Contents - Lake Cumberland Regional Hospital

Transcription

Welcome
Contents
Knowing your Healthcare Providers............. 2
Please keep
this folder handy
to store important
information
about your
hospital stay.
Welcome ......................................................... 2
Television Channels....................................... 3
Using your Telephone.................................... 3
During your Stay............................................. 4
Hand Hygiene.................................................. 5
About your Hospital Bill................................. 6
Visitor Info....................................................... 7
Understanding the Floors and Units............ 9
Patient Bill of Rights.................................... 10
Speak up for Safety...................................... 11
Rapid Response Team................................. 11
Our Tobacco-Free Policy............................. 12
Infection Control........................................... 13
Living Wills / Advance Directives............... 17
REVISED JUNE 2015
Inpatient or Outpatient - Medicare.............. 23
Who takes care
of you
We understand how confusing
hospitals can be. To help easily identify
each group of our team members taking
care of you, each wears a different color of
professional attire.
When one of our team members enters
your room, you will be able to identify
their department by the color they are
wearing.
Royal BlueRegistered Nurses
and LPNs
Jade GreenCertified Nursing
Assistants
Jade Green/Khaki
Transport
Khaki
Unit Secretaries
and Monitor Techs
Surgical (Ceil) BlueOperating Room,
Labor & Delivery,
Nursery, Cath Lab,
Recovery
RedLab
BurgundyEnvironmental
Services, Dietary
White Lab CoatsPhysicians, Dietitians
and other healthcare
providers such as
physician assistants
Navy Blue
Rehab Therapies
Steel Gray
Cardio-Pulmonary
White & Black
Admissions
PurpleCase Managers and
Social Workers
Dear Patients and Families,
I would like to thank you for choosing Lake
Cumberland Regional Hospital for your health
care needs.
Our Mission and commitment to you is,
“Leading the way to better healthcare by
providing the level of care for our patients that
we would want for our own families.” Please
look for these behaviors while you are here and
let us know if we are living up that commitment.
Your candid feedback is very important to our
success in providing the kind of care you want
and deserve.
We also want you to know we value your
families’ input into your care. We understand
that patients heal faster when they have a loved
one nearby. If you agree, we will include your
family in your care plan and keep them informed
of your progress during their visitation.
Please do not hesitate to contact me directly if
you should have any questions, compliments or
concerns. My direct number is 606-678-3107.
We appreciate the opportunity to care for you
and your family.
Respectfully,
Team members should always display
their identification badges so you can
clearly see who they are. Feel free at any
time to ask to see a team member’s ID or
to ask a team member to tell you in which
department they work. As a patient, you
have the right to question anyone who
enters your room.
2
Tim Bess, CEO
305 Langdon Street • Somerset, KY 42503
(606) 679-7441
www.lakecumberlandhospital.com
Lake Cumberland Regional Hospital
For your convenience, the television controls and phone are provided at your bedside.
TELEVISION
CHANNELS
2 WKSO, PBS,
3 KET2
4 TVGuide
5 WLEX, NBC, Lexington
6 WTVQ ABC, Lexington
7 WKYT, CBS, Lexington
8 Local Access
9 WYMT, CBS, Hazard
10 WBIR NBC Knoxville TN
11 TBN
12 WDKY FOX Danville
13 WGNA
15 WUPX ION Morehead
16 Shop NBC
17 WAGV IND Harlan
18 WKYT CW Lexington
19 Local Access
20 INSP
21 HSN
22 CSPAN
23 WUC TBN Beattyville
24 Lifetime
25 FSNOhio
26 ESPN
27 ESPN 2
28 FSN South
29 The Weather Channel
30 TBS
31 Discovery Channel
32 A&E
33 USA Network
34 TNT
35 Disney
36 ABC Family
37 Nickelodeon
38 E!
39 FX
40 Syfy
41 SpikeTV
42 CMT
43 VH1
44 MTV
45 CNN
46 TV Land
47 AMC
48 TLC
49 History
50 Animal Planet
51 HGTV
52 Golf Channel
53 MSNBC
54 CNBC
55 Outdoor Channel
56 TCM
57 SoapNet
58 Travel Channel
59 DisneyXD
60 Cartoon Network
61 Versus
62 Speed Channel
63 Fox News Channel
64 CNN Headline News
65 Food Network
66 BET
67 Comedy Central
68 Bravo
69 truTV
70 CSPAN 2
71 CSS
72 National Geographic
73 G4
74 Hallmark Channel
75 Style
76 Oxygen
DID YOU
KNOW
YOUR FRIENDS
AND FAMILY CAN CALL
YOUR HOSPITAL ROOM
DIRECTLY?
If you are in a private room
or in bed number 1
your direct phone number is:
(606) 451 + 5
+ your room number
If you are in bed number 2
your direct phone number is:
(606) 451 + 6
+ your room number
To make a phone call:
Dial 9 + the phone number you are
calling
To reach your nurse:
Use your call button or call the
nurse directly using the phone
number listed on the white board.
Commonly used in-hospital
extension numbers
Menu Line ........................................3166
Patient Services Representative...... 3303
from outside.................................(606) 678-3303
Senior Friends.................... 3273 or 3274
77 Lifetime Movies
www.lakecumberlandhospital.com3
During Your Stay
Chaplain Information
Compliment Procedures
Chapel services are held
at 9 a.m. Monday – Friday
and all are invited to attend.
We strive to provide the best in quality patient care and services. We
sincerely want to address any quality or safety concerns you may have.
If you wish to compliment the hospital or team members on the good
care you receive, you may ask for a Compliment Form, or ask to speak
to a department director or nurse
supervisor on your unit. You
may also call (606) 678-3303 to Tell us how we made a
speak with the hospital’s patient
services representative.
You may also compliment a
team member by filling out a
difference for you!
“You Made a BIG Difference”
card (found in the pocket of
this folder or at the display on
each floor). These are for noting
instances where a team member went above and beyond their normal
duties.
ATM Reporting Concerns and Complaints
If you would like a visit
from the chaplain for spiritual
care and comfort, please ask
your nurse who will contact
the chaplain on call.
Your loved ones may
also fill out a request card
located in the hospital chapel
(first floor, adjacent to the
registration area.) A chaplain
will address your concerns by
the next business day, upon
receipt of the request. The
Chapel is always open for
prayer and meditation.
For your convenience, an
automated teller machine is
located on the first level of the
hospital, near the emergency
entrance.
Support Groups
The Senior Friends office is
located in the basement level
of the hospital by the cafeteria.
Call 678-3274 for more
information about membership
benefits and events.
Alcoholics Anonymous meets
each Wednesday at 6 p.m. in
the small dining room in the
basement.
Bariatric Patient Support Group
meets the third Saturday of
each month at 10:00 a.m. and
6:30 p.m. at the Commonwealth
Bariatric Center, 154 Bogle
Office Park Dr., Suite A.
Caregiver Support Group meets
the second Wednesday of
each month at 11:30 a.m. at the
Cancer Treatment Center. Call
678-3573 for more information.
