Patient Rights

PATIENT RIGHTS

Access to Care:  You, the patient, shall be accorded impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, religion, or source of payment for care.

Respect and Dignity:  You, the patient, have the right to considerate, respectful care at all times and under all circumstances, with recognition of your personal dignity.

Personal Safety:  You, the patient, have the right to expect reasonable safety insofar as the hospital practices and environment are concerned.

Identity:  You have the right to know the identity and professional status of individuals providing service to you, and to know which physician or other practitioner is primarily responsible for your care.  This includes your right to know of the existence of any professional relationship among individuals who are treating you, as well as the relationship of the hospital to any other health care or educational institutions involved in your care.  Participation by patients in clinical training programs or in the gathering of data for research purposes should be voluntary.

Information:  You have the right to obtain from the practitioner responsible for  coordinating your care, complete and current information concerning your diagnosis (to the degree known), treatment, and any known prognosis.  This information should be communicated in terms you can reasonably be expected to understand.  When it is not medically advisable to give such information to you, the information should be made available to a legally authorized individual.

Privacy and Confidentiality:  You, the patient, have the right, within the law, to personal and informational privacy, as manifested by the right to: Refuse to talk with or see anyone not officially connected with the hospital, including visitors, or persons officially connected with the hospital but who are not directly involved in your care. Wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with diagnostic procedures or treatment. Be interviewed and examined in surroundings designed to assure reasonable audiovisual privacy.  This includes the right to have a person of your own sex present during certain parts of a physical examination, treatment, or procedure performed by a health professional of the opposite sex; and the right not to remain disrobed any longer than is required for accomplishing the medical purpose for which you were asked to disrobe. Expect that any discussion or consultation involving your care will be conducted discreetly, and that individuals not directly involved in your care will not be present without your permission. Have your medical record read only by individuals directly involved in your treatment and by those to whom you have given permission to review the medical record. Expect all communications and other records pertaining to your care, including the source of payment for treatment, to be treated as confidential. Request a transfer to another room if another patient or visitors in that room are unreasonably disturbing you. Be placed in protective privacy when considered necessary for personal safety.

Communication:  You have right of access to people outside the hospital by means of visitors, and by verbal and written communication.  If you do not speak or understand the predominant language of the community, you should have access to an interpreter.  This is particularly true where language barriers are a continuing problem.

Advance Medical Directives-Your Rights:  You have the right to formulate advance medical directives.  In Hawaii, this right is exercised by completing a Durable Power of Attorney for Health Care Decisions form.  A copy of this form is available upon request.

Advance Medical Directives-Our Policy:  If you have completed a Durable Power of Attorney for Health Care Decisions form, the hospital will assign all these rights to your agent in the event you become unable to make health care decisions and will follow any decision made by your agent as specified in the form.  However, state law allows for an objection on the basis of conscience for any health care provider who, as a matter of conscience, cannot implement an advance directive.

Health Care Decisions-Your Consent:  You have the right to reasonably informed participation in decisions involving your health care.  To the degree possible, this should be based on a clear, concise explanation of your condition and of all proposed technical procedures, including the possibilities of any risk of mortality or serious side effects, problems related to recuperation and probability of success.  You should not be subjected to any procedure without your voluntary, competent, and understanding consent, or that of your legally authorized representative.  Where medically significant alternatives for care or treatment exist, you shall be so informed.

You, the patient, have the right to know who is responsible for authorizing and performing the procedures or treatment.

You shall be informed if the hospital proposes to engage in or perform human experimentation or other research/educational projects affecting your care or treatment, and you have the right to refuse to participate in any such activity.

Ethics Committee:  You have right of access to the hospital’s Ethics Committee should any moral or ethical issues or dilemmas related to your treatment arise.

Refusal of Treatment:  You may refuse treatment to the extent permitted by law.  When refusal of treatment by you or your legally authorized representative prevents the provision of appropriate care in accordance with ethical and professional standards, the relationship with you may be terminated upon reasonable notice.

Consultation:  You have the right to consult with a specialist at your own request and expense.

Transfer and Continuity of Care:  You may not be transferred to another facility unless you have received a complete explanation of the need for the transfer and alternatives to such a transfer, and unless the transfer is acceptable to the other facility.  You have the right to be informed by the responsible practitioner or his delegate of any continuing health care requirements following discharge from the hospital.

Hospital Charges:  Regardless of the source of payment for your care, you have the right to request and receive an itemized and detailed explanation of your total bill for services rendered in the hospital.  You have the right to timely notice prior to termination of your eligibility for reimbursement by any third-party payor for the cost of your care.

Hospital Rules and Regulations:  You should be informed of the hospital rules and regulations applicable to your conduct as a patient.  Patients are entitled to information about the hospital’s mechanism for the initiation, review, and resolution of patient complaints.

 

PATIENT RESPONSIBILITIES

Provision of Information:  You have the responsibility to provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health.  You have the responsibility for making it known whether you clearly comprehend a contemplated course of action and what is expected of you.

Compliance with Instruction:  As a patient, you are responsible for following the treatment plan recommended by the practitioner primarily responsible for your  care.  This may include following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care and implement the responsible practitioner’s orders, and as they enforce the applicable hospital rules and regulations.  You are responsible for keeping appointments and, when you are unable to do so for any reason, for notifying the responsible practitioner or the hospital.

Refusal of Treatment:  You are responsible for your actions if you refuse treatment or do not follow the practitioner’s advice.

Hospital Charges:  You are responsible for assuring that the financial obligations of your health care are fulfilled as promptly as possible and for assisting the hospital in completing any necessary financial forms.

Hospital Rules:  You are responsible for following hospital rules and regulations affecting patient care and conduct.

Respect and Consideration:  You are responsible for being considerate of the rights of other patients and hospital personnel, and for assisting in the control of noise, smoking, and the number of visitors.  You are responsible for being respectful of the property of other persons and of the hospital.

 

PATIENT COMPLAINTS AND SAFETY CONCERNS

You, the patient, have the right to complain about your care without the risk of jeopardizing your future access to care.  You may make a written complaint and give it to the Nursing Department Leader.  You may also contact the Director of Quality and Risk Management or designee at extension 808-881-4699.

If you have any concerns about quality or safety of patient care, please contact our Patient Representative 881-4699.  If the concerns in question cannot be resolved at this level, grievances may also be lodged by contacting the Hawaii Department of Health Services, Licensing and Certification Division, 7601 Kamokela Blvd., Room 395, Kapolei, HI 96707 (808) 596-4080 or provide the information directly to The Joint Commission at 1-800-994-6610.