PATIENT GUIDE Key Information For Your Stay
FACTS FOR YOUR STAY SUCCESSFUL DISCHARGE
How to Plan Ahead
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650 Carondelet Drive | Kansas City, MO 64114 | 816.941.0595 621 Carondelet Drive | Kansas City, MO 64114 | 816.942.3694
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Two Locations Serving 16 Counties in the Greater Kansas City Area: Kansas City: 816-880-3900 Savannah: 816-324-1250
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CO N T E N TS WELCOME. . . . . . . . . . . . . . . . . . . . . . . 2 ABOUT US. . . . . . . . . . . . . . . . . . . . . . . 3 PHONE DIRECTORY.. . . . . . . . . . . . . . 4 OUR COMMITMENT TO CARE.. . . . 5 FAST FACTS ABOUT YOUR STAY.. . 7 Plus TV Channel Guide SPECIAL SECTION . . . . . . . . . . . . . . . 11 RIGHTS & RESPONSIBILITIES. . . . . . 19 ADVANCE DIRECTIVES. . . . . . . . . . . 22 LEAVING THE HOSPITAL. . . . . . . . . . 23 AFTER-HOSPITAL CARE. . . . . . . . . . . 26 HOSPITAL RESOURCES.. . . . . . . . . . . 27 STAFF DEFINITIONS. . . . . . . . . . . . . . 30
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Take Charge of Your Care Speak Up, Plus 7 Key Ways to Take Charge of Your Care n Choose a Support Person n Check IDs n Pay Attention to Your Care n 5 Ways to Fight Infections n Don’t Ignore Pain n Prevent Falls n Prepare for Surgery n Manage Your Meds n
ADULT VACCINES. . . . . . . . . . . . . . . . 31
On Our Cover
SUPPORT FOR CAREGIVERS. . . . . . . 32
Facts for Your Stay. . . . . . . . . . . 7 Successful Discharge How to Plan Ahead. . . . . . . . . . 23
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Welcome Thank You for Trusting Us OUR VISION
Our medical center is consistently at the forefront of evolving national healthcare reform. Our organization provides an innovative and integrated healthcare delivery system. We remain ever cognizant of our patients’ needs and desires for high-quality, affordable healthcare.
On behalf of our staff, I would like to thank you for choosing St. Joseph Medical Center as your healthcare provider. Your health and safety are our priority, and we are committed to providing you with the best care possible during your stay. Because St. Joseph has attained Magnet® recognition three times consecutively, you can rest assured you will receive care from some of the best nursing talent in Kansas City. The Magnet® designation is the highest achievement a hospital can obtain in professional nursing. This patient guide will help you understand what to expect while you are a patient, as well as provide information on the services available to you during your stay. Should you have any questions or concerns during your stay, please do not hesitate to speak with your nurse or any other member of our staff. Again, thank you for choosing St. Joseph Medical Center. We are honored to have the opportunity to serve your healthcare needs. Sincerely, Robert J. Erickson Chief Executive Officer, St. Joseph Medical Center
OUR VALUES Compassion We provide an environment that is caring and conducive to healing the whole person physically, emotionally and spiritually. We respect the individual needs, desires and rights of our patients. Quality We believe in continuous quality of care and performance improvement as the foundation for preserving and enhancing healthcare delivery. Effective communication and 2
education of our patients, physicians, staff and the community we serve are essential elements in the process. Comprehensive We are committed to an integrated healthcare delivery system that encompasses the entire spectrum of healthcare delivery. This continuum of care encompasses all aspects of an individual’s healthcare. Cost Effectiveness We offer high-quality healthcare that is accessible and affordable.
About Us Why We Are the Right Choice for Your Care St. Joseph Medical Center is a 310-bed facility providing a range of acute care and outpatient services, from a 24-hour Emergency Department to state-of-the-art cardiovascular care. St. Joseph has earned the Magnet® designation from The American Nurses Credentialing Center for excellence in nursing services. The certified Stroke Center at St. Joseph provides rapid diagnosis and advanced treatments to foster better outcomes. Our Breast Center has earned accreditation by the National Accreditation Program for Breast Centers and is designated as a Breast Imaging Center of Excellence by the American College of Radiology. The accredited Chest Pain Center at St. Joseph uses We Care About Your Care the industry’s best practices in cardiac Please speak up and tell us if we can do more. In care services to fact, after your stay, we ensure patients get may reach out to you to the treatment they find out how we did. Please need during the be honest and take a few critical early stages moments to tell us what of a heart attack. you think. Your responses to this patient satisfaction survey will help improve our services.
