Patient Rights & Responsibilities
Speak Up About Your Treatment
We are partners in your healthcare. When you are well informed, participate
in treatment decisions, and communicate openly with your doctor and other
health professionals, you help make your care as effective as possible.
Kirby Medical Center encourages respect for the personal preferences and
values of each individual.
As a patient, you have the right to:
- Considerate and respectful care in a safe and secure environment, regardless
of your age, sex, race, ethnicity, religion, culture, language, physical
or mental disability, socioeconomic status, source of payment for care,
sexual orientation, gender identity or expression, or any other characteristic
protected by law.
- Prompt notification of your physician regarding your admission and the
option of prompt notification to a family member or representative of
your choice regarding your admission/discharge.
- Information about hospital policies, rules and regulations governing your
conduct as a patient.
- Clear and concise explanations of your condition and of all proposed procedures,
including the possibility of any risks, problems or side effects which
- Be involved in the development and implementation of the plan for your care.
- Know the names and the roles of health care professionals providing service to you.
- Refuse care, treatment and services to the extent permitted by law and
to be informed of the medical consequences of your refusal.
- Freedom from restraint unless it is the only means to protect safety.
- Prompt, effective and continuous assessment and treatment of your pain.
- Be advised if any portion of your care or treatment is part of an experimental
or research program and to decline participation in such program if you
so choose. (Kirby Medical Center does not participate in experimental
- Formulate, change or withdraw an Advance Directive, such as a Living Will,
Durable Power of Attorney for Healthcare or Do Not Resuscitate Form and
have hospital staff comply with your directives.
- Personal dignity and privacy.
- Expect that your treatment records are confidential, unless you have given
permission to release such information or reporting is required or permitted by law.
- Access, request amendment to, and receive an accounting of disclosures
regarding your own health information as permitted under applicable law.
- Request and receive a printed copy of your hospital charges and have them
explained to you.
- Have an ethics consultation without charge to review the plan for your
care and discuss your right to attempt to settle ethical disagreements
or conflicts with the health professionals providing care here.
- Express complaints and grievances and expect that they will be investigated
within a reasonable time frame.
- Know what alternatives exist for your care and treatment when hospital
care is no longer appropriate.
- Be allowed through your own choice or that of your support person, to designate
or deny hospital visitors regardless of the visitor’s race, color,
national origin, religion, sex, sexual orientation, gender identity, disability
or relationship to you.
- To the extent permitted by law, to leave the hospital against your doctor’s
advice. Should you do so, neither your physician nor the hospital will
be responsible for whatever harm such action may cause you or others.
As a patient, you have the responsibility to:
- Provide information about illnesses, hospitalizations, medications and
other matters related to your health, both past and present.
- Report any perceived risks in your care or changes in your condition.
- Accept the consequences of refusing your treatment or failing to follow
your established care, service or treatment plan.
- Abide by hospital rules, regulations and policies during your stay.
- Respect the rights of other patients, hospital personnel and others you
may come in contact with.
- Ask questions if you do not understand the directions given to you by your
health care team.
- Pay your hospital bills promptly and provide the accurate information necessary
for insurance processing.
- Express to hospital management complaints about any aspect of your care
if you feel your rights have been violated.
If you have concerns
In keeping with our patient-center care philosophy, and in compliance with
the law. Kirby Medical Center provides the opportunity for all patients
to express their concerns about the quality of care, language assistance
services, or premature discharge through a grievance mechanism. The hospital
has established a process for the prompt investigation and resolution
of patient grievances. First, we encourage you to share your concerns
with your providers so that they can assist you in resolving your concerns.
The patient or a representative may also contact Andrew Buffenbarger,
Chief Compliance Officer to file a grievance.
If you would like to take your grievance to a third party, you may contact:
Illinois Department of Public Health
525 West Jefferson Street
Springfield, Illinois 62761
Hours are Monday through Friday, 8:30 am-4:30 pm.
The Joint Commission, Office of Quality and Patient Safety
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
Use the “Report a Patient Safety Event” link at
If you have concerns about our compliance with our non-discrimination policies,
you may contact the U.S. Department of Health and Human Services, Office
for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or by phone.
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, DC 20201
Complaint forms are available at