As a Patient and/or legal surrogate decision maker of the Choctaw Nation Health Services applicable laws and regulations, to: Authority you have the right, consistent with
- Patient has the right to considerate, respectful, and safe care that protects vulnerable patients including newborns and children.
- Patient and/or legal surrogate decision maker, as allowed by law, has the right to refuse treatment to the extent permitted by law and to be informed of medical consequences of this action and to have their wishes respected.
- The patient has the right to every consideration of privacy concerning his/her own medical care program. The patient has the right to personal privacy while in the hospital and to have all information about your illness and care treated as confidential.
- Patient has a right to expect that all communications and records pertaining to his/her care are treated as confidential, except for circumstances where cases under law must be reported to state agencies or health departments.
- Patient has a right to expect the CNHSA to assist in locating alternative services when medically indicated.
- Patient has a right to examine and receive an explanation of hospital bill regardless of the source of payment, and knowledge of their non-coverage rights.
- Patient has a right to know what hospital rules and regulations apply to his/her conduct as a patient.
- Patient has a right to receive all levels of inpatient, emergency, or outpatient care in a safe, abuse and neglect free environment, regardless of race, age, religion, sex, ethnic background, mental disability, cultural and personal values, beliefs and preferences, sexual orientation and genderidentity or expression, social class, educational level, or ability to pay, except as required by law.
- Patient has a right to have personal belongings safeguarded and returned to the patient on discharge, the patient also has the right to telephone and mail service.
- Patient has a right to be informed of continuing health care requirements following discharge from the hospital, to participate in their own discharge planning, and receive a written list of advocacy groups, home health agencies, and long term care facilities at discharge.
- Patient has a right to be informed and consent to nature and purpose of technical procedures to be performed. Except in emergencies, this information shall include a description of the procedure, the significant risks, alternate course, risk of each, potential benefits, potential side effects, the likelihood of reaching their goals, any potential problems or recuperation and the name of the person who will provide treatment. The patient has the right to informed consent discussion about their care, treatment and services.
- Patient and/or legal surrogate decision maker has the right communicate with those responsible for his/her care, to receive information regarding the nature and extent of the problem, planned course of treatment and prognosis, and to participate in the development of your plan of care. Information will be given to you by your doctors and other members of your care team in a language you can understand. Patients with physical impairments may also obtain information based on their needs. The patient has the right to have the facility provide language interpreting and translation services.
- Patient has the right, at his/her request and own expense, to consult with a specialist.
- Patient has the right to know the identity and professional status of individuals providing service to him/her and the identity of their primary provider in regards to care.
- The patient has the right to be informed of the existence of a Leadership Committee, and its accessibility.
- The patient or patient’s designated representative has the right to be informed and receive, upon request, further information about organ and tissue donation.
- The patient has the right to be confident that any restraint utilizationphysical, chemical, or mechanical, is for the safety and benefit of the patient and is always based on the patient’s individualized assessed needs and discontinued at the earliest time possible. Patient further has the right to the knowledge that our highest priority with any restraints utilization is to preserve the health, safety, right, dignity, and well-being of the patient.
- The patient has the right to comprehensive and compassionate pain management through individualized treatment of total pain, including physical, psychological, social, and spiritual components. As a patient you can expect information about pain and pain relief, staff who will care about your pain, who will respond when you report pain and who will ask about pain relief often.
- The patient has the right to be advised if the hospital proposes to engage in or perform human experimentation affecting their care or treatment and have the right to refuse to participate in such experiments, without jeopardizing their care.
- The patient has the right to develop information for filing a complaint with the staff patient services representative if he/she has a concern about patient care and receive resolution and/or written follow-up findings.
- The patient has the right to develop advance directives and to have the hospital staff comply with those directives and any circumstances to which the facility is unable to comply.
- The patient has the right to have family member or representative and your own physician notified promptly of your admission to the hospital.
- The patient has the right to appeal premature discharge.
- The patient or legal representation has the right to access information in their medical record, request amendments to, and obtain information disclosures if their health information as defined by law.
- The patient has the right to leave the hospital, even against the advice of the patient’s physicians if an “AMA” (Against Medical Advice) form is completed.
