Carroll Hospice is committed to delivering high quality, accessible medical care to its community. Care is provided to all people regardless of gender, race, age, disability, religion, sexual orientation, national origin, marital/economic status or the source of payment for care.

 The hospital also expects respect and cooperation from patients and their families. We believe the best medical outcomes result when the hospital and patient work together as a team. The statements below define the patient’s rights and responsibilities that contribute to high quality, efficient care.

We Believe that a Patient Has the Following Rights:

 1. The Right to be treated with dignity and respect by the entire staff.

 2. The Right to have individual psychosocial, spiritual and cultural values considered in providing care. The patient may express spiritual beliefs and cultural practices that do no harm to others. These beliefs and practices are considered if they could impact a planned course of medical therapy.

 3. The Right to privacy. The patient can expect to have curtains drawn for procedures, to know why any observers are present and to be able to ask anyone to leave if desired. The patient has a right to restrict visitors while hospitalized.

 4. The Right to receive care in a safe setting and to be free from all forms of abuse or harassment.

 5. The Right to confidentiality. The patient’s right to confidentiality in the use and disclosure of his or her health information is permitted or prohibited as governed by federal and state laws. The hospital honors that right by ensuring that public disclosure of the patient’s information is limited to the identity of the patient’s room number and general condition. Disclosure of clinical information is limited to associates of the hospital and professionals associated with the hospital who are involved in providing and evaluating care.

 6. The Right to have requests courteously received and promptly assessed with consideration given to other patients who may have more urgent needs at the time.

 7. The Right to request and receive an alternate room that is suitable for the provision of appropriate services when one is available if a patient or visitor is unreasonably disturbing (dependent on staff ability to
 accomplish this request in a timely fashion relative to other patient care duties at the time).

 8. The Right to request treatment by a physician of the patient’s or designated representative’s preference. In certain circumstances, the request does not obligate the physician to accept the case and can be dependent on the treatment 
 need at the time of the request, i.e., a physician’s request for specialist care.

 9. The Right to know the name of the physician responsible for directing and coordinating care, as well as the names of any other physicians or associates participating in the care.

 10. The Right to request a change in the physician who is providing care. The patient or responsible party has the sole responsibility to obtain a physician willing to accept the patient’s care. The hospital staff will provide a directory of on staff physicians, if requested, to aid the patient in the decision-making process.

 11. The Right to be informed of the planned course of treatment, including an appropriate explanation of procedures or operations and the right to participate in the decision-making process necessary to formulate a plan of care. The patient has the right to question any aspect of the illness or treatment plan. It is the physician’s responsibility to maintain communication with the patient with respect to his or her illness and care.

 12. The Right to information about pain and pain relief measures; the Right to be cared for by providers who are committed to pain prevention and management; the Right to have reports of pain responded to promptly and appropriately.

 13. The Right to give consent to procedures and treatments. In the event that the patient has been determined to be incompetent or medically incapable of understanding the proposed treatment, is unable to communicate wishes or is a minor, the patient’s guardian, next of kin or legally authorized responsible person is permitted to exercise the patient’s rights.

 14. The Right to be free from any form of restraint or seclusion that is not medically necessary or that is used as a means of coercion, discipline, convenience or retaliation by staff.

 15. The Right to refuse treatment. The hospital has established procedures for communication between the patient and the physician to inform the patient of the consequences of decisions to refuse treatment.

 16. The Right of the patient or a designated representative to be involved in any ethical decision regarding care. The family is to be involved to the degree determined by the patient or a designated representative. The Patient Care Advisory Committee is available to patients, families and staff to review ethical issues.

 17. The Right to be informed of any experimental research or educational project involving care.

 18. The Right to transfer to another facility, when medically feasible, if the care requested/ needed is beyond the scope of our capability or at odds with our philosophy of care. The patient shall receive complete information and an explanation concerning the need for and alternatives to such a transfer. The transfer must be acceptable to the receiving organization, which must have a bed available for the provision of appropriate services. There also must be a physician at the receiving organization who is willing to accept the patient and provide medical services.