CONTACT US 1000 Carondelet Dr. • Kansas City, MO 64114 PH: 816-942-4400 • stjosephkc.com
OUR MISSION
Our medical center endeavors to provide comprehensive, quality healthcare in a convenient, compassionate and cost-effective manner.
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Phone Directory Key Numbers Billing Quote Line: 816-943-3987 | Gift Shop: 816-943-2776
Calling from INSIDE the hospital? Dial the last five digits only.
OTHER HOSPITAL SERVICES Carondelet Home Care Services
913-529-4800 or 816-655-5494
Case Management
816-943-2570
Environmental Services
816-943-2133
Financial Counselor
816-943-2820
Laboratory Services
816-943-2647
Lost and Found/Public Safety
816-943-3000
Physician Referrals
816-943-2345
Privacy Officer
816-943-2112
St. Joseph Pharmacy
816-943-4879
Spiritual Care
816-943-2782
Volunteer Services
816-943-2775
For more information on the resources available at St. Joseph’s Medical Center, visit stjosephkc.com.
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Our Commitment to Care Patient Satisfaction Matters to Us How’s your stay? Are you getting excellent care? Are your doctors and nurses listening and responding to your questions or requests? Our goal is to exceed your expectations. To do so, we ask for feedback from patients like you.
During Your Stay
Please speak with your nurse or nursing supervisor if you have any questions or concerns about your care. If you are unable to resolve your concern, call 816-943-4721 Monday through Friday from 8 a.m. – 4:30 p.m. If no one answers, please leave a message and we will follow up with you as soon as possible. Nights and weekends, please call the hospital operator and ask to speak to the house supervisor. Health Standards and Licensure Dept. of Health and Senior Services P.O. Box 570 Jefferson City, MO 65102 573-751-6303 or 800-392-0210 health.mo.gov/askus.php
Office of Quality and Patient Safety The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL 60181 800-994-6610 Email: patientsafetyreport@ jointcommission.org www.jointcommission.org
?How gniod are ewwe erdoing? a woH We want you to be satisfied with your care. To help, speak up if we can … Respond quicker to your needs Explain things more clearly Help keep your room clean or quiet Ease your pain Help you understand your medicine plan
MAKING A DIFFICULT HEALTHCARE DECISION?
Sometimes a healthcare choice can involve an ethical concern— such as a wish to refuse life-saving treatment or a disagreement over advance directives (see p. 22). Our BioEthics Committee can help your team of support people make difficult decisions. For help, contact Spiritual Care at 816-943-2782.
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Our Commitment continued After Your Stay
Once you leave our care, we will continue to seek your feedback through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey is a tool to measure and report patient satisfaction. It’s made up of simple multiple-choice questions on key care topics such as:
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doctor and nurse communication
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medicine and discharge information
n
pain management and staff responsiveness
n
overall quality of the hospital environment
If you’re selected to receive this brief survey, please take the time to complete it. The results will help us know what we’re doing right and where we can improve.
Want to Know How We Score? You can review and compare the quality, care and safety ratings for different hospitals at: n Medicare Hospital Compare, uses HCAHPS results and other data: www.medicare.gov/hospitalcompare You also can find information on hospitals through these accrediting organizations: n Healthcare Facilities Accreditation Program (HFAP): www.hfap.org n DNV GL Healthcare: www.dnvglhealthcare.com n The Joint Commission: www.qualitycheck.org
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Fast Facts About Your Stay An A-Z Guide to the Most Frequently Asked Questions Café Josef and Starbucks
Located: Lower level of the medical mall near the escalators. Visitors can enjoy a comfortable environment for breakfast, lunch or dinner. A variety of menu items will please all tastes, including sandwiches, salads and snacks. Hours: Monday – Friday: 6:30 a.m. – 7:30 p.m. Saturday and Sunday: 7 a.m. – 6:30 p.m.
