Patient Rights & Responsiblities
State and Federal law require that you receive information about your right to make health care decisions. Right now, you may be able to make your own health care decisions, but you may not always be able to make such decisions. However, by giving advance directives, you can tell your doctor and family about the medical care you would like to receive and whether you want another person to be able to accept or refuse treatment for you in the case you are no longer able to make decisions yourself.
You can name a person to make medical treatment decisions for you by naming someone to have a "Medical Power of Attorney for Health Care" for you. This person is only allowed to make health care decisions for you after your doctor believes that you are no longer able to make your own health care decisions.
You can also leave advance directives about life support in the event of terminal illness. This is often called a "Directive to Physicians" or "Living Will."
A "Directive to Physicians" tells your doctor and family about the types of life support that you want to be provided or withheld in the event you become terminally ill or have an irreversible condition and are no longer able to make decisions yourself.
The "Medical Power of Attorney for Health Care" applies to all types of health care decisions including decisions to withhold or withdraw life-sustaining procedures in the event of terminal illness.
If you already have a "Directive to Physician," or a "Medical Power of Attorney for Health Care," please tell your doctor and the hospital. We will include a copy of this document in your medical chart so that it is available to all health care providers. If you would like more information on how to complete either of these documents, please contact your attorney, doctor, nurse, hospital Guest Relations, hospital Admitting, or other trained hospital personnel. Medical Center of McKinney will provide you a booklet containing the actual legal documents entitled "Texas Advance Directives: Legal Documents to Assure Future Health Care Choices."
It is the policy of this hospital to honor a patient’s health care decision to the full extent required or allowed by law. You are not required to give advance health care direction in order to receive care at this hospital.
Your attending physician may have limitations or reservations regarding your Advance Directive. You are encouraged to discuss these forms and any questions or concerns regarding health care decisions with your physician. Should there be any disagreement between your physician and you, the matter may be referred to our Ethics Committee or you may request to be transferred to the care of another physician.
Also, in the event of a terminal illness, you may orally make an Advance Directive in the presence of your attending physician and two (2) witnesses should you choose not to execute a written document in advance.
Your Rights & Responsibilities
We believe that if you understand your rights, you can contribute to the effectiveness of your treatment and to the quality of patient care. The following is a list of Patient Rights and Responsibilities that reflect our concern and commitment to you as a patient and a human being.
- Considerate and respectful care that respects your psychosocial, spiritual and cultural values and beliefs.
- Impartial access to medically indicated treatment regardless of race, creed, sex, national origin, or sources of payment.
- Obtain interpretation services for speech, language, hearing, and/or visual impairments at no cost.
- Have an Advance Directive (such as a Directive to Physician or Medical Power of Attorney for Health Care) concerning treatment or designating a surrogate decision maker with the expectation that the hospital will honor that directive to the extent permitted by law. Health care institutions must advise patients of their rights under state law and hospital policy to make informed medical choices, ask if the patient has an advance directive, and include that information in patient records. The patient has the right to timely information about hospital policy that may limit their ability to implement fully a legally valid advance directive.
- Know the identities of the physician(s) responsible for the coordination of your care and others involved in providing your care.
- Obtain information as to any professional relationships among individuals treating you as well as the relationship between the hospital and other health care and educational institutions which may influence your care.
- Obtain information from physicians and other direct caregivers in understandable terms about diagnosis, treatment, prognosis, and plans for discharge and follow-up care.
- Make decisions about your care and refuse treatment to the extent permitted by law and be informed of the medical consequences of such actions. In case of such refusals, the patient is entitled to receive other appropriate care and services that the hospital provides or to transfer to another hospital. The hospital should notify patients of any policy that might affect patient choice within the institution.
- Effective management of pain as appropriate to the medical diagnosis or surgical procedure.
- Consideration of privacy in case discussion, consultation, examination and treatment.
- Be cared for by staff that has been educated about patient rights and their role in supporting these rights.
- Expect that all communications and records pertaining to your care be treated as confidential by the hospital, except in cases such as suspected abuse or public health hazards which are required by law to be reported.
- Review the records pertaining to your medical care and to have the information explained or interpreted as necessary, except when restricted by law.
- Expect that within its capacity and policies, a hospital will make reasonable response to the request of a patient for appropriate and medically indicated care and services. The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case. When medically appropriate and legally permissible, or when a patient has so requested, a patient may be transferred to another facility. The institutions to which the patient is to be transferred must first have accepted the patient for transfer. The patient must also have the benefit of complete information and explanation concerning the need for risks, benefits, and alternative to such a transfer.
