Patient Handbook: Grady General Hospital

A GUIDE TO YOUR STAY Grady General Hospital

Table of Contents 3 8 9 9 4 4 4 4 4 4 6 8 4 5 . . . . 32 32 32 33 10 10 15 18 22 23 25 26 26 28 . . 30 32 33 41 12 15 19 25 27

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Understanding Your Hospital Bill Your Understanding Health Information Exchange Health Information Organ/Tissue Donation Organ/Tissue Directives Advance Our Services Continue After Your Hospital Stay Your Our Services After Continue Patient Survey Patient Understanding Your Discharge Information Discharge Your Understanding the Hospital Leaving After Care Follow-Up Pain Management Pain Medications Understanding Your Patient ID Patient Security Patient Meals Patient and Guidelines Hours Visiting Attention Immediate Need You When Concerns Patient/Family Important Numbers Phone Visiting Hours Visiting WiFi Communication Your Room Your Attention Need Immediate Meals Patient E OF E BL TA Medical Records: ArchHIE Medical Records: Your Medical Bill And Insurance Medical Bill And Your Special Services Our Commitment To You Our To Commitment Patient Choice Statement Choice Patient Preparing To Leave The The Hospital Leave To Preparing Your Care and Treatments and Care Your Your Health and Safety Health and Your A Guide To Your Patient Room Patient Your To A Guide Quick Guide To Your Visit Visit Your Quick Guide To Speak Up! Guest Services Six Things You Need To Know About Your Stay Your About Know To Need You Things Six 4 Six Things You Need To Know About Your Stay 3 2 1 between 7a.m .and6:30p mayMeals beordered on page10. bedside assistance Charge Nurseby requesting the the concern, pleasealert care team isnotrecognizing your condition andthehealth amedicalchangein detect family hasasafety concern or hospital stay, ifyou oryour At any your timeduring Learn more onpage12. any belongings ofvalue should you wishto protect safe ofrooms, inthemajority cards at home, butthere isa to leave valuables andcredit health care team . We urge you ask any memberofyour room temperature adjusted, activities the control box for allthese call button . You may alsouse for thebed, andnurse TV railsBedside contain controls KNO SIX Patient Meals Attention Need Immediate Your Room THINGS YOU If you’d .If likethe W

ABOUT YOUR STAY . Learn more

.m 4 6 5 more onpage9. to your hospitalbill an additionalfee andcharged Guest mealsare available for page 8. whiteboard your care team, checkyour names ofthepeopleon nurses’ station andfor the near your bed isonthetable instructions A room phonewith Learn more onpage11. phones, tabletsandlaptops patients andvisitors for cell internet access isavailable to wirelessComplimentary . known ornurse health care partner not upfor company, letyour or sore throat they don’t have acough, fever from 9a.mto 9p a day member iswelcome 24hours Your orfamily care partner NEED TO Visiting Hours Communication WiFi Others are welcome .Others Learn more onpage9. .

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. .org/speak jointcommission . . among the most common health care health care among the most common mistake facility, care health se an accredited which has Memorial Hospital, Archbold survey a rigorous ensure to completed and qualitysafety articipate in all decisions of the center are You plan . treatment . team the health care getting the right treatments and treatments getting the right medicines yourself ducate and treatment diagnosis your member or friend family sk a trusted (“health care advocate be your to partner”) . take and why medicines you what now are take them . Medication errors you peak up if you have any questions any have peak up if you ask again . understand, If don’t you are you the care to attention ay receiving P P S E K U EAK UP EAK SP For more information on this initiative, on this initiative, information more For please visit A Commission, a nonprofit organization organization a nonprofit Commission, and certifies accredits care health that us help to you encourage to organizations, in the delivery medical errors of prevent care your Speak Up is a collaborative effort between is a collaborative Speak Up Memorial and the Joint Hospital Archbold

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you think of you you need to. to. need you 6 Guest Services diet, we askthat food and for ofrespect Out thepatient’s Monday–Friday 9:00ato 6:00p Tower shop andinthe gift floorsoftheNorth and fourth waiting areas onthesecond the cafeteria, as well asinthe basement leadingto corridor to vending machinesinthe There isalso24-houraccess Cafeteria HoursofOperation hours service join ourstaffduring and guestsare welcome to line, saladbarandgrill cafeteriaOur offers ahot food Cafeteria and SnackShop schedule for ATM use local bankfor itsspecific fee machine charges $3for useofthis Grady Cafeteria .Archbold leadingtoin thecorridor the teller machine(ATM) islocated and visitors, anautomatic patients, theirfamilymembers For theconvenience ofour ATM GUEST SER Dinner Lunch Breakfast . .Checkwithyour 5:00p–5:30p 11:30a–1:00p 8:00a–8:30a . . Visitors VICES

. the hospitalonmed- and visitors isprovided in A chapelfor useby patients Chapel/Ministers not begiven to ourpatients fromdrinks outsidesources home will beforwarded to you at youafter have beendismissed receivedMail at thehospital onweekends is nodelivery weekdays by volunteers is delivered once dailyon the Intensive Care Unit Flowers are notpermitted in delivered astheyare received Flowers are andpackages Packages Flowers, and Mail chaplain oncall thevolunteercontacting and request assistance in or Administration .Dial “0” the med-surg charge nurse be reached by contacting The volunteer chaplaincan or familiesuponrequest available to patients and/ volunteer chaplainoncall, needed and willbecalledwhen may visityou regularly surg floor . . The hospitalhasa . Your minister . Mail .Mail . There . . . . Guest Services 7 Patients . Patients . hospital bill hospital to or information more For schedule transportation, social contact nurse, the unit planner or discharge worker, 229 .228 .2800 . at call Archtrans individuals and is available is available and individuals out-of-area trips for will transported Archtrans by their from separately be billed . . .

You are are You .

. Cairo, GA 39828 Cairo, Patient’s Name Patient’s Hospital General Grady SE Street 1155 5th hospitals, nursing homes and hospitals, and stretchers, as well as as well and stretchers, ambulatorythose who are serves area Archtrans are specially equipped to specially equipped to are in wheelchairs handle patients Archbold’s nonemergency Archbold’s transport Archtrans system, transportation vehicles Patient or from a healthcare facility a healthcare or from use the servicesmay of Patients requiring assistance assistance requiring Patients with transportation either to care Transportation Emergency Department so for is available space that needing emergencypatients Emergency Department lot the visiting are unless you in other lots marked for in other lots marked for doctors or hospital employees park in the not to ask you We front of the hospital front parking from refrain asked to Parking is provided free in the free is provided Parking parkingvisitor in lot located Parking while admitted to the hospital, the hospital, to admitted while address: following use the To receive mail or a package mail receive To 8 Quick Guide to your visit Volunteer Services Patient Representative Patient Financial Services Patient Experience Nursing Office RecordsMedical CenterMaternity Hospice Home HealthServices Services Discharge Planning Services/Social Archtrans for Behavioral andPsychiatric Care CenterArchbold Northside Administration Phone Numbers Important QUICK GUIDETO YOURQUICK ...... 229 .5845500ortoll-free 1.8002906567 ......