Gift Shop
Located: Lower level of the medical mall by the pharmacy Hours of Operation: Monday 10 a.m. – 2 p.m. Tuesday – Friday 8:30 a.m. – 4:30 p.m. Saturday: Hours vary. Call 943-2776 to confirm hours. Sunday: Closed.
Hearing Impaired
We offer amplified headsets and telecommunication devices to our hearing-impaired patients. We also offer interpreters for non-speaking deaf patients. We work with certified interpreters from outside agencies regulated by state commissions. Agencies require employees to sign a statement of ethical and medical confidentiality.
VISITING THE HOSPITAL? Thanks for taking the time to support your loved one’s care and recovery. See p. 9 for important visitor information.
In emergency situations, until the arrival of an outside interpreter, friends or family members may be called upon for assistance, but this is otherwise strongly discouraged.
Intermittent Compression Devices
To help ensure our patients receive the best care possible, all patients staying in our medical center will be provided an intermittent compression device (ICD), a specially designed wrap that fits around the calf or foot. The wrap inflates with air to provide gentle
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Facts About Your Stay continued compression to the calf area to help prevent blood clots in the lower legs. If you have questions or concerns, please don’t hesitate to speak with your nurse.
Interpreters
Your nursing supervisor or case manager can arrange for an interpreter. We work with certified interpreters from outside agencies who are regulated by various state commissions. Agencies require that interpreters sign a statement of ethical and medical confidentiality. When an interpreter is needed quickly and only briefly, we also have interpreter services available day or night via telephone. In emergency situations, qualified clinical staff may be called upon to serve as interpreters until a certified interpreter arrives.
Lost and Found
If you arrived with jewelry or other valuables, we urge you to have a family member take them for safekeeping. If you lose something, please report this to the staff, then check with Lost and Found at 816-943-3000, which is coordinated through the Public Safety department. If you discover something missing after you’ve left the medical center, call the unit where you stayed to report a lost item, then call Lost and Found. Please be aware that it can take several days before an item left behind arrives in Lost and Found.
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Parking
St. Joseph provides ample parking for convenient access to the medical center. Patients and visitors may park on the south side of the medical mall (building B). Free valet parking is available at the entrances to the medical mall and the St. Joseph Heart Institute from 7 a.m. to 5 p.m.
Patient Privacy
You should have received a copy of St. Joseph’s Notice of Privacy Practices at admission. If you would like to obtain an additional copy of the notice, please contact your nurse. If you have questions or concerns about patient privacy, please contact St. Joseph’s privacy officer at 816-943-2112.
Room Service
Visitors may order room service daily from 6:45 a.m. to 6:45 p.m., paying the bill when it is delivered to the patient’s room. We only accept cash. To place a room service order, call ext. 32233 from your room phone or 816-943-2233 if using an outside line.
Smoking Policy
St. Joseph is a tobacco-free facility so we allow no tobacco use of any kind, inside or outside, on medical centerowned and -leased property, or in personal vehicles in our parking lots.
Telephone
We understand staying in touch with family and friends is an important part of healing. Telephones are located in most patient rooms near the bedside.
You may adjust the volume on your telephone by using the button on the back of the handset. To answer an incoming call, pick up the handset. Friends and family may reach you by dialing the Information Desk at 816-942-4400. Once they know your extension (room number), they may call you directly by calling the number on the phone in your room. To reach St. Joseph’s operator, dial 0. To dial a local outside line, press 9 followed by the telephone number. Long-distance calls may be charged to a credit card or you may call collect. To place a long-distance call, dial 9 + 1 followed by the area code and telephone number.
Vending Machines
Located near the visitor elevators on the first floor and in the Emergency Department waiting room. Additional beverage vending machines are available in the Community Center for Health and Education lobby and on the third and fifth floors near the staff elevators.
Visitor Accommodations
Many comfortable accommodations for out-of-town visitors are located near St. Joseph’s campus. For a list of nearby hotels, call Case Management at 816-943-2570 or visit stjosephkc.com.
