Patient Education Patient Guide | Page 16

Patient Rponsibiliti As a patient, you have a responsibility to: Tell us about your past illnesses, hospitalization, medications and other health matters. Provide a copy of your written Advanced Directives (Living Will, Healthcare Power of Attorney) if you have one. Ask for pain relief when pain first begins. Tell your doctor or nurse if your pain is not relieved. Understand that we do our best to take care of your needs and the needs of other patients. Ask questions when you do not understand what you have been told about your care and what you need to do. Tell your doctors and other caregivers if you feel you may have problems following prescribed treatment. Realize the impact your lifestyle may have on your health and accept the outcomes if you do not follow the care or treatment plan. Respect Mount Carmel staff and property. Provide information needed for insurance claims and for working with the hospital to arrange payment options when needed. Grievance Procedures You have the right to file a grievance about quality of care issues or concerns about early discharge. To use the formal grievance procedure, please submit your grievance in writing to: Mount Carmel Grievance Resolution Coordinator (c/o Risk Manager/Insurance) Corporate Services Center, 6150 East Broad Street, Columbus, Ohio 43213 We will write to you to let you know that we have received your grievance within five working days and will let you know how we addressed your concern within sixty working days. In some instances, we will need additional time to address your concern and will keep you informed. If your safety or quality concerns have not been addressed to your satisfaction, or if you prefer, you can contact the following:  Ohio Department of Health .................................................................................... 800-669-3534  Medicare............................................................................................................................... 800-633-4227  Joint Commission ............................................................................................................ 800-994-6610 15