...... VISIT 229 .2282800 229 .2288120 229 .3770251 229 .2282742 229 .2288086 229 .2288870 229 .5845523 229 .3770252 229 .2275050 229 .3771150 229 .2282200 229 .2282767 Quick Guide to your visit 9 . . . It is our . Justified We do not We . Please refrain refrain . Please Please ask at ask at . Please If your physician physician . If your Visitation times may vary times may Visitation based on individual patient . condition privileges consistent with privileges consistent preferences patient clinical restrictions and be may limitations visitation within the health areas set for the safety where system care or privacy be may of patients compromised times visitation each unit for health system have the right the right have health system whom he visitors receive to or she designates visitation restrict or deny privileges on the basis of race, religion, origin, national color, gender orientation, sexual sex, identity disability or enjoy all visitors that desire full and equal visitation meal choices a modified has prescribed menu options on the diet, be limited may not are that foods eating from diet prescribed within your Hours and Visiting Guidelines within the Archbold Patients associate will be checking will be associate your throughout with you your regarding stay hospital . Long . Long . . Instructions for Phone charges charges . Phone For regional calls regional . For Please limit calls . Please . hospital and is prescribed by by hospital and is prescribed . A catering physician your Diet is an important part of while in the treatment your from 7am to 9pm . 7am to from Meals Patient than by calling the hospital than by operator Please encourage them to do to them encourage Please get them to this as it will allow much quicker you to through you directly by dialing 377- dialing directly by you number room 0 plus your . room your cannot be billed to call and friends may Family billed to your home number, home number, your billed to or by card phone credit your calling collect to place those calls place to be must charges distance (area code)-(number) and you you and code)-(number) (area an operator to will be directed calls 9-1- dial long distance, For for local calls for there dial 9-1-229-(number), phone regional for is no cost You may make outside calls make outside calls may You plus the number “9” dialing by using the phones are located located phones are using the on the telephone Telephones are located in located are Telephones rooms patient Telephones 10 Quick Guide to your visit from 9:00a–9:00p General visitinghoursare charge nurseontheunit must beapproved by the exceptionsfrom 8:30p–7:30a; rooms are notpermissible staysOvernight inwaiting lobby orotherwaiting areas spend thenight inthemain visitors are requested notto patient is limited to two visitors per charge nurseontheunitand must beapproved by the request A chair-bed upon isfurnished with thepatient’s nurse isolation, sopleaseconsult to visitdueto diseaseor be inappropriate for children unattended children shouldbeleft will beaskedto leave patients by anadultotherthanthe are at alltimesaccompanied visit patients aslongthey Well children are permitted to should notvisitpatients or othercontagious illness person withacold, sore throat well assoonpossible get therest theyneedto get We wishfor ourpatients to limit two visitors perpatient .For reasons, security .Any overnight stay .Disruptive visitors .At times, itmay .Please .No . .Any . . . . • • • following: The hospital provides the Interpretive Services or problems, pleasecontact your familyhave any concerns At any time, shouldyou or Patient/Family Concerns us contact Please don’t hesitate to otherstaffifnecessary to alert aware that you have theright patient carequality families to beinvolved in We want patients andtheir that you are beingprovided a questionregarding thecare also usethisprocess ifthere is bedside assistance Charge Nurseby requesting the the concern, pleasealert care team isnotrecognizing your condition andthehealth amedicalchangein detect family hasasafety concern or hospital stay, you oryour at anyIf your timeduring Immediate Attention When YouNeed Visual assistive devices in for impaired thehearing telephone communications Sign languageand TTY services Language interpreting the communication tool kit . . You may .Please be . . Quick Guide to your visit 11 . . . . Smoking . device to ‘Arch_Guest’ and ‘Arch_Guest’ to device WiFi of the terms accept usage phones, tablets and laptops phones, connect your WiFi access To internet access is available to to is available access internet cell for and visitors patients WiFi Complimentary wireless smoke-free campus on Archbold is not allowed Memorial property Hospital Smoke-Free Campus Smoke-Free is a Hospital General Grady 8086 and ask to speak speak to and ask 228 .8086 229 . representatives one of our to at patient advocate at at advocate patient at 12 A Guide To Your Patient Room other equipment respond quickly messagesontheir phonesorpagerstoalso getalarm helpthem request assistance from amemberoftheclinicalteam .Nurses of time, pleasetell anurseorpushyour patient callbutton to medicine pumps monitors, or bedalarms caninclude heart Examples ofalarms Each patient room hasdifferent alarms for your care andsafety Alarms care team . the room temperature adjusted, askany memberofyour health also usethecontrol box to control alltheseactivities have controls for thebed, andanursecallbutton . TV You may canbefullyadjustedBeds for sittinguporreclining Your Bed P GUIDETO YOURA ATIENTM ROO .For your own safety, becareful notto touch If no one answers an alarm after a short period period nooneanswers ashort after .If analarm . with your nurse Please review your board . day forgoals andactivities each Your nursewillalsolistyour you eachday eachshift, with who willbeworking names ofstaffmembers On it, your nursewrites the you canseefrom your bed communication board that Your room hasa Communication Board Bedside rails .Bedside . If you’d .If like . . . A Guide To Your Patient Room 13

You You . Please . Please thermostat. to adjust the adjust the to partialsvery is a common hospitals in all problem this loss can help prevent nurse making your by sure your removed have knows you or partialsdentures them in paper wrapping avoid washcloths tissue, towels, might else that or anything Personal Items Personal Valuables and loss of the Amazingly, hearing aids and dentures, ask any member of our team member of our team ask any the temperature of your room, room, of your the temperature If you have any concerns about concerns any have If you . You can help us can help us You . If there is anything is anything . If there or drinks into the hospital or drinks into in placing all trash and by receptacles appropriate with good housekeeping with good housekeeping food not bringing practices by attention of our housekeeping housekeeping of our attention department,contact please nurse your attractive the needs that feel you We try rooms our keep to We and neat clean, and hallways Room Cleaning 14 A Guide To Your Patient Room as trash orsent to thehospital accidentally bethrown away and otherassigned tasks out your physician’s orders The nursingpersonnelcarry 24-hours aday who are available to you composed ofprofessionals is Nursing department Archbold Hospital’s Memorial Nursing Care have agreat experience hospital stay are more likelyto their during comfortable are more informed and Patients andfamilieswho andEntertainment TV lost whileyou are apatient cases orcontainers that are any valuables, personalitems, will notberesponsible for the hospitalvault them to thenurseto putinto send themhome, pleasegive cards you orcash.If didn’t rings, watches, wallets, credit have hadwithyou suchas home any valuables you may You are strongly urged to send dentures container inwhichto keep for theseitems cannot beresponsible other valuables, thehospital assoiledlinen.Like laundry . . .Ask for a . The hospital . . . push thebutton andletthe problem orneedassistance, an intercom you .If have a The nursecall button is administration . manager onyour unitor the charge nurseor may beansweredservice by aboutnursing Questions call 229.3770246 may needfollowing discharge, you orotherservices service home nurseassistants, sitter For more information onthe 1 .8003711992 Home Care 229.2271485or the hospital, callResCare nurseorsitter in duty To arrange for aprivate younurse know needhelp . Your Health and Safety 15 . . . Rub . Clean clean them Rub the sanitizer . Rub the sanitizer take out the trash, take out the trash, all over your hands, hands, your all over nails especially under your fingers, your and between dry hands are your until hands Clean your or touching before eating food. them after you use the bathroom, Use soap and warm water. water. and warm Use soap for well hands Rub your least 15 seconds at in fingernails, palms, your and fingers, your between hands the backs of your hands do not if your Or, look dirty, hand with alcohol-based sanitizers Clean your hands your Clean 1 . . And don’t hesitate to to hesitate And don’t team care your remind same. the do membersto Prevent infection by infection by Prevent hands your washing or using hand sanitizer often. ETY SA F D AN TH .

