Patient anf family rights

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This is one of series lecture of JCI about patient and family rights , it was presented in Najran armed forces hospital

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  • Healthcare providers are expected to help patients be aware of and understand their RIGHTS.
  • In addition, healthcare providers need to help patients understand their RESPONSIBILITIES as well.
  • To whom does our policy applies to?
  • This policy applies to all patients, including minor patients under 18 years of age receiving treatment at Najran Armed Forces Hospital (NAFHP)And even special and vulnerable patient groups.This group includes children, disabled individuals, the elderly, the mentally incompetent, the mortally ill, those with terminal or vital disease, the unconscious, the socially or economically disadvantaged, prisoners etc.
  • Where can we see these?
  • Posters posted in the waiting areaProvided in written materials and other alternative formatsin multiple languages (Arabic & English)Stated in our Medical Staff By-Laws found in each department (System Control Part 1) Patient Hand Book
  • According to all these documents, the patient has the following rights
  • Right to receive an individualized, considerate and respectful care by the hospital staff in a safe setting at all times.It means that:Every person is entitled WITHOUT DISCRIMINATION to appropriate medical care.WITHOUT DISCRIMATION means that to give care regardless of race, color, religion, gender, age, sexual orientation, familial status, national origin, genetic information, physical or mental disability, and veteran status.
  • Right to know the name and professional status of the staff treating the patient and which physician is responsible for their care.That:All staff must wear I.D. card to identify themselves.All staff providing care will introduce themselves to patient and describe their roles.
  • Compel Medical Health Services to take measures to protect patient’s possessions from theft or loss. Staff will make sure that patient himself and his property are safe and secure.
  • Rights to Refuse or to Discontinue TreatmentPatient has the right to leave the hospital even against the advice of his/her physician.But we also have to inform patients about the consequences of their decisionsAnd informs them about available care and treatment alternatives for them
  • The patient has the right to choose freely and change his/her physician and hospital or health serviceinstitution, regardless of whether they are based in the private or public sector.The patient has the right to ask for a second opinion of another physician at any stage.
  • Right to effective communication based on individual needsPatient should have the access to a means of communication with the staff treating them in the Arabic Language.The patient who does not speak or understand the language of the predominant population will have access to an interpreter to assure understanding of the patient’s medical status and rehabilitation treatment plan.The patient with hearing or speech impairments will have access to appropriate communication services.
  • An eligible patient has the right to the hospital’s reasonable response to their requests and needs for treatment or service within the hospital’s capacity, its stated mission, and applicable law and regulation.The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case.
  • Patient has the right to be involved in decisions about their care before and during treatment, whenever medically possible and at discharge
  • Right to have pain treated effectivelyIt is the right of all patients that pain and symptoms will be assessed and appropriately managed
  • The patient has the right to be free from mental, physical, sexual, and verbal abuse, neglect, exploitation, and harassment.Any allegations are promptly investigated and appropriate action is taken.All patients have the right to be free from restraint or seclusion of any form that are not medically necessary, or are used as a means of coercion, discipline, convenience, or retaliation by staff
  • right to health education that will assist him/her in making informed choices about personal health and about the available health services.The education should include information about healthy lifestyles and about methods of prevention and early detection of illnesses.
  • Patient has the right to know and make a complaint if they are not satisfied with any aspect of their care and are unable to resolve the situation.The patient has the right to know the name of the person to speak to about a serious complaint about the hospital.
  • In addition to “rights” ,the patient also has “responsibilities”
  • Be considerable and respectful of the rights of other patients and of the hospital staff by assisting in the control of noise, the number of visitors, and cigarette smoking, where necessary.Should treat hospital staffs and other patients with dignity and respect and not to conduct any activity that will disrupt the work of the hospital.Should provide accurate and complete information concerning present complaints, past medical history, hospitalizations, medications and other matters relating to the patient's health.
  • Should report unexpected changes in their condition to a physician or nurse or other staff providing treatment to them.To tell the physicians, nurses, or other persons caring for them if they do not understand what the physicians, nurses, or others are doing to them and what the physicians and nurses are expect them to do.Should follow the treatment plan instructions of the physicians, nurses, and other people treating them and accept the consequences if they refuses treatment or does not follow these instructions.
  • Should keep appointments with the physicians and for notifying the physician when they are unable to do so.Should obey the hospital’s rules and regulations affecting patient care and conduct.Should respect the privacy of others and the property of the hospital.Should not bring alcohol, unauthorized drugs or weapons into the hospital.Should leave valuables at home and bring only those items necessary during hospital stay.
