Patient Rights and Responsibilities

A young woman sits in a hospital room and talks about her health and wellness with her primary care doctor.

Respecting Our Patients and Their Rights

Your health and comfort are important to us, and the goal of our entire staff is to meet your needs and expectations. We will strive to make your stay as comfortable and pleasant as possible while following the medical care plan designed for you by your physician. Our goal is to exceed your expectations with friendly and responsive service.

Questions often arise when you or someone close to you is in the hospital. We are here to help both patients and families in whatever way we can. Texas Health Hospital Mansfield has a patient advocate department. Should you feel the need, you can talk to us about any part of your visit. We'll do our best to resolve any difficulties that might arise while you are here or even pass along any suggestions or compliments you might have.

To speak to the patient advocate, please call the hospital at Call817-551-2495. If you are unable to reach the patient advocate at this number or if it is after-hours, you may call the main hospital number at Call817-293-9110 and ask to speak to a Nursing Director or Nursing Supervisor.

HIPAA Notice

Written Acknowledgement of Receipt of Notice of Patient Privacy Practices

Believing that mutual understanding between patients and health care personnel is important to your care and recovery, Texas Health Hospital Mansfield defines below your rights as a patient regarding your care, treatment, and services. Additionally, as partners in your health care, our expectation of your responsibilities as a patient are defined below. In order to enhance the safe delivery of care, it is our responsibility to provide you with this information about your rights and responsibilities.

Individual Rights and Individual Responsibilities

Protective Services Resources: You have the right to the hospital's reasonable response to your request and needs for treatment and service within the hospital's capacity, mission, and applicable law. It is your right as a patient in this facility to be allowed access to protective services. These include advocacy services, certification, and licensure agencies, Medicare/Medicaid fraud, abuse reporting agencies, etc.

Texas Health Hospital Mansfield follows ethical behavior in its care, treatment, services, and business practices.

Texas Health Huguley provides care, treatment, and services within its scope, stated mission and philosophy, and applicable law and regulation.
Texas Health Huguley addresses conflicts of interest.
The integrity of decisions is based on identified healthcare needs of the patient, with involvement by the patient or, when appropriate, the family of the patient.
When care, treatment, and services are subject to internal or external review that results in denial of care, treatment, services, or payment, Texas Health Hospital Mansfield will make decisions regarding the provision of ongoing care, treatment, and services or discharge based on the assessed needs of the patients.

Texas Health Hospital Mansfield is a joint venture involving Texas Health Resources and AdventHealth. Texas Health holds a majority ownership share, and AdventHealth manages the operation of the hospital. Texas Health and AdventHealth share governance of the facility.

The privacy of your patient information is very important to Texas Health Hospital Mansfield. Following the link will open a new browser window and display a separate, standalone website for AdventHealth. Please read our Patient Privacy Notice.

The law permits AdventHealth to bring together or affiliate its health care providers and health plan(s) into one single affiliated entity for purposes of sharing patient information to treat you, obtain payment from you, or perform health care operations, such as quality improvement. We have attached a list of the AdventHealth entities that are part of the AdventHealth affiliated entity referred to in the Patient Privacy Notice, please click on this AdventHealth affiliated entity link to view this list.

If you do not see your healthcare provider’s name on the affiliated entity list, it may be because each AdventHealth entity does business under a variety of other names for business purposes. However, these names are still legally part of that one AdventHealth entity. Click here to view the list of names used by each corporation for their business purposes.

Individual Rights: You have the right to receive information about your rights.

You have the right to be involved in care decisions.

You have the right to informed consent. Informed consent is a mutual understanding between you and the physician who provides you with care. This allows you to fully participate in decisions about your care.

You have the right to be informed and to give consent for recordings or filming made for purposes other than identification, diagnosis, or treatment.

You have the right to be informed of the name of the physician or other practitioner primarily responsible for your care, and for the name of the physician or other practitioner who will perform the care.

