MISH PATIENT RIGHTS AND RESPONSIBILITIES
MISH NOTICE OF PRIVACY PRACTICES
GUIDE TO HIPAA RULE
THE PATIENT BILL OF RIGHTS
MEDICARE PATIENT RIGHTS
DISCRIMINATION IS AGAINST THE LAW
THE HOSPITAL IS PHYSICIAN-OWNED
DISCLOSURE OF PHYSICIAN COVERAGE
GRIEVANCES - COMPLAINTS
INFORMED CONSENT
ADVANCE DIRECTIVES
UNDERSTANDING PRICE AND PAYMENT
Patient Rights and Responsibilities
The Minimally Invasive Surgery Hospital at 10951 Lakeview Ave, Lenexa KS 66219, respects the dignity and pride of each individual we serve. Every patient has the right to have his/her rights respected without regard to age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, medical condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law. Each individual shall be informed of the patient's rights and responsibilities in advance of administering or discontinuing patient care. We adopt and affirm as policy the following rights of patient/clients who receive services from our facility
Considerate and Respectful Care
To receive ethical, high-quality, safe and professional care without discrimination; To be free from all forms of abuse and harassment; To be treated with consideration, respect and recognition of their individuality, including the need for privacy in treatment; This includes the right to request the facility provide a person of one's own gender to be present during certain parts of physical examinations, treatments or procedures performed by a health professional of the opposite sex, except in emergencies, and the right not to remain undressed any longer than is required for accomplishing the medical purpose for which the patient was asked to undress
Information regarding Health Status and Care
To be informed of his/her health status in terms that patient can reasonably be expected to understand, and to participate in the development and the implementation of his/her plan of care and treatment; The right to be informed of the names and functions of all physicians and other health care professionals who are providing direct care to the patient; The right to be informed about any continuing health care requirements after his/her discharge from the hospital. The patient shall also have the right to receive assistance from the physician and appropriate hospital staff in arranging for required follow-up care after discharge; To be informed of risks, benefits and side effects of all medications and treatment procedures, particularly those considered innovative or experimental; To be informed of all appropriate alternative treatment procedures; To be informed of the outcomes of care, treatment and services; To appropriate assessment and management of pain; To be informed if the hospital has authorized other health care and/or education institutions to participate in the patient's treatment. The patient shall also have a right to know the identity and function of these institutions, and may refuse to allow their participation in his/her treatment
Decision Making and Notification
To choose a person to be his/her healthcare representative and/or decision maker. The patient may also exercise his/her right to exclude any family members from participating in his/her healthcare decisions; To have a family member, chosen representative and/or his or her own physician notified promptly of admission to the hospital; To request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate; To be included in experimental research only when he or she gives informed, written consent to such participation. The patient may refuse to participate in experimental research, including the investigations of new drugs and medical devices; To formulate advance directives and have hospital staff and practitioners who provide care in the hospital comply with these directives; To leave the healthcare facility against one's physician's advice to the extent permitted by law
Access to Services
To receive, as soon as possible, the services of a translator and/or interpreter, telecommunications devices, and any other necessary services or devices to facilitate communication between the patient and the hospitals' health care personnel; To bring a service animal into the facility, except where service animals are specifically prohibited pursuant to facility policy (e.g., operating rooms, patient units where a patient is immunosuppressed or in isolation); To pastoral counseling and to take part in religious and/or social activities while in the hospital, unless one's doctor thinks these activities are not medically advised; To safe, secure and sanitary accommodation and a nourishing, well balanced and varied diet; To access people outside the facility by means of verbal and written communication; To have accessibility to facility buildings and grounds. We recognize the Americans with Disabilities Act, a wide-ranging piece of legislation intended to make American society more accessible to people with disabilities. The policy is available upon request; To a prompt and reasonable response to questions and requests for service.
