PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
To ensure the finest care possible, as a patient receiving our pharmacy services, you should understand your role, rights and responsibilities involved in your own plan of care.
As our patient, you have the right to:
To express concerns, grievances, or recommend modifications to your Pharmacy in regard to services or care, without fear of discrimination or reprisal
To receive information about product selection, including suggestions of methods to obtain medications not available at the pharmacy where the product was ordered
To request and receive complete and up-to-date information relative to your condition, treatment, alternative treatments, risk of treatment or care plans
To confidentiality and privacy of all information contained in the patient record and of Protected Health Information;
To receive information on how to access support from consumer advocates groups
To receive information to assist in interactions with the organization
To receive information about health plan transfers to a different facility or Pharmacy Benefit Management organization that includes how a prescription is transferred from one pharmacy service to another.
To Receive pharmacy health and safety information to include consumers rights and responsibilities
To know the philosophy and characteristics of the patient management program
To have personal health information shared with the patient management program only in accordance with state and federal law
The right to identify the program’s staff members, including their job title, and to speak with a staff member’s supervisor if requested
The right to speak to a health professional
The right to receive information about an order delay, and assistance in obtaining the medication elsewhere, if necessary.
To receive information about the patient management program
To receive administrative information regarding changes in or termination from the patient management program
To decline participation, revoke consent or disenroll from the patient management program at any point in time
Be fully informed in advance about care/service to be provided, including the disciplines that furnish care and the frequency of visits, as well as any modifications to the plan of care
Be informed, both orally and in writing, in advance of care being provided, of the charges, including payment for care/service expected from third parties and any charges for which the client/patient will be responsible
Receive information about the scope of services that the organization will provide and specific limitations on those services
Refuse care or treatment after the consequences of refusing care or treatment are fully presented
Be informed of patient rights under state law to formulate an Advanced Directive, if applicable
Have one's property and person treated with respect, consideration, and recognition of client/patient dignity and individuality
Be able to identify visiting personnel members through proper identification
Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of client/patient property
Have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated
Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information
Be advised on agency's policies and procedures regarding the disclosure of clinical records
Choose a health care provider, including choosing an attending physician, if applicable
Receive appropriate care without discrimination in accordance with physician orders, if applicable
Be informed of any financial benefits when referred to an organization
As our patient, you have the responsibility:
To notify your Physician and the Pharmacy of any potential side effects and/or complications
To submit any forms that are necessary to participate in the program to the extent required by law
To give accurate clinical and contact information and to notify the patient management program of changes in this information
To notify their treating provider of their participation in the patient management program, if applicable
To maintain any equipment provided
To submits forms that are necessary to receive services
To provide accurate medical and contact information and any changes
To notify the treating provider of participation in the services provided by the pharmacy
To notify the pharmacy of any concerns about the care or services provided.
To participate in the development and updating of a plan of care