Parkinson’s Disease Support
Group meets the third Friday of
each month from 10:00 - 11:00
a.m. in the small private dining
room, basement level of West
Tower.
4
We’d love to hear how we made a BIG difference for you.
Please fill out the comment card and place in this box.
Additional cards available at the nurses’ station and Registration Desk.
We realize there may be times when we do not meet your
expectations. If that happens, we encourage your comments. No
complaint will ever compromise your current treatment or future access
to care.
n Ask any team member to contact the nursing supervisor
(available 24 hours a day) or the department director.
n Ask any team member to contact the LCRH patient services
representative for you.
n Call extension 3303 within the hospital or (606) 678-3303
outside of the hospital to directly contact the LCRH patient
services representative.
You have the right to file a complaint with state authorities at
(606) 330-2030 or with the Joint Commission at (800) 994-6610.
The Joint Commission
The Joint Commission has created quality and safety standards for
healthcare organizations. The Joint Commission reviews, accredits,
and certifies healthcare organizations that meet their high standards.
Quality reports for all accredited organizations are available on their
website: www.qualitycheck.org.
Patient Safety Initiatives
LCRH participates in national quality and patient safety initiatives
related to Heart Health, Perinatal Health, Infection Prevention, Stroke
Health, Pneumonia Care, that may include data obtained from your
hospital stay. Your personal information remains confidential. The
information provided may include a diagnosis, treatment, medications,
and your condition at discharge. If you prefer not to have data elements
abstracted from your record, please contact our Quality Director at 6783105.
Don’t be shy!
Your healthcare workers are interested in your care
and will expect you to ask them about hand hygiene!
Hand hygiene options
at Lake Cumberland Regional Hospital
Leave your
Valuables at Home
If you have valuables such as
jewelry or cash, please give them
to a relative or friend to take care
of during your stay. If this is not an
option, valuables may be locked up
by Security at your request.
Please do not place items such
as dentures, contact lenses, glasses,
or hearing aids on your food tray
or in your bed linens as they may
become damaged or lost. Personal
items may be stored in your
bedside table.
Fire Safety
We periodically conduct fire
drills. If you hear an alarm, stay
where you are. In the event of
an actual emergency, you will be
notified by hospital staff.
Severe Weather Warnings
HANDWASHING
Wet hands, apply soap and
rub for at least 15 seconds.
Rinse, dry and turn off faucet
with paper towel.
Should a severe weather
warning occur in our area, it will
be announced over the intercom.
Your nurse or other hospital staff
member will let you know if any
safety precautions, such as moving
to another area of the hospital, are
required during the warning.
Electrical Appliances
ALCOHOL
HANDRUB
Apply to palm and rub hands until dry.
Facts about hand hygiene
n Hand washing is the single most important procedure that
is performed in the hospital for preventing the spread of
infection to you, the patient.
n Germs that cause infections can be spread in a number
of ways. The most common is through hands. Hand
washing removes germs from the hands and helps protect
YOU from infections.
n Alcohol-based handrubs significantly reduce the number
of germs on the skin.
For safety concerns, we reserve
the right to inspect any electrical
appliances brought into the
hospital.
Mail and Flowers
Mail and e-mails sent to our
website are delivered to patients by
our hospital volunteers, Monday Friday. Flowers may be delivered
by individual florists, staff, or
volunteers.
Patient mail received after
discharge will be forwarded to the
patient’s home. Outgoing mail
may be taken to the nurses station
or given to your attending nurse.
Postage stamps are available in the
gift shop.
Fresh flowers and food
items are not permitted in
any of our critical care areas.
Questions about your bill?
PATIENTREGISTRATION
AND BILLING
INFORMATION
ADMISSIONS:
(606) 678-3141
BUSINESS OFFICE:
(606) 451-3833
MedAssist:
(606) 678-3239/3588
305 Langdon Street,
Somerset, KY 42503
Glossary of Terms
Registration: Required each
time you visit the hospital as
an outpatient or inpatient. This
allows us to gather updated
information about you.
Deductible: Amount you
pay annually before your
insurance benefits apply.
Co-Payment: A flat payment
amount for certain services
based on your insurance
benefits.
Co-Insurance: A percentage of
the approved charges that you
may be responsible for after
your deductible/co-payments
have been applied.
Deposit: Amount to be
paid during registration for
services.
Non-Covered: Items not
covered by your insurance
benefits. You are responsible
for payment of non-covered
items.
Non-Covered Drugs: Selfadministered drugs are
excluded from Medicare
payment. You are responsible
for payment of non-covered
drugs when they are received
as a Hospital Outpatient.
6
INSURANCE BILLING
The Billing Department at Lake Cumberland Regional Hospital
will promptly submit a claim to your health insurance carrier after
your hospital stay. The Business Office will work to expedite your
claim payment, but we ask that you contact your insurance company
if you have not received notification of claim payment within 45 days
of service. You are ultimately responsible for any outpatient service
charges.
PATIENT BILLING
Within 7-10 days from your service date, you will receive a
summary statement identifying the charges for your visit. Included
will be a notification that your insurance (identified at registration)
has been billed. For uninsured patients, a balance-due statement will
be mailed.
Promptly after your insurance claim determination has been
received, the Business Office will issue a balance-due statement to
you. Payment in full is expected upon receipt.
If you have any questions about your bill, please contact our
Business Office
(606) 451-3833 • Monday-Friday • 8 a.m. - 4:30 p.m.
INSURANCE PAYMENT
Your insurance carrier will generally process your claim and issue
a final claim determination within 30-60 days. If your insurance does
not pay all charges, you are responsible for the remaining balance.
UNINSURED PATIENTS
If you do not currently have insurance coverage, a Deposit payment
may have been required when you registered. You are responsible for
the total charges for your visit. If you are unable to pay the remaining
balance in full (after deposit payment), please contact a Financial
Counselor in the Business Office (606) 451-3833, Monday-Friday
8:00am to 4:30pm to discuss your payment options.
FINANCIAL ASSISTANCE
We are pleased to offer Free eligibility screening services for the
below programs. If you are eligible, these programs may help to cover
all or a portion of your hospital bill.
• Kentucky/Other State Medicaid Programs
• Kentucky Disproportionate Share Hospital (DSH) Program
• Lake Cumberland Regional Hospital Financial Assistance Program
MedAssist is available in the hospital to determine your eligibility
status for these programs. Available hours are Monday-Friday, 7:00
a.m. to midnight and Saturday-Sunday, noon to midnight. and are
located in the ER Admissions area. To reach by phone, (606) 6783588 or (606) 678-3239.
