Patient Rights & Responsibilities
Medical Services in Madera & Chowchilla
Every patient is entitled to certain privileges and rights while staying
at Madera Community Hospital. Read over our full list of patient rights
and responsibilities so you can learn more about that to expect during
your time at our facility.
You have the right to:
- Considerate and respectful care, and to be made comfortable. You have the
right to respect for your cultural, psychosocial, spiritual, and personal
values, beliefs and preferences.
- Have a family member (or other representative of your choosing) and your
own physician notified promptly of your admission to the hospital.
- Know the name of your licensed health care practitioner acting within the
scope of his or her professional licensure who has primary responsibility
for coordinating your care, and the names and professional relationships
of physicians and nonphysicians who will see you. The right to know the
reasons for any proposed change in the Professional Staff responsible
for your care. The right to know the reasons for your transfer either
within or outside the hospital and the relationship(s) of the hospital
to other persons or organization participating in the provision of your care.
- Receive information about your health status, diagnosis, prognosis, course
of treatment, prospects for recovery and outcomes of care (including unanticipated
outcomes) in terms you can understand. You have the right to effective
communication and to participate in the development and implementation
of your plan of care. You have the right to participate in ethical questions
that arise in the course of your care, including issues of conflict resolution,
withholding resuscitative services, and forgoing or withdrawing life-sustaining
- Make decisions regarding medical care, and receive as much information
about any proposed treatment or procedure as you may need in order to
give informed consent or to refuse a course of treatment. Except in emergencies,
this information shall include a description of the procedure or treatment,
the medically significant risks involved, alternate courses of treatment
or non-treatment and the risks involved in each, and the name of the person
who will carry out the procedure or treatment.
- The patient’s representative (as allowed under state law) has the
right to make informed decisions regarding his or her care. The patient’s
rights include being informed of his or her health status, being involved
in care planning and treatment, and being able to request of refuse treatment.
This right must not be construed as a mechanism to demand the provision
of treatment or services deemed medically unnecessary or inappropriate.
- Request or refuse treatment, to the extent permitted by law. However, you
do not have the right to demand inappropriate or medically unnecessary
treatment or services. You have the right to leave the hospital even against
the advice of members of the medical staff, to the extent permitted by law.
- Be advised if the hospital/licensed health care practitioner acting within
the scope of his or her professional licensure proposes to engage in or
perform human experimentation affecting your care or treatment. You have
the right to refuse to participate in such research projects without compromising
your access to services.
- Reasonable responses to any reasonable requests made for service.
- Appropriate assessment and management of your pain, information about pain,
pain relief measures and to participate in pain management decisions.
You may request or reject the use of any or all modalities to relieve
pain, including opiate medication, if you suffer from severe chronic intractable
pain. The doctor may refuse to prescribe the opiate medication, but if
so, must inform you that there are physicians who specialize in the treatment
of severe chronic pain with methods that include the use of opiates.
- Formulate advance directives. This includes designating a decision maker
if you become incapable of understanding a proposed treatment or become
unable to communicate your wishes regarding care. Hospital staff and practitioners
who provide care in the hospital shall comply with these directives. All
patients’ rights apply to the person who has legal responsibility
to make decisions regarding medical care on your behalf. (See page 11
for more information on an Advance Directive for health care). Additionally,
your family has the right of informed consent for donation of organs and tissues.
- Have personal privacy respected. Case discussion, consultation, examination
and treatment are confidential and should be conducted discreetly. You
have the right to be told the reason for the presence of any individual.
You have the right to have visitors leave prior to an examination and
when treatment issues are being discussed. Privacy curtains will be used
in semi-private rooms.
- Confidential treatment of all communications and records pertaining to
your care and stay in the hospital. You will receive a separate “Notice
of Privacy Practices” that explains your privacy rights in detail
and how we may use and disclose your protected health information.
- Receive care in a safe setting, free from mental, physical, sexual or verbal
abuse and neglect, exploitation or harassment. You have the right to access
protective and advocacy services including notifying government agencies
of neglect or abuse.
- Be free from restraints and seclusion of any form used as a means of coercion,
discipline, convenience or retaliation by staff.
- Reasonable continuity of care and to know in advance the time and location
of appointments as well as the identity of the persons providing the care.
- Be informed by the physician, or a delegate of the physician, of continuing
health care requirements and options following discharge from the hospital.
