BaptistHealthCorbin by Patient Point

PATIENT GUIDE KEY INFORMATION FOR YOUR STAY

STAY SAFE FIGHT INFECTION SUCCESSFUL DISCHARGE How to Plan Ahead KNOW YOUR RIGHTS

FREE! TAKE THIS COPY HOME WITH YOU

Brought to you by:

Transitional Care at Christian Health Center

Rehabilitation • Medicare/Medicaid Certified • 24-Hour Skilled Nursing Care • Short-Term Rehabilitation Following Hospital Stay • Physical, Occupational, and Speech Therapy • Subsidized Independent Living for the Elderly Christian Health Center 116 S. Commonwealth Ave. Corbin, KY 40701

Call (606) 258-2500 for Admissions

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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 Baptist Health Corbin About Us

Telephone Directory During Your Stay

Your Opinion Counts

4 4

6-9 Visiting Hours 6 Parking 6 Calling Your Nurse 7 Interpreters 7 Telephone 7 Valuables 7 Fire Safety 7 Smoke-Free Campus 7 Pharmacy 8 Gift Shop 8 Electrical Appliances 8 TV 8 Mail 8 Flowers 8 ATM 8 Cafeteria 9 Getting Around and Leaving Your Room 9 Pastoral Care 9 KODA 9 Vending Locations 9

10 Speak Up

Take charge of your care.

13 Stay Safe

You can contribute to health care safety.

OUR ADDRESS

One Trillium Way Corbin, KY 40701 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 ® BaptistHealthCorbin.com 606-528-1212 : 1

In This Guide continued

20 Don’t Leave Until...

6 things you should know before you walk out the door.

Speak Up 10 Patient Rights & Responsibilities 11-12 Stay Safe 13-15 What Are Advance Directives? 16 Your Privacy & Information 17-18 Do You Have Pain? 19 Don’t Leave Until… 20-22 Preparing to Leave the Hospital

For the Caregiver Giving Back

23-25

27 Volunteer 27

Resources

Hospital Resources/Support Groups 28 Alcohol & Drug Programs/Mental Health Services 28 Caregiver Resources 28 Hotlines & Helplines 28 Staff Definitions 29-30

26 For the Caregiver Your role as patient advocate.

Word Search 31 My Medications 32

28 Resources 2

: PHYSICIAN REFERRAL 800-923-2762

Welcome to Baptist Health Corbin Thank you for choosing Baptist Health Corbin to meet your health care needs. We are pleased to have you as our guest and will strive to provide trustworthy service to you and your family while you are in the hospital. Should you have questions or concerns regarding your care, please ask your nurse or the patient care (nurse) manager on your floor. If you need assistance more urgently, you may call the hospitalâ&#x20AC;&#x2122;s HELP line at ext. 5959 or 1-800-645-8779. If you are having an outpatient or a clinic procedure and have questions, please contact the nurse or tech caring for you, or the office manager with your concerns. During your stay, you may be treated by a hospitalist on behalf of your primary care physician. Hospitalists are primary care doctors who provide care only to Baptist Health Corbin patients and focus on your progress while in the hospital.

Mission The mission of Baptist Health is to exemplify our Christian heritage of providing quality health care services by enhancing the health of the people and communities we serve.

Sincerely, Larry W. Gray President

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About Us Our Address One Trillium Way Corbin, KY 40701

Your Opinion Counts Soon after your discharge, you may receive a confidential patient satisfaction survey in the mail. Please take the time to answer each question. Your feedback is an important part of our hospitalâ&#x20AC;&#x2122;s goal of improving the care and services we provide.

Baptist Health Corbin opened in Corbin, Kentucky, in 1986 as a replacement facility for the former Southeastern Kentucky Baptist Hospital. Today, we serve the Tri-County Area with a 273-bed facility. Baptist Health Corbin provides the community with: Baptist Health Breast Care Baptist Health Cancer Care Baptist Health Cardiac Rehab Baptist Health Express Care in Walmart Baptist Health Fitness Center Baptist Health Medical Group n Briscoe Clinic n Cardiology n Cardiology â&#x20AC;&#x201C; Interventional n Cardiology and Internal Medicine n Cardiology Somerset n Oncology n Radiology n Hospitalist n General Surgery n Gastroenterology n Orthopedics n Urology n Pulmonary and Critical Care n Family Medicine Barbourville Corbin London Williamsburg Baptist Health Mother & Baby Baptist Health Occupational Medicine and Urgent Care Baptist Health Outpatient Infusion Baptist Health Palliative Care Baptist Health Pharmacy Baptist Health Rehabilitation Baptist Health Trillium Center ContinueCARE Hospital

