Compliance

Patient Rights

All patients have the following rights:

• Right to access of treatment and/or accommodations that are available or medically necessary, regardless of race, creed, sex, national origin or source of payment for care. 
• Right to formulate an advanced directive and to have hospital staff and practitioners who provide care in the hospital comply with these directives.
• Right to a timely notice of non-coverage of their hospital stay.
• Right to have an interpreter provided if your language is other than English, and alternative communication techniques or aides for those who are deaf or blind.
• Right to file a grievance and have it addressed in a timely, reasonable and consistent manner. You have the right to be informed in writing about the resolution of your grievance.  If we fail to meet your expectations during your stay please call our Chief Quality Officer, Jodie Efird, RN at 870-460-3510. If desired, you have the right to file a grievance directly with the Arkansas Department of Health by calling 501-661-2201, emailing adh-hfs-complaints@arkansas.gov, or writing to 5800 West Tenth, Suite 400, Little Rock, AR, 72204.
• Right to participate in the development and implementation of your plan of care.
• Right to make informed decisions about your care.
• Right to be informed of your health status.
• Right to be informed about your prognosis.
• Right to be involved in care planning and treatment, including pain management.
• Right to refuse or to request treatment.
• Right to have a family member or representative of your choice and your physician notified promptly of your admission to the hospital.
• Right to personal privacy.
• Right to refuse or to request treatment.
• Right to have a family member or representative of your choice and your physician notified promptly of your admission to the hospital.
• Right to personal privacy.
• Right to be treated with dignity and respect.
• Right to know the identity and professional status of all individuals who provide your care, and you have the right to know who is responsible for authorizing and performing medical procedures or treatments ordered for you.
• Right to receive care in a setting reasonable safe from the environmental, infection, and security hazards.
• Right to be free from all forms of abuse, neglect, or harassment.
• Right to confidentiality and privacy of clinical records and health information.
• Right to access information contained in your clinical records within a reasonable time frame with the following exceptions: harm would be caused to another person, your life, well-being, or physical safety would be endangered, or a promise of confidentiality would be violated.
• Right to be free of seclusion or restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation.
• Right to receive an itemized bill of hospital charges regardless of the source of payment.

ATTENTION

Drew Memorial Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Drew Memorial Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Drew Memorial Hospital provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters
• Written information in other formats (large print, audio, accessible electronic formats, other formats)

Drew Memorial Hospital provides free language services to people whose primary language is not English, such as:

• Qualified interpreters
• Information written in other languages

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

(Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia
lingüística. Llame al 1-870-460-3551.

(Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho
bạn. Gọi số 1-870-460-3551.

(Marshallese) LALE: Ñe kwōj kōnono Kajin Ṃajōḷ, kwomaroñ bōk jerbal in jipañ ilo kajin ṇe aṃ
ejjeḷọk wōṇāān. Kaalọk 1-870-460-3551.

(Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-870-460-3551.

(Laotian) ໂປດຊາບ: ຖ້ າວ່ າ ທ່ ານເ ວ້ າພາສາ ລາວ, ການໍບິລການຊ່ ວຍເຫຼື ອດ້ ານພາສາ, ໂດຍໍ
່ບເສັ ຽຄ່ າ,
ແມ່ ນມີ ພ້ ອມໃຫ້ທ່ ານ. ໂທຣ 1-870-460-3551.

(Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng
tulong sa wika nang walang bayad. Tumawag sa 1-870-460-3551.

اذكر اللغةإف ،ن خدمات الماسدعة اللغوةی تتوارف كل ابلماجن. ا تلص ربقم (Arabic)1-xxxx-xxx-xxx مقراھتف اصلو ملاكبم: 1-3551-460-870.(ملظوحة: إ اذ كتن تتحدث

(German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche
Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-870-460-3551.

(French) ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés
gratuitement. Appelez le 1-870-460-3551.

(Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau
koj. Hu rau 1-870-460-3551.

(Korean)주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-
870-460-3551 번으로 전화해 주십시오.

(Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.
Ligue para 1-870-460-3551.

(Japanese) 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-870-460-
3551 まで、お電話にてご連絡ください。

(Hindi) ध्यान दें: यदद आप द िंदी बोलते ैंतो आपके ललए मुफ्त मेंभाषा स ायता सेवाएिं उपलब्ध ैं। 1-870-460-
3551 पर कॉल करें।

(Gujarati) સચુ ના: જો તમેગજુ રાતી બોલતા હો, તો નન:શલ્ુક ભાષા સહાય સેવાઓ તમારા માટેઉપલબ્ધ છે. ફોન
કરો 1-870-460-3551.

If you need these services, please contact Jenny Guthrie at (870)-460-3532.

Grievances

If you believe that Drew Memorial Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person or by mail, fax, or email at:

Civil Rights Complaints

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, or by mail or phone at:

Complaint forms are available here.