Access to Medical Records
To have his/her medical records, including all computerized medical information, kept confidential and to access information within a reasonable time frame. The patient may decide who may receive copies of the records except as required by law. Upon leaving the healthcare facility, patients have the right to obtain copies of their medical records
Ethical Decisions
To participate in ethical decisions that may arise in the course of care including issues of conflict resolution, withholding resuscitative services, foregoing or withdrawal of life sustaining treatment, and participation in investigational studies or clinical trials; If the
healthcare facility or its team decides that the patient's refusal of treatment prevents him/her from receiving appropriate care according to ethical and professional standards, the relationship With the patient may be terminated
Protective Services To access protective and advocacy services; 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 ; The patient who receives treatment for mental illness or developmental disability, in addition to the rights listed herein, has the rights provided by any applicable state law; To all legal and civil rights as a citizen unless otherwise prescribed by law; To have upon request an impartial review of hazardous treatments or irreversible surgical treatments prior to implementation except in emergency procedures necessary to preserve one's life; To an impartial review of alleged violations of patient rights; To expect emergency procedures to be carried out without unnecessary delay; To give consent to a procedure/treatment and to access the information necessary to provide such consent; To not be required to perform work for the facility unless the work is part of the patient's treatment and is done by choice of the patient; To file a complaint with the Department of Health or other quality improvement, accreditation or other certifying bodies if he /she has a concern about patient abuse, neglect, about misappropriation of a patient's property in the facility or other unresolved complaint, patient safety or quality concern
Payment and Administration To examine and receive an explanation of the patient's healthcare facility's bill regardless of source of payment, and may receive upon request, information relating to the availability of known financial resources; A patient who is eligible for Medicare has the right to know, upon request and in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate; To receive, upon request, prior to treatment, a reasonable estimate of charges for medical care; To be informed in writing about the facility policies and procedures for initiation, review and resolution of patient complaints, including the address and telephone number of where complaints may be filed
Additional Patient Rights Except in emergencies, the patient may be transferred to another facility only with a full explanation of the reason for transfer, provisions for continuing care and acceptance by the receiving institution; To initiate their own contact with the media; To get the opinion of another physician, including specialists, at the request and expense of the patient; To wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with diagnostic procedures or treatment; To request a transfer to another room if another patient or a visitor in the room is unreasonably disturbing him/her; To request pet visitation except where animals are specifically prohibited pursuant to the facility's policies (e.g., operating rooms, patient units where a patient is immunosuppressed or in isolation).
PATIENT RESPONSIBILITIES The care a patient receives depends partially on the patient him/herself. Therefore, in addition to the above rights, a patient has certain responsibilities. These should be presented to the patient in the spirit of mutual trust and respect. To provide accurate and complete information concerning his/her health status, medical history, hospitalizations, medications and other matters related to his/her health; To report perceived risks in his/her care and unexpected changes in his/her condition to the responsible practitioner; To report comprehension of a contemplated course of action and what is expected of the patient, and to ask questions when there is a lack of understanding; To follow the plan of care established by his/her physician, including the instructions of nurses and other health professionals as they carry out the physician's orders; To keep appointments or notifying the facility or physician when he/she is unable to do so; To be responsible for his/her actions should he/she refuse treatment or not follow his/her physician's orders; To assure that the financial obligations of his/her healthcare care are fulfilled as promptly as possible; To follow facility policies, procedures, rules and regulations; To be considerate of the rights of other patients and facility personnel; To be respectful of his/her personal property and that of other persons in the facility; To help staff to assess pain, request relief promptly, discuss relief options and expectations with caregivers, work with caregivers to develop a pain management plan, tell staff when pain is not relieved, and communicate worries regarding pain medication; To inform the facility of a violation of patient rights or any safety concerns, including perceived risk in his/her care and unexpected changes in their condition
VISITATION RIGHTS We recognize the importance of family, spouses, partners, friends and other visitors in the care process of patients. We adopt and affirm as policy the following visitation rights of patients/clients who receive services from our facility: To be informed of their visitation rights, including any clinical restriction or limitation of their visitation rights; To designate visitors, including but not limited to a spouse, a domestic partner (including same sex), family members, and friends. These visitors will not be restricted or otherwise denied visitation privileges on the basis of age, race, color, national origin, religion, gender, gender identity, gender expression, sexual orientation or disability. All visitors will enjoy full and equal visitation privileges consistent with any clinically necessary or other reasonable restriction or limitation that facilities may need to place on such rights; To receive visits from one's attorney, physician or clergy person at any reasonable time; To speak privately with anyone he/she wishes (subject to hospital visiting regulations) unless a doctor does not think it is medically advised; To refuse visitors; Media representatives and photographers must contact the hospital spokesperson for access to the hospital
TO REPORT A PATIENT RIGHTS CONCERN, CONTACT: The joint Commission at 1-800-994-6610 or complaint@jointcommission.org; MISH Hospital and Clinics Patient Rights Representative (913) 322-7408; Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Notice of Privacy Practices
The Notice of Privacy Practices describes how Minimally Invasive Surgery Hospital, at 10951 Lakeview Ave, Lenexa KS 66219 handles health information about you and how it may use and disclose, and how you can get access to this information. Please review it carefully. If you have any questions about this notice, call the MISH operator at 913-322-7408 and ask for the HIPAA Privacy Officer ext. 1230. Effective 6/2005.