: PHYSICIAN REFERRAL 800-923-2762

Telephone Directory Admitting 606-523-8714 Baptist Health Breast Care 606-523-8504 Baptist Health Cancer Care 606-523-1934 Baptist Health Cardiac Imaging Somerset 606-677-3440 Baptist Health Family Fitness 606-526-0007 Baptist Health Imaging & Diagnostics – Corbin 606-528-0621 Baptist Health Imaging & Diagnostics – London 606-330-4255 Baptist Health Imaging North 606-523-1565 Baptist Health Occupational Medicine & Urgent Care 606-526-4590 Baptist Health Pharmacy 606-526-8334 Baptist Health Rehabilitation Inpatient 606-523-8761 Outpatient 606-528-2149 Behavioral Health Services 800-395-4435 Community Health Services 606-523-8533 ContinueCARE Hospital 606-523-5150 Diabetes Counseling Services 606-523-8549 Emergency Department 606-528-1212, Ext. 1400 Housekeeping 606-523-8506 Imaging 606-523-8542 Medical Records 606-523-8595 Mother & Baby 606-528-1212 Nutrition Services 606-528-1212, Ext. 1045 Operator 0 Outpatient Registration 606-526-4033 Parent Education Programs 606-523-8734 Pastoral Care 606-528-1212, Ext. 4425 Patient Accounting Billing Issues 606-523-8548 Patient Information Desk 606-523-8666

Patient TV Services Engineering 606-523-8576 Physician Referral 800-923-2762 Pre-Admission Testing 606-528-1212 Preregistration 606-523-8633 Safety and Security 606-528-1212, Ext. 4400 Social Services 606-523-8560 (Or Ext. 2635, 2637, 2638 and 1060) Speech Therapist Inpatient 606-523-8525 Outpatient 606-528-2149

Baptist Health Medical Group nB riscoe Clinic 606-523-8521 nC ardiology 606-523-9010

nC ardiology and

and 606-549-2930

Internal Medicine 606-528-5331 nC ardiology – Interventional 606-523-3038 nC ardiology Somerset 606-677-0854 and 606-451-9448 nF amily Medicine B arbourville 606-546-6027 C orbin 606-528-0305 London 606-330-4140 W illiamsburg 606-549-8244 nG astroenterology 606-523-3021 and 606-330-4220 nG eneral Surgery 606-526-7363 and 606-330-4175 nO ncology 606-523-1934 nO rthopedics 606-523-1565 and 606-330-4230 nP ulmonary and Critical Care 606-258-2160 nU rology 606-528-1172 and 606-330-4200

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During Your Stay VISITING HOURS General 7:00 a.m. to 9:00 p.m. No children under age 12 permitted, except siblings of newborns.

Other Units Visiting Hours Critical Care Unitsâ&#x20AC;&#x201D; Immediate family only 8:30 a.m. to 9:00 a.m. 11:30 a.m. to 12:00 p.m. 2:30 p.m. to 3:00 p.m. 5:30 p.m. to 6:00 p.m. 8:30 p.m. to 9:00 p.m. Visitation: Two people may visit at a time. One person may stay in the room at all times The above rules may be changed according to the patient condition and at the nursesâ&#x20AC;&#x2122; discretion.

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.

Rehab

4:00 p.m. to 8:00 p.m. Monday through Friday 12:00 p.m. to 8:00 p.m. Saturday 8:00 a.m. to 8:00 p.m. Sunday

Behavioral Health Psychiatric Services

No children under age 12 permitted. n Adult Psychiatric 5:30 p.m. to 6:30 p.m. Tuesday/Thursday 10:00 a.m. to 12:00 p.m. Saturday 2:00 p.m. to 3:00 p.m. Sunday n Adolescent Psychiatric 5:30 p.m. to 6:30 p.m. Tuesday/Thursday 10:00 a.m. to 12:00 p.m. Saturday 2:00 p.m. to 3:00 p.m. Sunday

Parking

Visitors and patients are permitted to park in the following designated areas: n Located outside Emergency Room/Outpatient n Located outside Outpatient Surgery Center n Valet Parking Signs are located at each entrance. Baptist Health Corbin provides valet parking Monday through Friday 8:00 a.m. to 5:30 p.m. It is located at the Surgery entrance and the Outpatient entrance. Tips are not accepted. If you need assistance, contact the Valet Station at 606-526-4899 or the main office at 606-523-8576.

