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Patient Guide Visitor information dining Phone directory Patient advocates

madisonALhospital.org | (256) 265-2012


Madison Manor is a skilled nursing facility offering short- and long-term nursing and rehabilitation services for you and your loved ones since 1968.

MADISON MANOR 3891 Sullivan Street Madison, AL 35758 (256) 772-9243

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Quality Care is Our Commitment

Our name has changed. Our care remains the same.

Huntsville: 256.922.6650 Madison: 256.772.3080

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The American Cancer Society is here for you when you need us, where you need us.

©2015 American Cancer Society, Inc. No. 030890


UNKNOWN

Other people may be there to help us, teach us, guide us along our path, but the lesson to be learned is always ours.

In This Guide Welcome to Madison Hospital About Us Telephone Directory Rapid Response Team Your Experience During Your Stay

3 4 5 6 7 8-13 Visitor Guidelines 8 Visiting Hours 8 Parking 8 Housekeeping Services 8 For the Hearing Impaired 9 Telephone 9 Wireless Internet Service 9 Calling Your Nurse 9 Interpreters 9 Valuables 10 Mobile Phones 10 Lost and Found 10 Medications from Home 10 Fire Safety 10 Tobacco Products 10 Electrical Appliances 10 TV 11 Refrigerator 11

14 Speak Up Take charge of your care.

15 Stay Safe You can contribute to health care safety.

OUR ADDRESS

8375 Hwy. 72 W. Madison, AL 35758 The editorial content displayed here is the responsibility of PatientPoint. This material is for your educational use only. It does not contain, nor should it be construed as containing, medical advice. Talk to your doctor before making any lifestyle or treatment changes. Sponsors are responsible for the material provided, and your healthcare provider’s participation in the program does not represent an explicit or implied endorsement of any material presented. The people shown are models and are not known to have any health condition. Images are for illustrative purposes only. Image credits: Getty Images, iStockphoto. ©2016 PatientPoint ® madisonALhospital.org (256) 265-2012 : 1


In This Guide continued During Your Stay continued

22 Do You Have Pain? Make your stay as comfortable as possible.

29-30 Don’t Leave Until... 6 things you should know before you leave our care.

32 Ways to Support Madison Hospital

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Spiritual and Cultural Support 11 Patient and Family Concerns 11 Cafeteria 11 Vending Machines 11 ATM 11 Gift Shop 12 Volunteering 12 Notary Service 12 Ethics Consultation 12 Birth Certificate Information for New Parents 13 Free Movies 13 Television Channel Listing 13 Speak Up 14 Stay Safe 15-21 Do You Have Pain? 22 What Are Your Advance Directives? 23 Your Privacy & Information 24-25 Opting out of NAHIE 25 Your Rights & Responsibilities 26-27 Financial Information 28-29 What a Hospital Bill Covers 28 Pre-Certification 28 Coordination of Benefits (COB) 28 Payments to Madison Hospital 28 Medicare 29 Medicaid 29 Commercial Insurance 29 If You Have No Insurance 29 Uninsured? 29 Don’t Leave Until... 29-30 Case Management 30-31 Ways to Support Madison Hospital 32

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Welcome to Madison Hospital Thank you for choosing Madison Hospital to meet your health care needs. Everyone here at Madison Hospital is passionate about providing quality care and excellent customer service. While we take care of you and your family, we pledge to treat you like a member of our family. The Madison Hospital team of professionals has the know-how to care for you. They are highly trained in their respective roles and have access to technology onsite, as well as through resources in Huntsville should the need arise. Our comfortable, quiet and tobacco-free environment is intended to promote your healing and recovery. We have made every attempt to provide convenient access to amenities that help you feel the warmth and charm of our community. Part of our care for you includes providing you with clear information. This patient guide contains a wealth of information, but nothing replaces the interaction between you and your care team. If you have questions or concerns, please ask any member of our staff. On behalf of everyone at Madison Hospital, please accept my best wishes for your good health. If there is anything we can do to make your stay more comfortable, please let us know.

Vision To be the community hospital of choice, consistently recognized for clinical and service excellence

Mission To provide high-quality care and services that will improve the health of those we serve

Sincerely, Mary Lynne Wright President madisonALhospital.org facebook.com/MadisonHospitalFan @MadisonHospital

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About Us OUR ADDRESS 8375 Hwy. 72 W. Madison, AL 35758

Your Opinion Counts Soon after your discharge, a representative of a third-party research company may contact you to conduct a confidential survey of your experience with us. Please take the time to share your opinions about your hospital stay. Your feedback is important in helping us improve the care and services we provide.

Comment Card Please fill out the comment card in your patient room if you have concerns and/or compliments. We want to know!

Madison Hospital opened for patient care on Feb. 28, 2012. Initially a 60-bed facility, Madison Hospital was constructed with the future in mind. As our community continues to grow, Madison Hospital can grow along with it—up to about 200 beds. We are a strong partner with the city of Madison and communities in western Madison County. As a not-forprofit health care provider, all revenue is reinvested to provide the advanced medical services and equipment this area deserves. And, since Madison Hospital has a volunteer advisory board of local community leaders, every decision is made with the well-being of our neighbors in mind. Madison Hospital is backed by Huntsville Hospital, the region’s trusted name in health care since 1895. Soon after receiving approval to build the facility by the state of Alabama, Huntsville Hospital began construction in December 2009. Madison Hospital services: n 24/7 ER n Surgery n Maternity Care n Breastfeeding Support n Intensive Care n General Medicine Inpatient Care n Endoscopy n Imaging

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n Lab Services

n Physical Therapy

n Sleep Disorders Treatment n Non-Invasive Cardiology n Breast Center for

Screening Mammography

n Vein Center

n Joint Replacement n Wellness Center


Telephone Directory Admitting Gift Shop Housekeeping/Maintenance Madison Wellness Center Outpatient Physical Therapy   & Sports Rehab Outpatient Services Public Relations Security Senior Horizons Volunteer Services

(256) 265-5100 (256) 265-5125 (256) 265-2700 (256) 265-WELL

MAIN NUMBER (256) 265-2012

Business Office (256) 265-9569

(256) 265-5599 (256) 265-5950 (256) 265-8317 (256) 265-6660 (256) 265-7950 (256) 265-5016

Please visit us at madisonALhospital.org. Become our fan at facebook.com/MadisonHospitalFan and follow us @MadisonHospital.

