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Patient Rights and Responsibilities

Confluence Health Patient Rights Statement

Our Patients have the Right to:

  1. Expect that Confluence Health and its providers, staff and contractors will protect and promote each patient’s rights.
  2. Expect that, within its capacity, Confluence Health will make reasonable response to the request of a patient for services, and not exclude, deny benefits to, or otherwise discriminate against any person on the ground of race, color, national origin, gender, sexual orientation, marital status, or on the basis of disability or age in admission to, participation in, or receipt of the services CH provides directly or through a contractor or any other entity with whom CH arranges to carry out its programs and activities.
  3. 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 an affiliated hospital.
  4. Be treated with dignity and respect and provided with care that is provided in a safe setting that is free from mental, verbal, sexual and physical abuse and corporal punishment, free from financial or other exploitation, free from harassment, retaliation, humiliation and neglect, and free from chemical and physical restraints except as authorized (in emergencies) in writing by a physician for a specified and limited period of time, or when necessary to protect the patient from injury to self or others and not imposed as a means of coercion, discipline, convenience or retaliation.
  5. Access protective services and a process in place to facilitate contact and notification. These are any services provided to a vulnerable adult with the consent of the vulnerable adult, or the legal representative of the vulnerable adult, who has been abandoned, abused, financially exploited, neglected, or in a state of self-neglect. These services may include, but are not limited to case management, social casework, home care, placement, arranging for medical evaluations, psychological evaluations, day care, or referral for legal assistance.
  6. Expect that all communications and records pertaining to his/her care are treated as confidential in accordance with the accepted laws of the State of Washington, including source of payment for treatment.
  7. Receive pastoral or social service counseling.
  8. Expect that every consideration of his/her privacy, concerning his/her medical care, case discussion, consultation, examination, and treatment are confidential and are conducted discreetly. Those not directly involved in his/her care must have the permission of the patient to be present.
  9. Know there is a complaint procedure in place and the patient is made aware of this procedure upon request, and be able to complain about their care and treatment without the fear of retribution or denial of care. The patient also has the right to report directly to the Washington State Department of Health and/or Medicare according to reporting guidelines.
    1. The telephone number and address for the Washington State Department of Health (DOH), Division of Licensing, 1-800-633-6828, in order for patients to make quality of care complaints directly to DOH.
    2. The telephone number for the Office of the Medicare Beneficiary Ombudsman is 1-800-MEDICARE (1-800-633-4227 or TTY 1-877-486-2048 ).
    3. The website for the Office of the Medicare Beneficiary Ombudsman is
    4. Office of Civil Rights
  10. Exercise these rights without being subjected to discrimination or reprisal.
  11. Receive from his/her physician information necessary to give informed consent prior to the start of any procedures and/or treatment and to participate in the development and implementation of his/her plan of care.
  12. Be informed of an adverse event or unanticipated outcome occurring as a result of or during his/her treatment or procedure.
  13. Personal choice regarding private association and communication with other people. The patient may send and receive mail unopened and use the telephone in private, unless medically contraindicated. The patient has the right to personal choice regarding participation in activities of social, religious, and community nature, unless to do so would infringe upon the rights of others.
  14. Receive information regarding an opportunity to complete an Advance Directive and the right to have staff and practitioners who provide care to either comply with these Advance Directives or to be notified in advance of providing informed consent that their Advance Directives will not be honored in a particular care setting.
  15. Request or refuse treatment to the extent permitted by law, and to be informed of the medical consequences of his/her action. (This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate).
  16. Know that CH has a process in place to facilitate organ and/or tissue donation.
  17. Obtain from his/her physician, complete, current information concerning his/her diagnosis, treatment and prognosis in terms the patient can be reasonably expected to understand.
  18. Have family input in care decisions with the patient’s consent or as a designated representative to make decisions in the event he/she is incapable of understanding a proposed treatment or procedure or is unable to communicate his/her wishes regarding care.
  19. To be informed, if a hospital inpatient or outpatient, if your visitation rights are limited due to clinical restrictions. To receive visitors whom you designate and to withdraw or deny such consent at any time. Confluence Health does not restrict, limit, or deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation or disability. All visitors enjoy full and equal visitation privileges consistent with patient preference.
  20. Be included in the process for considering ethical issues that arise in the provision of his/her care and participate in care decisions. This involvement includes education as well as active participation in the decision-making process.
  21. Know what guidelines apply to his/her conduct as a patient.
  22. Know if CH has relationships with outside parties that may influence his/her care. The relationships may be with educational institutions, other health care providers or insurers.
  23. Expect that the medical record contains an accurate profile and accounting of the patient’s medical treatment, procedures and history, and that the patient can access his/her medical record.
  24. Choose his or her attending physician and consult a specialist.
  25. Know that participation by patients in clinical training programs or in the gathering of data for research purposes is voluntary and the patient’s permission may be withdrawn at any time.
  26. Know that according to EMTALA regulations, a hospital patient may not be transferred to another facility unless the patient or his/her representatives has received a complete explanation of the need for the transfer and of the alternatives to such a transfer and unless the transfer is acceptable to the other facility.
  27. The patient or his representative has the right to be informed by the practitioner responsible for the patient’s care, or the practitioner’s delegate, of continuing health care requirements following discharge from CH.
  28. Be discharged upon physician’s order from the hospital.
  29. Request and receive an itemized and detailed explanation of the total bill for services. Receive available information on costs to patient.
  30. Be informed in writing if there is not a doctor present in the hospital 24/7

Confluence Health Patient Responsibilities Statement

Our Patients have the Responsibility to:

  1. Provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illness, hospitalizations, medications, and other matters relating to his/her health.
  2. Report unexpected changes in his/her condition to the responsible practitioner.
  3. Make it known whether he/she clearly comprehends a contemplated course of action and what is expected.
  4. Follow the treatment plan recommended by the practitioner primarily responsible for his/her 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 CH guidelines for guest services. The patient is responsible for asking questions when he/she does not understand information or instructions. If at any time the patient feels he/she cannot follow through with instructions, the patient is responsible for telling the physician or caregiver.
  5. Know the patient or legally authorized representative is responsible for his/her actions if he/she refuses treatment or does not follow the practitioner’s instructions.
  6. Assure that the financial obligations of his/her health care are fulfilled as promptly as possible.
  7. Know the patient is responsible for being considerate of the rights of other patients and CH personnel and for assisting in the control of noise and the number of visitors. He/she is responsible for being respectful of the property of other persons and of CH.
  8. Know the patient is responsible for providing copies of any written Health Care Directives (or “living will”) or Health Care Power of Attorney to CH.

No catalog of rights guarantees for the patient the kind of treatment he/she has a right to expect. CH has many functions to perform, including the prevention and treatment of disease, the education of both health professionals and patients, and clinical research. All these activities are conducted within a philosophical framework that addresses both patient care and patient rights.

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