As a patient, you have the right to:

• Have personal health information shared with the Patient Management Program only in accordance with state and federal law.
• Identify the program's staff members, including their job titles and to speak with a staff member's supervisor if requested.
• Speak to a health professional.
• Receive information about the Patient Management Program.
• Decline participation, or disenroll, in the Patient Management Program at any point in time.
• 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 in advance of care/service being provided and their financial responsibility.
• 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 or 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 (PHI).
• Be advised on the agency's policies and procedures regarding the disclosure of clinical records.
• Receive appropriate care without discrimination in accordance with physician’s orders, if applicable.
• Be informed of any financial benefits when referred to an organization.
• Be fully informed of one's responsibilities.
• Receive reasonable accommodations if you are a person with special needs.
• Receive reasonable accommodations for your religious practices.
• Receive considerate and respectful care in a smoke-free environment.
• Speak alone with anyone you wish while in the hospitals or health centers unless your health care provider determines it is not in your best medical interest.
• Accept or refuse visits from anyone you choose unless the visitor's presence compromises yours or others' rights, safety or health. This includes family members, a spouse, a domestic partner (including a same-sex domestic partner) or any other type of visitor. You have the right to withdraw (cancel) a consent to visitation at any time. If the patient is a minor, it is the parents or legal guardians who have this right.
• Receive proper assessment and management of pain.
• Give or refuse consent for recordings, photographs, films or other images to be produced, unless it is for identification, diagnosis or treatment.
• Be free from restraint of any form or seclusion that is not medically necessary.
• Be free from coercion (intimidation), unwarranted discipline or retaliation by staff.
• Be free from mental, physical, sexual and verbal abuse, neglect and exploitation.
• Speak or meet with clergy of your services.
• Request an Ethics Committee consultation for guidance on health care decision making. To make a request, contact the hospital paging operator at 734-936-4000 and ask for the Ethics Consultant on call for the Adult Ethics Committee or Pediatric Ethics Committee.
• Privacy.

If you have questions or concerns about your rights, please feel free to reach out.

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Patients and caregivers are a vital part of their care team. Knowing and upholding your responsibilities helps us to deliver the best possible care. 

You have the responsibility to:

• Give accurate clinical/medical and contact information and to notify the Patient Management Program of changes in this information.
• Notify the treating prescriber of participation in the services provided by the pharmacy, such as the Patient Management Program.
• Submit forms that are necessary to receive services.
• Provide accurate medical and contact information and any changes.
• Notify the treating provider of participation in the services provided by the organization.
• Maintain any equipment provided.
• Notify the organization of any concerns about the care or services provided.
• Follow the rules involving patient care and conduct. These include U-M Health visitation and no smoking policies.
• Provide us with a complete and accurate medical history. This history includes all prescribed and over-the-counter medications you are taking.
• Tell us about all medications and interventions you are receiving.
• Follow the suggestions and advice your health care providers prescribed in a course of treatment. If your refusal of treatment prevents us from providing appropriate care according to ethical and professional standards, we may need to end our relationship with you after giving you reasonable notice.
• Leave valuables at home and bring only necessary items for the hospital stay. The hospital is not responsible for any or lost or stolen valuables.
• Be considerate of the rights or other patients and U-M Health personnel and property.
• Provide information about difficulties you may have regarding your health care that we may not be aware of.
• Tell us if you clearly understand your plan of care and the things you are asked to do. Make appointments and arrive on time. You must call in advance when you cannot keep a scheduled appointment.
• Meet any financial obligations agreed to with the hospitals and health centers. This includes providing us with the correct information about your sources of payment and ability to pay your bill.

We’re here to help. If you have any questions or concerns about your responsibilities, please call us.

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