As a patient you have the right:
- To receive a written copy of the Patient Rights and Responsibilities booklet on admission.
- To be treated with dignity. To receive considerate and respectful care in a safe environment. To impartial access to treatment regardless of diagnosis, age, race, ethnicity, national origin, marital status, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity and expression.
- To be free from any kind of abuse, neglect, exploitations, coercion, manipulation, sexual abuse or sexual assault.
- To be free from restraint or seclusion of any form which is not necessary for medical or behavioral management.
- To appropriate assessment and management of pain.
- To be informed of your rights in a language you understand. To have access to an interpreter, at no cost to you if you are not fluent in English. To receive assistance with physical disabilities and limitations, including assistance in communication for vision, speech, hearing, or cognitive impairments.
- To know the identity and professional status and role of those caring for you and obtain complete information concerning your diagnosis, treatment, and prognosis in terms that you can be reasonably expected to understand.
- To formulate an Advance Directive (Living will, Healthcare Proxy or Durable Power of Attorney for Healthcare, Psychiatric Advanced Directive) concerning treatment, and to have hospital staff and practitioners who provide care in the hospital comply with these directives to the extent permitted by law and hospital policy.
- To have you or your representative make informed decisions regarding your care. To participate in the development and implementation of your treatment/care plan, and discharge plan. To hear about your illness or injury and the treatment choices. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved, alternative course of all treatments to include psychotropic medications or non-treatment and the risks involved in each. To receive assistance from a family member, representative, or other individual in understanding, protecting, or exercising your rights.
- To refuse examination or withdraw consent for treatment before treatment is initiated. To decline services by students.
- To be fully informed of and to consent or refuse to participate in any experimental or research project without compromising your access to the facility services.
- To expect that all communication and records pertaining to your care will be treated as confidential except in cases when reporting is permitted and required by law. To provide written consent to the release of information in your medical record or financial record. To have access to information contained in your clinical record within a reasonable time frame. The hospital may not frustrate your legitimate efforts to access your medical records and must actively seek to meet your requests quickly as its record keeping system permits.
- To have a family member or representative of your choice and your own physician notified promptly of your admission to the hospital.
- To have every consideration of personal privacy during case discussion, consultation, examination, and treatment. To have your personal and private property cared for appropriately by a hospital’s medical staff, personnel members, employees, volunteers, or students.
- To have care that is appropriate for you. To be informed about outcomes of care. To receive a referral to another health care institution if the hospital is not authorized or not able to provide physical health or behavioral health services needed by the patient.
- To receive assistance from a family member, representative, or other individual in understanding, protecting, or exercising the patient’s rights.
- To meet with a pastoral representative. To have your spiritual and cultural values, beliefs, and preferences respected.
- To have access to assistance in domestic violence situations, guardianship, patient advocacy, and child and adult protective services.
- To consent before your picture, name, or story is shared with other people who do not give you care.
- To know the relationships of the hospital to other persons or organizations participating in the provision of your care.
- To be informed when a transfer and continuation of services are necessary.
- To know how to obtain and examine hospital rates and charges regardless of source of payment. You have the right to be given choices for how to pay for your care.
- To have access to a telephone
- To receive visitors whom you consent and designate, including but not limited to a spouse, a domestic partner (including a same sex domestic partner), another family member or friend. You have the right to withdraw or deny such consent at any time. Visitors will not be restricted, limited or otherwise denied visitation privileges on the basis of race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression.
- To be informed and have explained hospital policies and practices that relate to the patient’s right and responsibilities, patient care, complaints and grievances and treatment.
- To file a grievance by calling 520.263.3153 or submit a written complaint to
Improvement Department Canyon Vista Medical Center 5700 E. Highway 90
Sierra Vista, Arizona 85635. We will not retaliate or take action against you for filing a complaint. The Quality Department will review and a written response will be provided to you within 7 calendar days.
- To file a complaint with State Department of Health Services whether you use the hospital’s grievance process or not. The Department of Health Service’s phone number is: 602-542-1025 and 1-800-221-9968 for home health. 150 N 18th Ave, Phoenix, AZ 85007
- To contact The Joint Commission Office of Quality Monitoring: Fax 630-792-5636, Online at: jointcommission.org or mail:
Office of Quality and Patient Safety, The Joint Commission
One Renaissance Blvd, Oakbrook Terrance, IL 60181.
As a patient, you have the responsibility:
- To provide, to the best of your knowledge, accurate and complete information about matters relating to your current health and past medical and surgical history.
- To provide information about the medicines you are taking from the doctor, from the store, vitamins, herbals, or any other drugs. You need to remember the names of the medicines, how much you take and when you take them. You should try to bring a list with you to the hospital with that information
- To tell the people taking care of you if you have pain. To report effectiveness or lack of response to pain treatment.
- To report any abuse or witness to abuse to the Charge Nurse or designee.
- To follow the instructions of physicians, nurses, allied health personnel and to accept any consequences for your actions if you refuse treatment or do not follow instructions or request from caregivers.
- To inform staff if you desire to form an Advance Directive.
- To providing all needed information for insurance processing and for assuring that the financial obligation of your care is fulfilled.
- To keep appointments and, when unable to do so for any reason, notify the responsible practitioner at the hospital.
- To ask question of your caregivers to ensure your understanding.
- To be considerate and respectful to other patients, hospital personnel, visitors, hospital property and property of others.
- To obtain permission prior to recording anything or anyone while on hospital property.
- To report perceived risks and or unexpected change in condition during the course of your care.
- To follow all hospital rules and regulations.
Quality/Performance Improvement Department Contact Information:
CANYON VISTA MEDICAL CENTER
5700 E. Highway 90
Sierra Vista, AZ 85635