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Patient Rights and Responsibilities (Home Care Clients’ Bill of Rights)

Gives every patient, during the initial evaluation visit and before care starts, a written notice of the North Carolina Home Care Clients’ Bill of Rights and the federal home health patient rights, the patient’s responsibilities, the Agency’s transfer and discharge policies, and the contacts for complaints (the administrator, the Agency, and the Division of Health Service Regulation hotline), with a signed receipt kept in the record, an oral explanation in the patient’s own language, and a copy to a patient-selected representative within 4 business days.

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About this policy
Policy number
NC-HH-PR-01
Version
1.0
Main rule
G.S. 131E-144.3
Library
North Carolina home health · 57 policies
Category
Client rights
Sections
25

In short

  • At the first visit, before any care, give the patient the rights notice and explain it in words he or she understands.
  • Use a qualified interpreter if the patient does not speak English well. Never use a child to interpret.
  • Have the patient sign the receipt. If the patient will not sign, write down that you gave and explained the notice.
  • If the patient chose a representative who was not there, the office sends the notice to that person within 4 business days.
  • Never treat a patient worse for complaining. Pass every complaint to the office the same day.

What's inside

25 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (G.S. 131E-144.4; 10A NCAC 13J .1007; 42 CFR §484.50(a))
  • 5. Rights Under North Carolina Law
  • 6. Rights Under Federal Law
  • 7. When a Representative Exercises the Patient’s Rights
  • 8. Giving the Notice
  • 8.1 What every patient receives and when
  • 8.2 Oral explanation in the patient’s language
  • 8.3 Signatures and receipts
  • 8.4 If the patient cannot or will not sign
  • 8.5 Notice to a patient-selected representative
  • 9. Patient Responsibilities
  • 10. Contact Information Every Patient Receives
  • 11. Protecting Rights at Every Visit
  • 12. Notice When the Agency’s License Changes
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me the rights notice this patient received and the signed receipt. When was it given?
  • How do you explain rights to a patient who does not read English or who has a hearing or vision impairment?

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