Your Rights & Responsibilities
Ensuring Our Patients Know Their Rights
These rights and responsibilities apply to all patients, including the
neonate, child, adolescent and adult.
“Patient” refers to patient and/or personal representative.
Recognizing the basic rights of human beings is always of great importance.
It is our intention to always respect the patient’s inherent dignity.
As a hospital, we have a prime responsibility to assure that your rights
are preserved while under our care. To this end, the patient will be routinely
consulted on matters relating to his or her care, medical treatment, and
discharge. If a patient is unable to speak on his or her own behalf, an
appropriate family member or the personal representative/agent will be
In accordance with Title VI and VII of Civil Rights Act of 1964 and their
implementing regulations, as well as Section 1557 of the Affordable Care
Act, the patient shall be granted impartial access to treatment or accommodations
which are available or medically indicated regardless of race, creed,
sex, sexual orientation, national origin, religion or source of payment.
The patient has the right to expect assessment of their pain and a process
of mutual planning to address the management of pain. A patient also has
the right to receive information about pain and pain relief measures.
Request or Refusal of Treatment
The patient has the right to participate in the development and implementation
of his or her plan of care and to request or refuse treatment. The patient
has the right to refuse treatment, based on his or her own personal, moral
or religious beliefs — to the extent permitted by law — and
to be informed of the medical consequences of his or her refusal.
Advance Directives, Religious Beliefs
A patient has the responsibility of informing his or her physician and
the hospital of any advance directives (such as a “Living Will”)
or religious beliefs that he or she wishes to have honored.
The patient has the right to formulate an advanced directive, which may
include delegation of the right to make decisions about the patient’s
care to a representative, as well as designation of a support person.
The regulation further requires that notice be given to the patient concerning
the hospital’s advance directives policy.
The patient, or the patient’s personal representative/agent, has
the right to receive, from the patient’s care treatment team, complete
and current information concerning his or her diagnosis, treatment and
any known prognosis. This information should be communicated in terms
the patient can reasonably understand.
The patient has the right to know the identity and professional status
of individuals providing service to him or her.
Privacy and Confidentiality
The patient has the right, within the law, to personal privacy and confidentiality.
All communication and records pertaining to his or her care are confidential
and read only by individuals directly involved in treatment, payment or
operations of the hospital.
A family member or representative of the patient’s choice must be
promptly notified of the patient’s admission to the hospital. Patients
have the right to designate visitors who shall receive the same visitation
privileges as the patients’ immediate family members, regardless
of whether the visitor is legally related to the patient.
The patient has the right
- Not to be subjected to any procedure without voluntary, competent consent
or the consent of a personal representative except in an emergency.
- To be informed of, and voluntarily give or refuse consent of participation
in, any human experimentation or other research/educational projects affecting
his/her care or treatment.
- To advanced directives.
The patient has the right to expect reasonable safety in the medical center’s
practice and environment. This includes the right to be free from physical
or mental abuse and corporal punishment. The patient has the right to
be free from restraint or seclusion, of any form, imposed by staff as
means of coercion, discipline, convenience or retaliation. Restraints
will only be used when necessary to ensure the immediate physical safety
of the patient, staff or others and must be discontinued at the earliest
The patient has the right of access to people outside the hospital by means
of visitors and by verbal and written communication. When the patient
does not speak or understand the predominant language of the community,
he or she should have access to an interpreter.
Continuity of Care
The patient has the right to expect reasonable continuity of care and assistance
in locating alternative services when indicated. The patient has the right
to choose home health or nursing home care at discharge.
The patient has the right not to be transferred to another facility unless
he or she has received a complete explanation of the need for the transfer,
the alternatives to such a transfer, and acceptance by another physician.
The patient has the right to request, examine and receive an itemized and
detailed explanation of his or her bill, regardless of the source of payment.
The patient has the right to notice of termination of his eligibility
for reimbursement by any third-party payer for the cost of his or her care.
According to Arkansas law, all hospitals must be smoke-free (Ark Code Ann.
§ 20-27-704 et seq). Smoking on the BRMC campus could result in a
Class C misdemeanor. We appreciate the cooperation of all patients and
visitors in keeping BRMC smoke-free.
A patient’s grievance will be addressed, in a timely manner, by the
department head/patient care unit manager where the patient is located
or the Risk Manager at (870) 508-1012, the Marketing Department at (870)
508-1883 or the Chief Executive Officer at (870) 508-1039. A written grievance/complaint
may be addressed to any of the four contacts above and sent to Baxter
Regional Medical Center, 624 Hospital Drive, Mountain Home, AR 72653.
A patient may contact the Arkansas Department of Health, regardless of
whether he or she used the medical center’s grievance process, at
(501) 661-2201 or Arkansas Department of Health, 5800 West Tenth, Suite
400, Little Rock, AR 72204.
All patient’s grievance will be addressed in accordance with state
and federal guidelines.
If a patient lacks the capacity to exercise these responsibilities on his
or her behalf, the obligation falls to appropriate family members or a
Provision of Information
A patient has the responsibility to provide, to the best of his or her
knowledge, accurate and complete information about matters relating to
his or her health. A patient is also responsible for making known whether
or not he or she clearly understands the medical treatment plan and what
is expected of him or her.
Compliance with Instructions
A patient is responsible for following the treatment plan recommended by
the practitioner primarily responsible for his or her care. The patient
is also responsible for following the instructions of treatment team.
Refusal of Treatment
The patient is responsible for the consequences if he or she refuses recommended
treatment or does not follow the practitioner’s instructions.
The patient is responsible for assuring that the financial obligations
of his or her care are fulfilled as promptly as possible.
Hospital Rules and Regulations
The patient is responsible for following rules and regulations affecting
patient care and conduct.
Respect and Consideration
The patient is responsible for considerate behavior toward other patients,
visitors, and hospital personnel and for respect of rights and property.
Patient care conflicts regarding admission, treatment, and discharge issues
will be addressed by the department head, nurse leader or the administrative
staff member who is responsible for the service. Depending on the nature
of the conflict, the issue may instead be addressed by the attending physician,
the Chief of Services or the Chief of Staff. The final authority for addressing
patient complaints and patient care conflicts is the medical center’s
Chief Executive Officer.
Medicare and Observation Patients and Outpatients in a Bed
Medicare does not cover the cost of home oral medications administered
to patients who are in the hospital in the status of Observation or Outpatient
in a Bed. The hospital must bill the patient if oral medications are administered
by the nurse while the patient is in the hospital. See Medicare 2008 handbook,
page 26, and heading: What’s NOT covered by Part A and Part B? “Prescription
Drugs. Most prescription drugs aren’t covered by Part A or Part B.”