Patient Rights and Responsibilities

Health care is collaboration between patients, families, and health care providers. Each has certain rights and responsibilities. When all parties communicate openly and honestly, show respect for personal and professional values, and are sensitive to differences, the care provided will be as effective as possible.  The hospital encourages respect for the personal preferences and values of each individual.  

While you are a patient in the hospital, your rights include the following:

Considerate and respectful care based on the psychosocial, spiritual, and cultural needs of you and your family.

Be well-informed about your illness, obtain from care givers relevant, current and understandable  information concerning diagnosis, treatment, and prognosis, except when treatment is urgent, discuss and request information concerning procedures and/or treatment, the risks involved, length of recuperation and the medically reasonable alternatives and their accompanying risks.

Be free from restraints and seclusion unless clinically necessary.

Have your family, representative, and practitioner of choice notified of hospitalization.

Know the names and roles of people treating you.

Know financial implications, both immediate and long term,  of treatment choices, in so far as they are known.

Receive care in a safe environment.

Expect and receive appropriate pain management for acute, chronic and terminal conditions.

Make decisions about your plan of care, prior to and during the course of treatment and to refuse a recommended treatment of plan of care to the extent permitted by law and organizational policy, and to be informed of the medical consequences of this action.  If you refuse a recommended treatment, you are entitled to other appropriate care.

Have an Advance Directive (such as a Living Will, health care proxy or Durable Power of Attorney).  These documents express your choices about your future care or name someone to decide if you cannot speak for yourself.  If you have a written Advance Directive, you should provide a copy to the hospital, your family and your doctor.  It will be honored to the extent permitted by law and organizational policy.

Optimal comfort and dignity, during the dying process and recognition of the psychological, cultural, and spiritual needs of you and your family.       

Privacy. The hospital, your doctor and others caring for you will protect your privacy as much as  possible.  To use the telephone in private, send and receive unopened mail, and have access to writing supplies.

To retain and use personal possessions as space permits, the facility can not be responsible for loss or damage.  Married couples may share a room if requested.

Expect that treatment records are confidential unless you have given permission to release information or reporting is required or permitted by law.  When the hospital releases records to others, such as insurers, it emphasizes that the records are confidential.

Review your medical records and to have the information explained in a reasonable timeframe, except when restricted by law and in accordance with hospital policy.

Expect that the hospital will give you necessary health services to the best of its ability.  Treatment, referral, or transfer may be recommended.  If transfer is recommended or requested, you will be informed of risks, benefits, and alternatives.  You will not be transferred until the other institution agrees to accept you.

Know if the hospital has relationships with outside parties that may influence you treatment and care.  These relationships may be with educational institutions, other health care providers, or insurers.

Consent or decline to take part in research affecting your care.  If you choose not to take part, you will receive the most effective care the hospital otherwise provides.

Be told of realistic care alternatives when hospital care is no longer appropriate.

Know about hospital rules that affect you and your treatment and about charges and payment methods.  You have the right to know about hospital resources, such as the patient advocate or ethics committee, that can help you resolve problems and questions about your hospital stay and care.  You have the right to make a formal complaint, file a grievance, or appeal a decision made by the hospital’s personnel without fear that the action will result in retaliation or be a barrier to services.

Treatment without regard to race, color, creed, religion, national origin, disability, veteran status, sex or age.

Expect an environment that preserves dignity and contributes to a positive self-image.

Expect freedom from mental, physical, sexual and verbal abuse, neglect and exploitation.

Know that you must give your consent before recording or filming may be made for purposes other than the identification, diagnosis or treatment of the patients.

Understand outcomes of care, treatment, and services, including unanticipated outcomes.

Expect education on protective and advocacy services and expect to be provided information on how to contact these services.

Freely express complaints and recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment and services.

An explanation of billed services and available payment methods.

To choose your physician, dentist, and other licensed independent practitioner care provider, and/or consult with a specialist at your request and expense if not ordered by the physician.