Calling a Department WITHIN the Hospital? Dial the last five digits of the number unless otherwise noted. To call a local number outside the hospital, dial 9 (256) + the seven-digit number.

Chaplaincy Services Please notify your nurse

Customer Service (256) 265-2421 or (256) 265-9449

Dining-On-Call for patients and guests 4-FOOD using on-campus phone

Huntsville Hospital Communication Center (256) 265-1000

Patient Information (256) 265-2012 or 0 using on-campus phone

Patient Room (256) 265-5### (room number)

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Rapid Response Team What is the Rapid Response Team? The Rapid Response Team is a group of specially trained individuals who bring critical-care expertise to the patient. The purpose of the team is to quickly check the condition of the patient and provide help before there is a medical emergency.

Madison Hospital, like many hospitals nationally, is focusing on eliminating problems that affect optimal patient care. As a result, we’ve created a Rapid Response Team for patients. Patient safety is our No. 1 concern. You should keep an eye on any noticeable medical changes occurring in the patient when our health care team is not present, such as (but not limited to): n Chest pain n Choking n Difficulty breathing / shortness of breath n Possible seizure activity n Change in level of consciousness, or n If at any time you are worried about the patient

PRESS A BUTTON, SAVE A LIFE! PRESS the nurse call button to request immediate assistance. Nursing staff assigned to the Nursing Unit will be dispatched to your room to assess and determine whether or not to notify our Rapid Response Team. NOTE: This is an emergency call and should be made for a serious change in your loved one’s condition.

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ALBERT EINSTEIN 1879-1955

Truth is what stands the test of experience.

Your Experience We encourage your feedback to improve care.

Your health care is our priority. To determine where

improvements are needed, this hospital takes part in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey measures your satisfaction with the quality of your care. It is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. After you are released from the hospital, you may be selected to participate in the HCAHPS survey. The survey asks multiple-choice questions about your hospital stay. Please take the time to fill out the HCAHPS survey; your feedback is valuable!

What is HCAHPS?

The HCAHPS survey is backed by the U.S. Department of Health and Human Services. The survey is used to improve the quality of health care. HCAHPS makes survey results public so hospitals are aware of where changes are needed. The results also enable health care consumers to review and compare hospitals before choosing a health care provider.

Hospital Compare

is a government website that allows users to compare the quality of care provided by hospitals. The information provided on this website is based on HCAHPS survey results. www.medicare.gov/ hospitalcompare n

The Joint Commission

has created quality and safety standards for health care organizations. The Joint Commission reviews, accredits and certifies health care organizations that meet its high standards. Quality reports for all accredited organizations are available on its website. www.qualitycheck.org

You are part of the team COMMUNICATE It’s your health; don’t be afraid to ask your doctors and nurses questions. PARTICIPATE You are the center of your health care team so ask questions, understand your treatment plan and medications, and communicate with your doctors and nurses. APPRECIATE There are hundreds of people in the hospital who need help; please be patient as doctors and nurses attend to everyone. madisonALhospital.org (256) 265-2012 : 7


During Your Stay Visitor Guidelines We encourage visitors for emotional support and recovery. To provide a restful and safe environment, we ask that all visitors comply with the following guidelines: n Observe no visiting and precaution signs before entering the room. n Please clean your hands upon entering the room. n Be considerate of other patients by keeping noise to a minimum, especially at night. n Refrain from visiting if you have a cold, sore throat or any contagious disease. n Do not smoke anywhere on Madison Hospital property. n Respect the patient’s privacy by leaving the room during tests or treatments if asked. n All visitors should remain in the patient room or in designated waiting areas. For patient comfort and safety, please keep the hallways clear.

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We have policies and procedures in place to help you and your family work with our doctors, nurses and staff to get the most from your hospital stay. Please take a few minutes to review these guidelines with your loved ones.

Visiting Hours

General Medicine Units 10 a.m. to 8 p.m. Labor & Delivery and Mother/Baby n One support person is permitted in the operating room for cesarean section, and in the labor room during epidural placement. n Guests are welcome to share in your labor experience at your discretion. Intensive Care Unit (ICU) 10 a.m. to 8 p.m. One family member is encouraged to remain with the patient at all times. One additional person may visit the patient during regular visiting hours. Supervised children may visit for a short period of time in the ICU if they are mature enough to offer comfort to the patient. If the ICU patient has a large family, the nurse will seek to identify a family spokesperson to be the contact person among nursing staff, family and friends. The spokesperson will take phone calls regarding the patient’s condition and work with Madison Hospital staff to coordinate visitation guidelines.

Parking

Free parking is available throughout the Madison Hospital campus. No unattended vehicles are allowed in the dropoff areas at the main entrance or Emergency Department entrance. When you exit your vehicle, please do not leave valuables in sight. For your safety and the safety of pedestrians, please drive slowly and cautiously.

Housekeeping Services

During your stay, keeping your room and bathroom clean is our goal. A caring housekeeper will clean your room each day, and it is the staff ’s pleasure to assist you any way it can. Staff members are there for you 24 hours a day, seven days a week,

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so please let them know how they can be of service. You may contact Housekeeping by using your nurse call button or by dialing 5-2700 from any on-campus telephone. We understand that your comfort is enhanced by clean and comfortable bed linen. Your nursing team will arrange for your bed linen to be changed or provide you with additional linen or pillows upon request. Let us know if your linen needs attention by using your nurse call button.

For the Hearing Impaired

Madison Hospital will provide free interpreters or other communication assistance for persons who are deaf or hard of hearing, blind or visually impaired, speech impaired, or do not speak English. To assist with communication and safety: n Th e Madison Hospital staff will be glad to contact the Alabama Institute for the Deaf and Blind to provide a qualified Sign Language interpreter during regular business hours at (256) 539-7881 or after-hours pager at (256) 855-4052 or cellphone at (256) 603-3242. n I f your needs are more immediate, Madison Hospital can provide video remote interpreting. Let your nurse know. nE quipment to assist the hearing-impaired person is available for phones by calling the help desk in Information Technology at 5-7777 from an on-campus telephone, 24 hours a day, seven days a week. Your nurse can assist you with obtaining the necessary equipment. nF ire alarm signals are visual and auditory to alert hearing and visually impaired individuals. nT elevisions may be programmed for closed caption by contacting Plant Operations at 5-2700 from an on-campus telephone. Again, let your nurse know about your needs.

