Excelsior Springs Hospital has a Patient Bill of Rights to help establish mutual understanding between patients and staff. This document further affirms the Hospital's commitment to provide courteous, respectful care for all patients.
- Impartial admission, room assignment and services regardless of race, creed, sex, national origin, religion, age, disability, communicable disease or source of payment for care. Communicable diseases may sometimes dictate room assignments.
- Considerate and respectful care with recognition of his/her dignity.
- Every consideration of privacy concerning his/her personal medical care programs. Patient may refuse to talk with or see anyone not officially connected with the Hospital including visitors and employees not directly involved with his/her 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 audio/visual privacy and to have a person of his/her own sex present during certain parts of physical examination, treatment or procedure performed by a health professional of the opposite sex and to remain disrobed no longer than is required to accomplish the medical purpose for which the patient was asked to disrobe.
- Expect that any discussion or consultation involving his/her case will be conducted discreetly, and that individuals not directly involved in his/her care will not be present without his/her permission.
- Expect all communications and records pertaining to his/her care, including the source of payment, to be treated as confidential.
- Request a transfer to another room if another patient or visitors are unreasonably disturbing him/her by their actions.
- Be placed in protective privacy when considered necessary by Hospital personnel for personal safety.
- Expect reasonable safety insofar as Hospital practice and environment are concerned.
- Know the identity and professional status of individuals providing service to him/her, and know which physician or practitioner is primarily responsible for his/her care. This includes the patient’s right to know of the existence of any professional relationship among individuals who are treating him/her as well as the relationship to any other health care or educational institutions involved in his/her care. Participation by patients in clinical training programs or in the gathering of data for research purposes should be voluntary.
- Obtain from the practitioner responsible for the coordination of his/her care, complete information concerning the diagnosis (to the degree known), treatment, and any known prognosis. The information should be communicated in terms that the patient can reasonably be expected to understand. When it is not medically advisable to give such information to the patient, the information should be made available to a legally authorized individual.
- Have access to people outside the Hospital by means of visitors and by verbal or written communications.
- Reasonable informed participation in decisions involving his/her care. To the degree possible, this should be based on a clear, concise explanation of his/her condition and of all proposed technical procedures, including the possibilities of any risk of mortality or serious side effects, problems related to recuperation and the probability of success. The patient should not be subjected to any procedure without his/her voluntary, competent, informed consent, or that of his/her legally authorized representative. When medically significant, alternatives for care or treatment exist, the patient shall be so informed.
- If receiving pain care at the Hospital, describe his/her pain experience with the expectation that the description will be accepted and respected as the best indicator of his/her pain and subsequently receive pain care that is administered with dignity by professionals who consider each patient to be a unique individual worthy of compassionate care.
- Access to an interpreter if the patient does not speak or understand the predominant language of the community. The Hospital will obtain a suitable interpreter where language barriers exist.
- Know who is responsible for authorizing and performing the procedure or treatment.
- Be informed if the Hospital proposes to engage in or perform human experimentation or other research/educational projects affecting his/her care or treatment, and the patient has the right to refuse to participate in any such activity.
- Consult with a specialist at his/her own personal expense.
- Refuse treatment to the extent permitted by law. When refusal of treatment by a patient or his/her legally authorized representative prevents the provision of appropriate care in accordance with ethical and professional standards, the relationship with the patient may be terminated upon reasonable notice.
- Not be transferred to another facility unless he/she has received a complete explanation of the need of the transfer and of the alternatives to such a transfer. A patient may not be transferred to another facility except on order of his/her physician and unless the transfer is acceptable to the other facility.
- Be informed by the practitioner responsible for his/her care, or his/her delegate, of any continuing health care requirements following his/her discharge from the Hospital.
- Right to request and receive itemized and detailed explanation of his/her bill of services rendered in this Hospital regardless of the source of payment for his/her care. The patient has the right to timely notice prior to termination of his/her eligibility for reimbursement by any third party payer for the cost of his/her care.
- Be informed of the Hospital’s rules and regulations applicable to his/her conduct as a patient. Patients are entitled to information about the Hospital/s mechanism for the initiation, review and resolution of patient complaints.
- To be free from abuse, neglect, and harassment.
- To be treated with consideration and respect.
- To be free from restraints and seclusion of any form that is not medically necessary.
- Reasonable protection of personal items.
- To access his/her clinical record information.
- To limit access to all information regarding patients to those individuals designated by law, regulation and policy.
