On behalf of the entire staff of Owensboro Health Muhlenberg Community Hospital, we wish to extend to you our warmest welcome.
We want to assure you that our staff is dedicated to making your visit with us as comfortable and pleasant as possible.
This information page will outline our policies and operations: also included are educational materials that you may find beneficial. If you have any questions about the hospital or our services, any staff member will be happy to assist you. It is our privilege to have you as a patient and guest. We extend our best wishes for your speedy recovery.
What Are Advance Medical Directives?
They are legal documents that allow you to give directions for your future medical care.
It is your right to accept or refuse medical care. Advance directives help protect this right. They help make your choices known if you become physically or mentally unable to do so yourself. Advance directives are valuable tools. They can help:
- Your family, by freeing them of the responsibility and stress of having to make difficult decisions for you.
- Your health care providers, by giving directions for your care
- Advance directives help protect your rights. They can "speak" for you when you can't make your wishes known due to brain damage, coma or other unconscious state, or terminal illness (when death is expected within a short time).
There Are Two Types Of Advance Directives
- Living will: Written instructions explaining your wishes for healthcare if you can't communicate as a result of a terminal condition or irreversible coma.
- Durable Power of Attorney for Healthcare: Sometimes called a "Healthcare Proxy". A document that lets you name a person (your proxy) to make medical decisions for you if you become unable to do so.
Making Your Wishes Known
You can use advance directives to request or refuse treatments and to express your feelings about other healthcare issues. For example, you can state your preferences for:
- Cardiopulmonary resuscitation (CPR) - restoring stopped breathing and heartbeat
- Intravenous (IV) therapy, medication through a tube in your vein
- Feeding tubes, inserted through the nose, throat, etc. *Ventilators or respirators, machines used to keep patients breathing
- Dialysis, cleaning patient's blood when the kidneys are no longer working
- Organ and tissue donation
- Pain relief and comfort care
Consider your values before creating advance directives If you were in a coma (or other unconscious condition) or had permanent brain damage or a terminal illness, would you want to:
- Die without pain and suffering
- Prolong life, regardless of the chances for recovery
- Leave your family with good memories
- Have your religious beliefs respected
- Have other honor your decisions
- Not burden your family with difficult decisions
- Be with your loved ones at death
Discuss your thoughts and feelings and talk with family and friends, your healthcare providers, clergy, your attorney and anyone you name as your proxy.
How To Create Advance Directives
- Know your state's laws regarding living wills and durable power of attorney for healthcare (visit www.ag.ky.gov).
- Put your wishes in writing, being as detailed possible. *Sign and date your advance directives; and have them notarized.
- Give your healthcare providers copies of your medical record (if you use a durable power of attorney for healthcare, give your proxy a copy, too).
- Discuss your advance directives with family, friends and your proxy. Give copies to anyone who should be notified in an emergency.
- Review your advance directive regularly. You can always change or even cancel advance directives. Make sure to update the copies you've distributed.
Questions & Answers
What Is A "Do Not Resuscitate Order" (DNR)
A set of written instructions from a physician telling healthcare providers not to perform CPR or related procedures. Advance directives do not replace DNR orders.
What If I Don't Have An Advance Directive
Not having an advance directive puts more stress on your family and your healthcare providers. They will be responsible for making important decisions about your care that may be difficult if they do not know your wishes.
Policy Statement Regarding Patients' Rights
Prior to the start of any procedure or treatment, the patient shall receive whatever information is necessary from the physician to get informed consent. Except in an emergency, the information provided to the patient to obtain informed consent shall include, but limited to, the intended procedure or treatment, the potential risks and the probable length of disability. Whenever significant alternatives to care or treatment exist or when the patient requests information concerning alternatives, the patient shall be given such information. The patient shall have the right to know the name and person responsible for all procedures and treatments.
- The patient may refuse medical treatment to the extent permitted by law. If the patient refuses treatment, the patient will be informed of significant medical consequences that may result from such action.
- The patient will receive written information concerning their rights under state law to make decisions concerning medical care.
- The patient will be given information and the opportunity to formulate advance directives, including, but not limited to, a living will and/or appointment of a healthcare surrogate, and/or execution of a durable power of attorney for healthcare.
- The patient shall receive care regardless of whether or not the patient has or has not executed an advance directive.
- The patient shall have their advance directive made part of their permanent medical record
- The patient shall have the terms of their advance directive complied with by the healthcare providers to the extent permitted by state law.
- The patient shall be transferred to another physician or facility if their physician or agent of their physician or healthcare facility cannot respect the patient's advance directive requests as a matter of "conscience".
Frequent hand washing is one of the best ways to avoid getting sick and spreading illness. Hand washing requires only soap and water or alcohol-based hand sanitizer. Washing your hands frequently can help limit the transfer of bacteria, viruses and other microbes. Hand washing doesn't take much time or effort, but it offers great rewards in terms of preventing illness. Adopting a habit of washing your hands may have a significant impact on improving your health.
Basic Dental Hygiene
Brushing your teeth with fluoride toothpaste is essential to good oral health. Not only does brushing your teeth help prevent tooth decay, it also helps prevent gum disease, which is one of the leading causes of tooth loss in adults and has been linked to heart attacks and strokes. You should floss your teeth at least once a day. Flossing in between your teeth removes food debris and plaque from in between the teeth that a toothbrush can't reach. Plaque causes tooth decay and can lead to gum disease.