Hospital gowns . Hospital gowns In some cases, they . In some cases, Here are are . Here L HEA YOUR can do to fight the fight can do to of infection: spread everyone you easy things five common cold, strep strep cold, common the and throat, flu is importantto Avoiding contagious contagious Avoiding diseases like the your own pajamas or own your . nightgown asked not to bring any pillows pillows bring any asked not to or bed linens use may or you provided are Because of necessary infection are you measures, control matched to the patient to matched Infections Preventing We use bar code technology technology use bar code We is medicine help make sure to date of birthdate be patient . Please identity is verified when your safety own your for often—it’s procedure name and your ask for may check your safety band before band before safety check your medicine any you giving or performing or test any . hospitalization during your always members will Staff Your identification bracelet bracelet identification Your all times at worn must be Patient ID Patient 16 Your Health and Safety 3 . 2 . someone whoisillorplay change adiaper, visit of infection to others nose to prevent thespread Cover your mouthand travel three feet ormore or cough, can thegerms coughs through sneezes and Many diseasesare spread coughing nose whensneezingor Cover your mouthand should wear gloves afraid to askthemifthey or private parts examining your mouth wounds orbodyfluidsand blood, touching taking throat cultures,as taking taskssuch they perform wear cleangloves Healthcare providers should hands cleanedtheir if they’ve they treat you, askthem and viruses into withbacteria contact health care providers nurses andother Doctors, hands orwear gloves providers cleantheir Make sure healthcare with apet . . When you sneeze . . .So, before .Don’t be when . come . . . 5 . 4 . nose withthebendofyour cover your mouthand youIf don’t have atissue, coughing orsneezing and cleanyour handsafter to throw away usedtissues and inyour pocket handy at home, at work, Use atissue. to prevent thesediseases Vaccinations are available shots you may need with your about doctor even for adults vaccinations are current, Make sure thatyour . infection and fight thespread of shotstoGet avoid disease room . people inthewaiting can doto avoid infecting ask ifthere’s anything you treatment, youWhen goformedical others shake handsortouch orstayhome.people Stay away from other withothers contact youIf are avoid sick, close right away your hands, cleanthem elbow orhands . . call aheadand Keep tissues .Check If you .If use Be sure .Be . . Don’t .

. Your Health and Safety 17

. . you get up. you Ask your your . Ask To improve improve To . . . . . Make sure you have a clear have you Make sure chair or the your to path getting up before bathroom assistance before you get you before assistance up . nonslip your wear Always socks getting up falls by Prevent slowly sit on the standing, Before a few edge of the bed for minutes If you feel dizzyIf feel you or weak, get to use the call light • • • • when admitted and as your and as your when admitted changes condition assessed risk nurse about your preventive of falling and what being taken to are measures the risk reduce follow the odds of not falling, these guidelines: • your balance and judgment balance your and medical equipment Also, the unfamiliar environment more can make movement difficult will ask we stay, During your history about your of falls, you risk of falling and assess your Illness, . Illness, . staff help, use the call light to get assistance before before to get assistance light call use the staff help, also known as influenza also known Meningitis Flu: Hepatitis Shingles Measles Diphtheria Tetanus Chicken pox Mumps If your health care team has asked you not get up without without get up not you has asked team care health If your • • • • • • • • • Epidemiology of America The Joint Commission Commission Joint The Society Healthcare for and Prevention Infectious Diseases Society of America Epidemiology, Inc Epidemiology, Disease Control for Centers Association to Professionals Professionals to Association and in Infection Control American Hospital Association surgery and medicines can muscles and/or affect weaken In the hospital, patients are at at are patients In the hospital, a higher risk of falling Preventing Falls Preventing • • • • • the: • These methods of preventing methods of preventing These supportedinfection are by 18 Your Health and Safety Unannounced fire drills Fire Safety of ourpatients andvisitors hospital grounds for thesafety patrols thehospitaland that routinely service security General Hospitalprovides a a safe andsecure stay hospital, we want you to have While you are apatient inour Security other instructions is over oruntil you are given in thehospital)until thedrill room (orwherever you are alarmed ofthehospital parts the fire willsoundinall alarm When are drills conducted, hospital’s fire system alarm . preparedness andthe are heldto test ourstaff .Please stay inyour . .Don’t be .Grady In .In and asktheswitchboard operator to call the Security department. department. to call theSecurity Visitors to whodesire anescort their cars atnightmaydial“0” every morning every night, reopening at 6:00am are lockedat 9:00pmevery front doorsto thehospital For purposes, the security video cameras monitored andrecorded by lotsare hospital andparking addition, many areas ofthe dialing “0” or thehospitaloperator by for any reason, callyour nurse need theassistance ofsecurity is unattended please lockyour carwhileit your vehicle anditscontents, better assure thesafety of in anassaultsituation . To that could causebodilyharm any otherweapons orobjects the hospitalfirearms,knives or members orvisitors into bring conditions willpatients, family . If you .If should . .Underno Your Care and Treatments 19

. Red But if you . But if you Respiratory Charcoal Grey Charcoal Phlebotomy

Black Therapy Navy Blue Radiology

EVS Nursing

Royal Blue Royal Light Green

Burgundy/Wine

TS M EN TREAT ND A CARE YOUR nurse or doctor Attire Color-Coded Staff illustrations and descriptions the next on illustrations page/below your please talk to team, care questions about your any have Members of your care team wear different-colored uniforms different-colored wear team care Members of your the color-coded to refer who, who’s understand help you To Your Team Care Your Nursing Support Staff 20 Your Care and Treatments Your Caregiver Identifier Certified Nursing AssistantsCertified CarePatient Technicians/ Therapy CoordinationCare Team Registered Nurses Nurse Practitioners/Physician Assistants Hospitalists You and Your Family These assistants support the nurse in taking care ofyou thenurseintaking These assistants support you Physical, speechandoccupational therapists may work with torehabilitation meetyour needs andotherservices nursing homeorassisted livingplacement, homehealthcare, Plans may ofdailyliving, includeassistance withtheactivities team assoonyou are . admitted orplaced inobservation hospital team create adischarge planfor your care you after leave the workersSocial andcare managershelpyou andyour hospital the nursingteam . They may beassisted by nursingstudents your care thecare anddirect provided by othermembersof These licensed professionals responsibility for have primary to provide your care 24/7. These licensed professionals work closelywith your physician physiciansThese manage board-certified your care your healthcare team . You, thepatient andyour immediate familyare thecenter of . . thisplanwithyouWe andyour making hospital start

burgundy/wine uniform navy blueuniformnavy blue uniform . . white coat . . Your Care and Treatments 21 . red uniform red light blue top light blue black uniform . charcoal grey uniform grey charcoal light green top/navy pants top/navy green light . are authorized to draw your blood for blood for your draw to authorized are . These professionals typically interview patients professionals and examine These or cardiopulmonarywith breathing disorders various laboratory tests These staff members staff members These These professionals perform examinations imaging diagnostic professionals These mealtimes These dietary staff members deliver your food to you at you to food dietaryyour These deliver staff members . room your and disinfect clean members team These care with less noise and more efficiency. efficiency. noise and more with less care Our staff is using specialized patient smartphones your coordinate to Respiratory Phlebotomists RadiologyTechnologists Associates Nutrition EVS Associates 22 Your Care and Treatments We want to makeyou aspossibleandreduce ascomfortable any Pain Management Wong-Baker FACES® Pain Scale Rating ToleranceActivity Verbal Descriptor Scale reducing itwithyour healthcare team . medicines beyond taking worst painyou’ve ever had (below) .Arating of0meansnopain .Arating of10meansthe ask you aboutyour painusingascaleof0to 10oraface chart pain you may have your during hospitalstay Pain Pain No No 0

