Patient Rights and Responsibilities
In Regard to Our Patients and
This Patient Bill of Rights and Responsibilities is an endeavor to publicly state what the patient and
family and friends of the patient may expect from Madison County Memorial Hospital. Madison County
Memorial Hospital has the right to expect reasonable and responsible behavior from the patient, family
A Patient’s Bill of Rights and Responsibilities does not presume to be all inclusive but is intended to
express a need for the observance of the rights and responsibilities of patients.
Patient Rights and Responsibilities
- The patient, regardless of race, color, national origin, physical or mental disability, gender identity or
expression, age, sexual orientation, religion, language, culture, socioeconomic status, or sources of
payment, has the right to impartial access or treatment or accommodations that are available and
medically indicated, and not be excluded from participation in, or denied benefits of, or otherwise be
subjected to discrimination.
- The patient has the right, under all circumstances, to considerate and respectful care with appreciation
of his/her individual dignity and to a positive self image with protection of his/her need for privacy.
The care of the patient includes consideration of psychosocial, and spiritual and cultural variables that
influence the perceptions of illness.
- The patient has the right to reasonable visual and auditory privacy and confidentiality of his or her
medical record. The patient and/or the patient’s legally designated representatives have access to the
information contained in the patient’s medical record, within the limits of the law, in a reasonable time
frame. The patient has the right to access information contained in his/her clinical record within a
reasonable time frame, and the right to request amendment to, and receive an accounting of
disclosures of the information.
- The patient has the right to reasonable, informed participation in decisions involving his/her health
care. The patient has the right to receive information and explanations from the practitioner regarding
his/her condition, and for all proposed technical procedures, including the possibilities of any risk, the
probability of success, potential benefits or side effects, including potential problems that might occur
- The patient has a right to participation in the consideration of ethical issues that arise in the provision
of his/her care.
- The patient has the right, within the law, to obtain from the attending physician complete and current
information concerning his/her diagnosis (to the degree which is known), treatment and prognosis
including unanticipated outcomes and events in terms the patient can comprehend.
- When it is inadvisable to give such information to the patient, information should be available to a
legally authorized individual. The patient has the right to a prompt and reasonable response to
questions and requests.
- The patient has a right to refuse care, treatment and services to the extent permitted by law and
regulations. When refusal of treatment by the patient or legally authorized representative prevents
appropriate medical care in accordance with professional standards or needs, the patient or
representative will be informed of the medical or financial consequences. The relationship with the
patient may be terminated upon reasonable notice.
- The patient has the right to designate a representative decision-maker in the event the patient is
incapable of understanding a proposed treatment or procedure or is unable to communicate his/her
wishes regarding care or has been adjudicated incompetent in accordance with the law.
- The patient has the right to treatment for any emergency medical condition that will deteriorate from
failure to provide treatment.
- The patient has the right to expect that, within the power of Madison County Memorial Hospital,
reasonable response be made to his/her requests for services. The patient may be transferred only
when medically and legally permissible and only after he/she has received complete information and
explanation concerning the need for such a transfer. The institution to which the patient is to be
transferred must first accept the patient transfer.
- The patient has the right to have a family member or representative of his or her choice and his or her
own physician notified promptly of his or her admission to the hospital.
- The patient has the right to know what support services for effective communications are available,
including whether an interpreter is available if he/she does not speak English or is deaf.
- The patient has the right to be given, upon request, full information and necessary counseling on the
availability of known financial resources for his/her care.
- The patient who is eligible for Medicare has the right to know, upon request in advance of treatment,
whether Madison County Memorial Hospital accepts the Medicare assignment rate.
- The patient has the right to expect that any discussion or consultation involving his/her care will be
conducted discreetly and individuals not directly involved in the care will not be present without
- The patient has the right to know the identity and professional status of individuals providing services
and to know which practitioner is primarily responsible for his/her care. In addition, the patient has
the right to obtain information as it relates to Madison County Memorial Hospital and other health
care providers, in so far as his/her case is concerned.
- The patient has the right to be informed if the hospital proposed to engage in or perform human
experimentation or other research/educational projects affecting his/her care or treatment and has the
right to refuse to participate.
- The patient has the right to request and receive an itemized and detailed explanation of services
rendered while in Madison County Memorial Hospital regardless of the source of payment for his/her
- The patient has the right to express his/her concerns, conflicts or grievances regarding admission,
treatment, compliance with advance directive, discharge, care and services without compromising care
and/or services directly to nursing or other clinical staff, physicians, hospital administration, Risk
Management, Quality Department, the Ethics Committee, and the Agency for Health Care
Administration, 2727 Mahan Drive, Tallahassee, Florida 32308, telephone #1-888-419-3456. The
patient has the right to lodge a grievance with the Agency for Health Care Administration regardless
of whether he/she has first used the hospital’s grievance process.
