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Patient Rights & Responsibilities

Our Mission

Through our exceptional health care services, we reveal the healing presence of God. 

Patient Rights

When patients are in our care, it is our duty to respect, protect, and promote your rights. You are a key member of your health care team and you have the right to:

  • Receive safe, quality care through the services that the hospital provides.
  • Receive care and have visitation privileges without being discriminated against because of age, race, color, national origin language, religion, culture, disability, sex, gender identity or expression, sexual orientation, or ability to pay.
  • Choose who can and cannot visit you, without regard to legal relationship, race, color, national origin, religion, sex, sexual orientation, gender identity or disability. You may withdraw or deny consent for visitation at any time.
  • Be informed when the hospital restricts your visitation rights for your health or safety, or the health or safety of patients, employees, physicians or visitors.
  • Be informed of the hospital’s policies about your rights and health care.
  • Be treated with respect and dignity and be protected from abuse, neglect, exploitation and harassment.
  • Have your own physician and/or a family member, support person, or other individual be notified promptly of your admission to the hospital. 
  • Know the names and roles of hospital staff caring for you.
  • Have a family member, support person, or other individual present with you for emotional support during the course of your stay, unless the individual’s presence infringes on others’ rights, safety, or is medically or therapeutically contraindicated.
  • Have a family member, support person, or other individual involved in treatment decisions or make health care decisions for you, to the extent permitted by law.
  • Have an Advance Directive (health care directive, durable power of attorney for health care, or living will) that states your wishes and values for health care decisions when you cannot speak for yourself.
  • Be informed about your health problems, treatment options, and likely or unanticipated outcomes so you can take part in developing, implementing and revising your plan of care and discharge planning. Discharge planning includes deciding about care options, choice of agencies or need to transfer to another facility.
  • Have information about the outcome of your care, including unanticipated outcomes. 
  • Request, accept and/or refuse care, treatment or services as allowed by hospital policy and the law, and be informed of the medical consequences of your any refusal of care.
  • Ask for a change of care provider or a second opinion.
  • Have information provided to you in a manner that meets your needs and is tailored to your age, preferred language, and ability to understand.
  • Have access to an interpreter and/or translation services to help you understand medical and financial information. 
  • Have your pain assessed and managed.
  • Have privacy and confidentiality when you are receiving care.
  • Practice and seek advice about your cultural, spiritual and ethical beliefs, as long as this does not interfere with the wellbeing of others.
  • Request religious and spiritual services.
  • Request a consult from the Ethics Committee to help you work through difficult decisions about your care.
  • Consent or refuse to take part in research studies as well as recordings, films or other images made for external use.
  • Be free from restraints of seclusion, unless medically necessary or needed to keep you or others safe. If necessary, any form of restraint or seclusion will be performed in accordance with safety standards required by state and federal law.
  • Have a safe environment, including zero tolerance for violence, and the right to use your clothes and personal items in a reasonably protected environment.
  • Take part in decisions about restricting visitors, mail or phone calls.
  • Receive protective oversight while a patient in the hospital, and receive a list of patient advocacy services (such as protective services, guardianship, etc.).
  • Receive compassionate care at the end of life.
  • Donate, request or refuse organ and tissue donations.
  • Review your medical record and receive answers to questions you may have about it. You may request amendments to your record and may obtain copies as permitted by law at a fair cost in a reasonable time.
  • Have your records kept confidential; they will only be shared with your caregivers and those who can legally see them. You may request information on who has received your record.
  • Receive a copy of and details about your bill.
  • Ask about and be informed of business relationships among payors, hospitals, educational institutions, and other health care providers that may affect your care. 
  • Submit a concern regarding your care. The hospital maintains a grievance process for the resolution of concerns, which you may submit directly to us. You should expect to receive a timely verbal or written response, as requested or otherwise required by law and policy. If you have a concern, please contact your care provider or the manager of the patient care area where you are receiving care.
  • Request electronic versions of your medical record, if the medical record is maintained electronically.
  • Opt out of fundraising.
  • Restrict certain disclosures of their personal health information to a health plan if the patient has paid out of pocket for a health care item or service.

You May Also Contact:

Illinois Department of Public Health
Division of Health Care Facilities and Programs
525 W. Jefferson Street
Springfield, IL 62761
Phone: 800-252-4343
TTY (hearing impaired): 1-800-547-0466
Fax: 217-782-0382

The Joint Commission
Office of Quality and Patient Safety
1 Renaissance Blvd., Oakbrook Terrace, IL 60181
Phone: 1-800-994-6610
Fax: 1-630-792-5636

Missouri Department of Health & Senior Services
Health Services Regulation
P.O. Box 570
Jefferson City, MO 65102-0570
Phone: 1-800-392-0210

The Joint Commission
Office of Quality and Patient Safety
1 Renaissance Blvd., Oakbrook Terrace, IL 60181
Phone: 1-800-994-6610
Fax: 1-630-792-5636

Oklahoma State Department of Health
Attention: Medical Facilites Department
1000 NE 10th
Oklahoma City, OK 73117
Phone: 405-271-6576

The Joint Commission
Office of Quality and Patient Safety
1 Renaissance Blvd., Oakbrook Terrace, IL 60181
Phone: 1-800-994-6610
Fax: 1-630-792-5636

Ohio KEPRO Medicare QIO Services
Rock Run Center
5700 Lombardo Center Drive
Suite 100
Seven Hills, OH 44131
Beneficiary Helpline, toll-free: 1-888-315-0636

Wisconsin Department of Health & Family Services Division of Quality Assurance
P.O. Box 2969
Madison, WI 53701-2969
Phone: 608-266-8481
Learn more about the DQA Bureaus and Offices

The Joint Commission
Office of Quality and Patient Safety
1 Renaissance Blvd., Oakbrook Terrace, IL 60181
Phone: 1-800-994-6610
Fax: 1-630-792-5636

Patient Responsibilities

You and/or your family member, support person, or other designated individual acting on your behalf have the responsibility to:

  • Provide correct and complete information about yourself and your health, including present complaints, past health problems and hospital visits, medications you have taken and are taking (including prescriptions, over-the-counter and herbal medicines), and any other information you think your caregivers need to know.
  • Follow your agreed-upon care plan and report any unexpected changes in your condition to your doctor.
  • Ask questions when you do not understand your care, treatment, and services or what you are expected to do. Express any concerns about your ability to follow your proposed care plan or course of care, treatment, and services.
  • Accept consequences for the outcomes if you do not follow the care, treatment, and service plan.
  • Speak up and share your views about your care or service needs and expectations, including your pain needs and any perceived risk of safety issues.
  • Provide correct and complete information about your Advance Directive if you have one and provide a current copy.
  • Respect the rights, property, privacy, dignity, and confidentiality of patients and others in the hospital.
  • Be respectful in your interactions with other patients, employees, physicians and visitors without regard to age, race, color, national origin, language, religion, culture, disability, socioeconomic status, sex, gender identity or expression, or sexual orientation.
  • Follow instructions, hospital policies, rules and regulations which include respecting property and helping control noise.
  • Leave your valuables and personal belongings at home, have your family members take them home, or have them placed with security until you are discharged.
  • Keep our environment tobacco-free. You may not use any tobacco produce while inside or outside the health care facility.
  • Keep a safe environment free of drugs, alcohol, weapons, and violence of any kind, including verbal intimidation.
  • Provide correct and complete information about your financial status as best you can and promptly meet any financial obligations to the hospital.

For more information about your Patient Rights and Responsibilities, please contact your local entity.

Effective June 1, 2019

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