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Patient Rights

The rights of patients in a general acute care hospital, as specified in section 70707, Title 22, California Administrative Code, are listed below.

All patients have the right to:

• Considerate and respectful care, and to be made comfortable. This includes respect for personal values and beliefs and access to pastoral care to meet spiritual needs.
• Request the services of an interpreter if needed, at no cost.
• Have a family member or other representative notified promptly of your admission to the hospital.
• Know the name of the physician/provider who has primary responsibility for coordinating your care and the names and professional relationships of other physicians and non-physicians who will see you.
• Receive information about your health status, course of treatment, prospects for recovery and outcomes of care (including unanticipated outcomes) in terms you can understand. You have the right to participate in the development and implementation of your plan of care. You have the right to participate in ethical questions that arise in the course of your care, including issues of conflict resolution, withholding resuscitative services, and forgoing or withdrawing life-sustaining treatment.
• Participate actively in decisions regarding your medical care, and receive as much information about any proposed treatment or procedure as you may need in order to give informed consent or to refuse a course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved, alternate courses of treatment or non-treatment and the risks involved in each, and the name of the person who will carry out the procedure or treatment.
• Request or refuse treatment, to the extent permitted by law. However, you do not have the right to demand inappropriate or medically unnecessary treatment or services. You have the right to leave the hospital even against the advice of physicians, to the extent permitted by law.
• Be advised if the physician/provider proposes to engage in or perform research and clinical trials affecting your care or treatment. You have the right to refuse to participate in such research projects and your decisions will not affect your care.
• Reasonable responses to any reasonable requests made for service.
• Have an appropriate assessment and management of your pain, information about pain and pain relief measures, and participate in pain management decisions. You may request or reject the use of any or all modalities to relieve pain, including opiate medication, if you suffer from severe chronic intractable pain. The doctor may refuse to prescribe the opiate medication, but if so, must inform you that there are physicians who specialize in the treatment of severe chronic intractable pain with methods that include the use of opiates.
• Prepare advance directives. You have the right to give instructions about your own health care. You also have the right to name someone else to make decisions for you, including designating a health care decision maker. You may designate a decision maker if you wish to have someone else make treatment decisions for you or in the event you become incapable of understanding a proposed treatment or become unable to communicate your wishes regarding care. Physicians/providers who provide care in the health facility shall comply with these directives. All patients’ rights apply to the person who has legal responsibility to make decisions regarding medical care on your behalf.
• Have personal privacy respected. Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly. You have the right to be told the reason for the presence of any individual. You have the right to have visitors leave prior to an examination and when treatment issues are being discussed. Privacy curtains will be used in semi-private rooms.
• Confidential treatment of all communications and records pertaining to your care. Written permission shall be obtained before medical records are made available to anyone not directly concerned with your care, except as otherwise required or permitted by law.
• Access information contained in your records within a reasonable time frame, except in certain circumstances specified by law.
• Receive a written “Notice of Privacy Practices” *(PHI) that explains how your protected health information will be used and disclosed.
• Receive care in a safe setting, free from verbal or physical abuse or harassment. You have the right to access protective services including notifying government agencies of neglect or abuse.
• Be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience or retaliation by staff.
• Receive reasonable continuity of care and to know in advance the time and location of your appointments as well as the identity of the persons providing the care.
• Be informed by the physician/provider of continuing health care requirements following discharge from the hospital. Upon your request, a friend or family member may also be provided this information.
• Know which hospital rules and policies apply to your conduct while a patient. 
• Designate visitors of your choosing, if you have decision-making capacity, whether or not the visitor is related by blood or marriage, unless:
• No visitors are allowed
• The facility reasonably determines that the presence of a particular visitor would endanger the health or safety of a patient, a member of the staff or other visitor to the health facility, or would significantly disrupt the operations of the facility.
• You have told the health facility staff that you no longer want a particular person to visit.
  
  However, a health facility may establish reasonable restrictions upon visitation, including restrictions upon the hours of visitation and number of visitors.
  
