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Civil Rights, Nondiscrimination and Language Access

Pennsylvania requires every licensed health care facility to have a written nondiscriminatory policy for patients and staff, to sign a civil rights compliance statement, to publicize its nondiscriminatory practices in the community at least every three years, and to send the Department a copy whenever the policy changes. This policy is that policy, with the Agency's language access and disability access practices.

Preview: full text with a package
About this policy
Policy number
PA-HSP-GOV-07
Version
1.0
Main rule
28 Pa. Code §51.12
Library
Pennsylvania hospice · 60 policies
Category
Governance
Sections
17

In short

  • Treat every patient, family member and coworker fairly. Never discriminate because of race, color, national origin, ancestry, age, sex, religion or disability.
  • Ask each patient which language they prefer. Use a free qualified interpreter, not a child or family member, for important talks.
  • For a deaf or hard-of-hearing patient, use a sign language interpreter or the relay service (711).
  • Report any concern about discrimination to Pat Sample.

What's inside

17 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 (28 Pa. Code §51.12)
  • 5. Matters the Policy Covers
  • 6. Civil Rights Compliance Statement
  • 7. Civil Rights Records
  • 8. Language Access and Effective Communication
  • 9. Complaints of Discrimination
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me your nondiscriminatory policy and where it is posted.
  • Show me the signed notification to employees of the policy.

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