Visitors entering the hospital after 8:30 p.m. should use the Emergency Department entrance and check in with Public Safety for a visitors’ badge.
Wireless Internet Access
St. Joseph is pleased to provide our patients and visitors with free wireless internet access for portable computers and devices capable of receiving specific wireless signals. To connect your computer or device to our wireless internet access, follow these steps: n Verify that wireless communication is enabled on your laptop. n Choose the wireless network CHPUBLIC and connect to it. n Please open your browser to test your internet connectivity. We can’t guarantee that your computer or hand-held device will work with our medical center’s connection. You may ask a member of our staff to call the IS Service Desk (ext. 32256) for assistance with basic configuration questions or to confirm if the wireless internet service is operational. Unfortunately, our staff can’t make changes to the settings on your computer or hand-held device, or assist with any troubleshooting.
Visiting Hours
To ensure the comfort and privacy of all patients, visitors are welcome until 8:30 p.m. daily. Some units may have special visiting guidelines based on patients’ needs.
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Facts About Your Stay continued
TV CHANNELS 2 KSMO
24 Sports KC (Royals)
46 HTN TV
3 NBC
25 Cartoon Network
47
4 WDAF (FOX)
26 Nickelodeon
48 truTV
5 KCTV (CBS)
27 Nick Jr.
49 Lifetime Network
6 KMBC (ABC)
28 Disney Jr.
50 Link TV
7 KPXE
29 Disney XD
51 MTV
8 KMCI
30 Disney Channel
52 WE
9 KCWE (CW)
31 ESPN
53 National Geographic
10 KCPT (PBS)
32 ESPN2
54 MSNBC
11 GalaVision
33 ESPNews
55 Pivot
12 Univision East
34 ESPN U
56 USA Network
13 A&E
35 Fox Sports 1
57 Reelz Channel
14 Freeform
36 Food Network
58 Spike TV
15 BET
37 FX
59 Syfy
16 BBC America
38 AMC
60 TBS
17 Bravo
39 CMT
61 TCM
18 Bloomberg TV
40 EWTN
62 TLC
19 CNN
41 Trinity Broadcasting
63 TNT
20 CNBC
42 The Word TV
64 TV Land
21 Headline News
43 Hallmark Channel
65 Weather Channel
22 Fox News
44 HGTV
66
45 Discovery
67 SJMC Chapel
Fox Sports Midwest
? 10
Direct TV Channel Guide
Quick Quiz! By the age of 65, how many years of the average American’s life is spent in front of the TV? o 2 years o 5 years o 9 years o 12 years Answer: With 4 hours of viewing each day or 28 hours a week, by age 65 TV-viewing time can equal roughly 9 years!
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Investigation Discovery
Take Charge of Your Care You are the center of your healthcare team. Let this special guide help you get the best results from your hospital stay.
Speak Up! If you have questions or concerns, you have the
right to ask and get a response from your doctor or nurse that makes sense to you. To help, share your answers to these questions with hospital staff.
What language would you prefer to speak?
Do you need glasses, hearing aids or other devices to help with talking to hospital staff?
Do you prefer to hear, see or read health information?
Do you have any cultural, ethnic or religious-based special needs?
Who will be your support person who talks with hospital staff about your healthcare wishes? (see p. 22)
Ask Yourself Is there anything else the hospital should be aware of to improve my care experience? 11
TAKE CHARGE OF YOUR CARE continued
7 Key Ways
TO TAKE CHARGE OF YOUR CARE SPEAK UP. Ask questions and voice concerns. It’s your body, and you have the right to know. PAY ATTENTION. Always double-check that you are getting the right treatments and medicines from the right hospital staff. EDUCATE YOURSELF. Learn about your medical condition, tests and treatment options so you know why following your care plan is so important. FIND A SUPPORT PERSON. Pick someone to help speak up for your care and needs during your stay. KNOW YOUR MEDS. Understand what your medicines treat, why you need them and how to take them for the best results. CHECK BEFORE YOU GO. Make an informed decision when selecting additional healthcare services. Choose only accredited providers who meet patient safety and quality standards. Go to www.qualitycheck.org to learn more. PARTICIPATE IN YOUR CARE. You are the center of your healthcare team. Make sure you know what’s happening every step of the way—from admission through discharge. Source: The content within the “Take Charge of Your Care” section reinforces the safety and quality care goals and standards issued by The Joint Commission and other hospital accreditation organizations.