To avoid falls in the hospital, the nursing staff at Owensboro Health Muhlenberg Community Hospital has the following suggestions to help you avoid a fall during your hospitalization:
- Put on slippers or shoes with non-skid soles on while walking. Request a pair of non-skid "slipper socks" if you feel the need to wear socks to bed.
- Ask for help if you feel weak, dizzy or light-headed when you need to get up.
- Use the call light to ask for assistance. Use the call switch in the bathroom if you become weak or need assistance back to your bed.
- Notify the nursing staff if a spill occurs on the floor. * Ask to have objects, such as bedside tables, phone, and call lights, within easy reach at all times.
- Request a bedside commode if you have trouble ambulating (walking) by yourself.
- Keep a night light on.
- Keep the bed in the lowest height setting.
- Keep as active as possible with some type of exercise program. Exercise increases bone density and makes bones less fragile and less likely to break. Remember that a fear of falling leads to decreased activities, weakness and an increase in falls.
- Do a home safety check.
- Remove electrical cords and telephone wires from walking paths.
- Be sure all rugs are tacked down.
- Avoid using floor polish or wax to reduce slick surfaces on floors.
- Bathrooms: Use non-skid mats or appliques on tub/shower floors, install grab bars in tub/shower and around toilet, and use shower chair/seat if you are weak or dizzy
- Keep your phone and light within easy reach of your bed.
Owensboro Health Muhlenberg Community Hospital is committed to providing the best healthcare to this community and surrounding areas by treating all who use the facility with the highest level of care in a financially sound hospital. In order to do this, the following policy has been adopted.
Since we must be financially efficient to continue to provide quality care to our citizens, payment or payment arrangements are expected at the time of service. By no means does this mean that care will be delayed or denied by your ability to pay in case of emergency. Our financial counselors are available to answer your questions related to your hospital bill.
They are available Monday - Friday. Calling 270-338-8000 and asking for a financial counselor.
All patients are instructed on payment options and methods during the registration process. Please bring all insurance information to the hospital each time you come for services.
Co-pays and deductibles should be paid at the time of service or discharge. We will work quickly to file with your insurance. You help may be needed to resolve any insurance denials.
If your insurance has not paid within 45 days, you may be responsible for the entire bill. We accept cash, checks, VISA, MasterCard and Discover. Responsible parties who have no health insurance, or have obligations after an insurance payment, are expected to pay within 30 days of billing.
If you can't pay in full, payment arrangements may be made through the hospital's financial counselors. Hospital charges do not include fees for professional services, such as emergency room physicians, pathologists, radiologists anesthesiologists or other professionals that may be involved in your care.
You may receive a separate bill for these services. We participate in the Disproportionate Share Program of KY. This program provides for charitable care if the responsible party qualifies under state guidelines.
During your registration, you were given information outlining the program. If you would like to apply call 270-338-8285. If you have insurance that covers your care, the state charitable program is not allowed. However, we also offer a charitable program for the under-insured.
Delinquent Accounts, we provide a reasonable amount of uncompensated care to those in the community who meet the criteria of the indigent or charitable programs.
For those who do not meet the criteria, payment is expected. Payment arrangements are available within hospital guidelines. For those few who fail to pay their financial obligations, the hospital is obligated by law to try to collect money owed for services.
Owensboro Health Muhlenberg Community Hospital provides services without regard to race, color, sex, creed, age, national origin, disability or the ability to pay.
Admission/Observation Status Information
Did you know that even if you stay in the hospital overnight, you might still be considered an "outpatient"? Your hospital status (whether the hospital considers you an "inpatient" or "observation/outpatient") affects how much you pay for hospital services (like x-rays, medications and lab tests).
An inpatient admission begins the day you're formally admitted to the hospital with a physician's order. The day before you're discharged is your last inpatient day. You are an outpatient if you receive emergency department services, lab test, x-rays and the physician has not written an order to admit you to the hospital as an inpatient, even if you spend the night in the hospital.
If you're in the hospital for more than a few hours, ask the physician or hospital staff if you are an inpatient or observation/outpatient. Understanding the differences in traditional Medicare coverage for hospital inpatients and outpatients and how these rules apply are further described below. If you have a Medicare Advantage Plan (like an HMO or PPO), coverage and costs may differ; check with your specific plan.
What Do I Pay As An Inpatient
Medicare Part A (hospital insurance) covers inpatient hospital services. Generally, this means you pay a deductible for your hospital services for the first 60 days you're in the hospital. Medicare Part B (medical insurance) covers most of your physician services when you are an inpatient. You pay 20% of the Medicare allowed the amount for physician services after the Part B deductible.
What Do I Pay As An Outpatient
Medicare Part B covers outpatient hospital and physician services. Generally, this means you pay a coinsurance for each individual out-patient hospital service. This amount may vary by each service. Part B also covers most of your physician services as an outpatient at the hospital. You pay 20% of the Medicare allowed amount after the Part B deductible. Generally, all prescription and over-the-counter medications (also called Self-Administered Drugs) you receive in an outpatient setting, like the emergency department, are not covered by Medicare Part B. If you have Medicare Part D prescription drug coverage, these medications may be covered under certain circumstances. You will most likely need to pay for these medications out of pocket and submit a claim to your prescription plan for reimbursement. Contact your prescription plan for more information. For more detailed information on how Medicare covers hospital services, including premiums, deductible, and co-payments, visit:
www.medicare.gov to view the "Medicare & You" handbook. You can also call 800-MEDICARE or 800-633-4227. TTY users should call 877-486-2048.