Hospital Charges
Gift Shop
Charges for your service(s) may include all or a portion of the
services listed below:
•Laboratory Tests (Blood work)
•Pharmacy (Medication)
•Anesthesia Supplies
•Pain Management
•Respiratory Therapy
•Pathology
•Radiology Exams (X-rays)
•Operating/Recovery Room
•Medical Supplies
•Emergency Room Visits
•Physical/Occupational Therapy
•Pre-Operative Services
•Cardiac/Pulmonary Rehabilitation
Professional Charges
You may receive a separate bill for the following Professional
services:
• Attending Physician/Surgeon
• Emergency Room Physician
Team Health (888) 952-6772
• Anesthesiologist
Cumberland Anesthesia (859)
268-1030
• Radiologist
BlueGrass Radiology (866) 3884129
• Pathologist
Cumberland Medical Labs (606)
678-8800
• Radiation Oncologist
(606) 451-3755
•C
umberland Surgical Assistants
(847) 945-4550
• Hospitalist Service
Apogee (866) 869-2395
For Visitors
General Visiting Hours: 8 a.m. - 9 p.m. Daily
• There may be times during the year when visitation is limited
or prohibited due to infectious disease outbreaks or other
emergencies.
• Please do not visit the hospital if you are feeling ill or have recently
been exposed to communicable diseases or infections. We reserve
the right to ask visitors to leave if they show signs of illness. Please
see posted notices in waiting rooms for more information.
• Children younger than 12 are not permitted to visit. Exceptions
can be made under special circumstances. Do not leave visiting
children unattended at any time.
• We may ask visitors to return to waiting areas during
bedside procedures, therapies, or examinations, exhaustion,
overstimulation, or if the patient is sleeping.
• Please follow hospital infection control guidelines and isolation
precautions. Please wash your hands or use alcohol hand rub
before entering and upon leaving the patient’s room.
• Please do not eat in the patient’s room. Please use the cafeteria
provided in the basement for meal or snack times.
• Only two visitors are permitted at the patient’s bedside at a time.
Other visitors must return to the waiting areas. Visitors are not
permitted to wait in the hallways outside the patient’s room.
The gift shop is located on
the first floor near the main
entrance off the parking
garage. Proceeds benefit the
Lake Cumberland Regional
Hospital Volunteer Auxiliary,
Inc., which benefits the Allied
Health Career Scholarships at
Somerset Community College.
Visitors may purchase
cards, gifts, flowers, snacks and
postage stamps.
Gift Shop Hours:
M-F 9 a.m. - 5 p.m.
nnn
Cafeteria
For the convenience of our
visitors, Chatters Café and Grill
is located on the basement
level of the hospital. Items are
available from the grill or from
the buffet.
Breakfast is available
M-F: 7 a.m. until 10 a.m.,
Weekends: 8:00 - 10 a.m.
Lunch is available daily
11 a.m. until 1:30 p.m.
Dinner is available
Mon-Thurs: 4:30 until 6:30 p.m.
Weekends: Closed
Mon - Fri: 1:30-4:30 p.m. and
Weekends 1:30 - 2:00 p.m.
visitors may purchase a sandwich, chips and fountain drink
at the cafeteria for $2.75.
nnn
For added convenience,
the hospital has a Subway®
restaurant located inside the
cafeteria. Hours:
Weekdays 7 a.m. - 10 p.m.
Saturday 8 a.m. -10 p.m.
Sunday 9 a.m. - 10 p.m.
nnn
Visitors may use the dining
room at any time.
Due to dietary restrictions,
patients may not be served in
the cafeteria.
Menu Line
678-3166 or dial extension
3166 from inside the hospital.
Hotel
accommodations
The following
nearby hotels may
offer discounted
room rates for those
visiting loved ones
in the hospital from
outside the area.
Best Western Midtown
103 Jefferson Drive
(606) 677-9000
Comfort Inn
82 Jolin Drive
(606) 677-1500
Country Inn & Suites
515 N Hwy 27
(606) 679-3711
Days Inn of Somerset
125 N Hwy 27
(606) 678-2052
Hampton Inn Somerset
4141 S Hwy 27
(606) 676-8855
Hillcrest Motel
1475 W Hwy 80
(606) 679-6930
Holiday Inn Express
50 Stevie Lynn Dr
(606) 425-4444
Knights Inn Motel
1532 S Hwy 27
(606) 678-4195
• Please turn cell phones off or place in silent mode upon entering the
units. This will assist in providing a quiet environment for our patients.
• Visitors are not routinely permitted to stay overnight. Overnight visitation
with a patient must be coordinated with the charge nurse and/or Nurse
Manager and are only permitted with certain circumstances. If overnight
visitation has been approved, you will be given a visitor card by the
nurse who will provide you with instructions for obtaining a visitor pass
from the security guard. Please wear this badge at all times during your
overnight visit. Please remain in the waiting room or the patient’s room at
all times during your overnight visit. We reserve the right to ask visitors
who will not comply with these requests to quietly exit the building and to
revoke overnight privileges.
Waiting Room Guidelines for Visitors
• A Visitation Badge must be obtained to use the waiting room at night.
• Sofas in the waiting rooms may be used for sleeping only if you are
staying with a hospitalized loved one and only between 9:00 p.m. and
6:30 a.m.
• You may be asked to provide personal identification as well as verification
of the patient with whom you are staying.
• Please be sensitive to the needs of others and give other guests the
opportunity to also use the sofas for resting during the appropriate hours.
• If you use hospital blankets or pillows, please return them to the nurse’s
station on your unit by 6:30 a.m.
• All lights are to remain turned ON during the day – from 6:30 a.m. to
9:00 p.m.
• Absolutely no personal items, clothing, blankets, or pillows are allowed
in the waiting room during the day. They must be removed daily by 6:30
a.m.
• Food items are not allowed in the waiting room. If you choose to bring
food in, please eat it in the dining room, located on the basement level.
We appreciate the efforts of our guests in helping us keep
visiting areas clean and welcoming for all guests!
Lee’s Ford Resort
451 Lees Ford Dock Rd
(606) 636-6426
Quality Inn & Suites
240 N Hwy 27
(606) 678-2023
Red Roof Inn
1201 S Hwy 27
(606) 678-8115
Super 8 Motel
601 S Hwy 27
(606) 679-9279
8
Understanding all the Floors and Units
It can be quite confusing to figure out which set of
elevators will reach which units — especially when you
are trying to visit a loved one in the hospital. Certain
elevators will not go to all areas. This list should help
eliminate some of that confusion.
Patient
Room
Numbers
Unit/Section
Floor Tower
Elevators
Labor & Delivery
2
West
Only #5 by ER
161-172
CVU (Heart)
1
East
9 or 10
201-215, 228-239
Post Partum
2
West
1, 2, 3, or 4
216-223
Pediatrics
2
West
1, 2, 3, or 4
241-260
ICU
2
East
9 or 10
261-285
TCU (Telemetry)
2
East
9 or 10
301-360
Medical
3
West1, 2, 3 or 4
Or 7 or 8 (press 3R)
361-367
Special Care Unit
3
East
9 or 10
368-385
Rehab
3
East
9 or 10
402-407; 415-442
Surgical
4
West1, 2, 3, or 4
Or 7 or 8 (press 4R)
408-414
Hospice
4
West
7 or 8 (press 4R)
461-472
Neuro Med/Surg
4
East
9 or 10
474-485
Neuro Critical Care
4
East
9 or 10
508-515
Behavioral Health, Geriatric 5
West
3 or 4
501-04, 527-536 Behavioral Health, Adult
West
1 or 2
Parking Garage
5
B, 1, 2
11 & 12
Waiting Room Phone Numbers
Cardiovascular: (606) 678-3342
Neurosurgery
(606) 451-3934
ICU/TCU: (606) 451-5321
MISSION STATEMENT
“Leading the way to better healthcare by providing the level of care
for our patients that we would want for our own families”
Patients and / or their representative have the:
medical records within a reasonable time frame.