NOTICE OF PRIVACY PRACTICES
Each time you visit a hospital, physician, or other healthcare provider, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, a plan for future care or treatment, and billing-related information. This notice applies to all of the records of your care generated by the hospital, whether made by hospital personnel,
agents of the hospital, or your personal doctor.
OUR RESPONSIBILITIES
We are required by law to maintain the privacy of your health information and provide you a description of our privacy practices. We will abide by the terms of this notice.
USES AND DISCLOSURES How we may use and disclose Health Information about you. The following categories describe examples of the way we use and disclose health information:
For Treatment: We may use health information about you to provide you treatment or services. We may disclose health information about you to doctors, nurses, technicians, medical students, or other hospital personnel who are involved in taking
care of you at the hospital. Different departments of the hospital also may share health information about you in order to coordinate the different things you may need, such as prescriptions, lab work, meals, and x-rays. We may also provide your physician or a subsequent healthcare provider with copies of various reports that should assist him or her in treating you once you're discharged from this hospital.
For Payment: We may use and disclose health information about your treatment/services to bill and collect payment from you,
your insurance company or a third party payer. For example, we may need to give your insurance company information about your
surgery so they will pay us or reimburse you for the treatment, or tell your health plan about treatment you are going to receive to determine whether your plan will cover it.
For Health Care Operations: Members of the medical staff and/ or quality improvement team may use information in your health
record to assess the care and outcomes in your case and others like it. The results will then be used to continually improve the quality of care for all patients we serve. For example, we may combine health information about many patients to evaluate the need for new services or treatment. We may disclose information to doctors, nurses, and other students for educational purposes. And we may combine health information we have with that of other hospitals to see where we can make improvements. We may remove information that identifies you from this set of health information to protect your privacy.
We may also use and disclose health information:
To business associates we have contracted with to perform the agreed upon service and billing for it; To remind you that you have an appointment for medical care; To assess your satisfaction with our services; To tell you about possible treatment alternatives; To tell you about health—related benefits or services; To contact you as part of fundraising efforts; To inform Funeral Directors consistent with applicable law; For population based activities relating to improving health or reducing health care costs; and For conducting training programs or reviewing competence of health care professionals; When disclosing information, primarily appointment reminders and billing/collections efforts, we may leave messages on you answering machine/voice mail.
Business Associates: There are some services provided in our organization through contracts with business associates. Examples
include physician services in radiology dept., certain laboratory tests, and a copy service we use when making copies of your health record. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we've asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.
Directory: We may include certain limited information about you in the hospital directory while you are a patient at the hospital. The information may include your name, location in the hospital, your general condition (e.g., good, fair) and your religious affiliation. This information may be provided to members of the clergy and, except for religious affiliation, to other people who ask for you by name. If you would like to opt out of being in the facility directory please request the Opt Out Form from the admission staff or HIPAA Privacy Officer.
Individuals Involved in Your Care or Payment for Your Care: We may release health information about you to a friend or family
member who is involved in your medical care or who helps pay for your care. We may also disclose health information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.
Organized Health Care Arrangement: This facility and its medical staff members have organized and are presenting you this document as a joint notice. Information will be shared as necessary to carry out treatment, payment and health care operations.
Physicians and caregivers may have access to protected health information in their offices to assist in reviewing past treatment as it may affect treatment at the time.
Affiliated Covered Entity: Protected health information will be made available to hospital personnel at local affiliated hospitals
as necessary to carry out treatment, payment and health care operations. Caregivers at other facilities may have access to
protected health information at their locations to assist in reviewing past treatment information as it may affect treatment at this time. Please contact the HIPAA Privacy Officer for further information on the specific sites included in this affiliated covered entity.
As required by law, we may also use and disclose health information for the following types of entities, including but not limited to:
Food and Drug Administration; Public Health or Legal Authorities charged with preventing or controlling disease, injury or disability Correctional Institutions; Workers Compensation Agents; Organ and Tissue Donation Organizations; Military Command Authorities; Health Oversight Agencies; Funeral Directors, Coroners and Medical Directors; National Security and Intelligence Agencies; Protective Services for the President and Others.
