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Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information

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Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information Affordable Care Act – Language In significant publications and Notice requirement, HHS Translated Resources for Covered Entities: Assistance Service. significant communications 45 C.F.R. §§ https://www.hhs.gov/civil-rights/for-individuals/section- targeted to beneficiaries, 92.8(d)(1)-(2). 1557/translated-resources/index.html. enrollees, applicants, and members of the public, except for significant publications and significant communications that are small-sized, such as postcards and tri-fold brochures; In conspicuous physical locations where the entity interacts with the public; and In a conspicuous location on the covered entity's website accessible from the home page of the covered entity's website. Affordable Care Act – Participation in Post signs in the facility in 42 C.F.R. § 312(a)(2). Standardized written notices must be made available upon Shared Savings Program. settings in which beneficiaries request. Provide notice to beneficiaries at point receive primary care. of care of the participation in the Must use template language developed by CMS and must Shared Savings Program and of the meet marketing material requirements per 42 C.F.R. § opportunity to decline claims data 425.310. sharing under § 425.708. Notice is carried out when signs are posted. CMS has provided template poster language in the ACO Marketing Toolkit on the Shared Savings Program ACO Portal, accessible to ACO participants, available at: https://portal.cms.gov. Illinois Health and Hospital Association Last updated February, 2020 This document is intended to be a guide for IHA Members on the signs and notices hospitals are required to post or provide to patients and visitors under federal law. Although efforts have been made to develop a complete list of hospital signage requirements, IHA cannot guarantee that this list is exhaustive in all cases. For questions, please contact the IHA Legal Affairs Department at [email protected] or 630-276-5506. Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information Community Health Needs Assessment a) must make widely available to 26 C.F.R. §§ 1.501(r)- See § 501(r)-3(b)(6) for details on CHNA report: (CHNA). the public, including website 3(b)(6)-(7)(i). https://www.gpo.gov/fdsys/pkg/FR-2014-12-31/pdf/2014- Final Community Health Needs where policy is readily accessible 30525.pdf. Assessment Report as adopted by an to the public, without requiring a authorized body of the hospital login or other restriction, at least See also subparagraph (7)(i) for regulations on draft CHNA facility, as defined by § 501(r)-3(b)(6). until the date the hospital facility reports. has made its two subsequent Applies to hospital organizations and CHNA reports widely available on hospital facilities as defined in §§ its website, and 501(r)-1(17) & (18) that are tax exempt under § 501(c)(3). b) paper copies available for public inspection upon request and without charge at least until the date the hospital facility has made its two subsequent CHNA reports widely available in paper copy. Comprehensive Care for Joint Publically post on participant Sharing Replacement (CJR) Program hospital’s website; update arrangements under Participants. quarterly (at a minimum). the CJR model, If hospital is a participant in the CJR 42 C.F.R. § program, list of all current and past 510.500(d)(1)(ii). CJR collaborators, including names and addresses, and written policies for selecting collaborators required by § 510.500(a)(3). Illinois Health and Hospital Association Last updated February, 2020 This document is intended to be a guide for IHA Members on the signs and notices hospitals are required to post or provide to patients and visitors under federal law. Although efforts have been made to develop a complete list of hospital signage requirements, IHA cannot guarantee that this list is exhaustive in all cases. For questions, please contact the IHA Legal Affairs Department at [email protected] or 630-276-5506. Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information EMTALA sign. “conspicuously” in any Basic Commitments, IHA provides examples of the language that can be used for Specify the rights of individuals, under emergency department or in 42 C.F.R. § both English and Spanish EMTALA signs: 42 U.S.C. § 1395dd, to examination places likely to be noticed by 489.20(q)(1). https://www.team-iha.org/advocacy-policy/legal- and treatment for emergency medical individuals waiting for issues/emtala-signage-requirements. conditions and women in labor. examination and treatment in 42 U.S.C. §§ areas other than traditional 1395cc(a)(1)(N)(iii)- emergency departments (e.g., (iv). entrance, admitting area, waiting room, treatment area). Hill-Burton Community Service “....in appropriate areas of the Grants, Loans and A Hill-Burton facility must post notices informing the public Obligation Notice sign. facility, including not limited to Loan Guarantees for of its community service obligations in English and Spanish. State that the hospital must provide the admissions area, the business Construction and If 10% or more of the households in the service area usually services without discrimination on the office and the emergency room.” Modernization of speak a language other than English or Spanish, the facility ground of race, national origin, creed, Hospitals and must translate the notice into that language and post it as or any other ground unrelated to an Medical Facilities, well. individual’s need for the service or the Community Service, availability of the needed service in 42 C.F.R. § 53.113. the facility. Medical Facility Construction and Modernization, 42 C.F.R. §§ 124.603, 124.604. Illinois Health and Hospital Association Last updated February, 2020 This document is intended to be a guide for IHA Members on the signs and notices hospitals are required to post or provide to patients and visitors under federal law. Although efforts have been made to develop a complete list of hospital signage requirements, IHA cannot guarantee that this list is exhaustive in all cases. For questions, please contact the IHA Legal Affairs Department at [email protected] or 630-276-5506. Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information Hill-Burton Uncompensated Services “....in appropriate areas of the Grants, Loans and A Hill-Burton facility must post notices informing the public Obligation Notice sign. facility, including not limited to Loan Guarantees for of its community service obligations in English and Spanish. Must inform patients or potential the admissions area, the business Construction and If 10% or more of the households in the service area usually patients that the criteria for eligibility office and the emergency room.” Modernization of speak a language other than English or Spanish, the facility and applications for the Hill-Burton Hospitals and must translate the notice into that language and post it as Free or Reduced-Cost Care Program Medical Facilities, well. are available upon request. Services for Persons Unable to Pay, 42 Signs in English and Spanish can be obtained from C.F.R. § 53.111 https://www.hrsa.gov/gethealthcare/affordable/hillburton /index.html. Medical Facility Construction and Notice must be posted in substantially the same form as Modernization, 42 provided in 42 C.F.R. § 53.111(i). Facilities must also publish C.F.R. § 124.504. notice in a newspaper of general circulation in its area regarding its uncompensated services obligation before the beginning of each fiscal year. Individual written notice must also be provided to each person who seeks services on behalf of him/herself or another. Medicaid participation under a State “conspicuously.” Basic Commitments, plan approved under Title XIX sign. 42 C.F.R. § Sign must indicate whether the 489.20(q)(2). hospital or rural primary care hospital participates in Medicaid. Illinois Health and Hospital Association Last updated February, 2020 This document is intended to be a guide for IHA Members on the signs and notices hospitals are required to post or provide to patients and visitors under federal law. Although efforts have been made to develop a complete list of hospital signage requirements, IHA cannot guarantee that this list is exhaustive in all cases. For questions, please contact the IHA Legal Affairs Department at [email protected] or 630-276-5506. Hospital Patient and Visitor Signs and Notices Federal Requirements Required to Post Placement Authority Additional Information Notice if physician is not present in a post “conspicuously in a place or Basic Commitments, Sign must state that the hospital does not have a doctor of dedicated emergency department places likely to be noticed by all 42 C.F.R. § medicine or doctor osteopathy present in the hospital 24 24/7. individuals entering the 489.20(w)(5). hours per day, 7 days per week, and must indicate how the dedicated emergency hospital will meet the medical needs of any patient with an department.” emergency medical condition. See also “Written notice to patients if there is no doctor present in the hospital 24/7 to assist patients in making informed decisions regarding their care.” under notices below. Section 1557 of the ACA – “a conspicuously-visible font size: Nondiscrimination The
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