RIGHT TO RECEIVE:
QQ Treatment without respect to age, sex, race,
ethnicity, culture, religion, language, physical
or mental disability, sexual orientation, or
socioeconomic background, gender identity or
expression.
QQ Care which respects your dignity regardless of your
condition or stage of life.
QQ Appropriate assessment and management of pain.
QQ Fair treatment: remain free from seclusion and
restraints that are not medically necessary.
QQ A timely notification of insurance denials.
QQ A timely response to your concerns and to be
informed of the action taken to correct the issue.
QQ Information on how to access the Ethics Committee.
QQ Access, request amendment to, and obtain your
QQ A language interpreter, translation services and/
or special equipment for your care needs if you are
visually, hearing, physically or mentally impaired.
QQ Access to the clergy of your choice and receive
assistance in doing so.
QQ Emotional support from family and friends during
the course of your stay including visits, mail, email
and/or telephone calls.
QQ Consult specialists at your own request and expense,
or to be transferred to another facility if necessary.
QQ Treatment in a safe environment free from all forms
of abuse, neglect or harassment.
QQ An explanation of your bill.
QQ Information concerning “ Advance Directive/ Living
Will”.
RIGHT TO BE INFORMED:
QQ Of the process to file a complaint regarding quality of
care received. You have the right to file a complaint
QQ Of hospital rules and policies and receive reasonable
with state authorities @ 606-330-2030 or The Joint
continuity of health care.
Commission @ 1-800-994-6610.
QQ In a manner tailored to your ability to understand,
QQ Of the names of the physicians and all personnel
information about your illness, course of treatment,
involved in your treatment and care.
outcomes of care, and your prospects for recovery.
QQ And have your personal physician and designated
QQ If the hospital or your physicians propose to perform
representative notified promptly of your admission
human experimentation affecting your care, you
to the hospital.
have the right to refuse to participate in such
QQ And participate in the decisions made regarding
research projects.
your medical care, including (within the extent of the
QQ That all information and records concerning your
law), end of life, ethical, and the right to request or
medical care will be treated in a confidential manner.
refuse treatment.
Written permission must be obtained from you (or
Q
Q
That you have the right to refuse care from clinical
legal representative) before medical records are
students.
released to anyone not directly involved with your
care.
RESPONSIBILITY FOR:
QQ Providing information about your health (past
illness, hospital stays, use of medication, etc.) and
contents of your advance directive or living will.
QQ Asking questions when you do not understand the
information or treatment.
QQ You and your visitors being considerate and
respectful of other patients and staff during your
stay.
QQ Providing information for insurance and
arrangement for payment of bills.
QQ Notifying the hospital if you have a health care
surrogate, advocate, or representative that will be
involved in your care.
QQ Following instructions, policies, rules, and
regulations in place to support quality care and
maintain a safe environment.
YOUR HEALTH DEPENDS ON THE DECISIONS YOU MAKE IN YOUR DAILY LIFE
10
Speak Up
For Safety
Lake Cumberland Regional
Hospital is partnering with patients
and families to provide safe and
effective health care.
Communication is the key for providing the best care
Speak up if you have questions or concerns, and if you don’t understand, ask again. It’s your body and
you have a right to know.
Pay attention to the care you are receiving. Make sure you’re getting the right treatments and
medications by the right health care professionals. Don’t assume anything.
Educate yourself about your illness, the medical tests you are undergoing, and your treatment plan.
Ask a trusted family member or friend to be your advocate.
Know what medications you take and why you take them. Medication errors are the most common
health care mistakes.
Use a hospital, clinic, surgery center, or other type of health care organization that has been carefully
checked out. Organizations such as the Joint Commission visit hospitals to see if they are meeting
quality standards.
Participate in all decisions about your treatment. You are the center of the health care team.
Questions? Ask your nurse or physician
Contact the House Supervisor: Phone: 678-3535 • Pager: 926-0257
How can you help?
YOU can make the call!
: A Rapid Response team is a group of health
care professionals who are trained to help when
there are signs that a patient is getting much
sicker.
: The purpose of a Rapid Response team is to
help before there is a medical emergency.
: Rapid Response teams take action very quickly
when something is wrong. They may suggest
laboratory tests, x-rays, medication, or even
moving the patient to an intensive care unit.
These actions can help patients get better and
live longer.
: Warning Signs that a patient is much sicker
include:
u Changes in heart or respiratory (breathing)
rate
u A drop in blood pressure (it gets much lower)
u Changes in urinary output (much more or
much less urine)
u Confusion or other mental status (thinking)
changes
u When something just does not look or seem
right with the patient
What can you do if you are worried about a
change in your family member’s condition?
Talking with the nurse who is taking care of the
patient is the first step to ensure the best care.
If you feel their condition is getting worse or you
have a feeling that something is wrong that has not
been addressed, we want to know.
Tell any nurse to call the
Rapid Response Team
or dial 77!
Breath of Fresh Air
Tobacco-Free Inside and Out
We’re committed to the health and safety of everyone. Given the serious
health hazards of tobacco use, we have chosen to become a 100 percent
tobacco-free campus.
No smoking or tobacco products will be used while on LCRH property,
parking lots, associated buildings and vehicles.
Patients and visitors are asked not to smoke during their
hospital visit.
Hospital equipment, such as IV poles and wheelchairs, may not be taken
off hospital property. Enforcement of this policy will be ongoing.
For information about
Cooper Clayton
smoking cessation
classes, please contact
Melissa Lancaster at
(606) 678-3573.
Are You a Smoker or Other Tobacco User?
While you are in the hospital, please do not suffer from nicotine withdrawal. Nicotine-dependent
patients may be offered nicotine replacement therapy (NRT) and/or other appropriate supports
during their hospital visit. Please ask your nurse.
SECONDHAND
SMOKE —
THE FACTS
You don’t have
to put a cigarette in
your mouth to suffer
the consequences of
smoking. Secondhand
smoke contains all the
same deadly poisons
as smoke directly
inhaled — a minimum
of 250 toxins,
including at least
50 cancer-causing
substances. Smoking
related illnesses claim
the lives of 53,800
non-smokers every
year in the U.S.
PATIENT SUPPORT
Smoking cessation information is available to all patients
through their primary care physician or nurse. The most
common and effective way to quit is with a type of nicotine
replacement therapy along with a support group and a
buddy.