1 Ignored Can Be Be Can Mild Pain 2

3 Interferes with Moderate Tasks/Sleep Pain .Discussyour painandoptionsfor 4 . There are many ways to control pain

5 Interferes with Concentration Moderate Pain 6

7 .Staff memberswill Interferes with Basic Needs Basic Severe Pain 8

9 Worst Pain Worst Possible Required 10 Bedrest Bedrest

Your Care and Treatments 23 . . . . .org/ . You receive receive You . archbold . When . When receiving If you’re unable to afford your afford unable to If you’re please let your medication, nurse or case manager know medications from your nurse, nurse, your from medications ask about the name of the you the reason medicine, takingare the medicine and reportpossible reactions to taking from refrain Please a nurse has medicine until name bracelet checked your questions any and answered they should be given to the to they should be given nurse so they can be identified for a pharmacist, reviewed by needs and returned present a family member or stored to departure your until care assist with your Please making the nurse has by sure home list of your a current medications palliative care to help you you help to care palliative serious or illness from recover . condition manage a chronic at more Learn palliativecare Understanding Medications Your any If brought you the hospital, into medications and provide the best qualitythe best provide and family and your you for of life is not the same care Palliative care as hospice . Read If you have have . If you Palliative care care . Palliative This means that the means that This . The goals are to relieve relieve to goals are The . illness and stress, pain, symptoms serious illness stage of any at can begin The palliative care team team care palliative The supports with a patients hesitate to ask them . to hesitate Team Care Palliative coming on dutycoming questions during this any bedside shift report, don’t family or health care partner, partner, family or health care and with the nurse who is important information at your important your at information and your bedside with you participate in bedside shift reports nurse going off duty shares To promote good good promote To our nurses communication, have . Bedside Shift Report information as well as the kind as well information will you of surgery/procedure it carefully and make sure it sure and make it carefully correct identification has your asked to sign an informed an informed sign asked to any before form consent surgery or procedure informed member of your of your member informed be will You . team health care You can make your care care your can make You being an active and by safer Surgery Procedures and 24 Your Care and Treatments Antibiotics are medicinesthat treat orprevent infections Information About AntibioticsImportant receiving antibiotics andhow you should takethem. Talk withyour healthcare team to findoutwhy you are • • • • • • prescribing anantibiotic include: thingsyourSome healthcare team thinksaboutbefore have orifyour immunesystem surgery doesn’t work well also needanantibiotic to prevent you aninfection after might have . aninfection causedby abacteria You may care you team onantibiotics iftheythinkyou may start andsomeothergerms caused by bacteria potential sideeffects any antibiotic allergies you may have other medications you are taking how well your work liver andkidneys ofbacteria the kind ofinfection the kind don’t recognize before you take it. Always any askabout medicineyou . Your health . Preparing to leave the hospital 25 . . It Please . Please This will include will This . questions . For . E VE number to call if you have have call if you number to the leave questions after you hospital your after-hospital plan of after-hospital your including when you care, should schedule a follow- appointment up outpatient doctors with your or questions you discuss any with have family may your the nurse during this review a phone have you Make sure hospital bill, please contact please hospital bill, Management Account Services 229 .228 .8870 . at Understanding Your Information Discharge the leave to prepare you As give nurse will your hospital, summary a discharge you and medicines will list your Within five days after your your after days five Within should receive you dismissal, from a financial statement the hospital some of all hospital charges, reached not have which might by the the business office leave to ready were you date the hospital your regarding or problems LEA . . You are are You .

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G TO TO NG ARI You, as the guarantor, as the guarantor, You, . P PRE L PITA HOS THE the first floor of the hospital near the lobby family member must visit the on located admitting office present proof of insurance of insurance proof present admission, a or upon before with your insurance company company insurance with your is slow when their payment or delinquent not covered by insurance by not covered communicate to need You for your hospital bill your for the portion for responsible behalf responsible ultimately are As a courtesy to our patients, a courtesy our patients, As to your on is filed insurance your transportation . Please take your to remember with you personal belongings volunteer or transporter volunteer will escort your to you the discharge instructionsthe discharge nurse your from leave without assistance, you you without assistance, leave receive do so after you may Your discharge from the from discharge Your your by hospital is ordered able to are . If you physician Going Home 26 Preparing to leave the hospital care orspecialequipment to youIf needhomehealth you to complete thesurvey experience regarding your hospital vendor survey satisfaction the mailfrom ourpatient you may receive in asurvey Following your discharge, programpatient survey . improvement planisour ofourquality A vitalpart We welcome your feedback! Patient Survey 229 .3770246 Discharge Planners by calling theSocial contact Workers/ social services information, andcommunity financial counseling and for nursinghomeplacement, Referrals are alsoavailable another healthcare setting care by familymembersorto hospital care to selfcare, for thetransition from Arrangements canbemade Leaving theHospital Follow-Up Care After healthservices Learn more at offers afull range ofservices Archbold HealthServices coordinator canhelpyou help you recover, your care We encourage .We . You may . archbold .org/ . . . e-mail survey to complete survey e-mail in themailyou may receive a you didnotreceive asurvey we needto passonto staff and alsoofany compliments improve ourpatient services to ofopportunities may know paid envelope sothat we and return itinthepostage . If .If Patient Choice Statement 27 . . If you have any any have . If you social worker for your review your for is to and desire Our intent with a smooth, you provide your back to transition safe in the secure home, own follow- knowledge of your up care please contact your questions, or case manager nurse, doctor, We maintain a full list of area a full list of area maintain We that provide and will providers . . If . .

By federal law, you you law, . By federal Should your physician physician . Should your

ENT M STATE CHOICE NT ATIE previous experience previous services be familiar with may You through provider an area infusion therapy, medical infusion therapy, respiratory and equipment provider of home health provider services, services, hospice We can make arrangements can make arrangements We with the Archbold you for Health Services, a full-service provider, this may affect this may provider, coverage insurance your providers with whom providers a contract they have choose another care you Your insurance company company insurance Your preferred have may P • • • have the right to select to the right your have providers care post-hospital needs, according to your your to according needs, choices order such services, we will such services, we order meet to all referrals arrange facility or home care your the transition from hospital to hospital to from the transition home Your doctor may prescribe prescribe doctor may Your services facility or home care in assist you to or equipment Our Services Continue After Your Hospital Stay Many times, patients need follow-up therapies to fully recover after their hospital stay . Proper care, like therapy, benefits patients by reducing their risk of readmission, thereby saving them money on medical expenses and helping them stay healthier . Archbold offers many different types of therapies to give patients complete, quality care, even after they leave the hospital .

