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Patient’s Bill of Rights and Responsibilities

Working Together to Provide Excellent Care

Southeast Hospital and its staff are committed to a tradition of providing quality health care. In accordance with this commitment, we present this statement in the hope that a better understanding between the Hospital, patient and family will be mutually beneficial.

Patient Rights
As a patient you have the right to:

  • Receive information about hospital rules and policies about your rights.
  • Receive considerate and respectful care including confidentiality, privacy, security and safety. 
  • Receive care in a safe setting free from all forms of abuse, neglect, exploitation and harassment. 
  • Receive care in an environment that preserves dignity and supports a positive self image.
  • Services provided to all regardless of age, race, ethnicity, religion, culture, language, physical or mental disability, color, national origin, socioeconomic status, sex, sexual orientation, gender identity or expression, or sources of payment for care.
  • Have your medical records kept confidential and released only to those agencies or persons having your permission or allowed by Federal or state law.
  • Receive information about the person(s) responsible for your care, treatment and services, including those responsible for authorizing and performing procedures or treatment.
  • Participate or have your designated representative participate in treatment decisions and the care planning process.
  • Be involved or have your designated representative be involved in your discharge planning, including being informed of service options that are available to you and a choice of agencies which provide the service.
  • Have your pain assessed and managed.
  • Have a friend or other individual present for emotional support unless the visit infringes on others’ rights, safety or is medically or therapeutically contraindicated.
  • Be free from restraints or seclusion unless medically necessary or needed to ensure your immediate physical safety or the safety of others.
  • Receive complete and understandable information regarding your illness, treatment and possible outcomes.
  • Receive communication you can understand, have an interpreter assist with speaking or hearing barriers and receive aids to assist with vision, speech, hearing and other impairments.
  • Provide you with a reasonable response to a request for service.
  • Participate, or decline to participate, in a research study if asked.
  • Receive health care that considers your psychosocial, spiritual, and cultural values.
  • Have the personal possessions you brought to the hospital protected.
  • Accept medical care or to refuse it to the extent permitted by law and to be informed of the medical consequences of refusal.
  • Appoint a surrogate to make health care decisions to the extent permitted by law. Have an advance directive (health care directive, durable power of attorney for health care or living will) that states your wishes when you cannot speak for yourself.
  • Participate in the consideration of ethical issues that arise in your care.
  • Receive compassionate end of life care.
  • Receive information about and be informed of business relationships of this hospital to other health care providers that may impact your care.
  • Review or have your designated representative review the medical record and receive copies of the record at a reasonable photocopy fee.
  • Before undergoing any procedure, you and your legal representative will voluntarily provide informed consent. You will be informed if alternatives for care or treatment exist. 
  • Be informed of your health status, treatment options, services and likely outcomes.
  • Be informed of the outcome of care including unanticipated outcomes.
  • Receive information about health care costs and bills.
  • Voice a complaint or recommend a change without being subjected to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment and services.
  • File a grievance and expect a prompt resolution.
  • A grievance can be filed verbally or in writing to the Hospital’s Quality Management Department from within the Hospital at extension 5557 during normal business hours. If calling from outside the Hospital, the number is 573-651-5557.

Quality Management Department
Patient Advocate
Southeast Hospital
1701 Lacey
Cape Girardeau MO 63701
573-651-5557
Fax 573-331-6557

  • If you wish to file a grievance with an outside agency you may do so by contacting the Missouri Department of Health and Senior Services, The Joint Commission and/or the U.S. Department of Health and Human Services Office for Civil Rights at the addresses and phone numbers below:

State of Missouri
Dept. of Health Facility Regulations
912 Wildwood Drive
PO Box 570
Jefferson City, MO 65102-0570
1-800-392-0210

The Joint Commission
Office of Quality Monitoring
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
complaint@jointcommission.org
24-Hour Hotline: 1-800-994-6610

Office for Civil Rights
U.S. Department of Health and Human Services
601 East 12thStreet, Room 248
Kansas City, MO 64106
Voice Phone 816-426-7277
Fax 816-426-3686
TDD 816-426-7065

Patient Responsibilities
As a patient, you have a responsibility to:

  • Get involved in your care. Please speak up if you have questions, concerns, or if you do not understand your treatment plan. 
  • Provide accurate and complete information to assist with diagnosis and treatment.
  • Report changes in your condition.
  • Follow the care, treatment, and service plan developed.
  • Take responsibly for the outcome if you do not follow the care, treatment, and service plan.
  • Respect the privacy, dignity and confidentiality of other patients and staff.
  • Respect Hospital or Clinic property as well as others’ property.
  • Meet the financial obligation agreed to with the Hospital or other SoutheastHEALTH provider.