You have the right to refuse care in accordance with law and regulation. When you are not legally responsible, your surrogate decision maker, as allowed by law, has the right to refuse care on your behalf.

You have a right to have your wishes relating to end of life decisions addressed.

You, and when appropriate, your family have a right to be informed about the outcomes of care, treatment, and services, including unanticipated outcomes.

You have the right to a complaint resolution process. You can freely voice complaints and recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment, and services.

Your needs for confidentiality, privacy, and security are respected.

You have a right to an environment that preserves dignity and contributes to a positive self-image.

You have a right to be free from mental, physical, sexual, and verbal abuse, neglect and exploitation.

You have the right to pain management.

You have a right to access protective advocacy services.

You have the right, if applicable, to be protected as a research subject and to have your right during research, investigation, and clinical trials respected.
Individual Responsibilities: Provide information. It is your responsibility to provide the health care providers with accurate and complete information about your present complaints past illnesses, hospitalization, medications, and other matters relating to your health. You must report perceived risks in your care and unexpected changes in your condition.

Ask questions. It is your responsibility to ask questions when you do not understand your care or what you are expected to do.

Follow instructions. You must follow the plan of care that is developed for you. You should express any concerns about your ability to follow the plan of care.

Accept consequences. You and your family are responsible for the outcomes if you do not follow the plan of care.

Follow rules and regulations. You are responsible for following Texas Health Huguley Hospital Fort Worth South's rules and regulations.

Show respect and consideration. It is your responsibility to be considerate of Texas Health Huguley's staff and property as well as being considerate of other patients and their property.

Meet financial commitments. It is your responsibility to promptly meet any financial obligation agreement.

You have the right to the hospital's reasonable response to your request and needs for treatment and service within the hospital's capacity, mission and applicable law. It is your right as a patient in this facility to be allowed access to protective services. These services include advocacy services, certification and licensure agencies, and Medicare/Medicaid fraud, abuse reporting agencies, etc.

A list of agencies with telephone numbers and addresses is provided. If you need assistance or have questions regarding the need to access these services, Patient Advocate Department is available to assist you Monday - Friday (9:00am - 5:00 pm), and the Nursing Supervisor will assist you during weekends and evenings.

Reporting Suspected Abuse/Neglect:

Texas Department of Health Services

Call1-800-252-5400

http://www.hhs.texas.gov

Health Facility Licensure and Certification Division

Call1-800-228-1570

http://www.dshs.state.tx.us/license.shtm

Grievances/Complaints:

Texas Health Huguley Hospital Fort Worth South Patient Advocate
Call817-551-2495

Texas Department of State Health and Human Services

1100 W. 49th Street
Austin, Texas 78711-2668
Call888-973-0022
http://www.dshs.state.tx.us/

State Board of Medical Examiners
Call512-305-7010
http://www.tmb.state.tx.us/

State Board of Nurse Examiners
Call512-305-7400
http://www.bne.state.tx.us/

Medicare/Medicaid Fraud:

Call1-800-633-4227 (ask to speak to Medicare representative)
http://www.medicare.gov/

Call1-800-252-8263 ( ask to speak to Medicaid representative)

https://www.hhs.texas.gov/

Complaints Concerning Advance Directives:

Texas Department of Health

Call1-800-228-1570
http://www.dshs.state.tx.us/

Texas Health Hospital Mansfield is accredited by The Joint Commission. Issues concerning safety and quality of care should be referred to The Joint Commission and addressed to The Joint Commission.

To report patient safety concerns visit www.jointcommission.org and use the “Report a Patient Safety Event” link in the “Action Center” on the home page of the website.

Call630-792-5000
http://www.jointcommission.org/GeneralPublic/Complaint
E-mail: complaint@jointcommission.org
Fax: Office of Quality Monitoring Call630-792-5636

Mail:
The Office of Quality and Patient Safety (OQPS)
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

If you have questions about how to file your complaint, you may contact the Joint Commission at this toll-free U.S. telephone number, Call800-994-6610. 8:30 am to 5 pm, central time, Monday through Friday.