Rights & Responsibilities

Patient Rights

1. To impartial access to treatment regardless of age, color, race, creed, sex (consistent with the scope of sex
   discrimination described at 45 CFR 92.101(a)(2)), national origin, handicap or financial status.1
2. To participate in the development and implementation of your plan of care.
3. To have your representative make informed decisions regarding your care, as allowed under state law, to be informed
   of your health status, be involved in care planning and treatment being able to request or refuse treatment. This right
   must not be construed as a mechanism to demand the provision of treatment or services medically unnecessary
   to inappropriate.
4. To exercise your rights while receiving care or treatment without coercion, discrimination or retaliation.
5. To be informed of the right to have pain treated as effectively as possible.
6. To formulate advance directives and to have staff and practitioners who provide care comply with these directives.
7. To have a family member or representative of your choice and your own physician notified promptly of your
   admission to the hospital.
8. To personal privacy.
9. To receive care in a safe setting.
10. To be free from all forms of abuse or harassment.
11. To be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline,
    convenience, or retaliation by staff.
12. To the confidentiality of your clinical records.
13. To access information contained in your clinical records within a reasonable time frame. The health care provider
    must not frustrate the legitimate efforts of you or an authorized individual to gain access to your medical records
    and must actively seek to meet these requests as quickly as its record keeping system permits.
14. To know the professional status of any person providing your care or services.
15. To know the reasons for any proposed change in the professional staff responsible for your care or services.
16. To be fully informed of and to consent or refuse to participate in any unusual, experimental or research project
    without compromising your access to services.
17. To access the cost of services rendered (itemized bill when possible) within a reasonable period of time.
18. To be informed of the source of the reimbursement for your services and of any limitations, which may be placed
    upon your care.
19. To know the reasons for your transfer either within or outside the hospital.
20. To know the relationship(s) of the health care provider to other persons or organizations participating in the
    provision of your care.
21. To be informed of your visitation rights, including any clinical restriction or limitation on such rights.
22. To be informed of the right, subject to your consent, to receive the visitors who you designate, including, but not
    limited to, a spouse, a domestic partner (including same sex domestic partner), another family member, or a friend,
    and your right to withdraw or deny such consent at any time.
23. To expect that visitation privileges will not be restricted, limited, or otherwise denied on the basis of age, color,
    race, creed, sex (consistent with the scope of sex discrimination described at 45 CFR 92.101(a)(2)), national
    origin, handicap or financial status.1
24. To know that all visitors will enjoy full and equal visitation privileges consistent with your preferences.
25. To have an interpreter provided to you free of charge, if you need one, and to have one provided to you in a manner
    or language you understand free of charge.
26. To know your family’s right of informed consent of donation of organs and tissues.

To file a complaint with a hospital representative please call 844-217-5629, TTY Number 877-893-8199, or to address concerns about a hospital in Indiana, please call
the Indiana State Department of Health at 800-246-8909.

1 Franciscan Alliance, Inc. recognizes that its obligations are subject to its rights as set forth in the U.S. Constitution, applicable statutes, and court order in Franciscan Alliance, Inc. v. Becerra.

Revised 12/2024

Patient Responsibilities

1. To let the staff know if you do not understand what you are told or what is happening to you.
2. To ensure that the health care institution has a copy of your advance directive, if you have one.
3. To provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other information relating to his or her health.
4. To follow the treatment plan recommended by the practitioner responsible for your care. This may include following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care, implement the responsible practitioner's orders, and enforce applicable hospital rules and regulations.
5. To respect the health care provider and others' property and to follow healthcare provider rules.
6. To be considerate of the rights of other patients and health care provider personnel and assist in the control of noise, smoking, and the number of visitors.
7. To assume responsibility for the loss or damage of personal property that is not turned over to the facility for safekeeping during the admission.
8. To continue recommended treatment after you leave the health care provider, to notify your physician of any changes in your condition and to recognize the impact of your lifestyle on your personal health.
9. To keep appointments and, when he/she is unable to do so for any reason, notifying the responsible practitioner or the hospital.
10. To provide necessary information for insurance claims, to work with the health care provider to make payment arrangements, to provide prompt payment and to ask questions about your bill.