Law Enforcement/Legal Proceedings: We may disclose health, information for law enforcement purposes as required by law or in response to a valid subpoena. State-Specific Requirements: Many states have requirements for reporting including population-based activities relating to improving health or reducing health care costs. Some states have separate privacy laws that may apply additional legal requirements. If the state privacy laws are more stringent than federal privacy laws, the state law preempts the federal law.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the physical property of the healthcare practitioner or facility that compiled it, you have the Right to:
Inspect and Copy: You have the right to inspect and obtain a copy of the health information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed health care professional chosen by the hospital will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
Amend: If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the hospital. We may deny your request for an amendment and if this occurs, you will be notified of the reason for the denial.
An Accounting of Disclosures: You have the right to request an accounting of disclosures. This is a list of certain disclosures we
make of your health information for purposes other than treatment, payment or health care operations where an authorization was not required.
Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you
for treatment, payment or health care operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
Request Confidential Communications: You have the right to request that we communicate with you about medical matters in
a certain way or at a certain location. For example, you may ask that we contact you at work instead of your home. The facility
will grant reasonable requests for confidential communications at alternative locations and/or via alternative means only if the request is submitted in writing and the written request includes a mailing address where the individual will receive bills for services rendered by the facility and related correspondence regarding payment for services. Please realize, we reserve the right to contact you by other means and at other locations if you fail to respond to any communication from us that requires a response. We will notify you in accordance with your original request prior to attempting to contact you by other means or at another location.
A Paper Copy of This Notice: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any
time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may also view/print a copy of the notice by clicking on the Notice of Privacy Practices link on our website MIShhospital.com.
CHANGES TO THIS NOTICE We reserve the right to change this notice and the revised or changed notice will be effective for information we already have about you as well as any information we receive in the future.
COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with the hospital by following the process outlined in the facility's Patient Rights documentation. You may also file a complaint with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
OTHER USES OF HEALTH INFORMATION Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care we provided to you.
Guide to the HIPAA Privacy Rule
When Health Care Providers May Communicate About You with Your Family, Friends, or Others Involved In Your Care. The U.S. Department of Health and Human Services (HHS) enforces the Federal privacy regulations commonly known as the HIPAA Privacy Rule (HIPAA). HIPAA requires most doctors, nurses, pharmacies, hospitals, nursing homes, and other health care providers to protect the privacy of your health information.
COMMON QUESTIONS ABOUT HIPAA
1. If I do not object, can my health care provider share or discuss my health information with my family, friends, or others involved in my care or payment for my care? Yes. As long as you do not object, your health care provider is allowed to share or discuss your health information with your family, friends, or others involved in your care or payment for your care. Your provider may ask your permission, may tell you he or she plans to discuss the information and give you an opportunity to object, or may decide, using his or her professional judgment, that you do not object. In any of these cases, your health care provider may discuss only the information that the person involved needs to know about your care or payment for your care.
Here are some examples:
- An emergency room doctor may discuss your treatment in front of your friend when you ask that your friend come into the treatment room.
- Your hospital may discuss your bill with your daughter who is with you at the hospital and has questions about the charges.
- Your doctor may talk to your sister who is driving you home from the hospital about your keeping your foot raised during the ride home.
- Your doctor may discuss the drugs you need to take with your health aide who has come with you to your appointment.
- Your nurse may tell you that she is going to tell your brother how you are doing, and then she may discuss your health status with your brother if you did not say that she should not.
BUT: Your nurse may not discuss your condition with your brother if you tell her not to.
2. If I am unconscious or not around, can my health care provider still share or discuss my health information with my family, friends, or others involved in my care or payment for my care? Yes. If you are not around or cannot give permission, your health care provider may share or discuss your health information with family, friends, or others involved in your care or payment for your care if he or she believes, in his or her professional judgment, that it is in your best interest. When someone other than a friend or family member is asking about you, your health care provider must be reasonably sure that you asked the person to be involved in your care or payment for your care. Your health care provider may share your information face to face, over the phone, or in writing, but may only share the information that the family member, friend, or other person needs to know about your care or payment for your care.
Here are some examples:
- A surgeon who did emergency surgery on you may tell your spouse about your condition, either in person or by phone, while you are unconscious.
- A pharmacist may give your prescription to a friend you send to pick it up.
- A doctor may discuss your drugs with your caregiver who calls your doctor with a question about the right dosage.
BUT: A nurse may not tell your friend about a past medical problem that is unrelated to your current condition.
3. Do I have to give my health care provider written permission to share or discuss my health information with my family members, friends, or others involved in my care or payment for my care? HIPAA does not require that you give your health care provider written permission. However, your provider may prefer or require that you give written permission. You may want to ask about your provider’s requirements.