- The patient has the right for reasonable continuity of care and to know in advanced the time and location of appointment and who will be providing care.
- The patient has the right to designate visitors of his/her choosing, if patients have decision making capacity whether or not the visitor is related by blood, marriage, or domestic partnership; unless, there are no visitors allowed, the presence of a particular visitor would endanger the health and safety of a patient, staff, or other visitors. They have the right to withdraw or deny such consent at any time.
- The patient has the right to receive a written copy of these patient rights and to have these rights followed by their physicians, nurses, and other health care staff.
- The patient has the right to selection of post-hospital extended care providers, as long as they can provide appropriate care needed by the patient, such as hospice providers, home health care, and nursing home placement.
- The patient has the right to designate a family member, friends, or other individual to be present with them for emotional support during the hospitalization, unless the individuals presences infringes on other’s rights, safety, or is medically contraindicate.
- The patient has the right to seek spiritual counsel from their pastor or request of a local directory.
- The patient has the right to information concerning their care. Patients with vision, speech, hearing, or other impairments will receive information in a manner that meets their needs.
- Patient and/or legal surrogate decision maker has the right to be informed about unanticipated outcomes of care, treatment, and services by their provider and further discussion is identified/needed.
- The patient has the right to be transferred to another facility, only after the patient and/or legal surrogate decision maker, has received complete information and explanation concerning the needs for and alternatives to such a transfer. The institution to which the patient is to be transferred must accept the patient for transfer in advance.
- The patient has the right to consent or refuse when the use of recordings, film, video, or audio is planning during their care.
- Communicate complaints or grievances regarding his/her personal care giver such as to his/her physician, nurse, hospital, management, or administration. The hospital has a patient advocate who can be reached at (918) 567-7000, Ext. 6855, or complaints may be communicated to the following:
Atoka Clinic Director (580) 889-1981
Broken Bow Clinic Director (580) 584-2740
Chi Hullo Li Director (918) 567-2905
Choctaw Nation Health Care Center Director (918) 567-7000
Choctaw Nation Recovery Center Director (918) 567-2389
Durant Clinic Director (580) 920-2100
Healthy Aging Director (580) 745-9017
Hugo Clinic Director (580) 326-7561
Idabel Clinic Director (580) 286-2600
Jones Academy Director (918) 297-2518
McAlester Clinic Director (918) 423-8440
Poteau Clinic Director (918) 649-1100
Stigler Clinic/Stigler Dental Director (918) 967-9200
Talihina Community Clinic Director (918) 567-3636
Windhorse Clinic Director (918) 302-0052
Oklahoma Health care Authority (Medicaid Concerns Only) 4345 N. Lincoln Blvd. Oklahoma City, OK 73105 (405) 522-7300
Oklahoma Foundation for Medical Quality 1400 Quail Springs Parkway, Suite 400 Oklahoma City, OK 73134 (405) 840-2891
Center for Medicare & Medicaid Services (CMS) Region 6 Office of the Regional Administrator 1301 Young Street Suite 714 Dallas, TX 75202 (214) 767-6423
The Department of Health & Human Services– Office of the Inspector General P.O. Box 23489 Washington, DC 20026 (800) 447-8477
The Joint Commission Office of Quality and Patient Safety One Renaissance Blvd. Oakbrook Terrace, IL 60181 (800) 994-6610 (within U.S.)
The patient/family may make a complaint or grievance verbally or in writing to the facility/department head
- CNHSA makes every effort to resolve all complaints/grievances immediately and at the lowest level (where it happens) to the patient/ families satisfaction
- CNHSA provides the patient/family with agency contact information for patient concerns over the quality of care rendered—local, state, regulatory and national
- If the grievance is not resolved to the patient/families satisfaction, the grievance will be investigated by one or more of the following- the Patient Relations Department, the Patient Advocacy Committee and/ or the Executive Director of Health Operations. The Compliance Office will provide the patient with a written notice of the steps taken in the investigation within 7 days of the complaint, or shall inform the patient or representative, of the progress and will follow-up with a written response in a stated number of days. The name of the contact person and their information will also be provided.