  • What is the difference between Privacy and Confidentiality?Privacy is about people and our sense of being in control of others access to ourselves or to information about ourselves with others.Confidentiality is about identifiable, private information that has been disclosed to others; usually in a relationship of trust and with the expectation that it will not be divulged except in ways that have been previously agreed upon.
  • What every employee should know about patient privacy “Patients have the rights to be examined in privacy & to have a person of the same sex present when being examined or treated by someone of the opposite sex.”Patients should have Privacy during care & treatment& Privacy for all clinical interviews, examinations, procedures, and transport.
  • Lets talk about the Confidentiality of Patient’s Information
  • What is considered confidential or protected health information (PHI)It is the Individually identifiable health information which includes:The Health information or anything that relates to an individual’s physical or mental health or the provision of health care or anything that identifies the individual itselfAnd it my use to carry out essential treatment & healthcare operations
  • The Confidentiality Rule sets rules and limits on who can look at and receive PHI; and to make sure that health information is protected in a way that does not interfere with healthcare and how information can be used and shared appropriately.
  • Patient Confidentiality is the right of an individual patient to have personal, identifiable medical information kept private; such information should be available only to the physician of record and other health carepersonnel as necessary.
  • To expect all communications and records of care to be kept confidentialBy not holding patient-related discussions in public placesBynot discussing who you see in the facility receiving care with family or friends
  • Maintaining Patients PrivacyDo not leave confidential papers anywhere on the copier, always shred copies.Always verify the telephone number of the receiving location before faxing confidential informationNever fax confidential information to an unauthorized person or in a room where others can observe the material
  • Do not leave the computer monitor unattended if confidential information is displayed on it.It is recommended that you not send confidential material via emailDo not print confidential material on a printer shared by other departmentsDo not leave a printer unattended while printing confidential materials
  • To help ensure confidentiality & To help protect confidentiality: Avoid any conversation, either in person or on the telephone with a patient or others about any aspect of treatment, patient records or financial arrangements.When speaking on the phone, avoid using the caller’s name or the name of the patientBeing careful when calling patient about test results
  • NEVER leave a message on the answering machine or with any other person except to request a return call from the patientAlways keep documents shielded from view in areas where fax machines, copy machines and printers are located.
  • To help protect confidentiality:Always remove documents from fax area, copy area and shredding them rather than putting materials in the trashProtecting computerized records and other information. Do not leave information showing on any unattended screen.Be careful of access to the network if the computer shares programs and data files.
  • Staff also respects patient confidentiality by not posting confidential information on the patient’s door or at thenursing station.
  • Training is essentialTraining in confidentiality of all patients records is vital tothe good standing of the healthcare organization. There havebeen breach in confidentiality of patients personal records atthe NAF Hospital where staff members looked intocelebrities medical records for personal information. Training is designed to educate you on the importance of Privacy and SecurityThis training program is design to protect individualinformation and individual right to privacy and theconfidentially of patients and hospital
  • It is everyone’s responsibility to take theConfidentiality of patient information seriously.Anytime you come in contact with patient informationthat is written, spoken or electronically stored, the law requires us to be train.
  • Confidentiality AgreementsEvery health care professional should be required to sign one and should be signed at every employment anniversaryWhen signed an agreement acknowledges the employee understanding of the facility’s policy regarding confidentiality of health information
  • Lets Maintain the Patients Rights.Hit the Compliance for Patient’s Privacy & ConfidentialityCoz’ ITS EVERYONE’S JOB!!!
  • Patient anf family rights

    1. 1. PATIENT’S RIGHTS & RESPONSIBILITIES PRIVACY & CONFIDENTIALITY By: Dr. Hisham Afaneh Psychiatrist consultant Head of psychiatric Department
    2. 2. Healthcare providers are expected to helppatients be aware of and understand their RIGHTS
    3. 3. Healthcare providers need to help patientsunderstand their RESPONSIBILITIES as well.
    4. 4. Who does our policy apply to?
    5. 5. •This policy applies to all patients, includingminor patients under 18 years of age receivingtreatment at Najran Armed Forces Hospital(NAFHP)• Special and vulnerable patient groups
    6. 6. Where can we see these?