OUTPATIENT REHABILITATION Location: Home Availability/Length of stay: By appointment Monday through Friday. Patient requirements: Recovering from injury, surgery or illness. Patient is not homebound. Improve outcome with use of specialized equipment modalities and manual intervention. Services/Requirements: Goal-directed treatments to help patients return to daily activity levels—physical therapy, speech therapy and occupational therapy. More hands-on therapy services and options. How we can serve you: Archbold Outpatient Rehabilitation 229.228.8050)

HOSPICE Location: Home/Facility Availability/Length of stay: RN available—24/7 on-call availability. HOSPHOSPITAITALL Patient requirements: Life-limiting (terminal) illness of six months, resides in the hospice service area. Services/Requirements: End-of-life care: RN case management, emotional and spiritual support, stay personal care, volunteer assistance, medications,

delivery, bereavement. How we can serve you: Hospice of Southwest Georgia (229.584.5500)

INPATIENT REHABILITATION Location: Facility Availability/Length of stay: Average length of stay: 14 days. Patient requirements: Recovering from injury, surgery or serious illness. An intensive level of rehabilitation service with complex nursing and medical management. Services/Requirements:

which must be physical therapy or occupational therapy. How we can serve you: Archbold Memorial Hospital Inpatient Rehabilitation (229.228.8063) 28 P P a a t S t i i e e o p e n r f e n m v S s t r t i i s l e r x an a e c r o e r

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stay Patient requirements: Recovering from injury, surgery or illness. Patient is not homebound. Improve outcome with use of specialized equipment modalities and manual intervention. Services/Requirements: Goal-directed treatments to help patients return to daily activity levels—physical therapy, speech therapy and occupational therapy. More hands-on therapy services and options. How we can serve you: Archbold Outpatient Rehabilitation

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delivery, bereavement. How we can serve you: Hospice of Southwest Georgia (229.584.5500)

which must be physical therapy or occupational therapy. How we can serve you: Archbold Memorial Hospital Inpatient Rehabilitation (229.228.8063) 30 Our Commitment to You Committee is not asubstitute be consulted other professionals may Improvement andQuality department, the medicalstaff, Nursing include representatives from Staff the Medical appointed by the Chiefof is agroup ofprofessionals done the choices ofwhat shouldbe when there with isaconflict An ethicaldilemmaoccurs are madewithoutproblem . healthcare, althoughdifficult, decisionsinregardMost to Ethics by dialing8086. thePatientcontact Advocate yourduring stay concerns that you may have assist withany problems or Representative isavailable to decisions healthcare important making in information necessary or for obtainingvital location for voicing concerns acentralthe community patients, family, staffand PatientOur Advocate offers Patient Advocate OUR COMMITMENTTO OUR YOU . The Ethics Committee The Patient .The . The Ethics .Onoccasion, . You may Members .Members Committee not madeby theEthics of anethicaldilemmaare orresolutionsDecisions patients anddoctors for therelationship between services to allpeople, services Hospitalto provideMemorial ofArchbold isthepolicy It Discrimination Notice state oraccreditation agency: a grievance withthefollowing Patients have theright to file Grievance or your for doctor help member ofthehospitalstaff be resolved, pleaseaskany cannot an ethicalconflict by allpersonsinvolved communication and reasoning a caseandencourage open the committee willreview 1 .8009446610 Oakbrook Terrace, IL60181 1 Renaissance Blvd Monitoring Quality of Office The Joint Commission 404 .6575700 Atlanta, GA30303 #2 Peachtree St Regulation Division DCH/Healthcare Facility When requested, .When .NW

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Our Commitment to You 31 . . sexual orientation, gender orientation, sexual identity disabilities or visitors based on age, gender, gender, based on age, visitors religion, origin, national race, regulations or statutes regulations Hospital does General Grady against not discriminate identified under applicable under identified local laws, and state federal, identity or expression, or any or any identity or expression, classifications other protected physical or mental disability, disability, or mental physical sex, status, socioeconomic gender orientation, sexual ethnicity, national origin, origin, national ethnicity, language, culture, religion, regardless of age, race, color, color, race, of age, regardless 32 Special Services bring a copybring ofyour advance an advance directive document your decisionsin to speakfor you, andthen doctors, appoint someone with your loved onesandyour that you discussyour wishes of attorney)? We recommend your agent for durable power yourself (i.e you were unableto speakfor Who would speakfor you if to you?would beimportant yourself? What oflife quality coma orcouldn’t dothingsfor ill,became seriously were ina care you would want ifyou Have you thought aboutthe Advance Directives more at aware ofyour wishes that your familybe important youIf have adonorcard, itis organ andtissuedonations LifeLink Georgia to manage with Hospital participates are ill seriously people, especiallythosewho oflifethe quality for many can helpsustainorimprove oforgans andtissue Gifts Organ/Tissue Donation SPECIAL lifelinkfoundation .org , who would act as .,whowould act .Grady General SER .Always .Learn . VICES . Utilization Review atUtilization Review forms by calling necessary directives andobtainthe Learn more aboutadvance time you are admitted directive to thehospitalany archbold to seeresults will stillallow your doctor You may optout, butHIE decisions aboutyour care inmaking assist ourdoctors labs andradiology centers to doctors’ offices, hospitals, of healthinformation among allows forIt instant sharing information exchange (HIE). for ourinternet-based health providers through ArchHIE you withotherhealthcare we gather orcreate about may share information that As permitted by law, we Exchange Health Information 229 .3770248 .org/ArchHIE .Learn more at . . . Your Medical Bill and Insurance 33 . . . It To ensure the the ensure To .

. your plan of care such as: plan of care your practice physicians, private anesthesiologists, surgeons, services provided to you you services to provided Hospital General Grady by one any be from could This hospitals of our affiliated facilities or outpatient is important remember to bill does not your that include certain charges in involved physicians for to assist you to of service, please highest level your have you make sure when number ready account call you Included Charges Bill in Your from receive bill you The for us includes all charges coinsurance, co-payments co-payments coinsurance, servicesand/or non-covered with the due in accordance policy insurance of your terms should have you In the event questions about your any service the customer account, are of AMS representatives through Monday available 5pm 9am to from Friday ILL B . We want want We .