The hospitalist services is a collaborative effort between Owensboro Health Muhlenberg Community Hospital and your primary physician to ensure that you receive excellently, quality care throughout your stay at Owensboro Health Muhlenberg Community Hospital. The hospitalist will round on all adult patients on Acute Care, Intensive Care, and Long Term Care units from Friday-Monday morning. Physician participation varies. The hospitalists do not provide coverage for OB or Pediatric patients. We are dedicated to providing very good care for you.
Calling A Patient
Family and friends may call a patient's room directly from outside the hospital by calling 270-3388+room number
. To allow for proper rest for our patients, the operator does not connect outside calls between the hours of 9 p.m. and 7 a.m.; however, patients may place outgoing local calls at any time by dialing 9+ the phone number. Long distance calls can be made by dialing the operator (0) for an outside line. Long distance phone calls may be charged to the individual's phone card or by placing the call "collect".
Cell Phone Policy
Cell phone usage should be limited throughout the hospital so not to disturb other people around you. Please keep your ringtones on low or turn to vibrate. Remember to be considerate of our patients that are trying to rest and recover.
Monday - Friday Breakfast 7:30 a.m. - 9 a.m. Lunch 11 a.m. - 1 p.m. Saturday - Sunday Breakfast 7:30 a.m. - 9 a.m. Lunch 11 a.m. - 1 p.m.
Visitor parking is located in the front of the hospital, in the Emergency Room parking lot and the side lot by the Emergency Room with white markings.
Gift of Life & KODA
Kentucky Organ Donor Association. For more information, call KODA at 800-525-3456
or visit www.kyorgandonor.org
Owensboro Health Muhlenberg Community Hospital has taken a leadership role in the promotion of quality healthcare including the prevention of disease. With this commitment comes the responsibility of providing a safe and healthy environment for patients, visitors and staff. As such, the use of all tobacco products including cigarettes, pipes, cigars, chewing tobacco, and snuff is prohibited on all property owned, managed or leased by Owensboro Health Muhlenberg Community Hospital. This includes all buildings and grounds and applies to all staff, patients, visitors, vendors, volunteers, and the general public.
The hospital Gift Shop is located on the first floor by the front entrance. Operating hours are Monday - Friday, 10 a.m. - 4 p.m. A wide variety of cards, flowers, unique gift items, as well as, snacks are available. Gifts may be purchased by cash, check debit card, or credit card. Gift purchases for hospital patients and staff may be made by credit card by calling 270-338-8347
The Information Desk is located on the first floor at the main entrance of the hospital. Volunteers staff the desk Monday-Friday.
Mail is delivered daily throughout the hospital. Our volunteer staff distributes the mail Monday-Friday. Engineering staff is responsible on the weekends.
Local newspapers are donated and distributed to the patient's rooms and waiting areas every Wednesday morning by our volunteers.
Owensboro Health Muhlenberg Community Hospital is pleased to offer "AT YOUR REQUEST" room service dining to all patients. This innovative dining experience allows you to select meals from an expansive menu designed to make you feel as though you were at home or at your favorite restaurant. Once you have made your selection, your meal will be delivered to your room within 45 minutes. You may place your order at extension 8999
. Further information will be available in your room.
Chaplain services are available upon request. There is a list on each nursing unit, so feel free to talk to a staff member for assistance.
Suggestions & Comments
Information/Suggestion boxes are located throughout the hospital for your convenience. Please feel free to fill out one of our CARE cards to commend a particular staff member for going above and beyond their duty or to make a suggestion that might help us improve your stay while in the hospital.
Vending machines containing snacks, various food items and beverages are available 24 hours a day. They are located in the Emergency Room waiting room on the first floor. On the second floor, they are located in the Acute Care waiting for areas. A drink machine is located in the Nursing Administration waiting area.
The hospital offers no-cost interpretation services for the hearing impaired or foreign languages. Please contact the Nursing Supervisor or Administration for assistance.
Owensboro Health Muhlenberg Community Hospital prohibits discrimination based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and/or gender identity or expression.
Color-Coded Arm Bands
Owensboro Health Muhlenberg Community Hospital has a goal of providing safe, high-quality care. We use color-coded "ALERT" BANDS to help "alert" staff for continuity of care.
- Purple armbands are for DNR (Do Not Resuscitate)status
- Yellow armbands are for Fall Risk
- Red armbands are for Allergies (medication, food, environmental)
Please share this information with us to ensure the best care and safety for our patients. You will be provided further information on these armbands once you are in your room and require one of these bands.
Owensboro Health Muhlenberg Community Hospital provides discharge planning for all hospital patients. Planning begins upon admission and continues through the hospital stay. The goal is to make the appropriate arrangements for post-hospital care. Planning is a coordinated effort between all members of the healthcare team to provide continuity of care during hospitalization and after the patient has been discharged, should further services be needed. The social worker will discuss the results of the evaluation with the patient or caregiver. Some patients may require more complex discharge needs. The social worker can assist with skilled nursing placement, home health, equipment needs at home or other needs which may be identified. If you have any questions, you may reach the social worker at extension 8437
The Health Information Portability and Accountability Act Privacy rule is intended to ensure that personally identifiable information on our patients is protected. All records are kept confidential. If you need a copy of your medical record, the patient must go to the Health Information Management (medical records) department and show photo identification and sign a consent form for release of information. No other family member or friend may do this for the patient unless they are the Power of Attorney. This does not include a Durable Power of Attorney for healthcare decision making. Legal documentation (written) must be given each time.