4. If my family or friends call my health care provider to ask about my condition, will they have to give my provider proof of who they are? HIPAA does not require proof of identity in these cases. However, your health care provider may have his or her own rules for verifying who is on the phone. You may want to ask about your provider’s rules.
5. Can I have another person pick up my prescription drugs, medical supplies, or X-rays? Yes. HIPAA allows health care providers to give prescription drugs, medical supplies, X-rays, and other health care items to a family member, friend, or other person you send to pick them up.
6. Can my health care provider discuss my health information with an interpreter? Yes. HIPAA allows your health care provider to share your health information with an interpreter who works for the provider to help communicate with you or your family, friends, or others involved in your care. If the interpreter is someone who does not work for your health care provider, HIPAA also allows your provider to discuss your health information with the interpreter so long as you do not object.
7. How can I help make sure my health care providers share my health information with my family, friends, or others involved in my care or payment for my care when I want them to? Discuss this document with your health care provider at your next appointment. Share this information with your family members, friends, or others involved in your care or payment for your care.
8. Where can I get more information about HIPAA? The HHS Office for Civil Rights Web site at http://www.hhs.gov/ocr/hipaa/ has a variety of resources to help you understand HIPAA.
Medicare Patient’s Rights and Protections
- Be treated with dignity and respect at all times.
- Be protected from discrimination. Every company or agency that works with Medicare must obey the law. They can't treat you differently because of your race, color, national origin, disability, age, religion, or sex.
- Have your personal and health information kept private.
- Get information in a way you understand from Medicare, health care providers, and, under certain circumstances, contractors.
- Get understandable information about Medicare to help you make health care decisions, including:
o What’s covered.
o What Medicare pays.
o How much you have to pay.
o What to do if you want to file a complaint or appeal.
- Have your questions about Medicare answered.
- Have access to doctors, specialists, and hospitals.
- Learn about your treatment choices in clear language that you can understand, and participate in treatment decisions.
- Get health care services in a language you understand and in a culturally-sensitive way.
- Get Medicare-covered services in an emergency.
- Get a decision about health care payment, coverage of services, or prescription drug coverage.
o When a claim is filed, you get a notice letting you know what will and won’t be covered. The notice comes from one of these:
- Medicare
- Your Medicare Advantage Plan (Part C)
- Your other Medicare health plan
- Your Medicare drug plan (Part D)
o If you disagree with the decision of your claim, you have the right to file an appeal.
- Request a review (appeal) of certain decisions about health care payment, coverage of services, or prescription drug coverage.
o If you disagree with a decision about your claims or services, you have the right to appeal.
- File complaints (sometimes called "grievances"), including complaints about the quality of your care.
Discrimination is Against the Law
Minimally Invasive Surgery Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Minimally Invasive Surgery Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Minimally Invasive Surgery Hospital:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages If you need these services, contact Compliance Officer
If you believe that Minimally Invasive Surgery Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: The Compliance Officer, 10951 Lakeview Ave. Lenexa Kansas 66219, Tel: 913-322-7401, Fax: 913-322-7410, e-mail; wkaniewski@mishhospital.com.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Compliance Officer is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATTENTION: If you speak a foreign language and require interpretive help, language assistance services, free of charge, are available to you.
The Hospital is physician Owned
Notice that the hospital meets the definition of a physician-owned hospital and that the list of owners and investors is available upon request.
DISCLOSURE OF PHYSICIAN COVERAGE
Minimally Invasive Surgery Hospital does not have a doctor of medicine or a doctor of osteopathy present in the hospital 24 hours per day, 7 days per week.
When a patient(s) is(are) admitted/staying in the hospital for any reason: either a licensed independent practitioner (LIP) and one ACLS certified Registered Nurse is present on hospital premises; OR 2 ACLS certified Registered Nurses are present on hospital premises till the patient(s) is(are) discharged from the hospital.
A physician is always available “on-call” 24/7 (24 hours a day/seven days a week). The physician on call is available to be on hospital premises within 30 minutes of receiving a call.
Minimally Invasive Surgery Hospital does not have an Emergency Room.
Grievances
A Patient Grievance is a written or verbal complaint by a patient, or the patient’s representative, regarding the patient’s care (when the complaint has not been resolved at that time by staff present), abuse or neglect, or the hospital’s compliance with the CMS Hospital Conditions of Participation (CoP).