You have the right to be involved in the development and implementation
of your discharge plan. Upon your request, a friend or family member may
be provided this information also.
- Know which hospital rules and policies apply to your conduct while a patient.
Designate visitors of your choosing, if you have decision-making capacity,
whether or not the visitor is related by blood or marriage, unless:
- No visitors are allowed.
- The facility reasonably determines that the presence of a particular visitor
would endanger the health or safety of a patient, a member of the health
facility staff or other visitor to the health facility, or would significantly
disrupt the operations of the facility.
- You have told the health facility staff that you no longer want a particular
person to visit.
However, a health facility may establish reasonable restrictions upon visitation,
including restrictions upon the hours of visitation and number of visitors.
The health facility must inform you (or your support person, where appropriate)
of your visitation rights, including any clinical restrictions or limitations.
The health facility is not permitted to restrict, limit, or otherwise
deny visitation privileges on the basis of race, color, national origin,
religion, sex, gender identity, sexual orientation, or disability. The
visitation rights of patients at Madera Community Hospital, including
those setting forth any clinically necessary or reasonable restriction
or limitation that the hospital may need to place on such rights and the
reason for the clinical restriction or limitation will:
- Inform each patient (or support person, where appropriate) of his or her
visitation rights, including any clinical restriction or limitation on
such rights, when he or she is informed of his or her other rights under
this section. §482.13(h)(1)
- Inform each patient (or support person, where appropriate) of the right,
subject to his or her consent, to receive the visitors whom he or she
designates, including, but not limited to, a spouse, a domestic partner
(including a same sex domestic partner), another family member, or a friend,
and his or her right to withdraw or deny such consent at any time. §482.13(h)(2)
- Not restrict, limit or otherwise deny visitation privileges on the basis
of race, color, national origin, religion, sex, gender identity, sexual
orientation, or disability.§482.13(h)(3)
- Ensure that all visitors enjoy full and equal visitation privileges consistent
with patient preferences. §482.13(h)(4)
- Decisions to restrict or limit presence must be discussed with the patient
and documented in the medical record
- Have your wishes considered, even if you lack decision-making capacity,
for the purposes of determining who may visit. The method of that consideration
will comply with federal law and be disclosed in the hospital policy on
visitation. At a minimum, the hospital shall include any persons living
in your household and any support person pursuant to federal law.
- Examine and receive an explanation of the hospital’s bill regardless
of the source of payment.
- The right to access information contained in your clinical record within
a reasonable time frame. The hospital must not frustrate the legitimate
efforts of individuals to gain access to their own medical records and
must actively seek to meet these requests as quickly as its record keeping
- The patient’s family has the right of informed consent for donation
of organs and tissues.
- Exercise these rights without regard to sex, economic status, educational
background, race, color, religion, ancestry, national origin, sexual orientation,
disability, medical condition, marital status, registered domestic partner
status, or the source of payment for care.
- File a grievance. If you want to file a grievance with this hospital, you
may do so by writing or by calling: Madera Community Hospital Attn: Grievance
Committee 1250 E. Almond Ave., Madera, CA 93637 or phone 559-675-2519
The grievance committee will review each grievance and provide you with
a written response within 30 days. The written response will contain the
name of a person to contact at the hospital, the steps taken to investigate
the grievance, the results of the grievance process, and the date of completion
of the grievance process. Concerns regarding quality of care or premature
discharge will also be referred to the appropriate Utilization and Quality
Control Peer Review Organization (PRO).
File a complaint with the California Department of Public Health regardless
of whether you use the hospital’s grievance process. Their contact
information is listed below:
- California Dept. of Public Health Licensing and Certification 285 W. Bullard
Ave. Suite 101, Fresno, CA 93704 559-437-1500 This Patient Rights document
incorporates the requirements of HFAP (Healthcare Facilities Accreditation
Program); Title 22, California Code of Regulations, Section 70707; Health
and Safety Code Sections 1262.6, 1288.4 and 124960; and 42 C.F.R. Section
482.13 (Medicare Conditions of Participation).
Questions and Concerns: If you have concerns about the care you have received, we encourage you
or a family member to speak with your physicians or with the nursing director/supervisor.
If you feel that your issue was not resolved, please contact the Patient
Liaison at (559) 675-2519 from 8:30 a.m.- 4:30 p.m., Monday through Friday,
Last update: December 2017