What You Should Know About HIV/AIDS
AIDS is the Acquired Immune Deficiency Syndrome, a serious illness which makes the body unable to fight infections. A person with AIDS is susceptible to certain infections and cancers. When a person's body cannot fight off infection, it will become ill and sometimes die. AIDS is caused by a virus called Human Immunodeficiency Virus (HIV).
How Is HIV/AIDS Transmitted
- Sexual contact (oral, anal or vaginal intercourse) with an infected person when blood, semen or vaginal secretions are exchanged.
- Sharing a syringe or needle with someone who is infected.
- Receiving contaminated blood or blood products (very unlikely now, since March 1985, blood used for transfusion has been tested).
- An infected mother may pass the virus to her child before or during childbirth.
- You cannot get HIV/AIDS through casual, non-sexual contact such as:
- Sharing food, utensils or plates
- Touching someone who is infected with HIV
- Touching or shaking hands
- Donating blood (has NEVER been a risk of contracting HIV)
- Using public restrooms
- Being bitten by mosquitoes or other insects
- Do not share needles or syringes with anyone
- Do not have sexual intercourse except with a permanent partner who you know is not infected. If you choose to have sex with anyone else, use latex condoms along with a spermicidal containing Nonoxynol-9 every time you have sex
- If you are pregnant or attempting to become pregnant, you are encouraged to be tested for HIV
- Educate yourself and others about HIV infection and AIDS
Early diagnosis of HIV infection is important. Persons with HIV must get prompt medical treatment. Call your local health department or the KY AIDS Hotline at 800-654-2437
for more information on testing and treatment. You don't have to be afraid of a person living with HIV/AIDS.
Directions To Hospital
Public Notice Owensboro Health and its aliate sites will admit and serve all inpatients and outpatients equally without regard for race, color, national origin, sex, religion or disability.
This notice includes:
Acute Care Hospital:
Owensboro Health Regional Hospital
Departments of Owensboro Health Regional Hospital:
• Healthpark Special Health Clinic-EAP
• Heart & Lung Rehabilitation
• Home Care
• Mitchell Memorial Cancer Center
• Outpatient Imaging and/or Lab – Breckenridge, Ford, Pleasant Valley, Springs
• Outpatient Physical Therapy/Therapy Services – Owensboro, Henderson
• Radiation Therapy
• Sleep Lab
• Speech & Audiology
• Transitional Care
• Wound Center - Owensboro, Beaver Dam
Owensboro Health Medical Group:
• Behavioral Services
• Cardiology – Owensboro, Greenville, Madisonville
• Cardiothoracic Surgery
• Education & Wellness
• Family Medicine – Owensboro, Beaver Dam, Calhoun, Central City, Dixon, Greenville, Henderson, Madisonville, Tell City (IN)
• Gastroenterology & Hepatology
• Hematology & Oncology
• Infectious Disease
• Internal Medicine – Owensboro, Greenville
• Maternal & Fetal Medicine
• McAuley Primary Care
• Obstetrics & Gynecology – Owensboro, Henderson, Madisonville
• Orthopedics – Owensboro, Greenville, Henderson, Madisonville, Tell City (IN)
• Pain Management
• Palliative Care
• Pediatric Hospitalist
• Plastic & Reconstructive Surgery
• Physical Medicine & Rehabilitation
• Pulmonology/Critical Care – Owensboro, Madisonville, Tell City (IN)
• Surgical Specialists – Owensboro, Beaver Dam, Greenville, Henderson, Tell City (IN)
• Urgent Care – Owensboro, Greenville, Madisonville, Beaver Dam, Tell City (IN)
• Urology - Owensboro, Greenville
• @Work – Owensboro, Madisonville, Beaver Dam, Greenville, Tell City (IN)
ACUTE CARE HOSPITAL:
Owensboro Health Muhlenberg Community Hospital
DEPARTMENTS OF OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL:
• Ambulatory Surgery Center Muhlenberg
• Home Health
• Coal Miners’ Respiratory Clinic
• Emergency Medical Services
• Long-Term Care
• Pain Management Center
• Sleep Center
All locations in Owensboro unless otherwise noted
All locations in KY unless otherwise noted
The Owensboro Health Muhlenberg Community Hospital staff is committed to making patient treatment and care as comfortable as possible. To help our nursing staff accurately assess pain, we request that patients rate the severity of their pain using the pain scale below. A "0" (zero) means that no pain is present; a "10" (ten) indicates the intensity of the pain present is the worst ever experienced. Using these reference points, a patient should score pain often and establish a pain goal. A pain goal is the level of pain patients are able to handle and still perform activities necessary for recoveries, such as walking, turning, bathing, deep breathing and coughing.
As patients approach their pain goal, they should ask their healthcare provider to take steps to relieve pain. Families may be requested to help set pain goals for small children or patients unable to communicate these goals.
Owensboro Health Muhlenberg Community Hospital Clinical Staff offers the following
- A pain scale to assess your pain.