: PHYSICIAN REFERRAL 800-923-2762

Calling Your Nurse

The intercom system in your room is mounted on the wall above the bedside table. This system is used for direct voice contact with the staff members at the nursing station. Extending from the bed is a hand-held device that can be used to control the television and the intercom for convenience. To call the nursing station, press the top bar marked “NURSE” and a staff member will respond via the intercom. When the nursing staff member answers, please make your request in a normal speaking voice. Some beds have the nurse call button built into the side rail.

Interpreters

Each unit provides a blue interpreter phone to assist in translation. Upon request, hearing-impaired services also are provided.

Telephone

Telephones are provided in all patient rooms. To place a local call, dial 9 then the number you are calling.

Valuables

In the event any patient (inpatient/outpatient) has in his or her possession valuable items, i.e. money, jewelry, credit cards, checks, etc., BHC security will, upon patient request, be notified by staff to secure patients, valuables in the Security office safe.

Leave Your Valuables At Home If you have valuables, such as jewelry and cash, please give them to a relative or friend to take care of during your stay. Contact lenses, eyeglasses, hearing aids and dentures should be stored 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. Baptist Health Corbin cannot be responsible for replacement of personal belongings.

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.

Smoke-Free Campus

Smoking is not permitted anywhere in the hospital or on the hospital grounds, which includes personal vehicles and parking lots. BaptistHealthCorbin.com 606-528-1212 : 7

During Your Stay Where’s the Pharmacy? LOCATION: Baptist Health Pharmacy–ground floor adjacent to Inpatient Surgery lobby

HOURS: Monday through Friday 7:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 4:00 p.m. Closed Sunday and Holidays

Phone: 606-526-8334 Most major insurances accepted. We offer fast, friendly and professional service.

Gift Shop The hospital’s gift shop is located on the ground floor, adjacent to the Paul Parker Pavilion. Cash and credit cards accepted. Hours: 8:00 a.m. to 8:00 p.m. Monday through Friday Closed Saturday and Sunday

Electrical Appliances

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

Televisions are provided in each patient room. Please be considerate of others and keep the TV volume down. The sets are controlled by the hand-held device, which may be placed in the bed or by controls located on the side rail panel. All televisions have closed captioning available for the hearing impaired.

Mail

Patient mail will be delivered as needed by volunteers, Monday through Friday.

Flowers

Mail and packages will be delivered to you by a hospital volunteer. Individual florists deliver flowers to patient rooms. Please note that flowers are prohibited in intensive care units. Patient mail received after discharge will be forwarded to the patient’s home. Outgoing mail may be taken to the nursing station or given to your attending nurse. Postage stamps are available in the gift shop.

ATM

For your convenience, an automated teller machine (ATM) is located: n Between the Gift Shop and the Paul Parker Pavilion Elevators n Inpatient Surgery Lobby n Crystal Garden Dining Room

Phone: 606-523-8558

: PHYSICIAN REFERRAL 800-923-2762

Getting Around and Leaving Your Room

Do not leave your area without a nurse’s permission. Notify the nursing staff of your whereabouts at all times. If you want to leave your area, please check with your nurse first to make sure the doctor has given approval; then let them know where you can be reached. It is important to stay in your room until your doctor has made rounds and treatments have been completed.

Where’s the Cafeteria? LOCATION: Ground floor Visitors are welcome to dine in the cafeteria.

Pastoral Care

HOURS:

KODA

Breakfast 6:30 a.m. to 9:45 a.m. Lunch 11:00 a.m. to 1:30 p.m. Dinner 4:30 p.m. to 6:30 p.m. Midnight – Supper 11:30 p.m. to 12:30 a.m.

