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PATIENT’S RIGHTS & RESPONSIBILITIES
    PRIVACY & CONFIDENTIALITY
            By: Dr. Hisham Afaneh
             Psychiatrist consultant
         Head of psychiatric Department
Healthcare providers are expected to help
patients be aware of and understand their
                RIGHTS
Healthcare providers need to help patients
understand their RESPONSIBILITIES as
                  well.
Who does our policy
    apply to?
•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
Where can we see
    these?
Posters                        Patient Hand Book




                “Patient’s Bill
                  of Rights”




Medical Staff                          Written
  By-Laws                              Materials
Rights
Considerate &
respectful care
   in a safe
    setting          Without
                  discrimination



                  Race, color,
                    religion,
                  nationality,
                     gender
To know about the staff that treats them




                    Introduce themselves
  I.D. Card
                         to patient
Protection of patient’s valuables




 Staff will make
sure that patient
 himself and his
property are safe
   and secure
Right to refuse or to
discontinue treatment
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
Arabic Language




Right to effective
  communication




     Interpreter
Rights to
 reasonable
response to
request for
 treatment
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
Pain
management
Right to be   Right to be
 free from     free from
   abuse        restraint
Right to Health Education


        available      early
         health      detection
        services    of illnesses
Right to voice
  complaints
Patient’s
Responsibilities
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
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
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
Privacy vs. Confidentiality




                         People




                          Data
Patient’s
 privacy
Patient’s confidentiality
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
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
“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”
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
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
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
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
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
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
Staff respects patient
 confidentiality by not posting
confidential information on the
    patient’s door or at the
         nursing station
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
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.
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
Lets Maintain the
   Patients Rights.
Hit the Compliance for
  Patient’s Privacy &
    Confidentiality.
  ITS EVERYONE’S
         JOB!!!
Thank
You!!!

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Patient anf family rights

  • 1. PATIENT’S RIGHTS & RESPONSIBILITIES PRIVACY & CONFIDENTIALITY By: Dr. Hisham Afaneh Psychiatrist consultant Head of psychiatric Department
  • 2. Healthcare providers are expected to help patients be aware of and understand their RIGHTS
  • 3. Healthcare providers need to help patients understand their RESPONSIBILITIES as well.
  • 4. Who does our policy apply to?
  • 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
  • 6. Where can we see these?
  • 7. Posters Patient Hand Book “Patient’s Bill of Rights” Medical Staff Written By-Laws Materials
  • 9. Considerate & respectful care in a safe setting Without discrimination Race, color, religion, nationality, gender
  • 10. To know about the staff that treats them Introduce themselves I.D. Card to patient
  • 11. Protection of patient’s valuables Staff will make sure that patient himself and his property are safe and secure
  • 12. Right to refuse or to discontinue treatment
  • 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
  • 14. Arabic Language Right to effective communication Interpreter
  • 15. Rights to reasonable response to request for treatment
  • 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
  • 18. Right to be Right to be free from free from abuse restraint
  • 19. Right to Health Education available early health detection services of illnesses
  • 20. Right to voice complaints
  • 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!!!

Notes de l'éditeur

  1. Healthcare providers are expected to help patients be aware of and understand their RIGHTS.
  2. In addition, healthcare providers need to help patients understand their RESPONSIBILITIES as well.
  3. To whom does our policy applies to?
  4. 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.
  5. Where can we see these?
  6. 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
  7. According to all these documents, the patient has the following rights
  8. 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.
  9. 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.
  10. 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.
  11. 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
  12. 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.
  13. 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.
  14. 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.
  15. Patient has the right to be involved in decisions about their care before and during treatment, whenever medically possible and at discharge
  16. Right to have pain treated effectivelyIt is the right of all patients that pain and symptoms will be assessed and appropriately managed
  17. 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
  18. 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.
  19. 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.
  20. In addition to “rights” ,the patient also has “responsibilities”
  21. 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.
  22. 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.
  23. 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.
  24. 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.
  25. 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.
  26. Lets talk about the Confidentiality of Patient’s Information
  27. 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
  28. 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.
  29. 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.
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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.
  35. 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.
  36. Staff also respects patient confidentiality by not posting confidential information on the patient’s door or at thenursing station.
  37. 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
  38. 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.
  39. 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
  40. Lets Maintain the Patients Rights.Hit the Compliance for Patient’s Privacy & ConfidentialityCoz’ ITS EVERYONE’S JOB!!!