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Choose a Support Person A trusted friend or family member can be a big help during your hospital stay. Select one key person to be your healthcare advocate. If you become stressed or your ability to communicate changes, this person can stand in for you and stand up for your care.
A support person can: n
n
n
ask questions you might not think of and write down information double-check your medicines and treatments watch for signs your condition is getting worse and ask for help
Don’t forget to tell the staff who you’ve picked to be your support person.
Check IDs
While you are here, many people will care for you (doctors, nurses, aides, orderlies), and these same people will care for many patients. To prevent errors in your care: A sk to see the ID of everyone who comes into your room so you know the name and job of the person caring for you. If you do not see an ID badge, contact your nurse immediately. peak up if hospital staff does not S check your ID. Any time staff enters your room to give you medicine, transport you, or perform procedures or treatments, state your name and birth date.
Always double-check your name with staff to avoid errors.
This may seem repetitive at times, but it helps ensure you receive the correct care.
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TAKE CHARGE OF YOUR CARE continued
Pay Attention to Your Care n
n
n
n
n
n
n
Tell your nurse if something doesn’t seem right.
You Are Key You are the most important member of your healthcare team.
Know what time you normally get medicine, and tell your nurse if you don’t get it.
Understand your treatment
Request drawings or illustrations to help you learn about your condition.
Ask questions Speak up about pain
Read and understand all medical forms before signing. Ask if you need information explained.
Know your medicines Plan early for a successful discharge
If your treatment involves medical equipment, practice using it with your nurse before you leave the hospital. Don’t be afraid to ask for a second opinion. The more information you have, the better you will feel about making decisions. Talk to your doctor and family about whether you want life-saving actions taken.
And Remember, Take Charge of Your Communication Ask About Jargon: I f you hear a medical term you don’t understand, ask what it means.
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Teach Back: After you get instructions or an explanation, repeat back what you thought you heard so you can double-check that you understood.
Take Notes: W rite down any key facts your doctor tells you so you won’t forget.
5 Ways to Fight Infections The hospital is a place you go to get well, but you also can come in contact with germs that can make you feel worse. Reduce your chances of infection by taking these safety precautions. 1 Clean your hands. n after touching hospital objects or surfaces n before eating n after using the restroom 2 Ask hospital staff members to clean their hands. This should be standard practice, but don’t be afraid to remind them if they forget or to ask them to wear gloves when touching you. Ask visitors to clean their hands, too!
CLEANING TIP: Use soap and water or hand sanitizer under your nails, in between your fingers, and on the palms and backs of your hands. Rub for 15 seconds (the time it takes to sing Happy Birthday).
3 Cover if you are sick. If you get an infection, limit the spread of germs by sneezing and coughing into tissues you promptly throw away, and avoid touching other people. Ask the staff if there is anything else you should do—like wear a surgical mask—to prevent the spread of germs. 4 Keep an eye on bandages or dressings. If a dressing on a wound or IV becomes loose or wet, let your nurse know. Also if you have a catheter or drainage tube, tell your nurse if it becomes loose or dislodged. 5 Keep your vaccinations up-to-date. Make sure you are as protected as possible from the spread of infection. Check with hospital staff about whether it’s safe for you to receive any vaccines you might need.
Tell friends and family not to visit if they are sick. And make sure all your guests wash their hands when they enter your room.
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TAKE CHARGE OF YOUR CARE continued
Don’t Ignore Pain No one knows how much pain you are in but you. Tell your doctor or nurse when pain strikes or if it comes back again after it goes away. Talk about your pain level throughout the course of your stay.
Ask yourself, then share with your nurse. n
Where does it hurt?
n
When does it hurt?
n
Does it keep you from doing things—like sleeping, dressing, eating?
