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Patient and Family Rights and Responsibilities

Sets how the Agency tells every patient and representative, out loud and in writing, about the patient’s rights and responsibilities before care starts, lists those rights, explains who exercises them for a patient who cannot, and tells patients how to raise a concern inside the Agency and with DC Health, the BFCC-QIO, Adult Protective Services and the Long-Term Care Ombudsman.

Preview: full text with a package
About this policy
Policy number
DC-HSP-PR-01
Version
1.0
Main rule
42 CFR §418.52
Library
Washington, DC hospice · 60 policies
Category
Client rights
Sections
20

In short

  • Before any care, the admitting nurse explains the patient’s rights out loud and gives the written notice.
  • Use the patient’s language. Get a qualified interpreter or aid when needed; never use a child to interpret.
  • Get the patient’s or representative’s signature showing they received the notice.
  • Tell every family they can raise a concern at any time, with us, DC Health or the BFCC-QIO, and that care will not change.
  • Report any suspected abuse, neglect or theft to the Administrator at once.

What's inside

20 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 (42 CFR §418.52)
  • 5. Giving the Notice
  • 6. The Patient’s Rights
  • 7. When Someone Else Exercises the Patient’s Rights
  • 8. Protecting the Patient From Abuse, Neglect and Exploitation
  • 9. Raising a Concern
  • 10. Respect for the Patient’s Person and Property
  • 11. Patient and Family Responsibilities
  • 12. DC Medicaid (If the Agency Is Enrolled)
  • 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 how and when you give the notice of rights. Where is the signed acknowledgment in this record?
  • How do you give the notice to a patient who does not speak English or who has a hearing or vision disability?

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