Hospice of Charles County Admissions Packet

Page 8

COMPLAINTS AND GRIEVANCES Hospice of Charles County encourages the active participation in decision making by the patient and family caregivers. We are committed to excellence in the quality and delivery of services. We encourage you to voice any concerns or complaints to the members of your hospice team so that they can address. If you find that you need to escalate your concern and/or if you wish to file a formal grievance, please contact the Director of Quality Improvement at 443-837-1518 and you will receive a return call by the next business day. We will explain our formal grievance resolution process of investigation. You also have the right to contact the following agencies to register a formal complaint: Maryland Department of Health, Office of Health Care Quality 7120 Samuel Morse Drive, Second Floor Columbia, MD 21046-3422 Phone number for hospice: 800-492-6005 Online submission form: https://health.maryland.gov/ohcq/Pages/Complaints.aspx Email: complaints.ohcq@maryland.gov Accreditation Commission for Health Care 139 Weston Oaks Court Carry, NC 27513 Phone: 919-785-1214 Fax: 919-785-3011 www.achc.org For those with Medicare insurance, you may also contact: Livanta’s Medicare Helpline for Maryland at 888-3964646. They only accept requests for their immediate advocacy informal review process through a phone call.

FINAL 2/16/2021


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Reminder

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page 47

Wash Your Hands Flyer

3min
pages 42-44

Medication Management Policy

3min
pages 38-39

Be Red Cross Ready Flyer

5min
page 46

Healthcare Decision Making Worksheet and MOLST

19min
pages 30-37

Discrimination is Against the Law Notice Flyer

4min
page 28

HIPAA Notice of Privacy Practices

7min
pages 24-26

HIPAA Notice of Privacy Practices Acknowledgement Form

1min
page 27

Election of Hospice Benefit

2min
page 21

Patient Notification of Hospice Non-Covered Items, Services and Drugs

1min
page 23

Basic Home Safety Standards

2min
pages 18-19

Ethics Committee Mission Statement

0
page 17

Admissions Checklist and Consent Form

1min
page 22

Spiritual Care

1min
page 16

Volunteers and Guidelines for Medication Administration

3min
pages 14-15

Complaints and Grievances

1min
page 8

Your Interdisciplinary Team Detailed Description

2min
pages 12-13

Patient and Hospice Agreement

2min
page 11

Interdisciplinary Team, Care Coordinator, Withdrawal from Hospice

1min
page 4

Covered Services and Services which Require Pre-Authorization

1min
page 5

Patient and Family Rights and Responsibilities

3min
pages 6-7

Patient Self-Determination Policy

2min
pages 9-10

Purpose of Hospice, Choice of Care, Levels of Care

2min
page 3
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