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. Archbold Memorial . Archbold L M EDICA YOUR NCE INSURA AND presented at the time of at presented service) and deductibles, This includes self-pay balances balances includes self-pay This was no insurance (where Hospital’s Patient Financial Financial Patient Hospital’s Services, for is responsible balances billing all patient Services a department (AMS), Memorial of Archbold Account Management Management Account Services Management Account regarding the services we regarding provide some of the most frequently some of the most frequently receive asked questions we understanding of our billing cycle and serve answer to patient account patient presented the information a better you will give below can coordinate our efforts can coordinate your in resolving with yours you and your family and your you about be informed to you so we our billing processes Hospital and allowing us to us to Hospital and allowing needs of meet the healthcare Thank you for choosing for you Thank John D Understanding Understanding Bill Hospital Your 34 Your Medical Bill and Insurance other consulting physicians pathologists, radiologists and you may berequested to event insurance is presented, the timeofregistration the .In or notinsurance isverified at all ofourpatients whether payments are from expected Grady General Hospital provided bywith services of thecharges associated discharge, to pay for aportion at thetimeofregistration or the bill ultimately responsible for your familymember, you are the care provided to you or the charges associated with Remember, asguarantor of Collections Point ofService required to care for you and otherroutine services records, businessoffice housekeeping, medical television, maintenance, by your doctor, telephone, nourishments asordered nursing care, regular dietand includes your room, 24-hour Your dailyroom charge ChargeDaily Room provided by thesephysicians separate billsfor services youPlease know willreceive .Please beprepared, .Such . . . including Medicare and insuranceMost companies, Identification Cards Insurance your insurance coverage accordance withtheterms of coinsurance andco-pays in deductibles, applicable policy pay theamount ofany the timelimit setby your information ispresented after theeventIn your insurance insurance carrier time limitestablishedby your claims canbefiledwithin the as possibleto ensure your at 877.2698182asquickly at 229.2288870ortoll free Patient Financial Services you willneedto contact services, of emergency orwithin24 hours service presented at thetimeof the event insurance isnot the claimfilingprocess reference during purposes event theyare neededfor of eachcard presented, inthe officers willmakeaphotocopy of service insurance card(s) at thetime are required to present your for filing your insurance contains information essential an identification card, which Medicaid, provide you with Our registration .Our .Please note: In .In . You . Your Medical Bill and Insurance 35 . . . Please . Please You or your doctor’s doctor’s or your You . Keep in mind that if mind that . Keep in within 24 hours that you have have you within 24 hours that the hospital to been admitted OfficeOur will Admitting understand that if prior understand that authorization is not obtained, company insurance your of the amount reduce may responsible the bill they are deny in some cases, or, for claim in total insurance your In the case of an emergency admission, most insurance notification require companies outpatient and inpatient and inpatient outpatient settings contact should the office or company insurance review their designated making prior to organization services for arrangements Archbold by provided Memorial Hospital more than 90 days, you may may you days, than 90 more the bill pay to be requested Pre-Certification,Prior and Authorization of Admission Notice carriersMost health insurance pre-certification, require now prior and/ authorization, variousfor or notification services in provided have been received, you will you been received, have remaining any for be billed balance takes process the payment . You You . When payment is payment When . . (if applicable) will be filed payments all insurance Once insurance, any secondary any insurance, policies or supplemental after the date of serviceafter the date or discharge primary your from received your insurance claims insurance your 10 days approximately a department of Archbold Memorial Hospital files Insurance Filling Insurance a serviceAs our patients, to Services, Financial Patient after your insurance carrier insurance after your their portionpays . determine how much of the much how determine for will be responsible bill you amounts, find out what find out what amounts, deductible your is and to agent or group benefits or group agent determine to coordinator applicable co-payment any should contact your member should contact your insurance representative, provide only partial coverage only partialprovide coverage medical expenses of your and Co-payments private State, Most Federal, plans insurance and group bill Deductibles, Coinsurance claims has lapsed, you will be will you has lapsed, claims the entire for held responsible insurance carrier for filing your your filing carrier for insurance 36 Your Medical Bill and Insurance that anotification isprovided to effort confirm make every administered drug;however, of-pocket cost for theself- reimbursement for your out- you might beableto receive prescription drugcoverage, you have Medicare Part D administered drugs hospital to billyou for self the Medicare expects • • • • • administered drugsare: patient self-administered by the cover drugsthat are usually Medicare Part Bdoesnot responsible for payment you willreceive abillandare hospital stay inthe or observation to your outpatient services charges anddrugsrelated Medicare doesnotcover all Medicare insurance company has beenprovided to your to ensure thenotification the patient’s responsibility limit; however, itisultimately within thespecifiedtime Topical ointments Insulin Suppositories Drops Tablets takenby mouth .Examplesofself- .For thosecharges, . If .If . more information about with Medicare you may discussthematter for self-administered drugs, Medicare’s coverage position youIf are dissatisfied with for thesedrugs amount thehospitalcharges you are responsible for the • • • • • • • • questions regarding: information oranswering can assistby providing The Medicare Helpline contact: administered drugs, please patient responsibility for self- Current information contact activities Area Medicare events and handbook and You”“Medicare Area nursinghomes plans Medicare prescription drug benefits, andmore quality choices includingcost, Medicare healthcoverage AandB Medicare parts information General Medicare 229 .2282770 Thomasville, GA31792 Gordon Ave Hospital Memorial John D .Archbold If you .If need . at Mimosa Dr .at Mimosa

Your Medical Bill and Insurance 37

. AMS is a . AMS

If you meet the . If you If you have any any have . If you Thomasville, GA 31792 Thomasville, Archbold Medical Center Medical Center Archbold Financial Patient ATTN: Services Rd 920 Cairo each year the Financial for requirement all or Program, Assistance and their families with their medical bills beyond as part of our ability pay, to participation in the Georgia Fund Trust Indigent Care receive you our patient, As certain benefits under the offer and we Fund Trust a certain of free amount care and reduced-charge Financial Assistance Assistance Financial Program community healthcare your As Medical Archbold provider, the Financial provides Center assist to Program Assistance and/ uninsured eligible patients or underinsured responsible for collections of for responsible due from balances self pay patients please contact questions, at 229 .228 .8870 or our office to: 1 .877 .269 .8182 or write Management Services payment establish to (AMS) arrangements department of the hospital . . If you do not do not . If you The hospital offers a hospital offers The . you have no insurance) you you no insurance) have you Account by will be contacted If the insurance payment payment If the insurance due (or if a balance leaves When the insurance payment payment the insurance When a the hospital, to is assigned the claim . processes counselor “Financial Assistance” for more more for Assistance” “Financial . information please review the section the please review in this handbook titled Financial Assistance Program Program Assistance Financial assist qualified patients to with their outstanding bill— are considered a Self Pay a Self Pay considered are patient your policyyour you health insurance, have unpaid deductible amounts, unpaid deductible amounts, and charges co-insurance by but not paid, approved, at the time of service,at and any will be billed for you your insurance cards each cards insurance your services for come time you expected are Co-payments service emergency care for present to remember Please to or at the time of services the time or at to and within elective care for time of 24 hours of the complete medical insurance insurance medical complete prior information coverage It is the patient’s responsibility responsibility Itthe patient’s is and accurate provide to Financial Services Financial 38 Your Medical Bill and Insurance charges may becovered ofyour hospital a portion Program will Manager The Financial Assistance worksheet andreturn to: the familysize andincome the application form and the program .Complete that you might qualify for you indicated at registration will bemailedto your homeif registration offices, ora copy www are available onlineat Financial Assistance Program Application forms for the assistance your for eligibility financial be usedonlyto determine remain confidential andwill information provided will Financial office Services and return itto ourPatient application form, sign, Financial Assistance Program you mustcomplete the To applyfor thisprogram, Program . under theFinancial Assistance for hospitalcharges covered will notberequired to pay Thomasville, GA31792 920 Cairo Rd ATTN: Financial Assistance Archbold Center Medical .archbold . . .org, at all

