Joint Commission Standards on Patient Rights and Responsibilities

1
Joint Commission Standards on Patient Rights and
Responsibilities

• Leadership
• Kathy Howard
• March 23, 2011

2
Chapter Overview

• Identification of basic, overarching patient
  rights
• The right to effective communication
• The right to participate in care decisions
• The right to informed consent
• The right to know care providers
• The right to participate in end-of-life decisions
• Individual rights of patients
• Patient responsibilities

3
Outline

• Patient Rights Resources
• MAH Hot Topics
• Visitation/Support Person
• Pt Information Understandable
• Pt/Provider Partnership
• Consent for Filming/Recording
• Name/role of providers given to pt
• Advance Directives
• Protection from Abuse and Neglect
• Complaints/Grievances

4
Patient Rights Resources

• Brochure of Rights and Responsibilities
• On web
• Posted in ED, Admitting and Outpt Areas
• Available in holders throughout DOB/hospital
• Admission Packet
• Policy on portal (hospital and W2)
• Specific policies on portal

5
MAH Hot Topics

• 1. Visitation/support individual (CMS update)
• policy updated to reflect obligation to respect
  pt preference
• No limits based on age, race, ethnicity,
  religion, culture, language, physical or mental
  disability, socioeconomic status, sex, sexual
  orientation and gender identity or expression
  unless it poses a risk/infringement to anothers
  rights
• 2. Information understood by patient
• All communication tailored to pts age, language,
  cognitive ability and special needs (vision,
  speech, other impairments)

6
MAH Hot Topics (contd)

• Patient/provider partnership
• Respect
• pt right to accept/refuse care
• Med/Surg Consent End of Life Care Code Status
• surrogate decision makers responsibility for
  making decision on behalf of patient
• Healthcare Proxy
• Durable Power of Attorney for Healthcare
• Guardian
• Right to be informed (consent, disclosure, etc)

7
MAH Hot Topics (contd)

• 4. Consent for Filming/Recording
• Consent prior to any recorded medium except if
  used in the course of care

8
MAH Hot Topics (contd)

• Patient is kept informed about who is providing
  and responsible for his/her care.
• Provider introduces self and relationship to pt
• Advanced Directives
• If on file, must be avail on current chart
• Working on process improvement
• Protection from Abuse/Neglect
• Policies/resources (community/internal)

9
MAH Hot Topics (contd)

• 8. Complaints/Grievances
• Resolution Process (turnaround expectations)
• x 5100
• Deescalate when it happens anticipate and
  intervene
• Pt/Family right to express grievance/compliant
  without fear of reprisal