The hospital chaplain and a group of volunteer ministers are available to all patients and their families. A Prayer Ministry is available for the sharing of prayer with staff members. Please contact your nurse to request these services. A chapel is on the first floor between the pharmacy and cafeteria. Kentucky Organ Donor Affiliates (KODA) is the organ procurement organization that serves Kentucky, and provides the opportunity for individuals to give the “Gift of Life” through organ and tissue donation. Individuals may help save up to seven lives through organ donation and enhance up to 50 lives through tissue donation. KODA encourages all Kentuckians to join the donor registry the next time they renew their driver’s license or by logging on www.donatelifeky.org and help save lives.

Vending Locations

Vending machines are located: n Waiting Area on Second Floor n Waiting Area on Third Floor n Paul Parker Pavilion Lobby n Medical Office Building adjacent to the Outpatient Clinics

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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

your 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.

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. KNOW WHAT MEDS & WHY: Know what medicines you take and why you take them.

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 meds they prescribe

Don’t Get Overwhelmed, Write It Down!

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.

: PHYSICIAN REFERRAL 800-923-2762

Courtesy of The Joint Commission.

Your Rights & Responsibilities 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.

You Have the Right to:

4 Be informed of the hospitalâ&#x20AC;&#x2122;s rules and regulations as they apply to your conduct. 4 Expect privacy and dignity in treatment consistent with providing you with good medical and psychiatric care. 4 Receive considerate, respectful care at all times and under all circumstances. 4 Expect prompt and reasonable responses to your questions. 4 Know who is responsible for authorizing and performing your procedures or treatments. 4 Know the identity and professional status of your caregivers. 4 Know what patient support services are available, including access to an interpreter if language is a problem. 4 Have access to your medical records according to hospital policy. 4 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. 4 Be informed of medical alternatives for care or treatment. 4 Refuse treatment, except as otherwise provided by law, and to be informed of the consequences of your refusal. 4 Receive access to medical treatment or accommodations regardless of race, sex, creed, sexual orientation, national origin, religion, physical handicap, or sources of payment. 4 Know if the medical treatment prescribed for you is for experimental purposes and to give your written consent to participate if you choose.

If you have concerns about the care you or your family member received, we encourage you to speak with your physician or with the nursing supervisor. If you feel that your issue wasnâ&#x20AC;&#x2122;t resolved, contact the Customer Service representative at 606-523-8584.

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Your Rights & Responsibilities 4P articipate in the decision-making process related to the plan of your care. 4H ave access to professionals to assist you with emotional and/or spiritual care. 4E xercise 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. 4P articipate in the discussion of ethical issues that may arise. 4E xpress concerns regarding any of these rights in accordance with the grievance process. 4F ormulate advance directives and appoint a surrogate to make health care decisions on your behalf to the extent permitted by law.

You Are Responsible for:

4P roviding accurate and complete information to your health care providers about your present and past medical conditions and all other matters pertaining to your health. 4R eporting unexpected changes in your condition to your health care providers. 4 I nforming your health care providers whether or not you understand the plan of care and what is expected of you. 4F ollowing the treatment plan recommended by your health care providers. 4K eeping appointments and, if you cannot, notifying the proper person. 4K nowing the consequences of your own actions if you refuse treatment or do not follow the health care providersâ&#x20AC;&#x2122; instructions. 4B eing considerate of the rights of other patients and hospital personnel, and to follow hospital policy and regulations regarding care and conduct.

: PHYSICIAN REFERRAL 800-923-2762

HENRY H. TWEEDY 1868-1953

Fear is the father of courage and the mother of safety.

Stay Safe

Rx Code H is for Help Dial ext. 5959

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 orderlies. The following information will help make your hospital stay safe and comfortable.

Employee ID All hospital employees wear identification badges. Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.

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. n Speak up if hospital staff doesn’t ask to check your ID. n Ask if the person has washed his or her hands before he or she touches you. n If 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.

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 may be asked the same questions repeatedly. We are aware that this may be annoying. 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 continued Fighting Infections While you’re in the hospital to get well, you should know that there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including your doctors and nurses—washes 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 wash 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 wash their hands.

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-the-counter 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. 14

: PHYSICIAN REFERRAL 800-923-2762

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.

Patients of all ages are at risk of falls because of medications that may make them dizzy, weak or unsteady. 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? 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? USE THE MEDICATION TRACKER ON PAGE 32 TO HELP YOU MONITOR YOUR MEDICATIONS.

DVT: LOWER YOUR RISK Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in the brain, heart or lungs, causing damage or even death. When youâ&#x20AC;&#x2122;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.

