PatientInfoGuide - Flipbook - Page 15
directive and to have your care team comply
with these directives.
• We will provide written information about
hospice availability and admission criteria.
• We will transfer you to another facility, if
you are accepted for transfer and only after
providing information with explanation
about the reason for transfer and alternatives.
• We will provide you access to your medical
records in the form you request within a
reasonable time.
• You have a right to be free from physical
or mental abuse and corporal punishment,
neglect, exploitation, and all forms of abuse
and harassment. You also have a right to be
free from restraints or seclusion.
• We will only use restraints or seclusion
when necessary to ensure the immediate
physical safety of yourself or others and
will discontinue these efforts at the earliest
possible time.
Communications
• You have a right to know what hospital rules
and regulations apply to your conduct as a
patient.
• We will post the number of nursing staff and
maximum number of patients on the unit
where you are receiving care.
• We will provide an interpreter, if English is
not your preferred language or if you are deaf
or hard of hearing, so that you are able to
understand the care and treatment being
provided.
Hospital Charges
• Your bill will contain itemized, detailed,
comprehendable explanation of charges
regardless of your payment source.
Complaints and Grievance Procedure
To make a complaint or speak to someone
about your care, call:
Patient Advocate: 802-440-4054
PATIENT INFORMATION GUIDE
Privacy Officer: 802-447-5592
Chief Nursing Officer: 802-447-5592
President and CEO: 802-447-5236
All are located at 100 Hospital Drive,
Bennington, VT 05201.
If the concerned individual feels the need to
speak with someone outside our health system,
he or she may contact the following agencies or
organizations:
• The Vermont Department of Disability,
Aging and Independent Living
Division of Licensing and Protection
HC2 South, 280 State Drive
Waterbury, VT 05671-2020
Phone: 888-700-5330; dlp.vermont.gov
• The Vermont Department of Disability,
Aging and Independent Living
Survey and Certificate Intake/Complaint
HC2 South, 280 State Drive
Waterbury, VT 05671-2020
Email (preferred method):
ahs.dailscintake@vermont.gov
Phone: 888-700-5330
• Vermont Department of Health
Board of Health/Board of Medical Practice
P.O. Box 70, Burlington, VT 05402-0070
Phone: 802-657-4220
• U.S. Department of Health & Human Services
Centers for Medicare & Medicaid Services
JFK Federal Building, Room 2325
Boston, MA 02203
Phone: 617-565-1188; Fax: 617-565-1339
• The Joint Commission
Office of Quality Monitoring/The Joint
Commission
One Renaissance Blvd., Oakbrook Terr., IL 60181
tel: 800-994-6610
email:complaint@jointcommission.org
jointcommission.org/generalpublic/complaint
• BFCC-QIO Program KEPRO
5700 Lombardo Center Drive, Suite 100
Seven Hills, OH 44131
Toll-free: 888-319-8452; TTY: 855-843-4776
15