 19. The Right of the patient or a designated representative to have access to and a copy of the medical record, within the limits of the law. The patient’s rights with respect to his or her health information are described in the Carroll Hospital Notice of Privacy Practices.

 20. The Right to formulate advance directives and to appoint a designated representative to make health care decisions on behalf of the patient or to have previously written advance directives honored by medical personnel. During the admitting process, the presence of advance directives will be verified and copies obtained for the patient record. If the patient has no predetermined advance directive, information or assistance will be provided in development of a directive. The patient has the right to reassess, change or withdraw advance directives.

 21. The Right to comfort and dignity in the dying process, thorough treatment of symptoms, effective relief of pain and response to the psychosocial and spiritual concerns of the patient and family. Care will be delivered in a manner consistent with the wishes of the patient, family or designated representative.

 22. The Right to leave the hospital against the advice of physicians. Hospital procedure must be followed in this case. By law, a patient with a contagious disease who is incapable of maintaining his or her own safety or a patient who is considered a danger to him or herself or others may be required to remain in the hospital.

 23. The Right to receive a written bill stating the hospital charges and to receive any necessary clarifications.

 24. The Right to report concerns or grievances about hospital services to the staff involved or to the patient representative at 410-871-7099, or extension 87099, without any fear of retaliation by staff. An appropriate staff member will investigate issues, complaints or grievances, and action will be taken based on the result of the investigation. A timely resolution can be expected. Dissatisfaction with the resolution of a concern, complaint or grievance can be forwarded through the patient relations representative to the hospital’s Grievance Committee or further consideration.

Grievances concerning confidentiality rights can be reported to:
•LifeBridge Health Privacy Officer
2401 W. Belvedere Ave.
Hoffberger Bldg., Suite 15
Baltimore, MD 21215

Grievances also can be addressed to:
•Office of Health Care Quality
7120 Samuel Morse Dr.
2nd Floor
Columbia, MD 21046
410-402-8016 or

•The Joint Commission
Office of Quality and Patient Safety
One Renaissance Blvd.
Oakbrook Terrace, IL 60181
Fax: 630-792-5636
Website:, then click “Report a Patient Safety Event”

25. The Right for patients or, when appropriate, their representative (as allowed under state law) to receive visitors whom he or she designates, whether a spouse, domestic partner, another family member or a friend, and the Right to withdraw or deny such consent at any time.

 26. The Right to appoint a support person, who must be 18 years of age or older, to be present during the hospital stay. The role of the support person is to provide the patient with emotional support and relief from stress. The identified support person is not necessarily the patient’s representative/health care agent. However, the same person can fill both roles. The support person may remain with the patient throughout the hospital stay provided his or her presence does not impinge upon the confidentiality rights of other patients, is not medically or therapeutically contraindicated, and does not place either the patient or hospital staff at risk.

The Responsibilities of the Patient:

 1. To provide any information, past or present, relating to his or her health, including medications, allergies and illnesses.

 2. To inform the hospital of any advance directives or designated representative.

 3. To behave in a way that is respectful and considerate to hospital staff, physicians and other patients and visitors. Violence against staff, physicians and other hospital patients or visitors may result in legal action.

 4. To inform the staff immediately if there is any question related to diagnosis, care and treatment.

 5. To ask the physician or nurse what to expect regarding pain and pain management options. To work with caregivers in planning pain management and to communicate when pain first begins, pain relief, any concerns about taking pain medication and any side effects experienced.

 6. To conform to hospital rules regarding no smoking or use of tobacco products, visiting hours, the number of visitors, not taking your own medications and providing the hospital with copies of advance directives, living wills or medical power of attorney papers.
 * Visiting regulations are established to ensure the rights and comfort of all patients. Patients should encourage visitors to abide by hospital rules and be considerate of other patients and staff. The hospital reserves the right to ask visitors to leave the building at any time for behavior deemed by a staff member to be inappropriate.

 7. To keep appointments or telephone the hospital when an appointment cannot be kept.

 8. To promptly make arrangements for payment of bills or to ask questions concerning the bill.

 9. To inform the department or administrative staff of any concerns or suggestions, either during the stay or after discharge.