- Assistance in establishing a pain goal to manage pain
- Medication and other measures of comfort ordered by your physician
- Information about using pain medications for pain relief.
Patient Portal Information (MyChart)
At Owensboro Health, we respect your personal preferences and values. Our staff works to heal the sick and improve the health of the community through active listening and partnering to meet the individual healthcare needs of those we serve.
As a patient, you can help us deliver safe, effective care by:
- Being well-informed
- Communicating openly with your physician and other healthcare professionals
- Participating in your treatment decisions
Learn About Your Rights
Notice Of Privacy Practices
Effective Date: July 7, 2015
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET THIS INFORMATION.
PLEASE REVIEW CAREFULLY.
If you have any questions, please contact our Privacy and Security Officer at the address or phone number at the bottom of this notice.
If you have any questions about this notice or want further information about the matters covered in this notice, please contact our Privacy and Security Officer at the address or phone number on the rear of this notice.
You will receive a copy of the notice the first time you register for treatment with any of us. You will be asked to acknowledge in writing your receipt of this notice.
Who Will Follow This Notice
This notice serves as a single notice for several health care providers that share common ownership or control: Owensboro Health, Inc. d/b/a Owensboro Health Regional Hospital, Inc. (“OHRH”), One Health, Owensboro Medical Center Laboratory, Inc., OH Muhlenberg, LLC d/b/a Owensboro Health Muhlenberg Community Hospital (“OHMCH”), and OMHS Cardiovascular, LLC (collectively referred to herein as “we”, “our” or “us”). The information privacy practices in this notice will be followed by us and by:
- All health care professionals who treat you at any of our locations.
- All of our employees, staff or volunteers.
Our Pledge To You
We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care that we maintain, whether created by facility staff or your personal doctor. Your personal doctor may have different policies or notices regarding the doctor's use and disclosure of your medical information created in the doctor's office. We are required by law to:
- Keep medical information about you private.
- Give you this notice of our legal duties and privacy practices with respect to medical information about you.
- Notify you following a breach of your unsecured medical information.
- Follow the terms of the notice that is currently in effect.
Changes To This Notice
We may change our policies at any time. Changes will apply to medical information we already hold, as well as new information after the change occurs. Before we make a significant change in our policies, we will change our notice and post the new notice in waiting areas, exam rooms, and on our Web site at www.owensborohealth.org. You can receive a paper copy of the current notice at any time by requesting one. The effective date is listed just below the title.
How We May Use And Disclose Medical Information About You
- We may use and disclose medical information about you for treatment (such as sending medical information about you to a specialist as part of a referral or disclosing information about treatment you received at OHRH or OHMCH to your doctor); to obtain payment for treatment (such as sending billing information to your insurance company or Medicare); and to support our health care operations (such as comparing patient data to improve treatment methods).
- Affiliated Covered Entity. We have designated ourselves as a single Affiliated Covered Entity under federal privacy, data breach, and security regulations. This means that we may share your medical information as necessary for treatment, payment, healthcare operations, and other purposes.
- Medical Staff. Because OHRH and OHMCH are clinically integrated care settings, our patients receive care from hospital staff and from independent practitioners on the medical staff. These integrated care settings are Organized Health Care Arrangements (OHCAs) and allow each hospital and its medical staff to share your medical information as necessary for treatment, payment, and health care operations as described above.
- Shared electronic health records/health information.
* We use a shared electronic health record that allows our workforce and the workforce at other healthcare facilities to store, update, access and use your health information.
For example, they may do so as needed at the time you are seeking care, even if they work at different clinics and hospitals. We do this so it is easier for your providers to access your health information when you are seeking care and to better coordinate and improve the quality of your care. For example, if your personal doctor takes part in the shared electronic health record, then he/she can see when you have visited other facilities and physicians that also participate in the shared electronic health record and the treatment you received.
* If you receive care from more than one provider who enters information into the shared electronic health record, your health information will be combined into one record.
Once information is combined, it cannot be separated in the future.
* Our participation in the shared electronic health record makes us part of an OHCA.
The participants in the shared electronic health record OHCA have agreed, as permitted by law, to share and update your health information among themselves for purposes of treatment, payment or health care operations. This arrangement enables us to better address your health care needs. The organizations participating in the shared electronic health record OHCA are not in any way providing healthcare services mutually or on each other’s behalf. They are separate health care providers and each is individually responsible for its own activities, including compliance with privacy laws, and all health care services it provides. For a list of the healthcare providers that participate in the shared electronic health record OHCA, please visit Health Network Of Western Kentucky, LLC.
- Kentucky Health Information Exchange. The Kentucky Health Information Exchange("KHIE") makes patient healthcare information available electronically to the Kentucky Department for Medicaid Services, Kentucky State Laboratory, and certain healthcare providers who are covered by HIPAA and participate in the KHIE (KHIE Participants). KHIE Participants agree to KHIE’s terms and conditions, including its security and privacy requirements, and agree to access the information for purposes of treatment, payment and healthcare operations according to applicable federal and state laws. A detailed description of KHIE can be found at http://khie.ky.gov/PAGES/INDEX.ASPX. Making patient healthcare information available to participating health care providers through KHIE promotes efficient and quality health care for patients. We are a KHIE Participant. As such, we are able to obtain complete information about our patients’ medical histories when their healthcare information is available through KHIE. We make our patients’ healthcare information available to other KHIE Participants who have a need to know it for purposes of treatment, payment and healthcare operations. You may choose not to allow your information to be available through the KHIE. Participation in the KHIE is not a condition of receiving care. However, if you decide not to make your information available to the KHIE, it may limit the information available to your health care providers. Your information is not stored with the KHIE. Rather, information is only pulled through the KHIE when participating providers request your information. Then, a copy of your information is stored with the receiving provider, much like a fax between healthcare providers. Please let us know if you have questions about KHIE or desire not to make your information available through the KHIE.
