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
 

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health
    information for six years prior to the date you ask, who we shared it with, and why.
  • We will include all the disclosures except for those about treatment, payment, and health care operations,
    and certain other isclosures (such as any you asked us to make). We’ll provide one accounting a year for free
    but will charge a reasonable, cost-based  fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy
of this notice at any time, even
if you have agreed to receive
the notice electronically. We
will provide you with a paper
copy promptly. A copy of the
current Notice of Privacy
Practices will be prominently
displayed in our office at all
times and posted on our
website
 

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person
  • can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.
 

File a complaint if you feel your rights are violated

You may file a complaint with
us by notifying our Privacy
Officer of your complaint. We
will not retaliate against you for
filing a complaint. You may
contact our Privacy Officer for
further information about the
complaint process.
 
Your Choices

For certain health information, you can tell us your choices about what we share. 

If you have a clear preference
for how we share your
information in the situations
described below, talk to us. Tell
us what you want us to do, and
we will follow your instructions.
 
In these cases, you have both
the right and choice to tell us to:
  • Share information with your family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • Include your information in a hospital directory.
 
If you are not able to tell us
your preference, for example
if you are unconscious, we may
go ahead and share your
information if we believe it is in
your best interest. We may also
share your information when
needed to lessen a serious
and imminent threat to health
or safety.
 
In these cases we never share
your information unless you give
us written permission:
  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.
 
Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your
health information in the
following ways.
 

Treat you

We can use your health
information and share it with
other professionals who are
treating you. 
Example: A doctor treating you
for an injury asks another
doctor about your overall
health condition.

 

Run our organization

We can use and share your
health information to run our
practice, improve your care,
and contact you when necessary.
Example: We use health
information about you to
manage your treatment and
services.
 

Bill for your services

We can use and share your
health information to bill and
get payment from health plans
or other entities.
Example: We give information
about you to your health
insurance plan so it will  pay
for  your services.
 
 
How else can we use or share
your health information?
 
We are allowed or required to
share your information in other
ways – usually in ways that
contribute to the public good,
such as public health and
research. We have to meet many conditions in the law
before we can share your
information for these purposes.
For more information see:
 

Help with public health and safety issues

We can share health information
about you for certain situations
such as:
  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

Do research

We can use or share your
information for health research.

Comply with the law

We will share information
about you if state or federal
laws require it, including with
the Department of Health and
Human Services if it wants to
see that we’re complying with
federal privacy law.
 

Respond to organ and tissue donation requests

We can share health
information about you with
organ procurement
organizations.
 

Work with a medical examiner or funeral director

We can share health
information with a coroner,
medical examiner, or funeral
director when an individual dies.
 
 

Address workers’ compensation, law enforcement, and other government requests

We can use or share health
information about you:
  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security and
    presidential protective services

Respond to lawsuits and legal actions

We can share health
information about you in
response to a court or 
administrative order, or in
response to a subpoena.
 
Our Responsibilities
  • We are required by law to maintain the privacy and security of your protected
    health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and
    give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing.
    If you tell us we can, you may change your mind at any time. Let us know in
    writing if you change your mind.

For more information see: www.hhs.gov

 

Changes to the Terms of this Notice

We can change the terms
of this notice, and the changes
will apply to all information we
have about you. The new
notice will be available upon
request, in our office, and on
our website.
 
THIS NOTICE WAS
PUBLISHED AND BECAME
EFFECTIVE 10/11/2013.
 
For more information, please
contact your specific provider
below:
 
Ion of Bergen LLC - (877) 718-6777
Attn: Privacy Officer
736 Hwy 35 Suite D, Ocean, NJ 07712
 
Comfort Sleep Services - (877) 236-8494
Attn: Privacy Officer
736 Hwy 35 Suite A, Ocean, NJ 07712
 
Peak Respiratory - (800) 343-7325
Attn: Privacy Officer
120 Whitehorse Pike,
Haddon Heights, NJ 07712
 
OXYCARE - (410) 871-0887
224 Washington Heights Medical Center,
Westminster, MD 21157
 
Americoast Delaware, LLC. - (302) 945-8081
31507 Oak Orchard Rd, Ste 10,
Trading Post Plaza, Millsboro, DE 19966
 
Community Care of Harrisburg LLC
(717) 932-4849
689 York Town Rd, Lewisberry, PA 17339
 
Middlesex Homecare & Supplies
(860) 632-0393
160 West St Suite K
Cromwell CT 06416

 

RESOURCES

American Society on Aging - www.asaging.org
 
Benefits Check - www.benefitscheckup.org
 
Eldercare Locater - www.eldercare.gov
 
Medicare, Medicare D, National Nursing Home Comparison -
 
 
CONNECTICUT IMPORTANT WEBSITES
 
Department of Aging -
 
 
Department of Insurance - http://www.ct.gov/cid/site/default.asp
 
Department of Public Welfare - http://ct.welfareinfo.org
 
 
DELAWARE IMPORTANT WEBSITES
 
Department of Aging -
 
Department of Health - http://dhss.delaware.gov/dhss
 
Department of Insurance - http://www.delawareinsurance.gov
 
Department of Public Welfare - http://de.welfareinfo.org
 
 
MARYLAND IMPORTANT WEBSITES
 
Department of Aging - http://www.aging.maryland.gov
 
Department of Health - http://msa.maryland.gov
 
Department of Insurance -
 
Department of Public Welfare - http://md.welfareinfo.org
 
 
NEW JERSEY IMPORTANT WEBSITES
 
Department of Aging -
 
Department of Health - http://nj.gov/health
 
Department of Insurance - http://www.nj.gov/dobi/enfcon.htm
 
Department of Public Welfare -
 
 
NEW YORK IMPORTANT WEBSITES
 
Department of Aging - www.aging.ny.gov
 
Department of Health - http://www.health.ny.gov
 
Department of Insurance -
 
Department of Public Welfare -

 

PENNSYLVANIA IMPORTANT WEBSITES
 
Department of Aging - www.aging.state.pa.us
 
Department of Health - www.health.state.pa.us
 
Department of Insurance - www.insurance.pa.gov
 
Department of Public Welfare - www.dpw.state.pa.us
 
Senior Centers - www.paseniorcenters.org