MISH patients may use the patient grievance procedure as a formal means to voice possible violations of patient rights. The Patient Grievance Procedure is a means for inquiring into the issue raised by the patient or patient representatives, looking at the issue from the patient’s perspective as well as that of staff members, and identifying actions to be taken to resolve and/or prevent recurrence. To initiate a grievance ask to speak with the Compliance Officer: Tel: 913-322-7401, or Fax: 913-322-7410, e-mail: wkaniewski@mishhospital.com, send to address: Compliance Officer, 10951 Lakeview Ave., Lenexa, KS 66219.
The grievance may be filed by:
- the patient or patient representative;
- any other person who the patient asks for help in filing a grievance; or
- any other person who witnesses a potential patient rights violation.
No person shall be punished or retaliated against for filing a Grievance or using the Patient Grievance Procedure.
Use of the Patient Grievance Procedure does not limit the right of a patient to seek remedy for a complaint in the legal system.
Patients and patient representatives will be provided with information regarding patient advocacy organizations that may assist them with Grievances. Patients have the expressed right to bypass this entire grievance procedure and contact any of the following agencies listed below:
Centers for Medicare & Medicaid Services (CMS)
Call 1-800-434-0222 or visit www.aging.ca.gov/hicap. You can also call the federal Medicare program for general questions or help with billing problems, at 1-800-MEDICARE (1-800-633-4227). If needed, they can refer you to the Medicare Beneficiary for help with a complaint or appeal. Or file a complaint on line: https://www.medicare.gov/medicarecomplaintform/home.aspx
The Joint Commission (TJC)
Complaints may be reported to The Joint Commission online, by e-mail, fax or regular mail. On-line: www.jointcommission.org/GeneralPublic/Complaint. E-mail: complaint@jointcommission.org Fax: Office of Quality Monitoring, (630) 792-5636 Mail: Office of Quality Monitoring The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL, 60181 Summarize the issue in no more than two pages and provide the name, street address, city and state of the accredited health care organization. For more information, call The Joint Commission’s toll free complaint hot line, (800) 994-6610, 8:30 a.m. to 5 p.m., Central Time, weekdays.
Individuals reporting a complaint may provide their name and contact information, or may remain anonymous. Providing a name and contact information enables The Joint Commission to inform the individual about the actions taken in response to the complaint, and also allows The Joint Commission to contact them should additional information be needed. It is our policy to treat someone’s name as confidential information and not to disclose it to any other party. However, it may be necessary to share the complaint with the subject organization in the course of a complaint evaluation. In addition, Joint Commission policy forbids accredited or certified organizations from taking retaliatory actions against employees for having reported quality of care concerns to The Joint Commission.
Kansas Department of Health and Environment (KDHE)
You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns). To file a complaint about improper care or unsafe conditions in a hospital, home health agency, hospice, or nursing home, contact your State Survey Agency. The State Survey Agency in Kansas is Kansas Department of Health and Environment (KDHE), their general number is (785) 296-1500.
Kansas State Board of Healing Arts (KSBHA)
To file a complaint about your doctor (like unprofessional conduct, incompetent practice, or licensing questions), contact the Kansas Board of Healing Arts (KBHA): KSBHA_complaints@ks.gov, (785) 296-1788, or submit a complaint on line https://ksbha.ks.gov/verification_BOHA/
Informed consent - adults
You have the right to help decide what medical care you want to receive. By law, your health care providers must explain your health condition and treatment choices to you. Informed consent means:
- You are informed. You have received information about your health condition and treatment options.
- You understand your health condition and treatment options.
- You are able to decide what health care treatment you want to receive and give consent to receive it.
To obtain your informed consent, your provider may talk with you about the treatment. Then you will read a description of it and sign a form. This is written informed consent. Or, your provider may explain treatment to you and then ask if you agree to have the treatment. Not all medical treatments require written informed consent.
What Treatments Need Informed Consent?
Medical procedures that may require you to give written informed consent include:
- Most surgeries, even when they are not done in the hospital.
- Other advanced or complex medical tests and procedures, such as an endoscopy (placing a tube down your throat to look at the inside of your stomach) or a needle biopsy of the liver.
- Radiation or chemotherapy to treat cancer.
- High risk medical treatment, such as opioid therapy.
- Most vaccines.
- Some blood tests, such as HIV testing. Most states have eliminated this requirement in order to improve rates of HIV testing.
What Should Occur During the Informed Consent Process?
When asking for your informed consent, your doctor or other provider must explain:
- Your health problem and the reason for the treatment
- What happens during the treatment
- The risks of the treatment and how likely they are to occur
- How likely the treatment is to work
- If treatment is necessary now or if it can wait
- Other options for treating your health problem
- Risks or possible side effects that may happen later on
You should have enough information to make a decision about your treatment. Your provider should also make sure you understand the information. One way a provider may do this is by asking you to repeat the information back in your own words. If you would like more details about your treatment choices, ask your provider where to look. There are many trusted websites and other resources your provider can give you, including certified decision aids.