AFTER YOU QUIT…
20 minutes Blood pressure drops to normal
24 hours Chance of having heart attack decreases
1 yearRisk of coronary heart disease is cut in
5 years
half
Risk of stroke is reduced
RESOURCES
www.surgeongeneral.govwww.cancer.gov
www.cancer.orgwww.cdc.gov/tobacco
www.smokefree.govwww.americanheart.org
1-800-AHA-USAI1-800-4-CANCER
1-800-QUIT-NOW1-877-44U-QUIT
Kentucky Cancer Program: www.kcp.uky.edu
12
M u l t i -D r u g
R e s i s t a nt
O r ga n i s ms
(MDROs such as MRSA)
What is an MDRO? A multi-drug
resistant organism (MDRO) is a
bacteria that is resistant to many
antibiotics, meaning certain drug
treatments will not work to fight it.
It is important to prevent the spread of
MDROs. Infections caused by MDROs
can be more difficult to treat since
there are fewer antibiotics that work
against them.
How will I know if I have an
MDRO Infection? The doctor will
order lab tests to find out if a MDRO is
present. Samples of body fluids such
as wound drainage or blood will be
sent to a lab for culture.
Hospital Precautions If a person
How is an MDRO spread? The
most common way of spreading the
bacteria from person to person is by
contact with the hands. Frequent hand
washing is the most important way to
prevent the spread of a MDRO.
has a MDRO infection and is in
the hospital, you can expect the
following, in addition to our usual
practices meant to stop the spread of
infections:
• The patient will be admitted to an
isolation room or with someone who
has the same type of infection
• Persons providing care to the patient
will wear a gown and gloves when
providing direct patient care.
• Everyone must remember to wash
their hands or use alcohol handrub
when entering and leaving the
patient’s room.
What precautions should we take at home and in the community?
A MDRO infection can be picked up in the community by anyone, through skin-to-skin contact or
by touching anything that a person carrying the germ has touched.
• Do not share personal items like towels and washcloths, bars of soap, razors, or clothes.
• Clean bathrooms and launder clothing, bedding, towels, and washcloths regularly.
• Clean objects and surfaces shared with others.
Preventing Infection
What is a surgical site infection?
Preventing Infections from IVs and
catheters
A Surgical Site Infection (SSI) is an infection that
occurs after you have had surgery. Even though most
patients do quite well after surgery, approximately
two out of 100 patients will develop an SSI. These
infections result in longer hospitalization and higher
costs.
A vascular device is a type of catheter
through which you receive medication
or fluids, and for medical staff to obtain
blood for testing. The device may be
inserted into a vein or it may be placed
under the skin.
How can I help reduce my risk?
Bacteria that are on your skin can
migrate into the catheter and cause
bloodstream infections.
Your overall health is important when you are
having surgery; many times you don’t have time to
prepare for the event, but if you do have time there are
some actions that you can take to help you decrease
the risk of developing a surgical site infection. This
list does not cover everything but provides some
important things you can do:
4 Do not shave near the area where the incision will
be made; shaving can irritate the skin.
4 Make sure you are eating foods that are good for
you (nutritious).
4 Control your blood sugar; it will help your wound to
heal.
4 Shower or sponge bathe with an antiseptic soap
(i.e., Hibiclens, Dial soap).
4 Good hand hygiene is essential to
prevention of infection. Wash your
hands with soap and water or use the
alcohol based hand rub to keep your
hands clean and avoid touching the
insertion site.
4 Maintain a dry catheter site dressing by
protecting the dressing when bathing
or showering. It is important to replace
catheter-site dressings if they become
damp, loosened, or visibly soiled. If the
dressing becomes loose, don’t touch
around the catheter, immediately call
your nurse.
What your physician or nurse will
do to help prevent a bloodstream
infection
4 Stop tobacco use before your surgery.
4 Perform hand hygiene before inserting,
replacing, accessing, or dressing an
intravascular catheter.
4 If possible, lose those extra pounds.
4 Use aseptic technique for the insertion
and care of the intravascular catheter.
4 Tell your surgeon if you have any other infections.
4 Take antibiotics as prescribed prior to surgery.
The most important factors in decreasing your risk
for a surgical site infection are the sound judgment
and proper technique of your surgeon, the surgical
team and your general health.
14
4 Wear sterile gloves when inserting the
intravascular catheter.
4 Disinfect skin with an appropriate
antiseptic before catheter insertion and
during dressing changes.
4 Use either sterile gauze or sterile,
transparent dressing to cover the
catheter site.
4 Replace the catheter site dressing if the
dressing becomes damp, loosened, or
visibly soiled.
Help Us Protect Your Skin
How you and your family can help prevent
Pressure ulcers (bed sores)
When you or your families were admitted to this
facility, nurses perform a skin assessment. This
assessment will indicate your risk for developing a
pressure ulcer.
What is a pressure ulcer?
A pressure ulcer, sometimes called a “bedsore,”
is injury to the skin and underlying tissue usually
caused by unrelieved pressure.
These ulcers usually occur on the shoulders,
elbows, hips, buttocks, and heels (areas found over
bony parts of the body that sustain pressure when
lying in bed or sitting for long periods of time).
They begin as reddened areas, but can damage skin
and muscles if not treated promptly.
What causes a pressure ulcer?
Pressure ulcers occur by unrelieved pressure on
the skin squeezing tiny blood vessels which supply
the skin with nutrients and oxygen. When the skin
is starved of nutrients and oxygen too long, the
tissue dies and a pressure ulcer forms.
Pressure ulcers can also be caused by sliding down
in a bed or chair. This stretches or bends blood
vessels, causing pressure ulcers. Even slight rubbing
or friction on the skin may cause minor pressure
ulcers that can quickly worsen.
You should be active in
your own health care
The following increase the risk for
pressure ulcers:
1. Inability to change positions
2. Continuous or periodic incontinence of bowel
or bladder
3. Poor nutrition and hydration
4. Lowered mental awareness and/or bladder
control
Pressure ulcers are serious problems
and can lead to:
1. Pain
2. Slower recovery from health problems
3. Possible complications such as infection
Pressure ulcers may be preventable
By assisting your health care team in lowering your
risk factors, most pressure ulcers can be prevented.
If you or your loved one are receiving Hospice
and/or Palliative care, it is important that you
discuss the goals of care for pressure ulcer
management and prevention with your health care
provider. When turning and repositioning during
end-of-life care, the goal should be comfort, thus
the turning schedule should be made in
consultation with you and/or your family.
See reverse for key steps to pressure ulcer
prevention
12/18/12
Key steps to pressure ulcer
prevention
Protect your skin from injury:
Limit Pressure
• If you are in bed, you should change your
position at least every two hours.
• If you are in a chair, you should change at least
every hour. If you are able to shift your own
weight, you should do so every 15 minutes while
sitting.
Reduce Friction:
• When shifting position or moving in your bed,
don’t pull or drag yourself across the sheets. Also,
don’t push or pull with your heels.
• Avoid constant movement such as rubbing your
foot on the sheets to scratch an itchy spot.
• Avoid doughnut-shaped cushions – they can
actually cause injury to deep tissue.
Take care of your skin:
• Allow a member of your health care team to inspect
your skin at least once per day.
• If you notice any abnormal areas, notify your nurse as
soon as possible.
• Your skin should be cleaned thoroughly as soon as
possible after soiling.
• Prevent dry skin by using creams or oils.
• Don’t rub or massage skin over bony parts of your
body.