  You will also have your wishes considered, if you lack decision-making capacity, for the purposes of determining who may visit. The method of that consideration will be disclosed in the hospital policy on visitation.
• Examine and receive an explanation of the hospital’s bill regardless of the source of payment.
• Exercise these rights without regard to sex, economic status, educational back-ground, race, color, religion, ancestry, national origin, sexual orientation or marital status or the source of payment for care.
• Express concerns or complaints about your care with the assurance that the quality of your care or future access to care will not be compromised. You have the right to expect a reasonable and timely response to your concerns.
• File a grievance with the University of California, Irvine HealthSystem (UCIHS) by calling the UCIHS Customer Service Department at 714-456-7004 or writing to

  UCIHS
  PO Box 14091
  Orange, CA 92868

You have a right to be informed of the outcome of the grievance investigation.

• File a grievance with California’s Department of Health Services (DHS) by calling 916-229-3400 or writing to

  DHS
  7801 Folsom Blvd.
  Suite 200
  Sacramento, CA 95826

Patients’ Rights for Mental Health:          

All mental health patients have the right to:

• Wear their own clothes, keep and use their own personal possessions including toilet articles and keep and be allowed to spend a reasonable sum of their own money for canteen expenses and small purchases.
• Access to individual storage space for their private use.
• See visitors each day.
• Reasonable access to telephones, both to make and receive confidential calls.
• Ready access to letter writing materials, including stamps, and to mail and receive unopened correspondence.
• Refuse shock treatment.
• Refuse psychosurgery as defined in Section 5325, Welfare and Institutions Code.
• Be informed of the provisions of law regarding complaints and of procedures for registering complaints confidentially, including but not limited to, the address and telephone number of the complaint receiving unit of the department.
• All other rights as provided by law or regulation.
• The physician who has overall responsibility for the service or a designee, may for good cause deny a person any of the rights specified above, except those rights specified in subsection 7) and 9) above, and the rights under subsection 6) may be denied only under the conditions specified in Section 5326.7, Welfare and Institutions Code. The denial, and the reasons therefore, shall be entered in the patient’s medical record.

The Neonatal Bill of Rights

All infants have the right to:

• Be treated as human beings with feelings and emotions.
• Receive considerate and respectful care.
• Receive affection, love and understanding.
• Receive the best medical care available regardless of race, color, creed or financial ability to pay.
• Allow family the right to receive from the physician information necessary to give informed consent.
• Confidentiality in all communications and records relating to their care.
• Information concerning other health care institutions.
• Be as comfortable and free from pain as possible.
• Receive nutritional support regardless of the expected outcome of his disease.
• Die with dignity and honor.

The Child’s Bill of Rights

Pediatric patients have the right to:

• Be called by their name.
• Receive a smile and loving care.
• Be given careful evaluation, and courteous, prompt treatment.
• Know the names of their doctors, nurses and anyone who provides care.
• Have basic needs met – to be clean, dry, and comfortable and without restraints whenever possible.
• Have as normal a schedule as possible – uninterrupted sleep, quiet times, playroom, school and the comfort of parents and family members, and  schedules should be designed for their convenience as much as possible.
• Have a schedule for tests and procedures that doesn’t keep them hungry or thirsty any longer than necessary.
• Make choices whenever possible when they do not interfere with the quality of care.
• Cry and make noise, or object to anything that hurts.
• Have their parents with them any time they are able to stay, as long as it doesn’t compromise care.
• Have an interpreter for them and their family whenever possible.
• Involve family in health care decisions and also, to:
  • Be told what’s happening to them, and to have their questions answered honestly, in words they can understand.
  • Have confidentiality about their illness.
  • Not have people talk about them over their beds, in their rooms, outside their doors or in the halls unless they know what’s happening.
  • Be discharged from the hospital as soon as possible without compromising their health.

This Patient Rights document incorporates the requirements of the Joint Commission on Accreditation of Healthcare Organizations; Title 22, California Code of Regulations,

Section 70707; Health and Safety Code Sections 1262.6, 1288.4, and 124960; and 42 C.F.R. Section 482.13 (Medicare Conditions of Participation).

* Protected Health Information (PHI) is defined as any clinical health information related to the patient’s past, present or future physical or mental health condition which is obtained by any health care provider, either verbally or in writing, and which also includes information which identifies reasonably identifies an individual.