Telephone

Telephones are provided in all patient rooms. To place a local call, please dial 9 then the phone number. To make a long-distance call, please dial 9 then your calling card number.

Calling Your Nurse Your nurse call button is answered in the hospital’s communication center. This is a confidential area so other patients and staff cannot overhear your request. When requesting assistance, please be specific about your needs. This will help our staff assist you more quickly. You can assist us by turning down the television, if possible, when making your requests.

Interpreters Madison Hospital provides access to an electronic interpretation device to facilitate communication between caregivers and patients. If you require this assistance, please notify your nurse. El Hospital de Madison provee servicios de intérprete para facilitar la comunicación entre usted y las personas cuidando de su salud. Si necesita estos servicios, déjele saber a su enfermera.

Wireless Internet Service

Madison Hospital patients and guests may use personal devices equipped with Wi-Fi. After powering up your device, madisonALhospital.org (256) 265-2012 :

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During Your Stay select the “public” wireless network/SSID. Open your web browser, review the terms/conditions and click “I agree.” You may now access most website addresses.

Mobile Phones

Due to the possibility of interference with medical equipment, the use of mobile phones is not allowed in the intensive care unit. Mobile phones are otherwise permitted. For the comfort and privacy of our patients, please use discretion when talking on the phone.

Leave Your Valuables At Home If you have valuables, such as jewelry, credit cards and cash, please give them to a relative or friend to take care of during your stay. Store your contact lenses, eyeglasses, hearing aids and dentures in your bedside stand when not in use. Please don’t put them on your bed or food tray— they may be damaged or lost. Madison Hospital cannot be responsible for replacement of personal belongings.

Lost and Found

To report a lost or found item, please call 4-LOST (4-5678) from an on-campus telephone. Lost and found items are stored for 30 days in a secure area. To claim a lost item, a person must describe the item and show a valid photo identification card.

Medications from Home

Unless asked to, please do not bring any medications (prescription or over-the-counter) to the hospital. All medications you take while a patient at Madison Hospital have been prescribed by your physician, are dispensed by the hospital pharmacy and administered by a trained professional. Patients are not permitted to administer their own medications or to keep personal medications, unless approved by their physician.

Fire Safety

We periodically conduct fire drills. If you hear an alarm, stay where you are. In the event of an actual emergency, hospital staff will notify you.

Tobacco Products

By city of Madison ordinance and for the safety and comfort of our patients, visitors and staff, the use of cigarettes or smokeless tobacco is not permitted anywhere Patients are encouraged on the Madison Hospital campus. Madison Hospital has no designated tobacco use areas. to leave valuables at home or give these items to a family member.

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Electrical Appliances

Electrical appliances including hairdryers, curling irons, razors, radios, heating pads, portable heaters, VCRs, computers and other devices are not safe for use in patient rooms. Please use only battery-operated devices.

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Patient guests are invited to purchase meals from Dining-On-Call with a credit card. If your guests would like to consider this option, please call 4-FOOD. TV

Televisions are provided in each patient room. Please be considerate of others by keeping the TV volume down and turning off your TV at bedtime. Channel listings are located on page 13.

Refrigerator

Each patient room has a small refrigerator for the personal use of family and visitors. For the safety and comfort of our patients, we will provide all patient food. If family or visitors wish to bring special food to the patient, please check with the nurse for any dietary restrictions. All patient food from outside the facility should be consumed upon arrival.

Spiritual and Cultural Support

We respect your individual beliefs and recognize the diverse cultures within this community. All patients receive courteous and conscientious consideration. We encourage you to exercise your personal values and belief system provided it does not interfere with the wellbeing of others. We provide the services of a medical interpreter upon request. If you would like to be visited by a chaplain or medical interpreter, please notify your nurse. A chapel is located on the lobby level near the Emergency Department waiting area.

Patient and Family Concerns

Our goal is for you to have an excellent experience during your stay. If at any time you have a question or concern, you may: 1. Press the call button to speak with your nurse. 2. Ask to speak with your charge nurse or nurse manager. 3. If your needs remain unmet, contact the patient/family representative at (256) 265-9449 or (256) 265-2421, Monday through Friday, from 8 a.m. to 5 p.m. All voicemail messages are returned as soon as possible. 4. A fter hours, on weekends and during holidays, please ask your nurse or charge nurse to contact the administrative supervisor. You also may dial 0 and ask the operator to connect you to the administrative supervisor directly.

Where’s the Cafeteria? LOCATION: Lobby level Visitors are welcome to dine in the Garden Café & Grille. Café & Grille: Monday – Friday 6:30 a.m. – 2 p.m. Coffee & Snacks: Monday – Friday 6:30 a.m. – 5 p.m.

Dining-On-Call for patients and guests 4-FOOD using on-campus phone

Vending Machines Vending machines offering beverages and snacks are located near the Emergency Department on the lobby level. They are available 24 hours a day, seven days a week.

ATM For your convenience, an automated teller machine (ATM) is located in the vending area near the Emergency Department.

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During Your Stay Gift Shop

The hospital’s gift shop is located on the lobby level; gift shop hours are Monday through Friday 9 a.m. to 5 p.m. The proceeds from the gift shop are donated back to Madison Hospital through the Foundation to assist the needs of our patients. Cash and credit cards accepted. For assistance, please call (256) 265-5125.

Volunteering

Madison Hospital depends on dedicated volunteers to serve our patients and assist our staff. Our volunteers enjoy benefits including discounts in the gift shops and wellness centers, complementary cafeteria meals, flu immunizations and free blood pressure checks. To learn more, please call Volunteer Services at (256) 265-5016.

Notary Service

For patients or patient guests who require document notarization, there are notaries located within the hospital who can visit the patient’s room to provide assistance. Should you need this service, call (256) 2655010, Monday through Friday, 9 a.m. to 3 p.m.

