Patient Rights and Responsibilities

As a Patient, you have the right to:

• Receive complete information about your rights and responsibilities.

• Choose your healthcare provider and receive information on service or care limitations or of any financial benefits when referred to Coram.

• A timely response from Coram notifying you when products and services, as prescribed by your physician, will begin.

• Receive information about your condition, treatment, and when and how services will be provided before care is provided to allow you to give informed consent.

• Considerate and respectful care regardless of race, religion, gender, national origin, age, medical condition, sexual preference or payment source.

• Receive information as to your eligibility for insurance reimbursement and your responsibility for any costs in advance of care provided.

• Be actively involved in developing and participating in a plan of care that will meet your identified healthcare needs to the extent provided by law, as well as discuss any problems, changes or barriers in achieving goals.

• Accept or refuse treatment to the extent permitted by law and to be informed of the consequences of such action, which may include termination of Coram services.

• Decline participation, revoke consent or disenroll in the patient management program at any time.

• Have your property and person treated with dignity by all Coram team members.

• Be free from physical and mental abuse and/or neglect.

• Speak to a health care professional.

• Know the name, function and qualifications of all personnel who provide healthcare services to you and the name of the person responsible for the coordination of your care.

• Be informed of the identity and job title of the staff members of the pharmacy providing services to you and to speak to a supervisor of the staff member if requested.

• Make decisions about advance directives and to be informed of Coram’s policy to honor those decisions.

• Express dissatisfaction with equipment, supplies or services provided by Coram without fear of reprisal.

• The protection of your medical information from unauthorized use and disclosure, unless otherwise permitted or required by law.

• Receive a Notice of Coram’s Privacy Practices, which describes how medical information about you may be used and disclosed to carry out treatment, payment or healthcare operations and for other purposes that are permitted by law.

• Participate in discussions concerning ethical issues related to your care.

• Receive an initial and ongoing assessment regarding the existence of pain, as well as a timely response to any symptoms of pain, with appropriate and adequate treatment by your healthcare team.

• Complain, without being subject to discrimination or reprisal, to your state Department of Health if you are not satisfied with Coram’s response to your concerns.

• Receive information regarding our policies and procedures.

• Be given reasonable notice regarding anticipated termination of services or plans to transfer to another provider, and participate in that discharge or transfer process.

• Examine, review, restrict, amend and request a copy of your medical records and to authorize another individual to examine, review, restrict, amend and request a copy of your medical records.

• Receive information and know about the philosophy and characteristics of the Coram patient management program.

As a Patient, you have the responsibility to:

• Remain under a physician’s care while receiving services and notify Coram of any change of physicians.

• Provide a Coram clinician with your complete, accurate health history and notify Coram of any changes in your medical condition.

• Provide a safe home environment in which your care can be given.

• Notify Coram of any change in address or phone number.

• Sign the required consents and releases for insurance billing.

• Provide Coram with all requested insurance and financial records. Coram is to be notified of any change in insurance coverage.

• Participate actively in your care by following the plan regarding administration of your prescribed medication, care of your catheter and monitoring of your health status, as instructed by a Coram clinician and prescribed by your physician.

• Work with your healthcare team to identify the desired outcomes of your treatment.

• Advise Coram if you are are not willing to follow your established care plan/services and accept the consequences of any refusal of treatment or decision to disregard the agreed upon plan of care.

• Treat Coram personnel with respect and consideration.

• Advise Coram when you are unable to keep an appointment, when you are unavailable (out‑of‑town, on vacation, etc.) while on service, and when you are admitted to a hospital.

• Contact Coram if you acquire an infectious disease during the time you are receiving services, except where exempt by law.

• Provide Coram with a copy of any written advance directives.

• Advise Coram of any problems or dissatisfaction with our care without fear of discrimination or reprisal.

• Notify your treating provider of your participation in the patient management program.