- We may use or disclose medical information about you without your prior authorization for several other reasons. These reasons include:
* When required by law. We may use or disclose your medical information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. If required by law, you will be notified of any such uses or disclosures.
* For public health activities. We may disclose your medical information for public health activities and purposes to:
(i) a public health authority that is permitted by law to collect or receive the information for the purpose of preventing or controlling disease, injury or disability;
(ii) a public health authority or other governmental authority that is authorized by law to receive reports of child abuse or neglect;
(iii) a person subject to the jurisdiction of the Food and Drug Administration (FDA), for public health purposes related to the quality, safety or effectiveness of FDA-regulated products or activities such as collecting or reporting adverse events, dangerous products, and defects or problems with FDA-regulated products;
(iv) a person who may be at risk of contracting or spreading a disease, if such disclosure is authorized by law;
(v) your employer, for the purposes of conducting an evaluation of medical surveillance of the workplace or for the purposes of evaluating whether you have a work-related illness or injury; or
(vi) your school, or your child’s school, if the information is limited to proof of immunization and the school is required by law to have such proof prior to admitting you or your child. We will obtain and document your agreement to such disclosures.
* When we believe you to be a victim of abuse or neglect. We may disclose your medical information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, if you do not agree to the disclosure, the disclosure will be made insistent with the requirements of applicable federal and state laws, and only if required or authorized by law.
* For health oversight activities. We may disclose your medical information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and entities subject to the civil rights laws.
* For judicial and administrative proceedings. We may use or disclose your medical information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal, or in certain conditions in response to a subpoena, discovery request or other lawful processes not accompanied by an order of a court or administrative tribunal.
* For law enforcement purposes. We may disclose your medical information for a law enforcement purpose to a law enforcement official if certain conditions are met.
* So that coroners, medical examiners, and funeral directors can carry out their duties.
We may disclose medical information to a coroner or medical examiner for the purpose of identifying a deceased person, determining the cause of death, or performing other duties authorized by law. We may also disclose medical information to funeral directors, consistent with applicable law, where such information is necessary to carry out the funeral directors' duties with respect to the deceased.
* To facilitate organ, eye, or tissue donation and transplantation. We may disclose medical information to organ procurement organizations or other similar entities for the purpose of facilitating organ, eye, or tissue donation and transplantation.
* For research purposes. We may use or disclose your medical information for research purposes if certain conditions are met.
* To avert a serious threat to health or safety. We may, consistent with applicable law and standards of ethical conduct, use or disclose medical information if we believe that the use or disclosure is necessary to prevent or lessen a serious threat to the health or safety of a person or the public; provided that, if a disclosure is made, it must be to a person(s) reasonably able to prevent or lessen the threat. We may also use or disclose medical information if we believe that the use or disclosure is necessary for law enforcement authorities to identify or apprehend an individual who: (i) admits to participation in a violent crime that we reasonably believe caused serious physical harm to the victim, or (ii) appears to have escaped from a correctional institution or lawful custody.
* For military activities. We may use or disclose medical information of individuals who are Armed Forces personnel for activities deemed necessary to assure proper execution of military missions, provided certain conditions are met. We may also use or disclose medical information of individuals who are foreign military personnel to their appropriate foreign military authority for activities deemed necessary to assure proper execution of military missions, provided certain conditions are met.
* For national security and intelligence activities. We may disclose medical information to authorized federal officials for the conduct of lawful intelligence, counter-intelligence, and other national security activities authorized by the National Security Act and implementing authority. We may also disclose medical information to authorized federal officials for the protection of the President or other persons, or for certain federal investigations.
* For the information of correctional institutions or other law enforcement custodians. Should you be an inmate of a correctional institution or be in the lawful custody of a law enforcement official, we may disclose your medical information to the institution or the official if necessary for your health, the health and safety of other inmates or law enforcement, and the safety of the institution at which you reside. An inmate does not have the right to the Notice of Privacy Practices.
* For workers' compensation purposes. We may disclose your medical information to the extent authorized by and to the extent necessary to comply with laws relating to workers' compensation or to other similar programs established by law.
* We may disclose medical information about you to a friend or family member who is involved in your medical care, or to disaster relief authorities so that your family can be notified of your location and condition.
* We may use or disclose your medical information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, about your location, general condition, or death.
* If you are deceased, we may disclose medical information about you to a friend or family member who was involved in your medical care prior to your death, limited to information relevant to that person’s involvement, unless doing so would be inconsistent with wishes you expressed to us during your life. We are required to protect your medical information in accordance with the Federal HIPAA Privacy Rule for 50 years after your death.