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5. Written correspondence may be sent to: Madison Hospital Administration 8375 Hwy. 72 W. Madison, AL 35758 Or via our website at madisonALhospital.org or email customersvc@hhsys.org. Excellence is our goal! The Huntsville Hospital Health System Customer Service Department is available to assist you during and after your visit. You may contact Customer Service by telephone, email, or mail whenever you have a comment, question, concern or complaint about the services provided at Huntsville Hospital Health System. If you have questions, concerns, or complaints, you also may contact any of the following government agencies: Alabama Department of Public Health The RSA Tower 201 Monroe St. Montgomery, AL 36104 (800) 356-9596 The Joint Commission Office of Quality and Patient Safety One Renaissance Blvd. Oakbrook Terrace, IL 60181 (800) 994-6610 Center for Medicare and Medicaid Services KEPRO, the Quality Improvement Organization 5700 Lombardo Center Dr., Suite 100 Seven Hills, OH 44131 (844) 430-9504

Ethics Consultation

During a hospital stay, you may face difficult decisions regarding medical treatment and patient care for yourself or a family member. The Ethics Advisory Committee is a resource for patients, family members and health care providers to provide advice before making difficult decisions. If you would like to request an ethics consultation, please contact your nurse or call (256) 265-8889. The committee’s role is purely advisory and is a resource to help you understand your choices.

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Birth Certificate Information for New Parents

The birth certificate is a legal document that will follow your child throughout life. Before leaving the hospital, you will be provided an application to order an official certified copy of your child’s birth certificate from the state of Alabama. A certified copy of the birth certificate also can be obtained at any county health department once the birth certificate has been filed with the state (approximately one week after the birth of your child) or by writing to the Center for Health Statistics, P.O. Box 5625, Montgomery, AL 36103. For more information, please call (334) 206-5418. Or you may visit adph.org. Please note, the state of Alabama charges a fee for certified copies of birth certificates.

Television Channel Listing

2.1 TBS 2.2 ESPNews 2.3 ESPN U 2.4 TNT 2.5 Style 3.1 CNN 3.2 Bloomberg TV 3.3 Turner Classic Movies 3.4 Cartoon Network 3.5 A&E 4.1 Freeform 4.2 History 4.3 WGN 4.4 TV Land 4.5 Game Show Network 5.1 Hallmark Movie Channel 5.2 The Learning Channel 5.3 ESPN Classic 5.4 Lifetime 5.5 Golf 6.1 TVGN (TV Guide Network) 6.2 Weather Channel 6.3 C-SPAN 6.4 HITN (Spanish) 6.5 OWN (Oprah Winfrey Network) 7.1 Trinity Broadcasting Network 7.2 CMT

Free Movies A variety of movie DVDs are available for our patients to enjoy at no charge. A nurse can provide you with a list of DVDs, then call 55125 to request the DVD. A volunteer will deliver it to your room. DVDs are available Monday through Friday, 9:30 a.m. to 4:30 p.m. You can request up to two movies at one time.

7.3 Animal Planet 7.4 VH1 7.5 Fox News 8.1 Newborn Channel (Spanish) 8.2 Newborn Channel 8.3 Madison Hospital Channel Line Up Guide 9.1 ESPN (HD) 9.2 ESPN2 (HD) 10.1 Discovery Channel (HD) 10.2 Food Network (HD) 11.1 HGTV (HD) 11.2 Travel Channel (HD) 12.1 National Geographic (HD) 12.2 USA Network (HD) 19.1 CBS - WHNT 19 (HD) 19.2 WHNT-2 25.1 PBS - WHIQ 25 (HD) 25.2 PBS-2 25.3 PBS-3 31.1 ABC - WAAY 31 (HD) 31.2 WAAY Weather 31.3 WAAY - QVC 48.1 NBC - WAFF 48 (HD) 48.2 Bounce 48.3 Grit 54.1 FOX 54 (HD) 54.2 WAMY-2 54.3 MeTV madisonALhospital.org (256) 265-2012 :

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FRANCIS BACON 1561-1626

Who questions much, shall learn much, and retain much.

Speak Up! Take charge of your care. During your stay, the doctors, nurses and staff of

Madison Hospital will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. Ask questions, voice your concerns, and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services. In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay—how to stay safe, get the information you need, ask the right questions and interact effectively with your doctors, nurses and hospital staff.

STEP UP & SPEAK UP SPEAK UP: Ask questions and voice concerns.

Remember:

It’s your body, and you have a right to know.

n

PAY ATTENTION: Make sure you’re getting the right treatments and medicines. EDUCATE YOURSELF: Learn about the medical tests you get and your treatment plan.

FIND AN ADVOCATE: Pick a trusted family member or friend to be your advocate or support person. WHAT MEDS & WHY: Know what medicines

rite down any questions W you have n Choose a support person to communicate with the doctors and staff n K eep a list of doctors you see and the medications they prescribe

Don’t Get Overwhelmed, Write It Down!

you take, why you take them and their possible side effects.

CHECK BEFORE YOU GO: Use a hospital, clinic, surgery center or other type of health care organization that meets The Joint Commission’s quality standards. PARTICIPATE IN YOUR CARE: You are the center of the health care team.

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Courtesy of The Joint Commission.


All employees involved in your care will check your armband with EVERY interaction.

Stay Safe You can contribute to health care safety. While you are in the hospital, many people will enter your room, from doctors and nurses to aides and techs. The following information will help make your hospital stay safe and comfortable.

Employee ID The staff at Madison Hospital wear color-coded uniforms so you can easily identify who is coming and going from your room. Nurses always wear olivecolored scrubs.

Don’t Be Afraid to Ask… A number of people may enter your hospital room. Be sure to: n Ask for the ID of everyone who comes into your room. nS peak up if hospital staff doesn’t ask to check your armband. nA sk if the person has washed his or her hands before he or she touches you. n I f you are told you need certain tests or procedures, ask why you need them, when they will happen and how long it will be before you get the results. nA sk about your medicines, why they are being prescribed and the possible side effects.