Which words describe your pain? q aching
q cramping
q pressure
q shooting
q bloating
q cutting
q pulling
q soreness
q burning
q dull
q radiating
q stabbing
q comes and goes
q numbing
q searing
q throbbing
q constant
q pressing
q sharp
q tightness
How bad is it on this pain scale? Wong-Baker FACES® Pain Rating Scale
0 No Hurt
2 Hurts Little Bit
4 Hurts Little More
6 Hurts Even More
8 Hurts Whole Lot
*Copyright 1983, Wong-Baker FACES® Foundation, www.WongBakerFACES.org. Used with permission.
You’re the Expert on Your Pain Starting to get uncomfortable? Pain medicine not working? Speak up. You may need to get more of the current pain medicine you are on or switch to a different kind of medicine to get relief. Don’t try to ignore painful symptoms. Managing your pain will help with your healing process. Talk to your doctor or nurse when pain strikes.
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10 Hurts Worst
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Prevent Falls While you are here, you may feel dizzy or weak. Illness, procedures, medicines or even just lying down for too long can make you less steady on your feet. To keep yourself safe: n n
n n
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Use the nurse call button for help getting out of bed. sk for help going to the bathroom or walking around. A (And use hospital handrails when they’re available.) Wear nonslip socks or footwear. eep often-used items within easy reach K (glasses, remote, tissues, etc.). ake sure your wheelchair is locked when you get in M or out of it. Never step on the footrest.
Patients of all ages are at risk for falls. It’s better to be extra careful than risk another medical problem.
Prepare for Surgery Before your procedure, make sure you and your surgical staff confirm: n n
n
your name the type of surgery you are having t he body part to be operated on—In fact, hospital staff will mark the correct spot on your body. Make sure you or your support person checks that it’s correct.
Take simple steps like these to help prevent medical mistakes.
Ask your surgeon to take a “time out” to check: you’re the right person, getting the right surgery, on the right body part. 17
TAKE CHARGE OF YOUR CARE continued
Manage Your Meds Whether you take one medicine or five, it’s important to know what you are taking and why. Ask your doctor these questions about any new (and current) medicines you take: n
n
n
n
n
n
n
hat is the name of my W medicine? Generic name? hy am I taking it? How will W it help? When will it start working? hat dose? How often? W How long? hat is the best time (morning, W night, etc.) or way to take it (with food, with water)? hat are possible side effects? W What do I do if they happen? re there any foods, drinks or A activities to avoid? What do I do if I miss a dose?
Remember, Take Charge of Your Medicines Think you’re due for your next dose? Wondering if this new medicine can replace one you already take? Want to make sure all your medicines and supplements are safe to take together? Don’t be afraid to ask.
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Prevent Medicine Errors Be sure your doctors and nurses know: n All the prescription drugs, over-the-counter medicines and herbal or vitamin supplements you take. n Any allergies you have to medicines, anesthesia, foods, latex, etc. n That your name matches the name on the medicine (use your ID bracelet to double-check).
Rights & Responsibilities You Have the Right to the Best Care Please review the rights and responsibilities below to help us provide you with quality care.
You Have the Right to: T reatment without discrimination based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. E xpect a family member and your doctor to be informed you are a patient at the medical center. B e treated with dignity and respect in a safe, clean setting, free from abuse, neglect or harassment. K now the identity of doctors, nurses and others involved in your care, and you have the right to know when they are students, residents or other trainees. R eceive information about what is expected of patients and where you can take complaints. Patients can freely voice complaints and recommend changes without being subject to coercion, discrimination, reprisal or unreasonable interruption of care, treatment and services.
Be told about your illness or injury, the benefits and risks of each treatment, what to expect during treatment and how well you may recover. This information must be given in terms you can understand so you can give permission before treatment begins (except in emergencies when the patient is not conscious or not able to communicate and the need for treatment is urgent).
Concerns? If you have concerns about the care you or your loved one is receiving, please speak with your doctor or nursing supervisor. If you are unable to resolve your concern, call 816-943-4721 Monday through Friday from 8 a.m. to 4:30 p.m. If no one answers, please leave a message and we will follow up with you as soon as possible. Nights and weekends, please call the hospital operator and ask to speak to the house supervisor.