What is Your Role in the Informed Consent Process?
You are an important member of your health care team. You should ask questions about anything you do not understand. If you need your provider to explain something in a different way, ask them to do so. Using a certified decision aid may be helpful.
You have the right to refuse treatment if you are able to understand your health condition, your treatment options, and the risks and benefits of each option. Your doctor or other health care provider may tell you they do not think this is the best choice for you. But, your providers should not try to force you to have a treatment you do not want to have. It is important to be involved in the informed consent process. After all, you are the one who will receive the treatment if you give your consent.
Advance Directives
The Patient Self-Determination Act of 1990 protects the individual's right to make decisions about personal healthcare. It provides you
the opportunity to initiate, refuse or withdraw medical treatment and appoint an agent, surrogate, proxy or representative to speak for you when you are no longer able to do so. This Act, along with the Hospital's policy, ensures that all patients who are placed in a hospital bed, will have their wishes regarding life-sustaining treatment or the decisions by a proxy decision-maker, honored even when the patient is no longer capable of communicating. Advance care planning is a gift which each of us can give to our family and friends through caring conversations. Each of us can help them understand what we would want done during a difficult and emotional time when we cannot express our wishes for treatment decisions.
Advance Directive is a general term. It is a written health care directive and/or appointment of an agent or representative, or a written refusal to appoint an agent or execute a directive. It is a way for the individual with decision-making capacity to communicate instructions about medical care preferences in writing, should he/she become incapable of communicating such wishes.
Advance Directives include: Living Wills; Health Care Treatment Directives; Durable Power of Attorney for Health Care (DPOAHC), and Do Not Resuscitate (DNR) Directives.
Decision-making Capacity means that an adult person has the functional ability to: comprehend information relevant to a particular decision to be made; deliberate regarding the available choices , considering his/her own values and goals; and communicate, verbally or non-verbally, his/her decisions.
Capacity may be defined by the State. In Kansas, an individual under the age of 18 years old lacks the capacity to execute an advance
directive.
Competency is a legal term that refers to the condition of being capable of making and articulating rational decisions. It is also known as "legal incapacity". Unless a court of law determines otherwise, individuals 18 years and older are presumed to be competent under Kansas law.
TYPES OF ADVANCE DIRECTIVES:
Living Will is a written, signed, dated and witnessed document in which an adult may request that, under certain circumstances, life
sustaining procedures be withheld or withdrawn and that he/she be allowed to die. In Kansas, the Living Will statute applies only when a patient lacks capacity or is otherwise incompetent to make health care treatment decisions and is terminally ill or there is no hope of significant recovery. The Living Will can define specific treatments and procedures they wish to have withheld or withdrawn when they do not improve quality life acceptable to the individual.
Health Care Treatment Directive is a statement of the individual's wishes and to be used if the individual is unable to communicate
his/her wishes. Even if the individual is not terminally ill, he/ she may request through the Health Care Treatment Directive to
withdraw or withhold treatments when it is unlikely to help the individual recover an acceptable quality of life. Examples of non-
terminal conditions might include an overwhelming illness or injury in which recovery is not likely, comatose conditions such as with
severe strokes , the final stages of Alzheimer's Disease or advanced Chronic Obstructive Lung Disease.
Durable Power of Attorney for Health Care (DPOAHC) is a written, signed, dated and witnessed statement that allows adult
individuals with decision-making capacity to name an individual (referred to as an agent, proxy, surrogate or attorney-in-fact) to
make health care decisions in the event the person completing the document loses decision-making capacity. This document may also designate specific health care choices and instructions. The durable power of attorney for healthcare and the healthcare providers must follow the individual's expressed wishes. This means that they must also respect wishes that are stated in a living will.
Witnessing and Notary Public: Kansas and Missouri Requirements
Kansas: Kansas requires that each of these documents either be witnessed by two persons or notarized by Notary Public. The two
witnesses must be 18 years or older, must show that they personally know the individual, believe the individual is of sound mind, that
they did not sign the document on the individual's behalf and that the witness is not:
- appointed as the health care agent,
- entitled to any portion of the individual's estate,
- directly financially responsible for the individual's health care, or
- related to by blood, marriage or adoption.
