Patient Rights and Responsibilities


It is the policy of MercyOne Elkader Medical Center, MercyOne Elkader Family Medicine and MercyOne Monona Family Medicine. to inform all patients of their rights and responsibilities whenever possible, in a language or manner that the patient understands.  MercyOne Elkader Medical Center and Clinics will provide access to treatment for all and prohibits discrimination based on age, race, creed, color, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression, diagnosis, payor source (including but not limited to Medicare, Medicaid and Children's Health Insurance Program/CHIP) or ability to pay. MercyOne Elkader Medical Center and Clinics implement policies promoting the following rights of persons served: 

The right to respectful, skillful, and compassionate care of your mind, spirit/body.

  • You will receive health care that meets professional standards with assurance of reasonable safety within the hospital.
  • You may expect to have preservation of individual dignity and protection of personal privacy in receipt of care.
  • You may accept or refuse visitors. You may designate a support person to represent your wishes. The hospital will not restrict, limit or otherwise deny visitation privileges on the basis of age, race, creed, color, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression, diagnosis, payor source (including but not limited to Medicare, Medicaid and Children's Health Insurance Program/CHIP) or ability to pay. Additionally, the hospital will ensure all visitors enjoy full and equal visitation privileges consistent with patient preferences. If a conflict arises the Chief Executive Officer (CEO) or Chief Nursing Officer (CNO) will resolve the conflict based on the Visitation Rights Policy.
  • You have the right to expect unrestricted access to communication but sometimes it may be necessary, as a component of your care, to restrict visitors, mail, telephone calls, or other forms of communication. You and your family will be included in any such decision.
  • You will have knowledge of the identity of the physician or other practitioner primarily responsible for your care as well as the identity and professional status of others providing services to you while you are in the hospital.
 

The right to personal privacy, confidentiality, and availability of records.

  • You may expect that any discussion or conversation regarding your care will be discreet and professional in nature.
  • You may access your records in a reasonable time frame and have your records explained to you.
  • You have protection from unauthorized review of your records. Confidentiality will be maintained of medical and other appropriate information.
 

The right to information that will permit you to participate in development and implementation of your plan of care.

  • You have the right to information regarding your care unless medically contraindicated; the right to request a consult with a specialist at your expense; and the right to refuse treatment, procedures or participation in experimental research to the extent authorized by law.
  • You may make informed decisions regarding your care, this includes choosing a personal attending physician, being informed as to health status and prognosis, care planning, treatment, requesting treatment and refusing treatment.
  • You may ask questions and expect honest, understandable answers allowing you to participate in and make informed decisions about your care.
  • You may assist in the formulation of your health care and advance directives and have providers comply with these directives.
  • You may have a family member, representative or physician notified promptly of your admission to the hospital.
  • You may have access to hospital billing information pertaining to you and have it explained to you.
 

The right to education regarding your condition, its causes and treatment.

  • You may expect to receive the appropriate knowledge and skills necessary to manage your condition.
  • You may expect to receive and use necessary information enabling you to achieve a healthier lifestyle.
  • You will be asked to provide information about your health, including past illnesses, hospital stays and medications.
 

The right to spiritual counseling.

  • You have access to confidential spiritual counseling.You may choose or refuse a visit by clergy or any pastoral care person. You may request religious observances of your choice.
 

The right to be safe from all forms abuse, financial or other exploitation, retaliation, humiliation and neglect.

  • This includes the right to be free from restraints of any form that are not medically necessary. You may only have a restraint used  to improve your well being when least restrictive methods are ineffective. Your condition will be continually assessed, monitored, and reevaluated while restrained. The restraint must be: 
     
    • Ordered by a physician, never as a standing or PRN order, and followed by a consultation with the treating physician as soon as possible.
    • In accordance with a written modification to the plan of care.
    • Implemented in the least restrictive manner.
    • In accordance with safe and appropriate restraining techniques.
    • Ended at the earliest possible time.
 
 

The right to a fair, fast and objective review of any complaint/grievance you have against MercyOne Elkader Medical Center.

  • If you have any questions about your rights and responsibilities while in the hospital, contact your primary nurse. If you do have a complaint/grievance, you can register the complaint by using any of the options below:

Use the MercyOne Elkader Medical Center’s complaint process to submit a written complaint/grievance.

MercyOne Elkader Medical Center Chief Executive Officer
901 Davidson Street NW, Elkader, Iowa 52043   
(563) 245-7000

Upon receipt of a concern, MercyOne Elkader Medical Center has the responsibility to review, investigate and respond to the party initiating the grievance. An oral or written response to the patient/patient representative will be made within seven (7) working days of receiving the complaint to the patient/patient representative.

