Rights and responsibilities |
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Please download the Rights and Responsibilities of Clients and/or Legal Guardian, fill out, sign, save and submit in the upload field to acknowledge that you have been provided a copy of the Patient Bill of Rights; that you have read, or had them explained to you; and that you understand the Bill of Right. You can also print it and fax a signed copy at (612) 706-5555. Please print completed documents for your personal records.
Data Privacy We invite you to visit our Privacy Practices page to review our policies regarding the security of your information. This page describes how medical information about you may be used and disclosed and how you can get access to this information. Your Personal Health Information (PHI) may be used and disclosed to those who are involved in your care for the purpose of providing, coordinating, or managing your services. This includes consultation with clinical supervisors or other team members. Your authorization is required to disclose PHI to any other care provider not currently involved in your care. If you have questions or need more information, please contact us by calling (612) 789-1236 or email rehabclinic@actg.org. |
To fill out an online form of Rights and Responsibilities of Clients and/or Legal Guardians, please click here.
Client Rights
While receiving treatment at A Chance to Grow’s Facility the client has the following rights:
1. To be granted access to care and treatment that is available and medically necessary, regardless of race, creed, sex, national origin, disability or sources of payment for care.
2. To be treated with respect and courtesy.
3. To receive care that supports the client’s emotional, educational, and developmental needs.
4. To receive, from the clinician, an explanation of any procedures or treatment, so that you may give your informed consent. You should be told about the plan of care, medical risks, benefits and alternative methods of treatment, if they exist. (In a life-threatening emergency, this may occur after treatment is provided.)
5. To obtain complete and current information about the client’s diagnosis, treatment and proposed future health care needs provided in language you can understand. You have a right to participate in care decisions.
6. To be informed of and consent to participate in any experimental treatments or research studies that may directly affect the client’s care and the potential risks, benefits, discomforts and alternatives.
7. To have pain assessed and to participate in how the pain is managed.
8. To refuse treatment in accordance with the law and to be informed of the medical consequences of that refusal.
9. To know about the organization’s processes to help you resolve problems or concerns about the client’s care. You may express your concerns to your attending physician, or any member of our healthcare team.
10. To know the names and qualifications of the client’s specialists. You also have the right to know if the organization has relationships with outside parties that impact the client’s treatment and care. These relationships may be with educational institutions, other health care providers or insurers.
11. To have the client’s medical record information treated confidentially, as described in the A Chance to Grow’s Notice of Privacy Practice, and by the HIPPA laws. (Available upon your request)
12. To expect that the client’s visit will be as safe and comfortable as possible and that any form of restraint will be used only when medically necessary.
13. To designate a family spokesperson to work with the staff if ethical issues arise in the care of the client.
14. To not be transferred to another facility unless the need for transfer and the alternatives to the transfer are completely explained to you. The transfer will occur only if acceptable to you and the receiving facility.
15. To examine and receive an explanation of your charges regardless of payment source.
16. To be informed at time of admission or outpatient treatment about your rights and responsibilities and as needed thereafter.
17. To be told about access to child and adult protective services if the need for those services is apparent.
18. To be informed about the outcomes of care, treatment and services, including unanticipated outcomes.
1. To be granted access to care and treatment that is available and medically necessary, regardless of race, creed, sex, national origin, disability or sources of payment for care.
2. To be treated with respect and courtesy.
3. To receive care that supports the client’s emotional, educational, and developmental needs.
4. To receive, from the clinician, an explanation of any procedures or treatment, so that you may give your informed consent. You should be told about the plan of care, medical risks, benefits and alternative methods of treatment, if they exist. (In a life-threatening emergency, this may occur after treatment is provided.)
5. To obtain complete and current information about the client’s diagnosis, treatment and proposed future health care needs provided in language you can understand. You have a right to participate in care decisions.
6. To be informed of and consent to participate in any experimental treatments or research studies that may directly affect the client’s care and the potential risks, benefits, discomforts and alternatives.
7. To have pain assessed and to participate in how the pain is managed.
8. To refuse treatment in accordance with the law and to be informed of the medical consequences of that refusal.
9. To know about the organization’s processes to help you resolve problems or concerns about the client’s care. You may express your concerns to your attending physician, or any member of our healthcare team.
10. To know the names and qualifications of the client’s specialists. You also have the right to know if the organization has relationships with outside parties that impact the client’s treatment and care. These relationships may be with educational institutions, other health care providers or insurers.
11. To have the client’s medical record information treated confidentially, as described in the A Chance to Grow’s Notice of Privacy Practice, and by the HIPPA laws. (Available upon your request)
12. To expect that the client’s visit will be as safe and comfortable as possible and that any form of restraint will be used only when medically necessary.
13. To designate a family spokesperson to work with the staff if ethical issues arise in the care of the client.
14. To not be transferred to another facility unless the need for transfer and the alternatives to the transfer are completely explained to you. The transfer will occur only if acceptable to you and the receiving facility.
15. To examine and receive an explanation of your charges regardless of payment source.
16. To be informed at time of admission or outpatient treatment about your rights and responsibilities and as needed thereafter.
17. To be told about access to child and adult protective services if the need for those services is apparent.
18. To be informed about the outcomes of care, treatment and services, including unanticipated outcomes.
Any client or family member may share their concerns by contacting:
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Health Standards and Quality
Center for Medicare Services (Region V Chicago Office) 233 N. Michigan Avenue, Suite 600 Chicago, IL 60601 Ph: (312)886-6432 Fax: (312)353-0252 |
Minnesota Health Facility Complaints
Minnesota Department of Health 85 E. 7th Place, suite 300 P.O. Box 64970 Saint Paul, MN 55164-0970 |