. The . You

will be subject to aninterest-will besubject adiscount If isawarded, you your application isapproved covered undertheprogram if and theamount ofcharges regarding your eligibility You willbenotified by mail determine your eligibility review your application and or toll free at 877.7851112 at 229.2288826 Manager You may reach theCase Program Application Form . the Financial Assistance to request billing department assistance by the contacting may stillapplyfor financial Archbold Group, Medical you youIf receive abillfrom Georgia . 920 Cairo Road, Thomasville, Financial islocated at Services Center’sMedical Patient to 229.2288893Archbold may alsofaxyour questions 877 .2698182,ext 229 .2288840ortoll free at Program at Manager call ourFinancial Assistance about your eligibility, please youIf have any questions discounts are applied of your accounts all after established by thebalance free monthly payment plan .8840 You . . . Your Medical Bill and Insurance 39 . . Your Your . Your Your . Only your physician physician . Only your verify Workers’ Compensation Workers’ verify and the details of coverage accident the work-related obtain an extension . Compensation Workers’ or your you ensure Please family member notifies us the injurythat requiring services of an the result was while which occurred accident on the job were you will be called to employer she contact your insurance insurance she contact your or their designated company obtain to organization review an extension of the authorized stay days staff and his/her office the required can provide your regarding information necessaryplan of care to authorization is valid authorization notify should office doctor’s family of the or your you authorized number of days If doctor determines your in the must remain you that than the hospital longer authorized, number of days he/ that should request you company or designated or designated company will organization review number of specify the which the for stay days

. 37

. NW Fl

Assistance St 2 Peachtree GA 30303-3159 Atlanta, Hospital Policy SectionHospital Policy Division of Medical Indigent Care Trust Fund Trust Indigent Care 31792-4255 900 Cairo Rd 900 Cairo GA Thomasville, Archbold Medical Group Archbold or notification of admission, or notification most likely the insurance If your insurance policyIf insurance your prior authorization requires Authorization for for Authorization Extended Stay 3117 or write to: to: 877 .261 .3117 or write call the Department of at Health toll-free Community However, if you are not are if you However, with our handling satisfied may you situation, of your Services at management 229 .228 .8872 . may reach Archbold Medical Archbold reach may Financial Patient Center’s Indigent Care Trust Fund Fund Trust Indigent Care please let us tryrules, work to You them . resolve to with you or concerns about how we we about how or concerns under the programs operate If you have any questions any If have you form and return to: return and form Complete the application application the Complete 40 Your Medical Bill and Insurance Archbold Hospitaloffers Memorial aninterest free payment plan Payment Arrangements be presented aswell or Police should Department Highway Patrol,Office Sheriff’s fromaccident theState report the accident each personinvolved in of allinsurance agents for the namesandaddresses or your familyprovides claims, pleaseensure you resolving your auto liability orderIn to assistusin Automobile Accidents AMS Payment Schedule: establish apayment planthat works for you and/oryour family our payment schedule provided your account balance ispaidaccording to theterms of Account Balance $5000 ormore Less than$50 $2500–$4999 $1000–$2499 $750–$999 $500–$749 $300–$499 $100–$299 $50–$99 .Acopy ofthe . .Please call oneofourAMS counselors to Payment Schedule Payment inFull 36 months 24 months 18 months 12 months 8 months 6 months 4 months 2 months Amount Due $104 to $208 $56 to $139 $63to $94 $63 to $84 $50 to $83 $25 to $75 $25 to $50 Balance $140+ . Medical Records: Archhie 41 .org/ archbold . RECORDS: ARCHHIE RECORDS:

If you don’t see the answer to your question, contact your to see the answer don’t . If you

Review educational materials Review educational View your radiology results radiology your View record medical Request your View your lab results your View L EDICA M archhie Management Department Health Information the Archbold at 229 .227 .5050 • please visit about ArchHIE, information more For • • convenient access to: access convenient • privacyoffice home or of your and secure will have you ArchHIE, up for sign you When Using your secure password, you can log into the ArchHIE Patient Patient ArchHIE the can log into you password, secure your Using the comfort and from a week 7 days day, 24 hours a Portal Archbold’s patient portal, ArchHIE, is a convenient and secure and secure is a convenient portal, patient ArchHIE, Archbold’s to access instant patients offers that tool health-management . health information their personal 42 Patient Rights and Responsibilities • • Hospital, we believe that: At Archbold Memorial CenterMedical discrimination ofArchbold patients inamannerfree from applicable to any and all Board of Trustees asbeing rights are affirmed bythe hospital individual isapatient inthe is intensified whenthat and humanrelationships regard for hispersonaldignity her, proper andto expect whichaffect him/ and actions to indecisions have apart independence ofexpression, individual to right ofevery as your responsibility obligations whichyou assume you are entitled andcertain rights to which are certain As ahospitalpatient, there RESPONSIBILITIES P and beliefs his orherpersonal values care that isconsiderate of andconsideraterespectful The patient hastheright to reasonable access to care The patient has theright to ATIENT RIGHTS AND . The following patient . . . The . • • • • his orherdiagnosis, information concerning his orherphysician current to obtainfrom respectfully The patient hastheright to refuse treatment to the The patient hastheright effectively involving managing pain involved incare decisions management andto be and appropriate pain reasonableto expect The patient has theright care whenappropriate involved to facilitate proper decision makerwillbe healthcare surrogate The patient’s familyor any treatment orprocedure of consent to prior thestart to givenecessary informed physician information to receive from hisorher The patient hastheright understand be reasonably to expected in terms thepatient can unanticipated outcomes, outcome ofcare, including treatment, prognosis, and . . . . Patient Rights and Responsibilities 43 . The patient has the patient The . . . The patient has the right has the right patient The an and receive examine to of his or her bill explanation a reasonable response to to response a reasonable for of a patient the request services expect prompt right to that will occur transfer and safe when the hospital cannot request meet the patient’s or treatment or need for service accordance with hospital accordance policy has the right patient The expect within to that and in its capability, with the mission accordance a and applicable law, Rights and hospital Patient’s Responsibilities must make and must be discontinued at at be discontinued and must the earliest possible time has the patient The expect all right to that and communications pertaining his or to records as should be treated her care and information confidential his or her care to related in will only be released Restraints or seclusion may may or seclusion Restraints the ensure to be used only safety physical immediate staff or others of the patient, • • • . Case . Case . . of coercion, discipline, discipline, of coercion, . or retaliation convenience, or seclusion, of any form, form, or seclusion, of any staff as a means imposed by The patient has the right has the right patient The restraint from be free to to be free from physical or physical from be free to and corporal abuse, mental punishment own plan of care own has the right patient The the development and and the development of his or her implementation The patient has the patient The participateright to in to formally designate a designate formally to decision maker of surrogate his or her choice privacy has the right patient The The patient has the right has the right patient The securityto and personal are confidential and should and should confidential are be conducted discreetly discussion, consultation, discussion, consultation, and treatment examination every consideration of his or of his or every consideration her privacy his/ concerning medical care her own or her action . to the right has patient The and to be informed of the of the be informed to and of his consequences medical extent permitted by law law by permitted extent • • • • • • 44 Patient Rights and Responsibilities • • • • • payment regardless ofthesource of care thatprojects affecthis/her other research/educational human experimentation or to beinformed ofany The patient hastheright 101 .13) Administrative Policy of themedicalstaff(See the Ethics Committee may beaddressed through care the course ofhisorher issues that may during arise consideration ofethical inthe to participate The patient hastheright Directives Policy 101.10 intheAdvancedescribed advance directives as and theright to formulate via theirAdvance Directive person designate asupport The patient hastheright to communication . and by verbal andwritten hospital by meansofvisitors, access to peopleoutsidethe The patient hastheright of her conduct and regulations applyto his/ what hospitalrules know The patient hastheright to . .Any suchethicalissues . . • • • patients: applicable to any and all responsibilities are also The following patient • capability to thebest ofits service religious andotherspiritual the patient’s rightsto The hospital accommodates resources through community access protective services The patient hastheright to her health and making it her healthand making matters relating to hisor medications, andother illnesses, hospitalizations, present complaints, past information abouthisorher accurate andcomplete of his/herknowledge, providing, to thebest are responsible for The patient and family meet obligations to has certain hospital honors, thepatient with theserights, whichthe the hospital of hisorheradmissionto physician notifiedpromptly choice andhisorherown representative ofhisorher have afamilymemberor The patient hastheright to . . . In keeping .In Patient Rights and Responsibilities 45 . . . respectful of the property of other persons and of the hospital assisting in the control of assisting in the control the number of visitors, noise, with the and complying policy on smoking and the products use of tobacco Policy (See Administrative 100 .03) . and family patient The being for responsible are hospital rules and patient affecting regulations and conduct including care keeping of personal safe Safety (Seeitems Patient . and Security Brochure) is responsible patient The of the being considerate for and rights of other patients and for hospital personnel, responsible for the the for responsible outcomes and family are patient The assuring that for responsible the financial obligations are of his or her healthcare fulfilled promptly and family are patient The following for responsible If family or the patient or fails treatment refuses the practitioner’s follow to instructions, they are • • • • • . . . . . and hospital personnel for and hospital personnel for his/her care the treatment plan the treatment medical by recommended The patient and family are and family are patient The following for responsible decision maker will be proper facilitate to involved when appropriate care The patient’s family or patient’s The surrogate healthcare consent prior to the start the prior to consent of or procedure treatment any to receive from his or her from receive to information physician informed necessary give to are expected to do expected to are has the right patient The have been told about the about the been told have they or what care patient’s questions when they do questions when they not understand what The patient and family patient The asking for responsible are her care and unexpected her care changes in the patient’s . condition responsible for reporting for responsible risks in his/ perceived action is expected and what family are and patient The clearly comprehends a a clearly comprehends of course contemplated known he/she whether • • • • 46 Patient Rights and Responsibilities with the necessary channels with thenecessary Archbold provides itspatients Experience at 229.5845523 also beexpressed to Patient nursing care questions orproblems with charge nursewhocanaddress unit hasanursemanageror questions answered a complaint andto have to express aconcern or .Concerns may .Each Credentials 47 . . . Southeastern Community Blood Center The Association of Association The Cancer Community Centers Vizient-Midsouth Nursing Home Georgia Association of Alliance Georgia Hospitals Community Georgia Hospital Hospital Georgia Association Program is accredited by by is accredited Program of American College The Radiology is certified by College of is certifiedby American Pathologists Hall Singletary Lewis The is Center Oncology American The by approved a as of Surgeons College Community Comprehensive Center Cancer Mammography The • by hospital is licensed The DepartmentGeorgia of Human Resources by hospital is accredited The . Commission Joint The Clinical LaboratoryThe • • • • •