PATIENT IDENTIFICATION Any time staff members enter your room to administer medications, transport you or perform procedures and treatments, they must check your birth date and name before they proceed. At times, you will be asked the same questions repeatedly. We are aware that this may seem redundant. Please understand, however, that this verification process is a critical component in our patient safety program in order to guarantee that all of our patients receive the correct medications and treatments.

Check ID

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STAY SAFE

Fighting Infections While you’re in the hospital to get well, there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to clean your hands and make sure that everyone who touches you—including your doctors and nurses—cleans his or her hands, too.

You, your family and friends should wash hands:

1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom It also is important that your health care providers clean their hands with either soap and water or an alcohol-based hand cleaner every time, before and after they touch you. Health care providers know to practice hand hygiene, but sometimes they forget. You and your family should not be afraid or embarrassed to speak up and ask them to clean their hands.

Doctors, nurses and other health care providers come into contact with a lot of bacteria and viruses. So before they treat you, ask them if they’ve cleaned their hands.

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Happy Birthday to You! Wash your hands with soap and warm water for 15 to 20 seconds. That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice.

No Soap? No Problem. Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.

Help prevent an infection. Ask your caregivers if your urinary catheter or central line still is necessary.


STAY SAFE

Know Your Meds While you are hospitalized, your doctor may prescribe medications for you. Be sure that you understand exactly what they are and why they are being prescribed. Use this checklist to help you get the information you need from your doctor: What is the name of the medicine? What is its generic name? Why am I taking this medicine? What dose will I be taking? How often, and for how long? When will the medicine begin to work? What are the possible side effects? Can I take this medicine while taking my other medications or dietary supplements? Are there any foods, drinks or activities that I should avoid while taking this medicine? Should I take my medicine at meals or between meals? Do I need to take the medicine on an empty stomach or with food or a whole glass of water? What should I do if I forget to take the medicine and miss a dose? If you would like to speak directly to a pharmacist, please ask your nurse to contact the pharmacist responsible for your care.

Preventing Medication Errors By taking part in your own care, you can help the members of your health care team avoid medication errors. Here’s how: Be sure that all of your doctors know what medications you have been taking, including prescription drugs, over-thecounter medications, herbal and vitamin supplements, natural remedies and recreational drugs. Be sure that all of your doctors know of any allergies you may have— to medications, anesthesia, foods, latex products, etc. When you are brought medications or IV fluids, ask the person to check to be sure you are the patient who is supposed to receive the medications. Show that person your ID bracelet to double-check. Remember—you play an important role in helping to reduce medication errors.

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STAY SAFE

Prevent the Spread of

Multi-Drug Resistant Organisms When you are admitted into the hospital, you may have a nasal swab done to determine if you have MRSA (methicillinresistant Staphylococcus aureus). This is a multi-drug-resistant organism (MDRO) that is frequently found in patients. MDROs are bacteria that are resistant to antimicrobial drugs (antibiotics), so precautions must be taken to ensure that MDROs aren’t spread. If your culture is positive, you will be placed on isolation. This means staff members will wear gowns, gloves or masks when they treat you. Your family and visitors are expected to do the same to help prevent the spread of bacteria. These are the most common types of MDROs:

MRSA: Methicillin-Resistant Staphylococcus Aureus

MRSA is a bacterium that is carried on the skin or in the noses of healthy people and is a common cause of minor skin infections. It also can cause surgical wound infections, bloodstream infections and pneumonia. To prevent the spread of MRSA: n Cover your wound: Keep areas of affected skin covered with clean, dry bandages. n Clean your hands: Anyone in close contact should clean hands with soap and warm water or an alcohol-based sanitizer. n Do not share personal items: Avoid sharing clothing, towels or razors. n Talk to your doctor: Tell any of your health care providers that you have an MRSA infection. If you have a wound that does not heal or a boil or “spider bite” that looks infected, see your doctor. 18

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E. coli: Escherichia coli E. coli is a type of bacteria found in your intestines and is usually harmless. This bacteria, highly resistant to antibiotics, can spread outside of your gut and cause an infection. In hospitals, E. coli infections spread through contact with wounds or stool. To help prevent E. coli infections: n Tell your medical team if you were treated in another hospital or country recently. n Make sure that all health care providers clean their hands before and after caring for you. n Be sure to clean your hands often. n Take antibiotics only as prescribed.

VRE: VancomycinResistant Enterococci Enterococci are bacteria that are normally present in the intestines and the female genital tract. Vancomycin is an antibiotic that often is used to treat infections caused by enterococci. When enterococci become resistant to vancomycin (not killed by it), it is called VRE. VRE can cause infections of the urinary tract, bloodstream or wounds. Most VRE infections can be treated with antibiotics other than vancomycin. If you develop VRE while on a urinary catheter, removal of the catheter can help get rid of the infection.


STAY SAFE

Adult Vaccines Vaccines work with your immune system to help protect you from infections and disease. As you age, you’re more at risk of certain health conditions because your immune system isn’t as strong as it used to be. And if you do get sick, the symptoms can be more serious than when you were younger. Three types of vaccines are especially important for older adults, including:

Influenza Vaccine—The flu vaccine

is recommended for all ages every year, and there is a higher-dose vaccine for adults over age 65. You need the vaccine every year because the flu virus changes over time.

Zoster or Herpes Zoster Vaccine—This vaccine protects against shingles. It’s one dose and is recommended for all adults age 60 and up. Shingles causes rash, blisters and severe pain. Pneumococcal Vaccines—

Recommendations recently changed for pneumonia vaccines. Even if you already

received one vaccine, you still may need another. Talk to your doctor about the vaccination schedule that’s right for you. Pneumococcal conjugate or PCV13: You need one dose of this vaccine if you are age 65 or older and didn’t receive it at a younger age. It’s best to get this one before the PPSV23 vaccine (see below). Wait at least 12 months if you receive the PPSV23 first. Pneumococcal polysaccharide or PPSV23: If you are age 65 or older, you need one dose of this vaccine, ideally six to 12 months after receiving the PCV13 vaccine (see above).

Your doctor is your best source for information about vaccines. Which vaccines are right for you depend on your age, other health conditions you have (including pregnancy) and where you travel.