Tell your doctor or nurse Preventing Falls if you have any of the Patients often fall because they are on medications following warning signs: that make them dizzy, they are weak and unsteady ____________ due to illness or medical procedures, or theyâ&#x20AC;&#x2122;ve been A leg cramp or charley sitting or lying down for too long. horse that gets worse For your safety, please: n Always call for assistance before getting out of bed. ____________ n Keep the call button within easy reach. Swelling and discoloration n Have necessary items within reach, such as your in your leg, upper arm or neck glasses, tissues, the telephone, and anything else ____________ you need. n Keep the side rails on your bed up. Do not lean Unexplained shortness of breath against the side rails. n When you get assistance, rise slowly from your bed ____________ Chest discomfort that gets or chair to prevent dizziness. n Walk close to the wall and hold onto the handrail worse when you breathe deeply or cough while in the bathroom. n Wear slippers with firm nonskid soles. ____________ n Never use an IV pole or anything with wheels Lightheadedness or blacking out to support you. BaptistHealthCorbin.com 606-528-1212 : 15

What Are Advance Directives? What Are Advance Directives? A living will, health care surrogate and durable power of attorneyâ&#x20AC;&#x201D;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. In the event of a disagreement between family members or other caregivers concerning your wishes regarding life-sustaining treatment, or other issues in connection with your advance directive, the Ethics Committee is available to hear such disputes. Contact Pastoral Care at 606-5281212, ext. 4425. For more information about advance directives or to obtain forms, please speak with your nurse.

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 Surrogate

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 arenâ&#x20AC;&#x2122;t known.

Durable Power of Attorney

For health care: A legal document that names your health care surrogate. 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.

: PHYSICIAN REFERRAL 800-923-2762

Your Privacy & Information 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 Doctors, nurses, pharmacies, hospitals, clinics,

nursing homes and many other health care providers and their vendors n Health insurance companies, HMOs and 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

If you believe your health information was used or shared in a way that is not allowed under the privacy law, or if you werenâ&#x20AC;&#x2122;t able to exercise your rights, you can file a complaint with your provider, health insurer or Director of Hospital Compliance, 606-523-8699. You also can file a complaint with the U.S. government. Go online to www.hhs.gov/ ocr/privacy for more information.

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 insurerâ&#x20AC;&#x2122;s

computer system

n Billing information about you at your clinic

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

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

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Your Privacy & Information How do I get copies of my medical records? The person who wants to receive information will need to go to the Medical Records office or the patient’s physician can request information.

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

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 Adapted from U.S. Department of Health & Human Services Office for Civil Rights

My Baptist Health: Medical Records on the Go

Baptist Health has an online, user-friendly tool that will allow patients to view medical records from anywhere using a personal computer or mobile device. Called “My Baptist Health,” the secure, passwordprotected website allows patients to create a Personal Health Record and link it to their health care providers. Patients who register with My Baptist Health can log on and see details of their hospital visits, including a list of procedures performed, their care team and providers, discharge instructions, medications and allergies, and a summary of care document. They will be able to see lab results within 36 hours of discharge. Patients will receive an email invitation to join My Baptist Health. Your identity will be verified before you can register to use the system.

: PHYSICIAN REFERRAL 800-923-2762

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 feelsâ&#x20AC;&#x201D;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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LOUIS PASTEUR 1822-1895

In the field of observation, chance favors only the prepared mind.

Don’t Leave Until… 6 things to know before you walk out that hospital door.

Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on.

When it’s time to be released from the

hospital, your physician will authorize a hospital discharge. This doesn’t necessarily mean that you are completely well—it only means that you no longer need hospital services. If you disagree, you or your caregiver can appeal the decision (see If You Disagree, at right). On the other hand, you may be pleased to learn that your doctor has approved your discharge. But before you can leave the hospital, there are several things that you or your caregiver must attend to. The first step is to know who will be involved in your discharge process. This starts with the hospital’s discharge planner, who may be a nurse, social worker or administrator, or may have 20

some other title. You and your caregiver should meet this person relatively early in your hospital stay; if not, find out who this person is and be sure to meet with him or her well before your expected discharge date. If You Disagree You or your support person can appeal your doctor’s discharge decision. If you are a Medicare patient, be sure you are given “An Important Message from Medicare” from the hospital’s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.