* There are some services provided to us through contracts with entities known as business associates. We will disclose your medical information to our business associates and allow them to create, use and disclose your information to perform their jobs for us. For example, we may disclose your medical information to an outside billing company who assists us in billing insurance companies. To protect your health information, however, we will seek assurances from the business associate that it has implemented appropriate safeguards to protect your information.
* If you are admitted as an OHRH or an OHMCH patient, unless you tell us otherwise, we will list in the patient directory your name, location in the hospital, your general condition (good, fair, etc.) and your religious affiliation, and will release all but your religious affiliation to anyone who asks about you by name. Your religious affiliation may be disclosed only to a clergy member, and even if they do not ask for you by name.
- State law restrictions on information regarding certain conditions. Kentucky has more stringent laws than the HIPAA Privacy Rule with respect to HIV/AIDs status and mental health and chemical dependency, and Indiana has more stringent laws than the HIPAA Privacy Rule with respect to Medicaid information, communicable diseases, mental health, and substance abuse (we are allowed to disclose this information only under certain limited circumstances and/or to specific recipients). In addition, Indiana law generally requires your written authorization to disclose your identity in connection with a release of your medical information for our business purposes, unless essential to the purpose or to quality assurance or peer review. In situations in which these laws apply to your information, we will comply with these more stringent laws.
- We may use, or disclose to a business associate or to Owensboro Health Foundation or any other institutionally-related foundation, the following information to contact you for our fundraising activities: your name, address, other contact information, age, gender and date of birth; the department(s) where you received services, your treating physician, your outcome information, your health insurance status, and the dates you received services. We raise funds to expand and support health-care services, educational programs, and research activities related to curing disease. You have the right to opt out of receiving our fundraising communications. If you opt out of receiving fundraising communications, you can always choose to opt back in with respect to specific campaigns or ask to be contacted for our fundraising efforts by e-mailing or calling us at 270-688-2113. We do not condition treating you on your choice of whether to receive fundraising communications.
Certain uses and disclosures by us of your medical information require that we obtain your prior written authorization. These include:
- Psychotherapy Notes. If Psychotherapy Notes are created for your treatment, most uses and disclosures of these notes will require your prior written authorization.
- Psychotherapy Notes” means notes recorded (in any medium) by a healthcare provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual’s medical record.
- Psychotherapy Notes” excludes medication prescription and monitoring, counseling session starts and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date.
- Marketing. If we use or disclose your medical information for marketing purposes, we must first obtain your written authorization to do so, except if the communication is face-to-face by us to you, or is a promotional gift of nominal value.
- Sale of your medical information. If a disclosure of your medical information would constitute a sale of it, we must first obtain your written authorization to do so.
Other Uses And Disclosures Of Medical Information
- In any other situation not described in this notice, we are required to obtain your written authorization before using or disclosing your medical information. If you choose to authorize use or disclosure, you can later revoke that authorization by notifying us in writing of your decision. However, the revocation will not be effective (1) to the extent we took action in reliance on the authorization before receiving the revocation, or (2) if the authorization was obtained as a condition of obtaining insurance coverage, another law provides the insurer with the right to contest a claim under the policy or the policy itself.
Your Rights Regarding Medical Information About You
- In most cases, you have the right to look at and to get a copy of your medical records and billing records that we maintain or that are maintained for us, when you submit a written request. If the information is maintained electronically and if you request an electronic copy, we will provide you with an electronic copy in the form and format requested by you, if it is readily producible in that form and format (if it is not, then we will agree with you on a readable electronic form and format). You can direct us to transmit the copy directly to another person if you submit a signed written request to our Privacy and Security Officer below that identifies the person to whom you want the copy sent and where to send it in. If you request copies, we may charge a reasonable cost-based fee for the labor involved in copying the information, the supplies for creating the paper copy or the cost of the portable media, postage, and providing a summary of your records, if you request a summary. If we deny your request to review or obtain a copy of your medical or billing records, you may submit a written request for a review of that decision.
- If you believe that information in your medical or billing records is incorrect or if important information is missing, you have the right to request that we correct the records, by submitting a request in writing to our Privacy and Security Officer that provides your reason for requesting the amendment. We could deny your request to amend a record for a number of reasons, including if the information was not created by us; if it is not part of the information maintained about you by or for us; or if we determine that record is accurate and complete. You may submit a written statement of disagreement with our decision not to amend a record.
- You have the right to a list of those instances where we have disclosed medical information about you, except in certain instances. These instances include: disclosures for treatment, payment and health care operations; disclosures made to you; disclosures incident to a use or disclosure permitted or required by the Federal HIPAA Privacy Rule; disclosures authorized by you; disclosures for our directory; disclosures to persons involved in your care or to disaster relief authorities; disclosures for national security and intelligence purposes; disclosures to correctional institutions or law enforcement officials; disclosures that are part of a limited data set; and disclosures occurring more than six years prior to the date of your request. You must submit a written request to our Privacy and Security Officer to obtain the list of those instances where we have disclosed medical information about you. The request must state the time period desired for the accounting, which must be less than a six-year period from the date of the request. You may receive the list in paper or electronic form. The first disclosure list request in a 12-month period is free; other requests will be charged according to our cost of producing the list. We will inform you of the cost before you incur any costs.
- You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone involved in your care or the payment for your care, like a family member or a friend. For example, you could ask that we not use or disclose information about a surgery you had. We will inform you of our decision on your request. Requests should be submitted in writing to our Privacy and Security Officer whose address is listed at the end of this notice.