Talk to your doctor about other vaccines you may need, including a booster for Td (tetanus diphtheria). madisonALhospital.org (256) 265-2012 : 19


STAY SAFE

Preventing Falls Hospital patients often fall because they are in an unfamiliar environment, are weak or unsteady due to illness or medical procedures, their medications make them dizzy, or they’ve been sitting or lying down for too long. Madison Hospital cares about our patients’ safety. We will check on you frequently to ensure your needs are met. Please help us keep you safe by following these guidelines during your hospital stay: n Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. We are happy to help you. n Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote—within easy reach. n Do not walk in bare feet. Wear nonskid socks or slippers. n Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout the hospital at all times. n Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. n Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. n If you see a spill on the floor, report it at once.

DVT: Lower Your Risk Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in your brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your stay. And be sure to tell your doctor or nurse if you have any of the following warning signs: A leg cramp or charley horse that gets worse Swelling and discoloration in your leg, upper arm or neck Unexplained shortness of breath Chest discomfort that gets worse when you breathe deeply or cough Lightheadedness or blacking out

Patients of all ages are at risk of falls because of medications that may make them dizzy, weak or unsteady. You will have a colored armband placed on your arm if you are at risk for falls. This alerts all of your caregivers that you may need extra help. Bed alarms may be used to get help to you as quickly as possible.

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STAY SAFE

Questions for My Doctor Be Informed

You and your caregiver need to stay informed about your medical condition and treatments while you are hospitalized. Once you are released from the hospital, it is important to have this information available so you can share it with your primary care physician during your next visit. These checklists will help you ask questions while in the hospital and keep track of vital health and medication information.

About My Medicines

See “Know Your Meds� on page 17. Once you are discharged from the hospital, your pharmacist can help answer your questions about medications, including what the label on the medicine bottle means.

About My Medical Tests

4 Why do I need this test? 4 What will this test show about my health? 4 What will the test cost? Will my health insurance cover the costs? 4 What do I need to do to get ready for the test? 4 How is the test done? What steps does the test involve? 4 Are there any dangers or side effects? 4 How will I find out the results of my test? How long will it take to get the results? 4 What will we know after the test? 4 Will I get a written copy of the test results?

About My Condition

4 What effect did my hospitalization have on my condition? Is it cured or just under control for now? 4 How can my condition be treated, managed or made better? 4 How will this condition affect me? Will I need to change some of my activities? 4 Are there long-term effects of my condition? 4 How can I learn more about my condition?

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TORI AMOS 1963-PRESENT

Healing takes courage, and we all have courage, even if we have to dig a little to find it.

Do You Have Pain? Manage your pain so your hospital stay is as comfortable as possible.

You are the expert about how you are feeling. Be sure to tell your doctor or nurse when

you have any kind of pain.

To help describe your pain, be sure to report: n When the pain began. n Where you feel pain. n How the pain feels—sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. n How much pain, if any, your medicine is taking away. n If your medicine helps with the pain, how many hours of relief do you get?

USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.

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What Are Your Advance Directives? You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to illness or a change in mental condition, you are unable to tell your doctor and loved ones what kind of health care treatments you want. That is why it is important for you to make your wishes known in advance. Here is a brief description of each kind of directive:

Living Will

A set of instructions documenting your wishes about life-sustaining medical care. It is used if you become terminally ill, incapacitated or unable to communicate or make decisions. A living will protects your rights to accept or refuse medical care and removes the burden for making decisions from your family, friends and medical professionals.

Health Care Proxy

A person (agent) you appoint to make your medical decisions if you are unable to do so. Choose someone you know well and trust to represent your preferences. Be sure to discuss this with the person before naming him or her as your agent. Remember that an agent may have to use his or her judgment in the event of a medical decision for which your wishes aren’t known.

Durable Power of Attorney

For health care: A legal document that names your health care proxy. Once written, it should be signed, dated, witnessed, notarized, copied and put into your medical record. For finances: You also may want to appoint someone to manage your financial affairs when you cannot. A durable power of attorney for finances is a separate legal document from the durable power of attorney for health care. You may choose the same person for both or choose different people to represent you.

What Are Advance Directives? A living will, health care proxy and durable power of attorney are the legal documents that allow you to give direction to medical personnel, family and friends concerning your future care when you cannot speak for yourself. You do not need a lawyer in order to complete advance directives. Your advance directive is destroyed once you are discharged from the hospital. You must provide a new advance directive each time you are readmitted. In this way, you ensure that the hospital has your most current information.

For more information about advance directives or to obtain forms, please speak with your nurse.

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Your Privacy & Information If you believe your health information was used or shared in a way that is not allowed under the privacy law, or if you weren’t able to exercise your rights, you may file a complaint with the Madison Hospital privacy officer or with the secretary of Health and Human Services. To file a confidential complaint with the Madison Hospital privacy officer, call (256) 265-4477. To file a complaint with the Office of Civil Rights, contact the U.S. Department of Health and Human Services, 61 Forsyth St. SW, Suite 3870, Atlanta, GA 30323. Go online to www.hhs. gov/ocr/privacy for more information. For more information about patient privacy, please call (256) 2654477. Refer to the form labeled “Notice of Privacy Practices” in your admission/ discharge folder for complete information.

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Privacy & Your Health Information

You have privacy rights under a federal law that protect your health information. These rights are important for you to know. Federal law sets rules and limits on who can look at and receive your health information.

Who must follow this law?

n Most doctors, nurses, pharmacies, hospitals, clinics,

nursing homes and many other health care providers

n Health insurance companies, HMOs and most employer

group health plans

n Certain government programs that pay for health care,

such as Medicare and Medicaid

What information is protected?

n Information your doctors, nurses and other health care

providers put in your medical records

n Conversations your doctor has with nurses and others

regarding your care or treatment

n Information about you in your health insurer’s

computer system

n Billing information about you at your clinic

n Most other health information about you held by

those who must follow this law

You have rights over your health information.