- Madison County Memorial Hospital supports the patient’s right to formulate advance directives,
including organ donation, and the facility will comply with the patient’s advance directives to the
extent permitted by law. Madison County Memorial Hospital will not condition the provision of the
patient’s care or otherwise discriminate against the patient based on whether or not the individual has
executed an advance directive.
- Comfort care and pain-relieving medications will always be provided to optimize the comfort and
dignity of the dying patient.
- The patient and family have the right to expect acknowledgement of the psychosocial and spiritual
needs in regard to the dying process. The hospital will accommodate the patient’s right to pastoral
and other spiritual services.
- The patient has the right to receive care in a safe setting and the right to be free from all forms of
abuse, harassment or exploitation. The patient has a right to access protective and advocacy services.
- The patient has the right to the assessment and management of his/her pain.
- The patient has the right to be free from restraints of any form or seclusion that is not medically
- The patient has the right to be informed of his/her responsibilities.
- The patient has the right to seek review by the Quality Improvement Organization (QIO) for quality-
of-care issues, coverage decisions, and to appeal a premature discharge.
- The patient has the right to have visitors regardless of their legal relationship to the patient, the right to
receive or refuse visitors without regard to visiting privileges on the basis of race, color, national
origin, religion, sex, gender identity, sexual orientation, or disability; and ensure that all visitors enjoy
full and equal visitation privileges. The hospital reserves to right to restrict or revoke visitation for a
visitor who is disruptive/hostile/threatening towards staff or a patient, Code Gray Security
Emergency, or a Disaster Preparedness Infection Control Communicable Disease concern (when
deemed necessary by a regulatory agency).
- The patient is responsible for providing accurate and complete information about present complaints,
past illnesses, hospitalizations, medications and other matters relating to his/her health.
- The patient is responsible for reporting unexpected changes in his/her condition to the responsible
- The patient is responsible for reporting whether he/she clearly understands and comprehends the plan
of action for his/her needs and what is expected of him/her.
- The patient is responsible for following treatment plans recommended by the practitioner primarily
responsible for his/her care. This plan may include following instructions of nurses and other
healthcare personnel who implement the physicians’ orders and enforce hospital rules and regulations.
- The patient is responsible for keeping appointments and notifying the healthcare provider or facility
when he/she is unable to do so for any reason.
- The patient is responsible for his/her action if he/she refuses treatment or does not follow the
- The patient is responsible for assuring that the financial obligations of his/her healthcare are fulfilled
as promptly as possible.
- The patient is responsible for following Madison County Memorial Hospital rules and regulations
affecting patient care and conduct.
- The patient is responsible for being considerate of the rights of other patients and Madison County
Memorial Hospital personnel and for assisting in the control of noise. Minor visitors must be
accompanied and strictly supervised by an adult. The patient is responsible for being respectful of the
property of others and of Madison County Memorial Hospital.
Regarding Problem Resolution of Complaints:
We aim to satisfy every one of our patients. Please let your health care professional, or their supervisor,
know if you have any concerns or complaints. They will listen, review, and assist you to obtain a
resolution. Department managers, directors, and house supervisors are who to contact if your complaint
remains unresolved. Patients, families, and visitors are encouraged to speak directly with Administration
of the hospital to discuss a concern if they desire. When a concern is expressed about patient care and
safety to facility personnel and/or management, it shall be handled without one being subjected to
coercion, discrimination, reprisal or unreasonable interruption of care; and to be informed of the
resolution process for your concerns. If you have a complaint against a healthcare professional or a
Medicare Complaint you may contact: Agency for Healthcare Administration Phone: (888) 419-3456
Access to Patient Advocacy Groups:
- Suspected abuse or neglect of a child, elderly person or a disabled person, Abuse Registry Hotline:
- Suspect sexual abuse or partner abuse: Refuge House: (850) 681-2111
- Suspect violation of Residents Rights at Long Term Care (Long Term Care Ombudsman):
Tammy Stevens, CEO
224 NW Crane Ave.
Madison, Florida 32340
Florida Agency for Health Care
2727 Mahan Drive
Tallahassee, FL 32308
The Center for Medicare and
Medicaid Services (CMS)
7500 Security Boulevard
Baltimore, MD 21244