To perform or refuse to perform services for the facility and be compensated for services at current wage rate.  All services performed must be well documented in the care plan to include the nature of the work and compensation.

To have food and beverage brought in from the outside, but it must be checked in at the nurse’s station.

To receive services with reasonable accommodations to individual needs and preferences.

To receive or deny visitors. Each patient (or support person, where appropriate) will be informed of the right subject to his or her consent, to receive the visitors whom he or she designated, including but not limited to, a spouse, a domestic partner (including a same sex domestic partner), another family member,  or friend, and his or her right to withdraw or deny such a consent at any time. For purposes of complying with visitation regulations, the support person designated by the patient does not have to  be the same person as the Durable Power of Attorney (DPOA). The support person can exercise patient’s visitation rights on their behalf if patient unable to do so. JCRHC will not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, or disability.  General visiting hours may be modified for each patient and each situation. JCRHC may place restrictions on visitation hours to facilitate care giving.    

As a patient, you are responsible for…

Providing information about your health, including past and present illnesses, hospital stays, and use of medication.

Providing a copy of your Advance Directives.  If you have a living will, Durable Power of Attorney or another type of Advance Directive, please provide a copy to our staff.

Asking questions when you do not understand information or instructions.

Following through with your treatment.  Tell your doctor if you believe you cannot follow through with your treatment.

Telling us about your pain.  Tell your physician or nurse if your pain medication does not reduce or relieve your pain.

Reporting unexpected changes in your condition to the practitioner responsible for your care.

Being considerate of the needs of other patients, staff, and Jackson County Regional Health Center.

Working with the hospital to arrange payment.  Provide information for insurance and work with the hospital to arrange payment, when needed.  The hospital works to provide care efficiently and fairly to all patients and the community.

Recognizing the effect of lifestyle on your personal health.  Your health depends not just on your hospital care but, in the long term, on the decisions you make in your daily life.

Following the plan of care developed with your health care practitioner.  Your family can play an important part in promoting your recovery, and there may be times when it may be appropriate to include them in your plan of care.

Expressing any concerns regarding your ability to comply with the proposed treatment, and every effort will be made to meet your specific needs and limitations.

Understanding the consequences of treatment alternatives and of disagreement with the proposed course of treatment.

Jackson County Regional Health Center believes that all patients and families utilizing services through the hospital should have an opportunity to voice suggestions or concerns relating to the quality of care or service provided, and to be assured that their expression of those concerns will not result in retaliation or barriers to service. We look on feedback, both positive and negative, as an opportunity to continuously improve our service.  If you wish to discuss the care and/or service you received while a patient here, please ask the nurse or technician taking care of you to speak to the manager of the department or nursing unit in which you received the service.  If you wish to speak to someone other than the manager, contact one of the following individuals:

Patient Outcomes Coordinator (563) 652-7716

Administration (563) 652-4020

If you do not feel that the hospital has adequately addressed your concerns, you may contact one of the following agencies:

Center for Medicare and Medicaid Services

7500 Security Blvd (877) 267-2323 (toll free)
Baltimore MD  21244-1850 (866) 266-1819 (toll free TTY)

Iowa Dept. of Inspections and Appeals (515) 281-4115

Health Facilities Division (877) 686-0027 (toll free)

Lucas State Office Building (515) 242-5022 (FAX)

Des Moines IA  50309-0083 (E-mail)

Joint Commission on Accreditation of Healthcare Organizations

One Renaissance Blvd (630) 792-5800  
Toll Free  (800) 994-6610
Oakbrook Terrace IL  60180                                                 
E-Mail :
Information regarding other agencies may be obtained from the Patient Outcomes Coordinator at: (563) 652-7716.

Correspondence may be directed to:

Jackson County Regional Health Center 
P.O. Box 910
Maquoketa IA  52060                                                            

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Patient Rights