At
Elderhaus PACE we are dedicated to providing you with
quality health care services so you may remain as
independent as possible. Our staff is committed to treating
each and every participant with dignity and respect, and
ensuring that all participants are involved in planning for
their care and treatment.
As a Elderhaus
PACE participant, you have the following rights:
You have the right
to be treated with respect.
You have the right
to be treated with dignity and respect at all times, have
all of your care kept private, and get compassionate,
considerate care. You have the right to:
- Get all of your
health care in a safe, clean environment.
- Be free from harm.
This includes physical or mental abuse, neglect,
physical punishment or being placed by yourself against
your will, as well as any physical or chemical restraint
used on you for discipline or convenience of staff that
you do not need to treat your medical symptoms or
prevent injury.
- Be free from
hazardous procedures.
- Receive treatment
and rehabilitation services designed to promote your
functional ability to the optimal level and encourage
your independence.
- Receive care from
professionally trained staff that has the education and
experience to carry out the services for which they are
responsible.
- Be ensured of
auditory and visual privacy during all health care
examinations or treatment visits.
- Be encouraged and
assisted to use your rights in Elderhaus PACE.
- Get help, if you
need it, using the Medicare and Medicaid complaint and
appeal processes, and your civil and other legal rights.
- Be encouraged and
helped in talking to PACE staff about changes in policy
and services you think should be made.
- Use a telephone
while at the PACE center, make and receive confidential
calls and/or have such calls made, if necessary.
- Not have to do
work or services for Elderhaus PACE.
You have a right
to protection against discrimination.
Discrimination is
against the law. Every company or agency that works with
Medicare and Medicaid must obey the law. They cannot
discriminate against you because of your:
- Race/ethnic origin
- Religion
- Age
- Sex
- Sexual orientation
- Mental or physical
ability
- Source of payment
for your health care (for example, Medicare or Medicaid)
As a participant
of Elderhaus PACE, you have the right to receive competent,
considerate, respectful care from staff and contractors
without regard to race/ethnic origin, religion, age, sex,
sexual orientation, mental or physical ability, or source of
payment for your health care.
If you think you
have been discriminated against for any of these reasons,
contact a staff member at Elderhaus PACE to help you resolve
your problem. If
you have any questions, you can call the Office for Civil
Rights toll-free at 1-800-368-1019.
You have a right
to information and assistance.
You have the right
to get accurate; easy to understand information and have
someone help you make informed health care decisions. You
have the right to:
- Have someone help
you if you have a language or communication barrier so
you can understand all information given to you.
- Have someone
interpret all information given to you into your
preferred language in a culturally competent manner, if
your first language is not English and you cannot speak
English well enough to understand the information being
given to you.
- Have the
Enrollment Agreement discussed fully and explained to
you in a manner you understand.
- Get marketing
materials and PACE rights in English and any other
frequently used language in your community. You also can
get these materials in Braille, if necessary.
- Get a written copy
of your rights from Elderhaus PACE. Elderhaus PACE will
post these rights in a public place in the PACE center
where it is easy to see them.
- Be fully informed,
in writing, of the services offered by Elderhaus PACE.
This includes telling you which services are provided by
contractors instead of the PACE staff. You will be given
this information before you join Elderhaus PACE, at the
time you join and when there is a change in services.
- Look at, or get
help to look at, the results of the most recent review
of Elderhaus PACE. Federal and state agencies review all
PACE programs. You also have a right to review how
Elderhaus PACE plans to correct any problems that are
found at inspection.
You have a right
to a choice of providers.
- You have the right
to choose your own primary care provider and specialists
within Elderhaus PACE’s network and get quality health
care.
- You have the right
to request that your primary care be transferred to a
different primary care physician and specialist within
Elderhaus PACE’s network.
- Women have the
right to get services from a qualified women’s health
care specialist for routine or preventive women’s health
care services.
You have a right
to access emergency services.
You have the right
to get emergency services when and where you need them
without Elderhaus PACE’s approval. A medical emergency is
when you think your health is in serious danger – when every
second counts. You may have a bad injury, sudden illness or
an illness quickly getting much worse. You can get emergency
care anywhere in the United States.
You have a
right to participate in treatment decisions.
You have the right
to fully participate in all decisions related to your health
care. If you cannot fully participate in your treatment
decisions or you want to have someone you trust help you,
you have the right to choose that person to act on your
behalf. You have the right to:
- Have all treatment
options explained to you in a language you understand,
be fully informed of your health status and how well you
are doing, and make health care decisions.
- Be informed of all
treatment prescribed prior to being treated, when and
how services will be provided, and the names and
functions of people providing your care.
- Request
reassessment by the IDT.
- Refuse treatment
or medications. If you choose not to get treatment, you
must be told how this will affect your health.
- Be assured that
decisions regarding your care will be made in an ethical
manner.
- Be assured that
you and your family will be taught about an illness
affecting you so that you can help yourself, and your
family can understand your illness and help you.
- Receive
information on advance directives and have Elderhaus
PACE help you create an advance directive. An advance
directive is a written document that says how you want
medical decisions to be made in case you cannot speak
for yourself.
- Participate in
making and carrying out your plan of care, which will be
designed to promote your functional ability to the
highest level and encourage your independence. You can
ask for your plan of care to be reviewed at any time.
- Be given advance
notice, in writing, of any plan to move you to another
treatment setting, and the reason you are being moved.
You have a right
to have your health information kept private.
You have the right
to:
- Talk with health
care providers in private and have your personal health
care information kept private as protected under state
and federal laws.
- Review and receive
copies of your medical records and request amendments to
those records.
- Be assured that
all information contained in your health record will be
held in confidence, including information contained in
any automated data bank. Elderhaus PACE will require
your written consent for the release of information to
persons not otherwise authorized under law to receive
it. You may provide written consent, which limits the
degree of information and the persons to whom
information may be given.
- There is a new
patient privacy rule that gives you more access to your
own medical records and more control over how your
personal health information is used. If you have any
questions about this privacy rule you may call the
Office for Civil Rights toll-free at 1-800-368-1019. TTY
users should call 1-800-537-7697.
You have a right
to file a complaint.
You have a right
to complain about the services you receive or that you need
and do not receive the quality of care, or any other
concerns or problems you have with Elderhaus PACE. You have
the right to a fair and timely process for resolving
concerns with Elderhaus PACE. You have the right to:
- A full explanation
of the complaint and appeals process.
- Be encouraged and
helped to freely explain your complaints to PACE staff
and outside representatives of your choice. You must not
be harmed in any way for telling someone your concerns.
This includes being punished, threatened or
discriminated against.
- Appeal any
treatment decision by Elderhaus PACE, staff or
contractors.
You have a right
to leave the program.
If for any reason
you do not feel that Elderhaus PACE is what you want, you
have the right to leave the program at any time.