We must comply with a request from you not to disclose your medical information to a health plan, if the purpose of the disclosure is not related to treatment, and the healthcare items or services to which the information applies (such as a genetic test) have been paid for out-of-pocket and in full; otherwise, we are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. Except for restrictions that we must comply with relating to health plans, we may terminate our agreement to a restriction at any time by notifying you in writing, but our termination will only apply to information created or received after we sent you the notice of termination, unless you agree to make the termination retroactive.
- You have the right to receive a paper copy of this notice upon request.
- You have the right to request that medical information about you be communicated to you in a confidential manner, such as sending mail to an address other than your home, by notifying us in writing of the specific way or location for us to use to communicate with you. We may condition our agreement on information as to how payment will be handled and specification of an alternate address or another method of contact.
- If you are concerned that your privacy rights may have been violated, or you disagree with a decision we made about access to your records, you may contact our Privacy and Security Officer (listed below). You may also contact our Compliance Department at 270-691-8240 or the Owensboro Health Hotline, a 24-hour hotline, at 855-632-1920. You may also send a written complaint to the U.S. Department of Health and Human Services Office of Civil Rights. Our Privacy and Security Officer can provide you the address. Under no circumstances will you be penalized or retaliated against for filing a complaint.
Privacy and Security Officer
E-Mail or call 270-417-6990
1201 Pleasant Valley Road
Owensboro, KY 42303
Rapid Response Team
If you are concerned about a change in the patient's condition that requires immediate attention, from a hospital phone, dial 100 to activate the Rapid Response Team.
The Rapid Response Team will respond to you and assess the patient. When you dial 100, inform the hospital operator "I need the Rapid Response Team, give the patient's name and room number" and stay with the patient until the Team arrives.
Anyone that has contact with a patient can request medical assistance by dialing 100 from a hospital phone (this includes the patient, family, visitors, or any hospital employee to request an immediate assessment of the patient when significant changes are noticed.
Why Should I Initiate A Rapid Response
A Rapid Response request does not take the place of routine care that the patient receives, but is a support system for the nursing staff when a patient "takes a turn for the worse". The Team will assess the patient, begin necessary treatment and notify the physician in a timely manner.
When Should I Initiate A Rapid Response
A patient's condition can change suddenly, including symptoms that could be life-threatening. Quick assessment and treatment should be initiated as soon as possible.
Some examples are chest pain, difficulty breathing, change in mental status (confusion, unresponsive, slurred speech), a large amount of bleeding, new onset or uncontrolled pain or increased weakness (especially if on one side of the body).
Anytime that you notice a significant change in the patient's condition, call the hospital operator at 100 and initiate the Rapid Response Team.
Why Shouldn't I Get The Nurse Or Push The Call Light
If a patient has had a significant change, time is valuable. By initiating a Rapid Response, a complete team of advanced trained personnel will arrive to help the patient.
The Call light should be used when assistance is needed to the bathroom, need for pain medication, IV pump beeping or other normal occurrences during a hospital stay. The goal of the Rapid Response Team is to provide immediate help for emergent patient needs. The nursing staff is always available to assist you.
Our goal is to provide the very best care possible to you and your family. Our #1 concern is your care and safety.
Facts About Smoking
Studies have proven that smoking is dangerous to one's health. Cigarette smoke contains over 4,000 harmful substances. These include:
- carbon monoxide
- Irritates throat
- Irritates the lungs
- Increases blood pressure and heart rate
- Increases the risk of stomach ulcers
- It has been proven that smoking can cause cancer of the larynx, lung, kidney, pancreas, bladder, oral cavity and esophagus
- Other studies have linked smoking to colon cancer and some types of leukemia, and women who smoke may be at greater risk of death from breast cancer
- Results of smoking contribute greatly to lost work time due to asthma, bronchitis, emphysema, etc., and increase the cost of healthcare
- Smoking contributes to colds, infections, and many other illnesses by breaking down the immune system
- Nicotine is physically addicting and stopping use of it produces withdrawal symptoms
Is smokeless tobacco harmful? It still contains nicotine and is just as addictive as smoking. It can cause cancer, especially of the oral cavity. The risk of cancer of the cheek and gum increases as much as 50x with long-term use.
Smoking Endangers Others As Well
Non-smokers are affected in many ways by those who smoke around them.
- Breathing others' smoke increases carbon monoxide levels in the blood and deposits tar in the lungs. Studies show higher rates of lung cancer for those that live with heavy smokers.
- Pregnant women who smoke have higher rates of miscarriage, stillbirth and premature birth. Their babies suffer from higher rates of low birth weight and infection. Some studies have shown that children of women who smoke are more likely to have a disability or behavior problems.
- Careless smoking is a fire hazard.
- Sensitivities and allergies to smoke can prevent people from functioning well at home or in public. Those with asthma and heart trouble are especially at risk.
- If you're a smoker, think about quitting today!
Stop Smoking And See What Happens
- You'll breathe easier
- Your lungs will function better
- Your risk for both heart attack and cancer will decrease
- Your heart won't have to work as hard
- You'll save money
- You'll have a better sense of taste and smell
- You'll have more energy
If you don't' smoke, don't start. If you do smoke, quit. It's one of the best things you can do for yourself.
- Cardiopulmonary Rehabilitation
- Smoking Cessation Program
For more information call 270-338-8000
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