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Make sure you have the following information before you leave the hospital: 1. Discharge summary. This is an overview of why you were in the hospital, which health care professionals saw you, what procedures Be sure to meet with the hospital’s were done, and what medications were discharge planner early in your stay to ensure a smooth discharge process later on. prescribed. 2. Medications list. This is a listing of what medications you are taking, why, in what dosage, and who prescribed them. (You’ll already have this if you use the My Medications form on page 32 to keep track while you’re in the hospital.) But also having a list prepared by the hospital is a good way to doublecheck the information. 3. Rx. A prescription for any medications you need, and a supply of medications for several days to give you time to get the prescription(s) filled. The Baptist Health Pharmacy is available to fill prescriptions. 4. Follow-up care instructions.

Make sure you have paperwork that tells you: n what, 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. You and

your caregiver may feel unprepared 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.

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After-Hospital Care Home Health Care

in a cafeteria or restaurant-like setting, and housekeeping services. Nursing staff is on-site. Most facilities have social activities and provide transportation to doctor’s appointments, shopping, etc.

Part-time health care provided by medical professionals in a patient’s home to maintain or restore health. It includes a range of skilled and nonskilled services, including part-time nursing care, therapy, and assistance with daily activities and homemaker services, such as cleaning and meal preparation. Medicare defines home health care as intermittent, physicianordered medical services or treatment.

Nursing Home

A residential facility for people with chronic illness or disability, particularly elderly people who need assistance for most or all of their daily living activities such as bathing, dressing and toileting. Nursing homes provide 24-hour skilled care, and also are called convalescent homes or long-term care facilities. Many nursing homes also provide short-term rehabilitative stays for patients recovering from an injury or illness. Some facilities also have a separate unit for residents with Alzheimer’s disease or memory loss.

Durable Medical Equipment (DME) Medical equipment that is ordered by a doctor for use in a patient’s home. Examples are walkers, crutches, wheelchairs and hospital beds. DME is paid for under Medicare Part B and Part A for home health services.

Independent Living

Communities for seniors who are very independent and have few medical problems. Residents live in private apartments. Meals, housekeeping, maintenance, social outings and events are provided.

Hospice

A licensed or certified program that provides care for people who are terminally ill and their families. Hospice care can be provided at home, in a hospice or other freestanding facility, or within a hospital. Also referred to as palliative care, hospice care emphasizes the management of pain and discomfort and addresses the physical, spiritual, emotional, psychological, financial and legal needs of the patient and his or her family.

Assisted Living

An apartment in a long-term care facility for elderly or disabled people who can no longer live on their own but who don’t need a high level of care. Assisted living facilities provide assistance with medications, meals

Respite Care provides a temporary break for caregivers. Patients spend time in programs such as adult daycare or in weeklong or monthlong stays in a care facility. 22

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Preparing to Leave the Hospital Going Home

When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge. Please speak with your nurse about our discharge procedures. Here are a few tips to make the discharge process run smoothly: n Be sure you and/or your caregiver has spoken with a discharge planner and that you understand what services you may need after leaving the hospital. (See Don’t Leave Until… on page 20 for more discharge advice.) n Verify your discharge date and time with your nurse or doctor. n Have someone available to pick you up. n Check your room, bathroom and bedside table carefully for any personal items. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, prescriptions, etc. The discharged patient will be brought to the Paul Parker Pavilion to be picked up.

Billing

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. The hospital will submit a claim to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill.

When You Are Discharged Your physician determines when you are ready to be discharged. Your physician and nurse will give you discharge instructions and answer any questions you have about managing your treatment and medications once you are home. If you are confused or unsure about what you need to do, what medications you must take, or if you have to restrict your diet or activities, don’t be afraid to ask and take notes. Be sure you understand any instructions you have been given before you leave the hospital.

Coordination of Benefits (COB)

Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are BaptistHealthCorbin.com 606-528-1212 : 23

Preparing to Leave the Hospital Your advance directive is placed in your file. Upon readmittance you will be asked it you have an advance directive to ensure proper requests are followed. In this way, you ensure that the hospital has your most current information.

covered under two or more insurance policies. This usually happens when spouses or partners are listed on each otherâ&#x20AC;&#x2122;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 payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim, and every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company. You must resolve this issue with your insurance carrier in order for the claim to be paid.