    7. 7. Posters Patient Hand Book “Patient’s Bill of Rights”Medical Staff Written By-Laws Materials
    8. 8. Rights
    9. 9. Considerate &respectful care in a safe setting Without discrimination Race, color, religion, nationality, gender
    10. 10. To know about the staff that treats them Introduce themselves I.D. Card to patient
    11. 11. Protection of patient’s valuables Staff will makesure that patient himself and hisproperty are safe and secure
    12. 12. Right to refuse or todiscontinue treatment
    13. 13. Right to freedom of choice Right to choose freely andchange his/her physician and hospital or health service institution Right to seek a second opinion without fear of compromise to their care
    14. 14. Arabic LanguageRight to effective communication Interpreter
    15. 15. Rights to reasonableresponse torequest for treatment
    16. 16. Rights to participate in the care process Right to be involved in decisions about their care before and during treatment, whenever medically possible and at discharge
    17. 17. Painmanagement
    18. 18. Right to be Right to be free from free from abuse restraint
    19. 19. Right to Health Education available early health detection services of illnesses
    20. 20. Right to voice complaints
    21. 21. Patient’sResponsibilities
    22. 22. Be considerable andrespectful of the rightsof other patients and of the hospital staff Should treat hospital staffs and other patients with dignity and respect Should provide accurateand complete information
    23. 23. Should report unexpected changes in their condition To tell the physicians, nurses, or other persons caring for them if they do not understand what the physicians, nurses, or others are doing to them and are expect them to do Should follow the treatment plan instructions and accept the consequences if they refusestreatment or does not follow these instructions
    24. 24. Should keepappointments with the physicians Should obey the hospital’s rules and regulations Should respect the privacy of others Should not bring alcohol, unauthorized drugs or weapons intoShould leave valuables the hospitalat home and bring onlythose items necessary during hospital stay
    25. 25. Privacy vs. Confidentiality People Data
    26. 26. Patient’s privacy
    27. 27. Patient’s confidentiality
    28. 28. Protected Health Information (PHI) What is - Individually identifiable health covered information - Health information, including Individually demographic informationindentifiable - Relates to an individual’s physical or health mental health or the provision of or information payment for health care - Identifies the individual - Entities may use/disclose PHI toTreatment & carry out essential health care healthcare functions which include: operations •Treatment •Healthcare operations
    29. 29. Acceptable Use: Viewing a Patient’s •Those providing treatment PHI and care coordination •With family, relatives, friend, or others identified, by the patient, who are Nurse involved with the healthcareReviewing •To make sure doctors give His/Her good care and nursing Patient homes are clean and safe Physician Orders •To protect the publics Providing health, such as by reporting Care when epidemics are present within a community •To make required reports to the police, such as reporting gunshot wounds
    30. 30. “Patients have the rights to have their medical record read only by the people who are treating orsupervising the patient’s care, or by others specifically authorized by the hospital”
    31. 31. Conversations Do not discussBe aware of patient information your in public corridors,surroundings elevators, or in the cafeteria Do not discuss whoWhat happens you see in the in the facility receivingfacility, stays care with family orin the facility friends
    32. 32. Maintaining Patients Privacy Don’t leave confidential papers anywhere on the copier; always shred copies Never fax confidential Always verify the telephone information to an number of the receivingunauthorized person or in a location before faxing room where others can confidential information observe the material
    33. 33. Maintaining Patients Privacy Don’t leave the computer Don’t print confidential monitor unattended if material on a printerconfidential information is shared by other displayed on it departments Do not leave a printer unattended while printing confidential materials Don’t to send confidential material via email
    34. 34. Ensure Confidentiality When speaking on the Being careful when calling phone avoid using the patient aboutcaller’s name or the name test results of the patient Avoid any conversation, either in person or on the telephone with a patient or others about any aspect of treatment, patient records or financial arrangements
    35. 35. Ensure ConfidentialityNever leave a message on the answeringmachine or with any other person exceptto request a return call from the patientAlways keep documents shielded fromview in areas where fax machines, copy machines and printers are located
    36. 36. Protecting ConfidentialityDon’t leave information Protecting showing on any computerized records unattended screen and other informationBe careful of access to Always remove the network if the documents from fax computer shares area, copy area and programs and data shredding them rather files than putting materials in the trash
    37. 37. Staff respects patient confidentiality by not postingconfidential information on the patient’s door or at the nursing station
    38. 38. Training is essential Training in confidentiality of all patients records is vital to the good standing of the healthcare organization Training is designed to educate you on the importance of Privacy and SecurityThis training program is design to protect individual information and individual right to privacy and the confidentially of patients and hospital information
    39. 39. It is everyone’s responsibility to take the confidentiality of patient information seriously.Anytime you come in contact with patient information that is written, spoken or electronically stored, the law requires us to be train.
    40. 40. Confidentiality Agreements Every health care professional should be required to sign one and should be signed at every employment contract renewal When signed an agreement acknowledges theemployee understanding of the facility’s policyregarding confidentiality of health information
    41. 41. Lets Maintain the Patients Rights.Hit the Compliance for Patient’s Privacy & Confidentiality. ITS EVERYONE’S JOB!!!
    42. 42. ThankYou!!!

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