- To participate in plan of care and discharge planning, including being informed of service options that are available to the patient and a choice of agencies which provide service.
Patient Rights of a Minor
Also, the patient who is a neonate, child or adolescent has the right to:
Have his/her family/guardian involved in his/her assessment, treatment and continuing care.
- Have his/her family/guardian receive aid in coping with illnesses that are particularly traumatic because of their duration, severity or effect on the patient’s physical or psychological development.
- Be cared for in a physical environment designed to encourage its use and provide comfort, safety and security with furniture and equipment appropriate to age, size and developmental needs.
- Have provision made in the social environment and activities appropriate to his/her age, development and peer and group interaction.
- Have provisions made by appropriate educational services when treatment necessitates significant absence from school.
- Have needed services provided either directly through referral, consultation or contractual arrangements and/or agreements.
- Continuity of care when transferred from one setting to another through assessment of the need for continuing treatment, continuing education, and support for normal development.
- Availability of a mechanism by which his/her family/guardian may resolve conflicts concerning his/her care.
In order to ensure that you receive the best care possible, we need your help. By assuming these responsibilities, you can contribute to your care in a positive way.
You are responsible for providing accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. You are also responsible for reporting unexpected changes in your condition to the physician or other professionals responsible for your care. As a patient, you are also responsible for honestly indicating whether you clearly understand your medical care plan and what your role is in that plan.
You are responsible for following the treatment plan recommended by your health care team. This may include following the instruction of nurses and therapists as they implement physician orders. You are also responsible for keeping appointments and notifying your physician or hospital when you are unable to do so.
You have the right to refuse treatment, but you are responsible for your actions if you do not accept treatment or do not follow your treatment plan indicated by your physician.
Please remember, regardless of the type of insurance or other health coverage you have, you are ultimately responsible for paying your bill and for assuring that the financial obligations for your care are promptly fulfilled.
Rules and Regulations
You are responsible for following hospital rules and regulations regarding patient care and conduct. Your nurse may also explain other regulations of which you need to be aware. If you are an outpatient, our staff will explain any rules that may impact you.
Respect and Consideration
You are responsible for being considerate of the rights of other patients and hospital personnel. Please avoid loud conversations and other behavior that may be irritating to others. When people are ill or anxious, even minor annoyances can become burdensome. Please be conscious of how other people would like to be treated.
We are glad that you have come to us in your time of need. We know that illness or injury can be stressful and painful, and we will do everything we can to make things as positive as possible. If you have any questions about your care or about your rights and responsibilities as a patient at our Hospital, please feel free to ask any of the professionals who are caring for you. We are here to provide care and service. Feel free to ask for assistance or explanations if you don’t understand any part of your treatment.
Patient Satisfaction Survey
The Hospital, upon your dismissal, gives you a Satisfaction Survey to complete. Your honest and frank thoughts are very important to us, as we strive to improve our services and provide the very best health care for our patients. Your responses are reviewed by Hospital management in order to recognize problem areas and to also recognize people who earn your praise.
Excelsior Springs Hospital is committed to maintaining and protecting the confidentiality of our patients personal information. Excelsior Springs Hospital is required by federal and state law to protect the privacy of your individually identifiable health information and other personal information. We are required to provide you with this Notice about our policies, safeguards and practices. When the Hospital uses or discloses your Protected Health Information (PHI), the Hospital is bound by the terms of this Notice, or the revised Notice, if applicable.
It is the policy of Excelsior Springs Hospital to provide services to all persons without regard to race, color, national origin, religion, sex, age, disability, or ability to pay. No person shall be excluded from participation in, or be denied the benefits of any service, or be subject to discrimination because of race, color, national origin, religion, sex, age or disability.
If you believe you have been denied treatment because of your race, color, national origin, religion, sex, age or disability, you may file a Complaint of Discrimination with the hospital administration office in by calling 816.629.2739 or in writing:
Excelsior Springs Hospital
1700 Rainbow Blvd.
Excelsior Springs, MO 64024
If you choose to file your complaint in writing, please include your name, address, telephone number, and a brief description of the occurrence which led you to believe you were discriminated against. In this way, the appropriate person may respond to your complaint.
You may also file a Complaint of Discrimination by contacting the external agency listed below:
Office for Civil Rights
U.S. Department of Health and Human Services
601 East 12th Street - Room 353
Kansas City, MO 64106
Customer Response Center: 800.368.1019