For Patients

Patient Rights

Manhattan Surgical Hospital, LLC has adopted the following notice of patient rights. Each patient or patient representative will be provided verbal and written notice of these rights in advance of receiving care whenever possible. These rights include the patient's right to:

• participate in the development and implementation of their plan of care
• the information necessary to make treatment decisions reflecting the patient's wishes and to request a change in their physician or transfer to another health facility due to religious or other reasons
• assistance in obtaining consultation with another physician or practitioner at the patient's request and own expense
• make informed decisions regarding their care
• be informed of their health status, be involved in care planning and treatment, and be able to accept, request, or refuse treatment
• formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives
• designate a family member, representative, or surrogate of their choice and have their own physician to be notified promptly of their admission to the hospital
• personal privacy
• receive respectful care in a safe setting by competent personnel
• be given the name of their attending physician, the names of all other practitioners directly participating in their care, and the names and functions of other health care persons having direct contact with the patient
• be free from harassment, physical or mental abuse, and corporal punishment
• confidentiality of their clinical records
• access their medical records, including current medical records, upon an oral or written request, in the form and format requested by the individual, if it is readily producible in such form and format (including in an electronic form or format when such medical records are maintained electronically); or, if not, in a readable hard copy form or such other form and format as agreed to by the facility and the individual, and within a reasonable time frame
• receive and examine a detailed explanation of their bill
• be informed of the facility's policies regarding patient rights during the admission process
• be free from restraint or seclusion, of any form, imposed as a means of coercion, discipline, convenience, or retaliation by staff
• have visitors, subject to applicable clinical restrictions, or hospital visitation policies, receive the visitors whom he or she designates, including, but not limited to, a spouse, a domestic partner (including a same-sex domestic partner), another family member, or a friend, and the right to withdraw or deny such consent at any time and not have any visitation privileges restricted, limited, or otherwise denied based on race, color, national origin, religion, sex, gender identity, sexual orientation, or disability
• to hospital services without discrimination based upon race, color, national origin, age, disability, sex (including pregnancy, gender identity and sexual orientation), or source of payment
• contact the Office of the Medicare Beneficiary Ombudsman http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html.
• submit a grievance following the hospital's policies and procedures. To submit a grievance, you or your representative may contact one or more of the following:

Manhattan Surgical Hospital, LLC ATTN:  Risk Manager 1829 College Avenue Manhattan, Kansas 66502 By phone: (785) 776-5100

Kansas Department of Health and Environment ATTN:  Director of Health Facilities 1000 SW Jackson, Suite 200 Topeka, Kansas 66612 By phone: (800) 842-0078

A written notification of the grievance determination containing the hospital's contact person, steps taken on the patient's behalf to investigate, the results, and completion date will be provided if a grievance is filed with the hospital.

Advance Directive Policy

Manhattan Surgical Hospital, LLC respects the right of all patients to make informed decisions regarding their care, including being able to accept, request, or refuse treatment and to formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives. However, because of the elective and non-emergent nature of most services provided at this facility, the hospital's policy is to initiate resuscitation or other stabilizing measures and transfer you to an acute care hospital for further evaluation should an emergency event occur during your treatment at this facility. This may include cardiopulmonary resuscitation. If you have a pre-hospital do-not-resuscitate order and do not agree to hospital's policy of resuscitation and transfer in the event of an emergency, we can assist you with rescheduling your procedure at an alternate health care facility.

Patient Responsibilities

• The patient has the responsibility to provide accurate and complete information regarding their present complaints, past illnesses, hospitalizations, medications, and other matters relating to their health.
• The patient is responsible for reporting perceived risks in their care and unexpected changes in their condition to the responsible practitioner.
• The patient and family are responsible for asking questions about the patient's condition, treatments, procedures, laboratory, and other diagnostic test results.
• The patient and family are responsible for asking questions when they do not understand what they have been told about the patient's care or what they are expected to do.
• The patient and family are responsible for immediately reporting any concerns or errors they may observe.
• The patient is responsible for following the treatment plan established by their physician, including the instructions of nurses and other health professionals as they carry out the physician's orders.
• The patient is responsible for keeping appointments and for notifying the hospital or physician when they are unable to do so.
• The patient is responsible for their actions should they refuse treatment or not follow their physician's orders.
• The patient is responsible for assuring that the financial obligations of their care are fulfilled as promptly as possible.
• The patient is responsible for following the facility's policies and procedures.
• The patient is responsible for being considerate of the rights of other patients and facility personnel.
• The patient is responsible for being respectful of their personal property and that of other persons in the hospital.