Medicare

This hospital is an approved Medicare provider. All services billed to Medicare follow federal guidelines and procedures. Medicare has a COB clause. At the time of service, you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an MSP Questionnaire and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company. Medicare deductibles and coinsurance are covered by your secondary insurance. If you do not have secondary insurance, you will be asked to pay these amounts or establish a payment plan. If you are unable to pay these amounts, we will help you determine if you qualify for a state-funded program.

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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.

For Self-Pay Patients

The Patient Financial Services department will send statements for payment of self-pay accounts. You will receive two to three billing statements and two to three telephone calls over a 90-day period to obtain a payment or to make payment arrangements. If payment arrangements are not established and no payment is made during the 90-day period, the account will be placed with a collection agency. If you need an itemized statement, have questions regarding your billing statement or need assistance with your hospital bill, you can contact our Financial Counseling Department at 606-526-4090.

BUDDHA

In compassion lies the world’s true strength.

For the Caregiver Your role as a patient advocate.

CAREGIVER...

know what condition your loved one is being treated for.

patient’s rights Know your patient’s rights and responsibilities.

advance directives Know whether or not your loved one has an advance directive and if so, what it specifies.

While your loved one is in the hospital, who will

speak up for him or her? You can, by being the patient’s advocate—the person who will help the patient work with doctors, nurses and hospital staff. To help your loved one make the best decisions about his or her care and treatment, follow the advice in the caregiver list at right. While you are making sure that your loved one’s needs are being met, don’t neglect your own. Caregiving is a stressful and time-consuming job. You may neglect your diet, your normal exercise routine and your sleep needs. You may find that you have little or no time to spend with friends, to relax or to just be by yourself for a while. But downtime is important. Don’t be reluctant to ask for help in caring for your loved one. Take advantage of friends’ offers to help and look into local adult daycare programs. Find out more about how you can ease the stress of caregiving at www.caregiver.org. 26

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ask questions If your loved one is too ill or reluctant to ask questions, make note of his or her concerns and any you may have, and don’t be afraid to speak up (See Speak Up! on page 10).

help track medications Your loved one may be prescribed medications while in the hospital and may be seen by several doctors. Keep track of it all with My Medications on page 32.

what’s next? Will your loved one need home care or care at another facility? Ask to speak with a case manager to find out what your options are.

Giving Back There are many ways to help your community...

Helping Us Help Others

Baptist Health Corbin is committed to providing quality health care regardless of the patientâ&#x20AC;&#x2122;s ability to pay. You can help us help others by making a contribution to Baptist Health Foundation Southeastern Kentucky. Your gift also will help us enhance our services, programs and facilities to better care for our community. Tax-deductible gifts can be made in the form of cash, check, credit card or stocks. You also may remember Baptist Health Corbin in your will and through life insurance, among other gift options.

Volunteer If you are interested in becoming a volunteer at Baptist Health Corbin, please contact Volunteer Services at 606-523-8768.

For more information, contact Debbie Hardin at 606-523-8540.

BaptistHealthCorbin.com 606-528-1212 : 27

Resources Hospital Resources & Support Groups Community Health Services 606-523-8533 Information on food and prescription resources.

Lifeline

606-523-8774 Lifeline is a secure personal medical alert emergency response service for seniors and caregivers, helping elderly and disabled live with greater independence.

Diabetes Support Group

606-523-8549 Provides education and emotional support for individuals and families coping with diabetes. Meetings held second Monday each month. For additional information, contact Linda Mills, RN.

Alcohol & Drug Programs / Mental Health Services

Baptist Health Briscoe Clinic 606-523-8521 Baptist Health Trillium Center 800-395-4435

Caregiver Resources www.aoa.gov

Caregiver resources from the Administration on Aging.

Eldercare Locator

800-677-1116 www.eldercare.gov Help with locating aging services throughout the U.S.

800-MEDICARE

www.medicare.gov—then search for caregivers Official U.S. government site for people with Medicare.

National Alliance for Caregiving

www.caregiving.org Support for family caregivers and the professionals who serve them.

Caregiver Action Network

202-454-3970 www.caregiveraction.org Support for caregivers of chronically ill, aged or disabled loved ones.

Hotlines & Helplines Code H - (Help) Ext. 5959 or 800-645-8779

A rapid response team that can be called by hospital patients and their visitors when there is a noticeable, clinical change in the patient and the health care team is not present or not responding to the patients or visitor’s concerns. If you have a problem and need help, please call the Code H hotline at the number above.

www.caregiving.com

Online support groups and articles on caregiving.

