LifeBridge Health complies with applicable federal civil rights laws and prohibits discrimination based upon race, color, national origin, culture, language, religion, physical or mental disability, socioeconomic status, age, gender/sex, sexual orientation, and gender identity or expression, or ability to pay.
We want to encourage you, as a patient at LifeBridge Health, to speak openly with your health care team, take part in your treatment choices, and promote your own safety by being well informed and involved in your care. Because we want you to think of yourself as a partner in your care, we want you to know your rights as well as your responsibilities during your stay at our hospital. We invite you and your family to join us as active members of your care team.
Your Rights
- You have the right to receive considerate, respectful and compassionate
care in a safe setting regardless of your race, color, national origin,
ethnicity, age, gender, sexual orientation, gender identity or expression,
physical or mental disability, religion, language, or ability to pay. This
includes prohibiting discrimination through restricting, limiting or
otherwise denying visitation privileges. - You have the right to receive care treatment and services that are
adequate, appropriate and in compliance with state, local, and federal
law and regulation. - You have the right to be provided care in a safe environment free
from all forms of harrassment, neglect, exploitation, and abuse, including
verbal, mental, physical and sexual abuse. - You have the right to have a medical screening exam and be provided
stabilizing treatment for emergency medical conditions and labor. - You have the right to be free from restraints and seclusion unless
needed for safety. - You have the right to be called by your proper name and to be in an
environment that maintains dignity and adds to a positive self-image. - You have the right to be told the names and jobs of the healthcare
team members involved in your care if staff safety is not a concern. - You have the right to have respect shown for your personal values,
beliefs and wishes. - You have the right to be provided a list of protective and advocacy
services when needed. - You have the right to receive information about your hospital and
physician charges and ask for an estimate of hospital charges before
care is provided and as long as patient care is not impeded. - You have the right to receive information from your doctor or other
healthcare practitioners about your diagnosis, prognosis, test results,
outcomes of care and unanticipated outcomes of care. - You have the right to have a family member or designated
representative and your own physician notified promptly of your
admission to the hospital. - You have the right to be involved in your plan of care, including the
right to refuse treatment to the extent permitted by law. You may
include family and friends, with your permission in these decisions.
If you leave the hospital against the advice of your doctor, the
hospital and doctors will not be responsible for any medical
consequences that may occur. - You have the right to be screened, assessed and treated for pain.
- You have the right to be involved in decisions about treating your pain.
- In accordance with hospital visitation policies, you have the right to
have an individual of your choice remain with you for emotional support
during your hospital stay, choose the individuals who may visit you
and change your mind about the individuals who may visit. - You have the right to appoint an individual of your choice to make
healthcare decisions for you, in the event that you are unable to do so. - You have the right to make or change an advance directive. If you do
not have an advance directive, we can provide you with information
and help you complete one. - You have the right to give informed consent before any non-emergency
care is provided, including the benefits and risks of the care, alternatives
to the care, and the benefits and risks of the alternatives to the care. - You have the right to agree or refuse to take part in medical research
studies, without the agreement or refusal affecting your care. - You have the right to withdraw consent up until a reasonable time
before the photo is used. - You have the right to expect privacy and confidentiality in care discussions
and treatments. You may ask for an escort during any type of exam. - You have the right to be involved in your discharge plan. You can
expect to be told in a timely manner of your discharge, transfer
to another facility or transfer to another level of care. Before your
discharge, you can expect to receive information about follow-up
care that you may need. - You can expect that all communication and records about your care
are confidential, unless disclosure is permitted by law. You have the
right to see or get a copy of your medical records. You may add
information to your medical record by contacting the Health Information
Management Department. You have the right to request a list of people
to whom your personal health information was disclosed. - You have the right to access your medical records in accordance
with HIPAA Notice of Privacy Practices. -
You have the right to be provided a copy of the
Health Insurance Portability and Accountability Act
Notice of Privacy Practices. Please see the following link:
www.lifebridgehealth.org/main/HIPAA.aspxIf you or your family member needs to discuss an ethical issue
related to your care, a member of the Ethics Committee is available to assist. You may request a consultation. - You have the right to spiritual services. Chaplains are available
to help you directly or to contact your own clergy. - You have the right to receive information in a manner that is
understandable by the patient, which may include: i) Sign and
foreign language interpreters; ii) Alternative formats, including
large print; braille; audio recordings, and computer files; and
iii) Vision, speech, hearing, and other temporary aids as needed
without charge.