Shared ServicesShared for Southern Hospitals American Hospital Association S L NTIA CREDE • • The hospital is affiliated hospital is affiliated The with: and truly concerned about and truly concerned wellbeing your completely and fully completely staffed capably equipped, Memorial Hospital is well Memorial Hospital is well organized, run, carefully and hospital personnel are and hospital personnel are of your worthy guardians Archbold health and that the highest standards of the highest standards medical that hospital care, Commission assures that that assures Commission by protected are you operations the Joint by Approval Memorial meets all Hospital regulations and state federal hospital governing under the Social Security . Archbold program certified as a participating health insurance hospital for Archbold Memorial Hospital Archbold The by is fully accredited and is Commission Joint 48 Non-discrimination Notice & Accessibility Requirements • • • Archbold Center: Medical sex . national origin, age, disability, or differently becauseof race, color, not exclude peopleortreat them Archbold Center Medical does origin, age, disability, orsex . the basisofrace, color, national laws anddoesnotdiscriminate on with applicableFederal civilrights Archbold Center Medical complies online, visit 229 .2288016 To seethisbooklet call theAdmitting at Office To obtainacopy ofthebooklet, Archbold healthcare professionals obligation willbefollowed by all that explains how this booklet Notice Practices, of Privacy a the Archbold Hospital Memorial are practices in described privacy your healthinformation .Our We are committed to protecting ITY REQUIREMENTS ACCESSIBILITY NO-DISCRIMIATION language isnotEnglish, suchas: to peoplewhoseprimary Provides free languageservices other formats) accessible formats, electronic formats (large print, audio, Written information inother » us, suchas: communicate effectively with to peoplewithdisabilitiesto Provides free aidsandservices

interpreters signQualified language archbold .org/privacy . . our Patient Advocate you contact If needtheseservices, mail orphoneat: gov/ocr/portal/lobby available at for Complaint Civil Rights Portal, through electronically theOffice Rights, Office for Civil Services, ofHealthandHuman Department complaint withtheU Yourights canalsofileacivil help you a Patient Advocate isavailable to you needhelpfilinga grievance, patientadvocate@archbold or call229.2288086,email Avenue, Thomasville, GA,31799, Patient Advocate, 915Gordon can filea grievance by mailwith: origin, age, disability, orsex, you the basisofrace, color, national discriminated inanotherway on to or provide theseservices CenterMedical hasfailed youIf believe that Archbold » » 1-800-537-7697 (TDD) 1-800-368-1019 Washington, D 509F,Room HHH Building Ave,200 Independence SW Human Services U

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: Patient Advocate, 915 Gordon Avenue, Thomasville, GA, 31799, or call call or 31799, GA, Thomasville, Avenue, Gordon 915 Advocate, : Patient assistance services, free of charge, are available you.to Call બોલતા ኣማርኛ

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If you believe that Archbold Medical Center hasfailed provideto these services discriminatedor in another way on the basis of race, color, national origin, age, disability, sex, you or can file a If Center does not exclude people differently them treat or because of race, color, national origin, age, disability, or sex. Archbold Medical Center: al 229.228.8086. Llame ATTENTION: Spanish: Vietnamese: Individuals With Limited English Proficiency of Language Assistance Services Language of Proficiency English Limited With Individuals 200 Independence Avenue, SW Room 509F, HHH Building 20201 D.C. Washington, - 1 229.228.8086 grievance Patient Advocate isavailable helpto you. Services, Human and Health of Department U.S. the with complaint rights civil a file also can You Office for Civil Rights, electronically through Office the Civilfor Rights Complaint Portal, available phone at: or mail by or https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, at U.S Archbold Medical Center complies with applicable Federal civil rights laws and does not not does and laws rights civil applicable Federal with complies Medical Center Archbold discriminate onthe basis race,of color, national origin, age,disability, sex or Nondiscrimination Notice and Accessibility Requirements: the Discrimination Law is Against Complaint

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