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PATIENT BILL OF RIGHTS AND RESPONSIBILITIES

Home care patients have a right to be notified in writing of their rights and obligations before treatment is begun. The patient’s family, with the patient’s permission, or guardian may exercise the patient’s rights when the patient has been judged incompetent. Home care providers have an obligation to protect and promote the rights of their patients to care, treatment and services within their capability and mission, and in compliance with applicable laws, regulations and standards, including the following rights.

YOU HAVE THE RIGHT TO:

  • 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
  • Receive information about the scope of services that the organization will provide and specific limitations on those services
  • Participate in the development and periodic revision of the plan of care
  • Refuse care or treatment after the consequences of refusing care or treatment are fully presented  
  • Be informed of client/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
  • Voice grievances/complaints regarding treatment or care, lack of respect of property or recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal
  • 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
  • Be fully informed of one’s responsibilities
  • Be treated, and have your property treated, with dignity, courtesy, and respect, recognizing that each person is a unique individual.
  • Have relationships with home care providers that are based on honesty and ethical standards of conduct.
  • Receive a written statement of the scope of care, treatment and/or services that are provided by AIM Plus Medical Supplies, LLC directly or through contractual arrangements.
  • Reasonable coordination and continuity of services from referring agency to home medical equipment service/ medical supply provider, timely response when equipment or supplies are needed or requested, and to be informed in a timely manner of impending delays or discharge.
  • Be fully informed upon admission of AIM Plus Medical Supplies, LLC policies, procedures, ownership or control of the local facility and the process for receiving, reviewing and resolving your complaints or concerns about your care, treatment and/or services.
  • Receive complete explanations of charges for care, treatment, services and equipment, including eligibility for third-party reimbursement, charges for which you may be responsible, and an explanation of all forms you are requested to sign.
  • Receive quality home care equipment/medical supply products and services that meet or exceed professional and industry standards regardless of race, religion, political belief, sex, social or economic status, age, disease process, DNR status or disability.
  • Receive products, equipment, treatment, and services from qualified personnel and to receive instructions on effective operation of equipment and your responsibilities regarding home care equipment, treatment and services (see referring provider for training as needed).
  • Participate in decisions concerning the nature and purpose of any technical procedure which will be performed and who will perform it, the possible alternatives and/or risks involved and your right to refuse all or part of the services and to be informed of expected consequences of any such action.
  • Be informed of the anticipated outcomes of care, treatment and/or services and of any barriers in achieving those outcomes.
  • Confidentiality of all your records (except as otherwise provided for by law or third-party payer contracts) and to review and even challenge those records and to have your records corrected for accuracy.
  • Review information about to whom and when your personal health information was disclosed, as permitted under applicable law and as specified in AIM Plus Medical Supplies, LLC policies and procedures.
  • Express dissatisfaction and to suggest changes in any service without discrimination, reprisal or unreasonable interruption of services.
  • Be advised of the telephone number for the State’s Abuse Hotline. The number is: 1-800-458-7214.
  • Be advised of any change in the plan of care/services provided before the change is made.
  • Participate in the planning of the care and in planning changes in the care, and to be advised that you have the right to do so.
  • Receive information in a manner and/or language that you understand.
  • Accept or refuse medical treatment while competent and to make decisions about care/services to be received should you lose competency.
  • Have family members, as appropriate and as allowed by law, with your permission or the permission of your surrogate decision maker, involved in care, treatment, and/or service decisions make decisions about your care/products/equipment.
  • Have another person exercise your rights, as appointed to act, if you have been adjudged incompetent under state law by a court of proper jurisdiction. If a state court has not adjudged a client/patient incompetent, any legal representative designed by the client/patient in accordance with state law may exercise the client/patient’s right to the extent allowed by state law.
  • 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/delivery personnel through proper identification.
  • Be informed and exercise your rights.
  • *When additional state or federal regulations exist regarding patient rights the organization will adhere to those regulations and include those in your patient rights.

 

PATIENT RESPONSIBILITIES:

You have the responsibility to:

  • RETURN ALL HIPAA AND SIGNATURE FORMS MAILED TO YOU IN THE NEW PATIENT WELCOME PACKET.
  • NOTIFY US OF PHONE NUMBER OR ADDRESS CHANGE.
  • NOTIFY US OF INSURANCE OR PHYSICIAN CHANGE.
  • Adhere to the plan of treatment or service established by your physician.
  • Adhere to AIM Plus Medical Supplies, LLC policies and procedures.
  • Participate in the development of an effective plan of care which will involve the management of pain, if appropriate.
  • Provide, to the best of your knowledge, accurate and complete medical and personal information necessary to plan and provide services/equipment.
  • Ask questions about your care, treatment and/or services, or to have clarified any instructions provided by company representatives.
  • Communicate any information, concerns and/or questions related to pain, perceived risks in your care, treatment and/or services, and unexpected changes in your condition.
  • Be available at the time deliveries are made to allow an AIM Plus Medical Supplies, LLC representative or delivery personnel to delivery your product/supplies or exchange equipment at reasonable times.
  • Notify AIM Plus Medical Supplies, LLC if you are going to be unavailable for delivery of your supplies.
  • Treat company personnel with respect and dignity without discrimination.
  • Provide a safe environment for staff to provide care and services.
  • Care for and safely use equipment, according to instructions provided, for the purpose it was prescribed and only for/on the patient for whom it was prescribed. Monitor the quantity of items we supply in your home/school/workplace and reorder as required to assure timely delivery of the required items.
  • Communicate any concerns about you/your/caregiver’s/family member’s ability to follow instructions or use the equipment provided.
  • Protect equipment from fire, water, theft or other damage. You agree not to transfer or allow your equipment to be used by any other person without prior written consent of AIM Plus Medical Supplies, LLC and further agree not to modify or attempt to make repairs of any kind to the equipment. Modifying equipment or attempting equipment repairs releases AIM Plus Medical Supplies, LLC from any liability related to the equipment and its uses, and from any resulting negative patient outcomes.
  • Except where contrary to federal or state law, you are responsible for equipment rental and sale charges which your insurance company or companies do not pay.
  • You are responsible for prompt settlement/payment in full of your accounts unless prior arrangements have been approved by company administration.
  • AIM Plus Medical Supplies, LLC should be notified promptly of any changes in your physical condition (including hospitalization), prescription, physician, plan of care, product issues, or insurance coverage and anything else that may affect our services to you.
  • Notify AIM Plus Medical Supplies, LLC immediately of any address or telephone changes whether temporary or permanent.

 

 

Customer Service

M-F: 8am - 5pm
(866) 919-1246

Location

6521 AL Hwy 69 S, Suite N,
Tuscaloosa, AL 35405