The hospital 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 your nurse or care provider.
If you believe that LifeBridge Health has failed to provide
these services or discriminated in another way, you can file
a grievance with the director of Guest Relations for whom
contact information is provided below.
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
Contacts
Is your hospital honoring those rights?
Did they provide you with an accessible and understandable
copy of your rights, and post rights in highly visible locations?
If not, please notify the Maryland Department of Health,
Office of Health Care Quality at 410-402-8015.
If you have a problem or complaint, you may talk
with your doctor, nurse, manager or other department
manager. If you wish to talk to someone outside the
department, you may also contact:
Patient Relations Department
Carroll Hospital
200 Memorial Avenue
Westminster, MD 21157
410-871-7099 (phone)
410-871-6237 (fax)
patientrelations@lifebridgehealth.org
Patient Experience Department
Grace Medical Center, a Sinai Hospital Facility
2000 West Baltimore Street
Baltimore, MD 21223
410-601-8778 (phone)
410-601-8940 (fax)
PatientFamilyServices@lifebridgehealth.org
Service Excellence Department
Levindale Hebrew Geriatric Center and Hospital
2434 West Belvedere Avenue
Baltimore, MD 21215
410-601-1079 (phone)
410-601-2700 (fax)
LevindaleGuestRelations@lifebridgehealth.org
Guest Relations/Patient Experience Department
Northwest Hospital
5401 Old Court Road
Randallstown, MD 21133
410-701-4447 (phone)
410-496-6458 (fax)
NorthwestHospitalGuestRelations@lifebridgehealth.org
Patient Experience Department
Sinai Hospital of Baltimore
2401 West Belvedere Avenue
Baltimore, MD 21215-5216
410-601-8778 (phone)
410-601-8940 (fax)
PatientFamilyServices@lifebridgehealth.org
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, the director of the Patient Experience/Guest Relations/Patient Advocate Department is available to help you.
If your concern is not resolved to your satisfaction, you may also contact:
Maryland State Department of Health and Mental Hygiene
Office of Healthcare Quality
7120 Samuel Morse Drive, 2nd Floor
Columbia, MD 21046
410-402-8015
The Joint Commission
To report a patient safety concern:
Use the “Report a Patient Safety Concern” link on the home page of the website, www.jointcommission.org
Send a fax to 630-792-5636
Send mail to:
The Office of Quality and Patient Safety (QOPS),
The Joint Commission,
One Renaissance Boulevard,
Oakbrook Terrace, Illinois 60181
Reports of patient safety events to The Joint Commission must include the health care organization’s name, street address, city and state.
Your Responsibilities
- You are expected to provide complete and accurate
information, including your full name, address, home telephone
number, date of birth, Social Security number, insurance carrier
and employer when it is required. - You should provide the hospital or your doctor with a copy of
your advance directive if you have one. - You are expected to provide complete and accurate information
about your health and medical history, including present
condition, past illnesses, hospital stays, medicines, vitamins,
herbal products and any other matters that pertain to your
health, including perceived safety risks. - You are expected to ask questions when you do not understand
information or instructions. If you believe you cannot follow
through with your treatment plan, you are responsible for telling
your doctor. You are responsible for outcomes if you do not
follow care, treatment and service plan. - You are expected to actively participate in your pain
management plan and to keep your doctors and nurses
informed of the effectiveness of your treatment. - You are asked to please leave valuables at home and bring
only necessary items for your hospital stay. The hospital is not
responsible for valuables or belongings that you keep with you
during your stay. - You are expected to treat all hospital staff, other patients and
visitors with courtesy and respect; abide by all hospital rules and
safety regulations; and be mindful of noise levels, privacy and
number of visitors. - You are expected to provide complete and accurate information
about your health insurance coverage and to pay your bills in a
timely manner. -
You have the responsibility to keep appointments, be on
time and call your health care provider if you cannot keep
your appointments.Consistent with Maryland law, patients and their families
and friends are responsible for obtaining the consent of all
participants before recording or videoing a conversation of them
in person or on the phone. Physicians, nurses and all other staff
are legally entitled to decline being recorded