At Cumberland Memorial Hospital & Extended Care Unit, Inc. you have the right to...

• Treatment in a dignified and respectful manner without regard to race, creed, color, national origin, religion, sex, sexual orientation, age, ancestry or economic status, marital status, newborn status, handicap or source of payment.
• Confidentiality of your medical record, with a right to access, review, copy or amend them if you believe them to be incorrect as long as the information was initiated and is maintained at CMH-ECU.
• A copy of the Patient’s Rights and Responsibilities.
• You or your legal representative have a right to be informed of your health status, treatments and plan of care in terms you can understand, and to participate in the development and implementation of your plan of care.  You have the right to refuse treatment after receiving information of consequences of that refusal.
• Approve or deny release of your records to others, except as required by law or upon transfer to another health care facility.
• As a Medicare beneficiary, you have the right to appeal a discharge from the facility.
• Know that Cumberland Memorial Hospital & Extended Care Unit, Inc. does not have a physician in the hospital 24 hours a day, seven days per week and that your emergency medical needs will be met through the use of physician directed emergency protocols or standing orders.
• You are entitled to information about policies/procedures including phone numbers and addresses for initiation and resolution of patient complaints/grievances.
• Prompt resolution of any complaints or grievances.
• Personal privacy during patient care.  You have the right to consent or refuse the use of cameras or video monitoring.
• Review your bill and receive an explanation of the bill, regardless of payment source and to receive information on financial assistance if requested.
• Receive and participate in education for continuing health needs and treatment, including discharge planning.
• Be treated in a dignified and respectful manner with recognition of your individual needs.
• Effective communication. 
• Have your pain managed.
• Have your spiritual needs met.
• Be informed of any research/experimental procedures and the right to consent to participation or the right to refuse without jeopardizing your hospital or medical care.
• Receive care in an environment of safety.
• Receive or restrict visitors of your choice at any time.
• Choose your primary physician and to know who is responsible for your care.
• Except in emergencies, your consent or your legal representative’s consent will be obtained before treatment is administered.
• Formulate advance directives and have staff and practitioners comply with those directives.
• Be free from physical or mental abuse or harassment.
• Be free from seclusion and restraints not required as a part of medical treatment.
• Have a family member or representative of your choice or your own physician notified promptly of an admission to the hospital.
• Except in emergencies, you have the right to not be transferred to another facility without an explanation for the transfer, without provision being made for continuing care and without acceptance by the receiving facility.
• You, your legal representative or anyone you authorize may receive information about your illness, course of treatment or prognosis for recovery from an appropriate person in terms you can understand.
• An interpreter, if needed at no cost to you.

• Informing your doctor or nurse immediately if you do not understand instructions or if you feel that they are difficult to understand.
• Supplying accurate and complete information to your health care team about past illnesses, hospitalizations, medications and other matters relating to your health.
• Notifying your doctor or nurse about changes in your condition.
• Cooperating with hospital staff in observing safety regulations and other rules which have been written for your protection.
• Being considerate of other patients and of hospital personnel who are involved in providing your health care.
• Appropriate use of hospital facilities and equipment and for respecting hospital property to help assure its availability to future patients.
• Your personal valuables and belongings.
• Cooperating in your treatment.
• Reminding visitors to maintain a quiet atmosphere and observe smoking regulations, and using TV, phone, radio and lights in a manner that is not disturbing to others.
• Fulfilling the financial obligation of your health care.

If we at Cumberland Memorial Hospital & Extended Care Unit, Inc. fail to meet your expectations, please share your concerns or complaint with:

*Your healthcare provider or physician

*Director of the department

*Patient Services Representative at 822-6197

*Office of Quality Monitoring
The Joint Commission
One Renaissance Blvd.
Oakbrook Terrace, IL 60181
1-630-792-5636

*MetaStar
2909 Landmark PL
Madison, WI 53713
1-800-362-2320

*Department of Health Services
Division of Quality Assurance
PO Box 2969
Madison, WI 53701-2969
1-800-642-6552