Missouri: Missouri requires that the Advance Directive called a Declaration is signed by the individual (or direct another to sign it
in the individual's presence) in the presence of at least two witnesses who are 18 years or older, who can show they know the individual, believe the individual is of sound mind and that they voluntarily signed the document. The person who signed the Declaration on the individual's behalf cannot serve as a witness. Missouri law requires the individual to sign the DPOAHC document in the presence of a notary public. The Center for Practical Bioethics recommends that these documents be witnessed and notarized by notary public ensure the portability of your advance directives across states.
INFORM YOUR PHYSICIAN OR HEALTH CARE PROVIDER!
If you have or are executing an advance directive (health care treatment directive, DPOAHC, or living will) it is very important
to inform your Physician and the Hospital. Bring a copy of your advance directive documents to every hospital visit so that the
hospital can include the documents with your medical record. This helps the health care team to support you and your family and to
make sure we honor your health care treatment wishes should you be unable to communicate them.
REVOCATION OF ADVANCE DIRECTIVES
If the individual changes his/her mind about the advance directives at a later date, the individual may do so. The individual may revoke
a health care treatment directive, living will or a durable power of attorney at any time by:
- a competent patient destroying the document; or
- a competent patient signing a written revocation; or
- if the patient is mentally competent but physically unable to destroy the document or sign a written revocation, by instructing two persons that he/she wishes the document revoked and having those persons write a verification of the instructions specifying the date and time of revocation; or
- in the case of an incompetent individual, a court order revoking the document. This must be documented in the individual's medical record.
RESOURCES
Center for Practical Bioethics, Hartzfeld Building, 1111 Main Street, Suite 500, Kansas City, MO 64105-2116. 800-344-1100, bioethics@practicalbioethics.org. Download: "Caring Conversations Making Your Healthcare Wishes Known"
Kansas City Metropolitan Bar Association, 1125 Grand Boulevard, Suite 400, Kansas City, MO. 816-474-4322
Understanding Price and Payment
Your hospital bill and payment can be confusing. These are basics to help you understand your hospital charges, billing procedures, and payment options.
UP FRONT PAYMENT
Our practice is to collect all known fees when you register at the hospital, including deductibles, co-payments, and co-insurance, based on estimated charges. Your final bill may be higher or lower than the estimates we use at registration, since it is based on actual charges for services provided. If it is higher, we may ask for additional payment at discharge; if it is lower, we will promptly refund the amount you overpaid.
PAYMENT BY INSURANCE
If you carry health insurance, we will bill your insurance carrier shortly after your visit and then send you an informational letter (not a bill) to let you know about it. Your insurance carrier should pay your bill within 60 days. Your insurance company may contact you for additional information to process your claim. Please respond as quickly as possible to ensure you receive the maximum benefit from your coverage. You will not receive further communication from the hospital unless the insurance company has not paid your claim or a balance is due from you (e.g., part not covered by your insurance).
PAYMENT WITHOUT INSURANCE
Our facility offers a discount for patients without health insurance, unless you receive an elective cosmetic procedure. You may ask for information about a discount for patients without health insurance upon registration or at any time during your visit. After your discount is applied, we will ask for payment of the balance at the time of service. If you are unable to pay, we will work with you to obtain credit.
OTHER CHARGES
Your hospital bill contains charges for hospital services only, you will be billed separately for other professional services including: Your physician, Radiologists, Pathologists, Cardiologists, Neonatologists, Anesthesiologists . Please call the number provided on that bill if you have questions about any of these charges, or call MISH hospital operator 913-322-7408 and ask for the billing department - one of our representatives will be happy to help you.
BILL PAYMENT
If you have a balance after discharge, you can pay your bill with a credit card or cash. Call MISH hospital operator 913-322-7408 and ask for the billing department - one of our representatives will be happy to help you.
QUESTIONS AND ANSWERS
What services are included in my hospital bill estimate? If you are viewing estimates provided on the MISH Hospitals and Clinic website (MISHhospital.com), pricing includes estimated room and board (for inpatients), supplies, nursing care, equipment use, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital.
CAN I GET AN EXACT PRICING QUOTE?
Unfortunately, no. We will do our best to provide you with a pricing range based on our hospital's historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and variation in the clinical needs of each patient.
KNOWING YOUR PRICE
The MISH Hospital and Clinics website (MISHhospital.com) provides pricing estimates for the most frequently used hospital services, and other helpful information such as: Payment options & alternatives for uninsured patients, guidelines about our billing process and frequently Asked Questions. Out billing staff is also available to answer any questions you have concerning your hospital bill at 913-322-7408.