Safeguard your skin from moisture:
• Use absorbent pads while in bed and briefs while out
point possible for as short a time as possible except
during eating/drinking.
• Try to keep the head off your bed as low as
possible (unless other medical conditions do not
permit it). If you need to raise the head of the bed
for certain activities, try to raise it to the lowest
point possible for as short a time as possible except
during eating/drinking.
• Pillows or foam wedges should be used to keep
your knees or ankles from touching.
• Avoid lying directly on your hip bone when lying
on your side. Also, a position that spreads weight
and pressure more evenly should be closed if
possible – pillows may help.
• If you cannot move at all, pillows should be
placed under you’re your legs from mid-calf to
ankle to keep your heels off the bed. Never place
pillows behind the knee.
If you are in a chair or wheelchair:
• Talk to your nurse about getting a chair cushion
to reduce pressure while sitting.
• Remember that comfort and good posture are
important.
Improve your ability to move:
• Ask your nurse if you qualify for a rehabilitation
program designed to help you improve mobility.
of bed that pull moisture away from your body.
• Apply a cream or ointment to protect your skin
from urine and/or stool.
If you are confined to bed for long periods of time:
• Talk to your nurse about getting a special
mattress or mattress pad.
12/18/12
16
LIVING WILLS IN KENTUCKY
Information provided by the Office of the Attorney General
A Living Will gives you a voice in decisions about your medical care when you are unconscious or too
ill to communicate. As long as you are able to express your own decisions, your Living Will will not be
used and you can accept or refuse any medical treatment. But if you become seriously ill, you may lose
the ability to participate in decisions about your own treatment.
You have the right to make decisions about your health care. No health care
may be given to you over your objection, and necessary health care may not be
stopped or withheld if you object.
The Kentucky Living Will Directive Act of 1994 was passed to ensure that citizens have the right to
make decisions regarding their own medical care, including the right to accept or refuse treatment. This
right to decide -- to say yes or no to proposed treatment -- applies to treatments that extend life, like a
breathing machine or a feeding tube.
In Kentucky a Living Will allows you to leave instructions in four critical areas.
You can:
n Designate a Health Care Surrogate
n Refuse or request life prolonging treatment
n Refuse or request artificial feeding or hydration (tube feeding)
n Express your wishes regarding organ donation
Everyone age 18 or older can have a Living Will.
The effectiveness of a Living Will is suspended
during pregnancy.
It is not necessary that you have an attorney
draw up your Living Will. Kentucky law (KRS
311.625) actually specifies the form you should
fill out. You probably should see an attorney if
you make changes to the Living Will form. The
law also prohibits relatives, heirs, health care
providers or guardians from witnessing the Will.
You may wish to use a Notary Public instead of
witnesses.
The Living Will form includes two sections.
The first section is the Health Care Surrogate
section which allows you to designate one or
more persons, such as a family member or close
friend, to make health care decisions for you if
you lose the ability to decide for yourself. The
second section is the Living Will section in which
you may make your wishes known regarding
life-prolonging treatment so your Health Care
Surrogate or Doctor will know what you want
them to do. You can also decide whether to donate
any of your organs in the event of your death.
When choosing a surrogate, remember that
the person you name will have the power to make
important treatment decisions, even if other
people close to you might urge a different decision.
Choose the person best qualified to be your health
care surrogate. Also, consider picking a back-up
person, in case your first choice isn’t available
when needed. Be sure to tell the person that you
have named them a surrogate and make sure that
the person understands what’s most important to
you. Your wishes should be laid out specifically in
the Living Will.
If you decide to make a Living
Will, be sure to talk about it with
your family and your doctor. The
conversation is just as important as
the document.
A copy of any Living Will should be put in your
medical records. Each time you are admitted for
an overnight stay in a hospital or nursing home,
you will be asked whether you have a Living Will.
You are responsible for telling your hospital or
nursing home that you have a Living Will.
If there is anything you do not understand
regarding the form, you might want to discuss it
with an attorney. You can also ask your doctor to
explain the medical issues. When completing the
form, you may complete all of the form, or only
the parts you want to use. You are not required by
law to use these forms. Different forms, written
the way you want, may also be used. You should
consult with an attorney for advice on drafting
your own forms.
You are not required to make a Living Will to
receive healthcare or for any other reason. The
decision to make a Living Will must be your own
personal decision and should only be made after
serious consideration.
For additional copies of this packet, you may
download it from the Attorney General’s website
at www.ag.ky.gov/livingwill or make photocopies
of this packet.
The OAG does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in
employment or in the provision of services and provides upon request, reasonable accommodation necessary to afford
individuals with disabilities an equal opportunity to participate in all programs and activities.
Instructions for completing the Kentucky Living Will form
The Living Will form should be used to let your physician and your family know what kind
of life-sustaining treatments you want to receive if you become terminally ill or permanently
unconscious and are unable to make your own decisions. This form should also be used if
you would like to designate someone to make those healthcare decisions for you should you
become unable to express your wishes.
NOTE: You may fill out all or part of the form
according to your wishes. Keep in mind that
filling out this form is not required for any type
of healthcare or any other reason. Filling out this
form should solely be a personal decision.
1. R
ead over all information carefully before filling
out any part of the form.
2. A
t the top of the form in the designated area,
print your full name and birth date.
3. T
he first section of the form on page one relates
to designating a “Health Care Surrogate.”
Fill this section out if you would like to choose
someone to make your healthcare decisions
for you should you become unable to do so
yourself. When choosing a surrogate, remember
that the person you name will have the power
to make important treatment decisions. Choose
the person best qualified to be your health care
surrogate. Also, consider picking a back-up
person, in case your first choice isn’t available
when needed. Be sure to tell the person that
you have named them a surrogate and make
sure that the person understands what’s most
important to you. Do not complete this
section if you do not wish to name a
surrogate.
4. The next section of the form is the “Living Will
Directive.” Fill out this section to identify what
kinds of life-sustaining treatments you want
to receive should you become terminally ill or
permanently unconscious.
18
Life Prolonging Treatment
nder this bolded section on the first page of
U
the form, you may designate whether or not you
wish to receive treatment (such as a life support
machine), and be permitted to die naturally,
with only the administration of medication or
treatment deemed necessary to alleviate pain. If
you do not want treatment, except for pain, and
would like to die naturally, check and initial the
first line. If you want life-sustaining treatment,
check and initial the second line. Check and
initial only one line.
Nourishment and/or Fluids
nder this bolded section on page two, you
U
may designate whether or not you wish to
receive artificially provided food, water, or
other artificially provided nourishment or fluids
(such as a feeding tube). If you do not want to
receive artificial nourishment or fluids, check
and initial the first line. If you want to receive
nourishment and/or fluids, check and initial the
second line. Check and initial only one line.
Surrogate Determination of Best Interest
I mportant:Thissectioncannotbecompletedifyou
havecompletedthetwopreviousboldedsections.
nder this bolded section on the previous
U
page, IF you have designated a person as your
surrogate in the first section, you may allow
that person to make decisions for you regarding
life-sustaining treatments and/or nourishment.
