This document outlines patients' rights and responsibilities regarding privacy and confidentiality at Najran Armed Forces Hospital. It discusses the right to privacy, confidentiality of personal health information, and staff responsibilities to maintain privacy and protect confidential patient data. Staff are expected to complete training on privacy and confidentiality policies and sign confidentiality agreements to protect patient information. The policy applies to all patients at the hospital, including minors, and protects their private health details.
5. •This policy applies to all patients, including
minor patients under 18 years of age receiving
treatment at Najran Armed Forces Hospital
(NAFHP)
• Special and vulnerable patient groups
13. Right to freedom of choice
Right to choose freely and
change his/her physician and
hospital or health service
institution
Right to seek a
second opinion
without fear of
compromise to their
care
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
22. Be considerable and
respectful of the rights
of other patients and of
the hospital staff
Should treat hospital
staffs and other patients
with dignity and respect
Should provide accurate
and complete information
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 refuses
treatment or does not follow these
instructions
24. Should keep
appointments 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 into
Should leave valuables the hospital
at home and bring only
those items necessary
during hospital stay
28. Protected Health Information (PHI)
What is - Individually identifiable health
covered information
- Health information, including
Individually demographic information
indentifiable - 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 to
Treatment & carry out essential health care
healthcare functions which include:
operations •Treatment
•Healthcare operations
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
healthcare
Reviewing •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. “Patients have the
rights to have their
medical record read
only by the people who
are treating or
supervising the patient’s
care, or by others
specifically authorized
by the hospital”
31. Conversations
Do not discuss
Be aware of patient information
your in public corridors,
surroundings elevators, or in the
cafeteria
Do not discuss who
What happens
you see in the
in the
facility receiving
facility, stays
care with family or
in the facility
friends
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 receiving
unauthorized person or in a
location before faxing
room where others can
confidential information
observe the material
33. Maintaining Patients Privacy
Don’t leave the computer Don’t print confidential
monitor unattended if material on a printer
confidential 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. Ensure Confidentiality
When speaking on the
Being careful when calling
phone avoid using the
patient about
caller’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. Ensure Confidentiality
Never leave a message on the answering
machine or with any other person except
to request a return call from the patient
Always keep documents shielded from
view in areas where fax machines, copy
machines and printers are located
36. Protecting Confidentiality
Don’t leave information Protecting
showing on any computerized records
unattended screen and other information
Be 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. Staff respects patient
confidentiality by not posting
confidential information on the
patient’s door or at the
nursing station
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 Security
This training program is design to protect individual
information and individual right to privacy and the
confidentially of patients and hospital information
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. 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 the
employee understanding of the facility’s policy
regarding confidentiality of health information
41. Lets Maintain the
Patients Rights.
Hit the Compliance for
Patient’s Privacy &
Confidentiality.
ITS EVERYONE’S
JOB!!!
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!!!