Providers and health insurers who are required to follow this law must comply with your right to: n Ask to see and get a copy of your health records n Have corrections added to your health information n Receive a notice that tells you how your health information may be used and shared n Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing n Get a report on when and why your health information was shared for certain purposes n File a complaint

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To make sure that your health information is protected in a way that doesn’t interfere with your health care, your information can be used and shared: n For your treatment and care coordination n To pay doctors and hospitals for your health care and help run their businesses n With your family, relatives, friends or others you identify who are involved with your health care or your health care bills, unless you object n To make sure doctors give good care and nursing homes are clean and safe n To protect the public’s health, such as by reporting when the flu is in your area n To make required reports to the police, such as reporting gunshot wounds Without your written permission, your provider cannot: n Give your health information to your employer n Use or share your health information for marketing or advertising purposes n Share private notes about your mental health counseling sessions Adapted from U.S. Department of Health & Human Services Office for Civil Rights

North Alabama Health Information Exchange (NAHIE) Health care providers need your health information to accurately diagnose and treat you. North Alabama Health Information Exchange (NAHIE) is a partnership among North Alabama physicians, hospitals, clinics and other health care facilities that allows providers to share information with other participating health care providers who care for you. Although you are automatically enrolled in NAHIE, your participation is voluntary, and you will not be denied medical care if you decide not to share your health information through NAHIE. To learn more about NAHIE, visit www.nahie.org or call (256) 265-4443.

A separate law provides additional privacy protections to patients of alcohol and drug treatment programs. For more information, go online to www.samhsa.gov.

How do I get copies of my medical records? Please visit the registration desk on the lobby level to request copies.

Opting out of NAHIE If you decide not to share your health information through NAHIE, there are several opt out methods available: 1. After registering through the NAHIE patient portal (in response to the email invitation from your health care provider), you may follow the instructions on the portal to opt out. 2. Alternatively, you may: nD ownload and print the Opt Out form at www.nahie.org nF ill out the form completely, sign and mail the original to: North Alabama Health Information Exchange, 101 Sivley Rd., Huntsville, AL 35801 When you opt out, your complete health record will not be available in an emergency situation. If you change your mind, an Opt Out Revocation form is located at www.nahie.org.

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Rights & Responsibilities You have the right to know the identity and professional status of your caregivers.

As a patient, you have the right to respectful and considerate care. In addition, there are specific rights and responsibilities you have during your hospital stay.

Refer to the form labeled “Patient Rights & Responsibilities� in your admission/ discharge folder for complete information.

n be informed of the hospital’s rules and regulations

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You Have the Right to:

as they apply to your conduct.

n expect privacy and dignity in treatment consistent

with providing you with good medical and psychiatric care. n receive considerate, respectful care at all times and under all circumstances. n expect prompt and reasonable responses to your questions. n know who is responsible for authorizing and performing your procedures or treatments. n know the identity and professional status of your caregivers. n know what patient support services are available, including access to an interpreter if language is a problem. n have access to your medical records according to hospital policy. n be informed of the nature of your condition, proposed treatment or procedure, risks, benefits and prognosis, and any continuing health care requirements after your discharge in terms you can understand. n be informed of medical alternatives for care or treatment. n refuse treatment, except as otherwise provided by law, and to be informed of the consequences of your refusal. n receive access to medical treatment or accommodations regardless of age, race, sex, creed, sexual orientation, national origin, religion, physical handicap or sources of payment. n know if the medical treatment prescribed for you is for experimental purposes and to give your written consent to participate if you choose. n participate in the decision-making process related to the plan of your care.

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n have access to professionals to assist you with emotional

and/or spiritual care. n exercise your cultural values and spiritual beliefs as long as they do not interfere with the well-being of others, or the planned course of any medical care. n participate in the discussion of ethical issues that may arise. n express concerns regarding any of these rights in accordance with the grievance process. n formulate advance directives and appoint a surrogate to make health care decisions on your behalf to the extent permitted by law.

For more information, please call (256) 265-2421.

You Are Responsible for:

n providing accurate and complete information to your

health care providers about your present and past medical conditions and all other matters pertaining to your health. n reporting unexpected changes in your condition to your health care providers. n informing your health care providers whether or not you understand the plan of care and what is expected of you. n following the treatment plan recommended by your health care providers. n keeping appointments and, if you cannot, notifying the proper person. n knowing the consequences of your own actions if you refuse treatment or do not follow the health care providers’ instructions. n being considerate of the rights of other patients and hospital personnel, and to follow hospital policy and regulations regarding care and conduct. n fulfilling your financial obligations to the hospital as promptly as possible.

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Financial Information What a Hospital Bill Covers

The hospital bill covers the cost of your room, meals, 24-hour nursing care, laboratory work, tests, medication, therapy and the services of hospital employees. You will receive a separate bill from your physicians for their professional services. You may receive bills from physicians whom you did not see in person; for example, physicians who provide interpretation of laboratory tests or medical images. If you have questions about these separate bills, please call the number printed on each statement.

under two or more insurance policies. This usually happens when partners or spouses are listed on each other’s insurance policies, when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance.

Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate The hospital is responsible for submitting payments. COB priority must be identified bills to your insurance company and will at admission in order to comply with do everything possible to expedite your insurance guidelines. Your insurance may claim. You should remember that your request a completed COB form before policy is a contract between you and paying a claim, and every attempt will your insurance company, and you have be made to notify you if this occurs. The the final responsibility for payment of hospital cannot provide this information to your hospital bill. your insurance company. You must resolve this issue with your insurance carrier in Pre-Certification order for the claim to be paid. Most insurance plans now require precertification for hospital stays and certain Payments to Madison Hospital tests and procedures in order for you You may be asked to pay at the time of service or prior to discharge if you have to be eligible for full policy benefits. It a deductible, co-payment or other selfis your responsibility to see that this is completed. This information can be found pay amount due, or if you do not have insurance coverage for hospital services. on your insurance card. If you are unsure For your convenience, we accept cash, of your pre-certification requirements, personal check, debit card, money we recommend that you contact your order, Visa, MasterCard, Discover insurance company as soon as possible.

Coordination of Benefits (COB)

Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered 28

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and American Express. To access online bill pay, visit https://payments.hhsys.org.


Medicare

We will need a copy of your Medicare card to verify eligibility and process your claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments are the patient’s responsibility.

Medicaid

We will need a copy of your Medicaid card. Medicaid has payment limitations on a number of services and items.

Commercial Insurance

As a service to our customers, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information such as policy number, group number and the correct mailing address for your insurance company.