Check and initial this line ONLY if you wish to
allow your surrogate to make decisions for you
and if you do not want to detail your specific
life-sustaining wishes on this form.
Organ/Tissue Donation
nder this bolded section on page two, you may
U
designate whether or not to donate your all or
any part of your body upon your death. If you
wish to donate all or part of your body, check
and initial the first line. If you do not want to
donate all or part of your body, check and initial
the second line. Check and initial only one line.
5. On page three, you will sign and date the form.
Sign and date the form in the presence of
two witnesses over the age of 18 OR in
the presence of a Notary Public.
The following people CANNOT be a witness to
or serve as a notary public:
(a) A blood relative of yours;
(b) A person who is going to inherit your
property under Kentucky law;
(c) An employee of a health care facility in
which you are a patient (unless the employee
serves as a notary public);
(d) Your attending physician; or
(e) Any person directly financially responsible
for your health care.
6. Once you have filled out the Living Will and
either signed it in the presence of witnesses or
in the presence of a notary public, give a copy to
your personal physician and any contacts you
have listed in the Living Will. A copy of any
Living Will should be put in your medical
records. Remember, you are responsible
for telling your hospital or nursing home
that you have a Living Will. Do not send
your Living Will to the Office of the
Attorney General.
LCRH TEAM MEMBERS MAY NOT SIGN AS A
WITNESSES TO A PATIENT’S LIVING WILL
KENTUCKY LIVING WILL DIRECTIVE
AND HEALTH CARE SURROGATE DESIGNATION
OF
_______________________________
(PRINTED NAME)
__________________
(DATE OF BIRTH)
My wishes regarding life-prolonging treatment and artificially provided nutrition and hydration to be
provided to me if I no longer have decisional capacity, have a terminal condition, or become
permanently unconscious have been indicated by checking and initialing the appropriate lines below.
HEALTH CARE SURROGATE DESIGNATION
By checking and initialing the line below, I specifically:
_______ (check box and initial line, if you desire to name a surrogate)
Designate ___________________________ as my health care surrogate(s) to make health
care decisions for me in accordance with this directive when I no longer have decisional
capacity. If _______________________ refuses or is not able to act for me, I designate
__________________________ as my health care surrogate(s).
Any prior designation is revoked.
LIVING WILL DIRECTIVE
If I do not designate a surrogate, the following are my directions to my attending physician. If I have
designated a surrogate, my surrogate shall comply with my wishes as indicated below. By checking
and initialing the lines below, I specifically:
Life Prolonging Treatment (check and initial only one)
_______ (check box and initial line, if you desire the option below)
Direct that treatment be withheld or withdrawn, and that I be permitted to die naturally with
only the administration of medication or the performance of any medical treatment deemed
necessary to alleviate pain.
DO NOT authorize that life-prolonging treatment be withheld or withdrawn.
20
KENTUCKY LIVING WILL DIRECTIVE AND HEALTH CARE SURROGATE DESIGNATION
PAGE 2
LIVING WILL DIRECTIVE - CONTINUED
Nourishment and/or Fluids (check and initial only one)
Authorize the withholding or withdrawal of artificially provided food, water, or other artificially
provided nourishment or fluids.
DO NOT authorize the withholding or withdrawal of artificially provided food, water, or other
artificially provided nourishment or fluids.
Surrogate Determination of Best Interest
NOTE: If you desire this option, DO NOT choose any of the preceding options regarding Life
Prolonging Treatment and Nourishment and/or Fluids
Authorize my surrogate, as designated on the previous page, to withhold or withdraw
artificially provided nourishment or fluids, or other treatment if the surrogate determines that
withholding or withdrawing is in my best interest; but I do not mandate that withholding or
withdrawing.
Organ/Tissue Donation (check and initial only one)
Authorize the giving of all or any part of my body upon death for any purpose specified in KRS
311.185.
DO NOT authorize the giving of all or any part of my body upon death.
KENTUCKY LIVING WILL DIRECTIVE AND HEALTH CARE SURROGATE DESIGNATION
PAGE 3
In the absence of my ability to give directions regarding the use of life-prolonging treatment and artificially
provided nutrition and hydration, it is my intention that this directive shall be honored by my attending
physician, my family, and any surrogate designated pursuant to this directive as the final expression of my legal
right to refuse medical or surgical treatment and I accept the consequences of the refusal.
If I have been diagnosed as pregnant and that diagnosis is known to my attending physician, this directive shall
have no force or effect during the course of my pregnancy.
I understand the full import of this directive and I am emotionally and mentally competent to make this
directive.
Signed this ______ day of ____________, 20____
_______________________________________________________________________________
Signature and address of the grantor.
Have two adults witness your signature OR have signature notarized*
In our joint presence, the grantor, who is of sound mind and eighteen (18) years of age, or older, voluntarily
dated and signed this writing or directed it to be dated and signed for the grantor.
_______________________________________________________________________________
LCRH TEAM MEMBERS MAY
Signature and address of witness.
NOT SIGN AS A
WITNESSES TO A
_______________________________________________________________________________
PATIENT’S
LIVING WILL
Signature and address of witness.
- OR STATE OF KENTUCKY, ______________ County
Before me, the undersigned authority, came the grantor who is of sound mind and eighteen (18) years of age,
or older, and acknowledged that he voluntarily dated and signed this writing or directed it to be signed and
dated as above.
Done this ________ day of ___________, 20_____
_________________________________________________
Signature of Notary Public
__________________________
Date commission expires
*None of the following shall be a witness to or serve as a notary public or other person authorized to administer oaths in regard to any advance directive made
under this section:
(a) A blood relative of the grantor;
(b) A beneficiary of the grantor under descent and distribution statutes of the Commonwealth;
(c) An employee of a health care facility in which the grantor is a patient, unless the employee serves as a notary public;
(d) An attending physician of the grantor; or
(e) Any person directly financially responsible for the grantor's health care.
NOTICE: Execution of this document restricts withholding and withdrawing of some medical procedures. Consult Kentucky Revised Statutes or your attorney.
22
A person designated as a surrogate pursuant to an advance directive may resign at any time by giving written notice to the grantor; to the immediate
successor surrogate, if any; to the attending physician; and to any health care facility which is then waiting for the surrogate to make a health care decision.
ARE YOU A HOSPITAL INPATIENT OR OUTPATIENT?
IF YOU HAVE MEDICARE - ASK!
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 “outpatient”) affects how much you pay for hospital services (like X-rays, drugs, and lab
tests). Your hospital status may also affect whether Medicare will cover care you get in a skilled nursing
facility (SNF).
An inpatient admission begins the day you’re formally admitted to the hospital with a doctor’s
order. The day before you’re discharged is your last inpatient day. You’re an outpatient if you’re getting
emergency department services, observation services, lab tests, or X-rays, and the doctor hasn’t written
an order to admit you as an inpatient even if you spend the night at the hospital.
If you’re in the hospital more than a few hours, always ask your doctor or the
hospital staff if you’re an inpatient or an outpatient.
Read on to understand the differences in Original Medicare coverage for hospital inpatients and
outpatients and how these rules apply to some common situations. If you have a Medicare Advantage
Plan (like an HMO or PPO), costs and coverage may be different. Check with your plan.