- Consent or refuse to participate in any treatment that is considered experimental in nature, and to have those studies fully explained prior to consent.
- Participate in decisions regarding ethical issues surrounding your care including issues of conflict resolution, withholding resuscitation, forgoing or withdrawal of life-sustaining treatment and participation in investigational studies or clinical trials. You may ask your nurse or physician to consult the Ethics Committee for resolution of conflicts in decision-making regarding your care. You may request to see a copy of the hospital’s Code of Conduct if desired.
- Information about hospital policies that relate to your care. You have the right to express a concern or complaint regarding your care to the attending physician, nurse, or nursing supervisor. You have the right to a timely response to your concern or complain and a resolution when possible. Expression of concern or complaint will not compromise your care or future access to care.
- Access to protective services, if necessary.
- Examine and receive an explanation of your hospital bill, regardless of the source of payment.
- If you are an inpatient, 65 years of age or older or receive health benefits from Medicare, receive the message from Medicare outlining rights for the elderly at the time of admissions to the hospital.
The Patient/Parent/Guardian also has the following rights as required by the Centers for Medicare & Medicaid Services:
- Right to file a grievance. Should you have any comments or requests regarding your hospital experience, please call "0" and ask the Operator to call the Nursing Supervisor for you.
- Right to participate in the development and implementation of your plan of care.
- Right to formulate an advance directive and have hospital staff and practitioners who provide care honor the intent of that directive to the extent permitted by lay and hospital policy.
- Right to have a family member or representative of your choice or own physician notified promptly of your admission to the hospital.
- Right to receive care in a safe setting.
- Right to be free from all forms of abuse or harassment.
- Right to confidentiality of your clinical records
- Right to access information contained in your clinical records within a reasonable time frame.
- Right to be free from seclusion or restraints of any form that is not medically necessary.
The Patient/Parent/Guardian has the following responsibilities:
- Ask questions about specific problems and request information when you do not understand your illness or treatment.
- Provide accurate and complete medical information to physicians and other caregivers.
- Provide the hospital with a copy of your written advance directive if you have one.
- Follow the treatment plan recommended by physicians and other caregivers, or if treatment is refused, you are responsible for your actions and the medical consequences.
- Consider the rights of all hospital personnel and other patients and ensure that your visitors are considerate in the control of noise, limiting numbers of visitors, and abstaining from smoking.
- Respect hospital property and the property of other patients.
- Report perceived risks in your care.
- Follow all hospital policies affecting patient care and conduct.
- Provide necessary information to ensure processing of hospital bills and make payment arrangements when necessary. The patient, guardian or legally authorized representative will be responsible for fulfilling the financial obligation of his/her health care.
- Participate in those educational and discharge planning activities necessary to insure you have adequate knowledge and support services necessary to provide you with a safe environment upon discharge.
Notice to Patients Concerning Complaints/Grievances
Medical Center of McKinney is committed to providing quality health care and your opinions regarding the care you receive are important to us.
Should you have any comments, either concerns or positive experiences, please feel free to dial “0” for the Hospital Operator and ask to speak to the Nursing Supervisor, or the Department Director. If you should have a problem after you leave the hospital, or if you are not satisfied with the resolution, please contact Administration, Medical Center of McKinney, 4500 Medical Center Drive, McKinney, TX 75069, (972) 547-8000
You may also file complaints with the Texas Department of Health at Health Facility Compliance Group/MC 1979, Texas Department of State Health Services 1100 West 49th Street, Austin, TX 78756, (888) 973-0022.
You may file a Behavioral Medicine service complaint with the Texas Department MHMR, Client Rights, PO Box 12688, Austin, TX 78711, (800) 252-8164.
For physician concerns or complaints: If you have a concern or complaint regarding your physician, we encourage you to contact your physician and explain your concerns. If you are not satisfied with the resolution, you may file complaints about physicians, as well as other licensees and registrants of the Texas State Board of Medical Examiners, including Physician Assistants. Mail those concerns to: Texas State Board of Medical Examiners, Investigations Department, MC-263, PO Box 2018, Austin, TX 78768-2018, (800) 248-4062, http://www.tmb.state.tx.us/consumers/complain/complain.php.