Refer quality of care concerns, premature discharge grievances or beneficiary complaints to LIVANTA, which is the external peer review organization for hospitals in Iowa. 
LIVANTA, LLC
Beneficiary and Family Centered Care (BFCC)- Quality Improvement Organization (QIO) Program 
10820 Guilford Road Suite 202, Annapolis Junction, MD 20701-1105 (888) 755-5580   

Register your concerns with the Health Facilities Division of the Iowa Department of Inspections and Appeals.
Iowa Department of Inspections and Appeals Health Facilities Division
Lucas State Office Building, Third Floor 321 East 12th Street, Des Moines, IA 50319
Phone: (515) 281-3790 OR (877) 686-0027  Fax: (515) 281-7106       

File a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. 
Officer for Civil Rights Complaint Portal available at: https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf
U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, DC 20201
(800) 368-1019, (800) 537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
      
Contact one of the following agencies below: 

Iowa Department of Inspections and Appeals - Medicaid Fraud Control Unit
Lucas State Office Building, Third Floor 321 East 12th Street, Des Moines, Iowa 50319   
Phone: (800) 831-1394  

State of Iowa - Office of the State Long-Term Care Ombudsman 
510 East 12th Street, Suite 2, Des Moines, Iowa 50319
Phone: (515) 725-3333, (866) 236-1430

Disability Rights Iowa - Law Center for Protection and Advocacy 
400 East Court Avenue, Suite 300, Des Moines, IA 50309 
(515) 278-2502   Website: https://disabilityrightsiowa.org  Email: info@ipna.org 

Social Security Administration 
1635 Associates Drive, Suite 101, Dubuque, Iowa 52002
Phone: (563) 584-0867, (877) 405-3650

Iowa Department on Aging (Elder Affairs) 
510 East 12th Street, Suite 2 Des Moines, IA 50319 
Phone: (515) 725-3333, (800) 532-3213

Clayton County Sheriff’s Office 
22680 230th Street, Saint Olaf, Iowa 52072 
Phone: (563) 245-2422

Elkader Police Department
207 North Main Street, Elkader, Iowa 52043  Phone: (563) 245-3110
 

Your responsibilities as a patient of MercyOne Elkader Medical Center:

  • To provide accurate and complete information about current and past health matters, including illnesses, hospitalizations, medications and other matters relating to his/her health.
  • To tell the hospital or doctor’s office if you have prepared an advance directives. (Medical Power of Attorney or Living Will.)
  • To validate understanding of treatment plan and anticipated effects. To make it known if you do not understand what you have been given in education, instructions, or communication.
  • To follow the treatment plan recommended by the practitioner responsible for his/her care including the instructions of nurses and other health care professionals.
  • To abide by hospital rules and regulations affecting patient care and conduct.
  • To be considerate of the rights of other patients and hospital personnel, treating them with respect and due consideration.
  • To accept medical consequences of refusing treatment and/or leaving the hospital against medical advice.
  • To protect your valuables by sending them home with family members or having them placed in the hospital locked area.
  • To refrain from photos, videos and audiotapes of staff without consent.
  • To fulfill your financial obligations, including notifying the hospital of any insurance changes, as soon as possible following discharge.
 

Patient Visitation Rights

MercyOne Elkader Medical Center recognizes that a key component in ensuring excellence in patient care involves respecting the rights of the patient to involve family members, domestic partners, and significant others in their care and treatment. It is the policy of MercyOne Elkader Medical Center to have flexible visiting determined by the needs and wishes of the patient. 

MercyOne Elkader Mediclal Center ensures patients, their family members, domestic partners, and significant others are not discriminated against based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity/expression. Additionally, the hospital will ensure all visitors enjoy full and equal visitation privileges consistent with patient preferences.

Incapacitated patients may identify (if they are able) a support person, preferably in writing. Patients and/or support person has the right to designate whom he/she wants to visit while at MercyOne Elkader Medical Center.

Visitation may be restricted due to clinical necessity or circumstances where it may infringe on the rights and/or safety of others.
 
Examples of clinically appropriate visitation restrictions include: patient and visitor safety, infection control issues, when interfering with care of other patients, roommate needs rest or privacy, substance abuse treatment plan, patient undergoing care interventions and restriction for children.
 
Examples of non-clinical reasons which may affect visiting include: Court orders restricting visiting, patients in police custody, disruptive, threatening or violent behavior on the part of the patient or the visitor, public safety procedures.

The patients and/or support person has the right to withdraw his/her consent of visitation rights of individuals.

In the event there is a conflict regarding visitation of an incapacitated patient the CEO or CNO will be contacted to help resolve the conflict.

DEFINITIONS:

Family member: A person related to the patient by blood, legal marriage, or adoption.

Domestic partner: A person who lives with the patient but is not legally married to the patient and includes same-sex domestic partner.

Significant other: A person not related to the patient by blood, legal marriage, or adoption, but one that the patient has designated as a significant person that he/she wants to have involved in his/her care and treatment.

Support person: A person who can provide emotional support and make decisions regarding visitors for incapacitated patients. The support person exercises the incapacitated patient’s visitation rights and need not be the same individual who is legally responsible for making medical decisions on the patient’s behalf.