What do I pay as an inpatient?
Medicare Part A (Hospital Insurance) covers
inpatient hospital services. Generally, this means
you pay a one-time deductible for all of your
hospital services for the first 60 days you’re in the
hospital.
Medicare Part B (Medical Insurance) covers
most of your doctor services when you’re an
inpatient. You pay 20% of the Medicare-approved
amount for doctor services after paying the Part B
deductible.
What do I pay as an outpatient?
Medicare Part B covers outpatient hospital and
doctor services. Generally, this means coinsurance
amounts may apply to each individual outpatient
hospital service. This amount may vary by service.
Note: The copayment amount for a single
outpatient hospital service can’t be more than the
inpatient hospital deductible. In some cases, your
total coinsurance for all services may be more than
the inpatient hospital deductible.
Part B also covers most of your doctor services
when you’re a hospital outpatient. You pay 20%
of the Medicare-approved amount after the Part B
deductible.
Generally, the prescription and over-thecounter drugs you get in an outpatient setting
like an emergency department (sometimes called
“self-administered drugs”) aren’t covered by
Part B. If you have Medicare Part D prescription
drug coverage, these drugs may be covered under
certain circumstances. You will likely need to pay
out-of-pocket for these drugs and submit a claim
to your drug plan for a refund. Call your plan for
more information.
For more detailed information on how Medicare
covers hospital services, including premiums,
deductibles, and copayments, visit www.medicare.
gov/Publications/Pubs/pdf/10050.pdf to view
the “Medicare & You” handbook. You can also call
1-800-MEDICARE (1-800-633-4227). TTY users
should call 1-877-486-2048.
Below are some common situations and a description of how Medicare will pay. Remember, you pay
deductibles, coinsurance, and copayments.
Situation
You’re in the emergency
department, and then
you’re formally admitted
to the hospital with a
doctor’s order.
InpatientorOutpatient
Inpatient
Part A Pays
Part B Pays
Your hospital stay usually
including emergency
department services
Your doctor services
You visit the emergency
Outpatient
department for a broken
arm, get X-rays and a cast,
and go home.
Nothing
Doctor services and
hospital outpatient
services (for example,
emergency department
visit, X-rays, casting)
You come to the
with chest pain, and the
hospital keeps you for 2
nights for observation
services.
Outpatient
Nothing
Doctor services and
hospital outpatient
services (for example
visit, observation services,
lab tests, EKGs)
Outpatient
You come to the hospital
for outpatient surgery, but
they keep you overnight
for high blood pressure.
Your doctor doesn’t write
an order to admit you as
an inpatient. You go home
the next day.
Nothing
Doctor services and
hospital outpatient
services
Your doctor writes an
Outpatient
order for you to be
admitted as an inpatient
and the hospital later tells
you they’re changing your
status to outpatient. Your
doctor must agree, and the
hospital must tell you in
writing - while you’re still
in the hospital - that your
status changed.
Nothing
Doctor services and
hospital outpatient
services
REMEMBER: Even if you stay overnight in a regular hospital bed,
you might be an outpatient.
Ask the doctor or hospital.
24
How would my hospital status affect the way that
Medicare covers care I get in a skilled nursing
facility (SNF)?
Medicare will only cover care you get in a SNF if you first have a “qualifying hospital stay”. A
qualifying hospital stay means you’ve been a hospital inpatient for at least 3 days in a row (counting the
day you were admitted as an inpatient, but not counting the day of your discharge). If you don’t have
a 3-day inpatient hospital stay, ask if you can get care after your discharge in other setting (like home
health care) or if any other programs (like Medicaid or Veterans’ benefits) can cover your SNF care.
Always ask your doctor or hospital staff if Medicare will cover your SNF stay.
How would a hospital’s observation services
affect my SNF coverage?
Your doctor may order “observation services” to help decide whether you need to be admitted to the
hospital as an inpatient or can be discharged.
During the time you’re getting observation services in the hospital, you’re considered an outpatient.
This means you can’t count this time towards the 3-day inpatient hospital stay needed for Medicare to
cover your SNF stay.
For more information about how Medicare covers care in a SNF, visit www.medicare.gov/
Publications/Pubs/pdf/10153.pdf to view the booklet “Medicare Coverage of Skilled Nursing Facility
Care.”
Below are some common hospital situations that may affect your SNF coverage.
Situation
Is your SNF stay covered?
You came to the emergency department and were
formally admitted to the hospital with a doctor’s order
as an inpatient for 3 days, and you were discharged on
the fourth day.
Yes, you met the 3-day inpatient stay requirement for a
covered SNF stay.
You came to the emergency department and spent 1
day getting observation services. Then, you were an
inpatient for 2 more days.
No. Even though you spent 3 days in the hospital, you
were considered an outpatient while getting emergency
department and observation services. These days don’t
count toward the 3-day inpatient stay requirement.
REMEMBER: An inpatient admission begins the day you’re formally
admitted to the hospital with a doctor’s order. That date is your first
inpatient day. The day you are discharged doesn’t count as an inpatient day.
You have the right to request a discharge planning evaluation at any time and
we will complete your evaluation within one business day of your request. A
case manager can answer questions you have about discharge planning.
To contact a case manager dial extension 3126 or
ask your nurse to contact your case manager.
What are my rights?
No matter what type of Medicare coverage you have, you have certain
guaranteed rights. As a person with Medicare, you have the right to all of
the following:
• Have your questions about Medicare answered
• Learn about all of your treatment choices and participate in
treatment decisions
• Get a decision about health care payment or services, or
prescription drug coverage
• Get a review of (appeal) certain decisions about health care
payment, coverage of services, or prescription drug coverage
• File complaints (sometimes called grievances), including
complaints about the quality of your care
For more information about your rights, the different levels of appeals,
and Medicare notices, visit www.medicare.gov/Publications/Pubs/
pdf/10112.pdf to view the booklet “Your Medicare Rights and Protections.”
You can also call 1-800-MEDICARE (1-800-633-4227). TTY users should
call 1-877-486-2048.
Where can I get more help?
• For more information on Part A and Part B coverage, read your
“Medicare & You” handbook, or call 1-800-MEDICARE (1-800-633-4227).
TTY users should call 1-877-486-2048.
• For more information about coverage of self-administered drugs, view
the publication “How Medicare Covers Self-administered Drugs Given in
Outpatient Settings” by visiting www.medicare.gov/Publications/Pubs/
pdf/11333.pdf.
• To ask questions or report complaints about the quality of care for a Medicarecovered service, call your Quality Improvement Organization (QIO). Call
1-800-MEDICARE to get the telephone number. Or, visit www.medicare.gov, and
select “Find Helpful Numbers and Websites.”
• To ask questions or report complaints about the quality of care or the quality
of life in a nursing home, call your State Survey Agency. Call 1-800-MEDICARE
to get the telephone number. Or, visit www.medicare.gov, and select “Find Helpful
Numbers and Websites.”
26

Contents - Lake Cumberland Regional Hospital

Transcription

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