If You Have No Insurance

A representative of the Patient Financial Services will discuss financial arrangements with you. You also may speak with a hospital representative from the Social Work Department to assist you in applying for Medicaid or other government-assisted programs. Please call (256) 265-8583 for more information.

Uninsured? If you are in need of assistance with your hospital bill, call Patient Financial Services at (256) 265-8583.

Don’t Leave Until... Going Home

When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge. n Verify your discharge date and time with your nurse or doctor. n Have someone available to pick you up and care for you at home. If you do not have help at home, tell us. n Check your room, bathroom,

closet and bedside table carefully for any personal items.

Your admission/discharge folder can help you manage the following information before you leave the hospital: 1. Your written discharge instructions. This is an overview of why you were in the hospital, which health care professionals saw you, what procedures were done and what medications were prescribed. madisonALhospital.org (256) 265-2012 :

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DON’T LEAVE UNTIL... 2. Medications list. This is a listing of what medications you are taking, why, in what dosage and who prescribed them. Having a list prepared by the hospital is a good way to double-check the information you should already have been keeping track of. Take a copy of the list to your primary physician. 3. Rx. A prescription for any medications you need. Be sure to fill your prescriptions promptly so you don’t run out of needed medications. 4. Follow-up care instructions.

Make sure you have paperwork that tells you: nw hat, if any, dietary restrictions you need to follow and for how long n what kinds of activities you can and can’t do and for how long n how to properly care for any injury or incisions you may have n what follow-up tests you may need and when you need to schedule them

n what medicines you must take, why and for

how long

n when you need to see your physician

n any other home-care instructions for your

caregiver, such as how to get you in and out of bed, how to use and monitor any equipment, and what signs and symptoms to watch out for n telephone numbers to call if you or your caregiver has any questions pertaining to your after-hospital care.

5. Other services. When you leave the hospital, you may need to spend time in a rehabilitation facility, nursing home or other institution. Or you may need to schedule tests at an imaging center, have treatments at a cancer center or have in-home therapy. Be sure to speak with your nurse or physician to get all the details you need before you leave. 6. Community resources. We want to ensure that you and your caregiver feel prepared for what will happen after your discharge. Make sure your discharge planner provides you with information about local resources, such as agencies that can provide services like transportation, equipment, home care and respite care.

Be sure to ask what foods to stay away from while on your medications.

Case Management Helping You Make Decisions

Our goal is to provide the very best care and service possible to you and your loved ones. For patients who need additional services after hospitalization, the Case Management staff is here to help. 30

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Case Management staff members are registered nurses who begin determining your individual needs while you are in the hospital to help you make plans for your care after you are discharged. We are here to help you make decisions so you have a smooth transition from the hospital.


We encourage you to let us know when you have questions or concerns, and to tell us how we can improve your care. Working together can provide a safe and appropriate plan of care while in the hospital and after you are discharged.

Discharge Planning

When you are admitted to Madison Hospital, a case manager will begin meeting with you and your family. Depending on your needs, we will inform you of appropriate community resources and options so your individual discharge plan can be developed and presented to your physician for approval. As we consult with your physician, we will keep you informed of the expected date of discharge from the hospital. Please provide plenty of notice to the person who will provide your transportation upon discharge from the hospital. If you need to speak to your case manager, ask your nurse. In addition to helping secure home medical supplies or equipment, we can provide you with information about a variety of services and placement options if needed. These include: Home Health Care—Some insurance policies will cover follow-up care at home. These services may include a visiting nurse, a home health aide for personal care and a therapist if necessary, for speech, physical or occupational therapy. If your physician determines you need any of these services, we will make you aware of different agencies that are available and make the arrangements. When you return home, a representative from the selected

agency will contact you prior to his or her visit. Skilled Nursing Facilities—Insurance policies have different requirements for being admitted to a skilled nursing facility. Services may include physical, occupational and/or speech therapy along with skilled nursing care in an in-house patient setting. Medicare does not pay for patients who require long-term custodial care. Medicare Part A covers the first 20 days for skilled nursing care at 100 percent. If services still are needed, the next 80 days are covered at 80 percent. A secondary insurance policy may cover some or all of this cost, depending upon your individual policy. Rehabilitation—Based on your individual insurance coverage, services are available in a variety of settings: rehab facility sub-acute (skilled nursing facility), home health and outpatient therapy. Rehabilitation services may include physical therapy, occupational therapy and speech therapy. Hospice—Hospice is a special way of caring for people with an incurable illness and provides guidance and support for the patient and his or her family. Hospice helps those who are no longer actively seeking aggressive treatment for the illness. A physician’s order for hospice is required before a referral can be made. Hospice provides nursing services, physician services, pain management, a home health aide and homemaker services, when available. Medical supplies, counseling and clergy visitation also can be provided when requested. madisonALhospital.org (256) 265-2012 :

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Ways to Support Madison Hospital Huntsville Hospital Foundation is the 501 (c) (3) nonprofit fundraising arm of Madison and Huntsville Hospitals. The Foundation accepts gifts on the hospitals’ behalf and works to fund present and future equipment and program needs. Contributions to the Foundation are tax deductible with 100 percent of all gifts benefiting the hospital program or department designated by its donors.

Honoring Special People With Your Gifts Care Champion Program As a patient of Madison Hospital, we invite you to share in our mission by honoring your special Care Champion. It’s a meaningful way to celebrate the excellent care you or your loved one received from a physician, nurse or other staff member. When you give a gift to recognize your Care Champion’s commitment to exceptional care, he or she will receive a card with your special message and a customcrafted pin to wear proudly each day while continuing the work that touches so many. Gifts received from grateful patients help fund state-of-the-art technology so our doctors and nurses can provide the best possible care for future Madison Hospital patients. Engraved Brick Pavers With a donation of $100 or $1,000, you can put your name or company logo—or the name of a special friend, relative, teacher or graduate—on a brick paver in Madison Hospital’s Healing Garden. For more information about the Care Champion program, or to order a customized brick paver, please call the Foundation at (256) 265-8077.

Madison Hospital Women’s Council Members We are grateful to have the support of an outstanding group of community leaders who have been busy telling Madison Hospital’s story since before we opened for patient care.

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