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Staff Definitions Physicians

Your primary care physician, a resident physician on duty, or a hospitalist will supervise your care while you are in the hospital.

Nurses

In each nursing unit, a registered nurse is responsible for supervising patient care and directing the nursing and support staff of the unit. Registered nurses are assisted by nursing assistants and nurse technicians. The nursing staff is available around the clock.

Dietitians Ext. 8556

A registered dietitian will review your medical record and work with your health care team to develop a nutrition care plan for you. Registered dietitians also are available to educate you about any diets you may need to follow after you are discharged.

Rehabilitation Therapists Inpatient: Ext. 4520 Outpatient: 528-2149

Physical therapists, occupational therapists, speech pathologists and audiologists will work with you, your family and your medical team to help meet goals of recovery. Therapy may range from brief consultation to longterm intervention, based on the extent of your injuries or illness.

Technicians and Technologists

Skilled health professionals perform and assist with laboratory and other procedures, including X-rays, mammograms, ultrasound, CT scans, MRIs, cardiac catheterization, radiation therapy and other procedures that help in diagnosing and treating your illness or injury.

Case Managers and Social Workers Ext. 1060 Ext. 2637 Ext. 8560 Ext. 2638

Case managers will review your medical record and discuss your discharge planning. They also are available to assist you with arrangements for home care, admission to a long-term care facility or rehabilitation care. Social workers offer emotional support, counseling and guidance to help patients and their families deal with financial, social and emotional problems related to illness or hospitalization.

Pharmacists Ext. 8334

While you are in the hospital, all of your medications are dispensed by our hospital pharmacists. If you have questions regarding your medication(s), contact the Customer Service Liaison in the Pharmacy at 606-526-4576.

BaptistHealthCorbin.com 606-528-1212 : 29

Resources Chaplain Ext. 4425

Volunteers Ext. 8768

Volunteers give thousands of hours each year to our hospital to enhance the care of our patients and their families. They provide support throughout the hospital, including staffing the information desk, delivering mail and escorting patients.

Notes _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

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DAVID NIVEN 1910-1983

Keep the circus going inside you, keep it going, don’t take anything too seriously, it’ll all work out in the end.

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IMMANUEL KANT 1724-1804

Science is organized knowledge. Wisdom is organized life.

My Medications

Keep track of all medications you are prescribed while in the hospital. When you get home, add all other medications—including over-the-counter, vitamins and herbs—to this list. Update your list as needed.

Medication:______________________________________________________________ (include brand and generic names)

Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________ Medication:______________________________________________________________ (include brand and generic names)

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Home Health (606) 549-0886 ...Your Hometown Agency Since 1969 368 Penny Lane Williamsburg, KY 40769

• Long-term nursing • Short-term rehab care and restorative • Post-hospital care service • Skilled nursing care

235 New Wilson Lane, P.O. Box 2640 • Middlesboro, KY 40965 Phone: (606) 248-0925 • Fax: (606) 242-2544 • www.middlesboronursing.com

Spot a Stroke

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Arm.

Speech. Time to call 911.

StrokeAssociation.org

What a difference a Day makes Families face difficult decisions when caring for elderly or disabled loved ones. That’s why there’s Horizon Adult Health Care. We are an adult day center that offers comprehensive care while giving individuals and families an alternative in the health care decisions for the elderly or disabled loved ones in their lives. Each of our 11 Centers provide: Skilled Nursing Care Coordination & Scheduling of Medical Visits Administration & Preparation of Medications Nutritious Meals & Snacks Mental & Physical Stimulation Discussion Groups Shopping & Field Trips Door-to-Door Transportation Professional care with a personal touch For 20 years, Horizon Adult Health has cared for senior and disabled loved ones at adult day centers. We are now providing that same loving, reliable care in the home through Horizon Home Care. Horizon Home Care services will help make sure your loved one is secure, healthy, and connected to the community. And our professionals will also bring peace of mind and relief to family caregivers.

Center Locations : Bell, Clay, Clinton, Estill, Harlan, Jackson, Madison, McCreary, Rockcastle, Wayne, and Whitley Currently serving clients in these and surrounding areas. To find out more, call (859) 623-4080 or go to www.forhorizon.com