In keeping with the Mission and Values of Ascension Health, the Hospital recognizes, affirms, and advises patients or responsible parties of their rights and responsibilities.
You, as a patient of the Hospital, have the right to be advised of specific rights and how to exercise them. Those rights include:
- The right to considerate, respectful, quality care.
- The right to participate in decisions about your care.
- The right to current information concerning your diagnosis, treatment, and prognosis in terms you can understand, including interpretation services at no cost to me in my preferred language of communication.
- The right to receive information necessary to give informed consent prior to any procedure and/or treatment, except in emergencies.
- The right to refuse treatment to the extent permitted by law and Hospital policy and to be informed of the medical consequences of this action.
- The right to consent to, or decline to participate in, experimentation affecting your care or treatment without fear of reprisal.
- The right to appropriate assessment and management of pain.
- The right to expect that, within its capacity and policies, the Hospital will provide evaluation, service, and/or referral.
- The right to be informed about any relationship with other healthcare/educational institutions as far as your care is concerned.
- The right to privacy, confidentiality (including your hospital records), security and safety.
- The right to formulate and have honored an Advance Directive in accordance with the laws of Indiana and the mission of the Hospital and the appropriateness of the setting.
- The right of your family/designated representative to exercise your rights/responsibilities when you are unable to do so; and to have notified, upon admission, a family member or appointed representative and your physician.
- The right to designate the family members or significant others who may be permitted to visit you in the hospital as clinically appropriate.
- The right to access an Ethics consultation for assistance in clarifying ethical issues guiding treatment decisions.
- The right to be informed of available resources for timely resolution of disputes, grievances, and conflicts without fear of reprisal (If you have any concerns please call the St.Vincent Kokomo Patient Relations phone line at 765-456-5523).
- The right to continuity of care, education, and discharge planning.
- The right to examine your clinical records and/or your bill (and receive an explanation of charges) and to have your request granted within a reasonable time frame.
- The right to be informed of any adverse or unexpected event related to your care.
- The right to receive care that is free from physical or mental abuse, corporal punishment or restraint/seclusion imposed as a means of coercion, discipline, convenience or retaliation.
- The right to contact the Indiana State Department of Health or the Joint Commission if you have a concern regarding your care.
- Indiana State Department of Health
Division of Acute Care
2 N. Meridian Street 4A
Indianapolis, IN 46201
1-800-246-8909 or 1-317-233-7474
- The Joint Commission
You, as a patient of the Hospital and a participant in your care, agree to:
- Provide complete, accurate information in matters of your health as far as possible.
- Request additional information or clarification about your health status or treatment when you do not fully understand information and instructions.
- Make known to your physician, caregiver, and the Hospital, any advance directives or religious/cultural beliefs to be honored if/when you are unable to speak for yourself.
- Follow the treatment plan as ordered by the physician responsible for care. The consequences of noncompliance or refusal of recommended treatment and instruction rests with you.
- Be responsible for assuring financial obligations for care received are fulfilled as promptly as possible.
- Be responsible for following rules and regulations affecting patient care, confidentiality, conduct, and safety.
- Report any perceived safety issue to any staff member.
- Treat hospital personnel, other patients and their visitors with respect and courtesy.
- Respect the rights of other individuals.