P rivacy and confidentiality within the limits of the law. (Your rights are described in the Notice of Privacy Practice.)
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Rights & Responsibilities cont. R equest a review by the St. Joseph’s Ethics Committee about an ethical issue related to your care. R efuse treatment, if the law allows, and to be told by your doctor what might happen medically because of your decision. B e told if anything unexpected and significant happens during your medical center stay and any resulting changes in your care. H ave your report of pain acknowledged and treated, as appropriate. Be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience or retaliation by staff. B e informed about advance directives and to receive assistance in completing one. This will include naming someone to make decisions about your care if you are not able to. (You will receive treatment even if you do not have an advance directive.) R eceive care to make you as comfortable as possible if you are dying, including your spiritual needs regarding death. H ave access to space and be allowed to talk privately with people outside of the medical center, whether in person, by mail or telephone, appropriate to your needs, care, treatment and services.
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Have access to a medical center interpreter. Have a family member, friend or other representative of your choice present with you for emotional support during your stay. Be told of any research being done related to your care and to either agree or refuse to be part of the research. Be active in your plan of care, before, during and after your medical center stay, and to be told of choices available to you for healthcare services after leaving the medical center. Receive help identifying sources of follow-up care and to let you know if our medical center has a financial interest in any referrals. File a complaint about any part of your care and to know what happened as a result of your complaint. Be allowed to see or get a copy of your medical record as allowed in the St. Joseph policy (written request, 24 hours in advance). Ask for a detailed copy of your bill, even if insurance is paying. Contact the Business Office at 816-943-2192. Be informed of the medical center’s programs available to you if you are experiencing domestic or intimate partner violence. Call 816-461-4673 and ask for the Bridge Span Advocate, or call the Metro Wide
Domestic Violence Hotline at 816-HOTLINE (468-5463). Even if the patient is able to make decisions, a representative may be appointed to exercise these rights on the patient’s behalf. If the patient is not able to make decisions, is legally incompetent or is a minor, an authorized representative including a guardian can exercise these rights on the patient’s behalf.
You Have the Responsibility to: P rovide, to the best of your ability, accurate and complete information about your condition, past illnesses, hospitalizations, medication, dietary supplements, past allergic reactions, etc., related to your health.
Follow the instructions of healthcare providers involved in your care. Accept responsibility if you choose to refuse treatment. Be respectful of the rights of other patients, staff and property of the medical center. Follow medical center rules and regulations affecting patient care, conduct, safety and visiting hours.
Questions? If you have questions about your patient rights and responsibilities, contact our privacy officer at 816-943-2112.
B e aware of financial consequences of using uncovered services or out-of-network providers and any network or admission requirements under your health plan. I nform physicians, nurses or other health professionals of any change in your condition or reaction to your treatment, or any special needs during your visit, such as spiritual care, interpreters, etc. A sk questions if you do not understand your medical plan of care or treatment instructions.
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Advance Directives A Simple and Smart Way to Take Charge of Your Care Many people today are worried about the medical care they would be given if they should become terminally ill or suffer from an unexpected health occurrence and become unable to communicate their wishes. That’s why a growing number of people are stating their healthcare preferences in writing through legal documents called advance directives. An advance directive can define the type of care that you do not want, as well as direct the type of care you would like to receive when you are unable to make your wishes known.
FILL OUT YOUR FORMS
Make sure you submit advance directives each time you go to the hospital so your most current information and wishes are on file. You do not need a lawyer to fill these out. For more information and to obtain the forms you need, contact our Case Management department at 816-943-2570.
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If you have prepared an advance directive, please bring a copy with you to the medical center so it can be placed in your medical record. If you do not have an advance directive and would like assistance with preparing one, please contact St. Joseph’s Case Management department at 816-943-2570. As a ministry of the Catholic Church in the United States, this facility abides by The Ethical and Religious Directives for Catholic Health Care Services, Choose Your Care which are available at sccb.org/ Fill out advance bishops/directives.shtml. directives so your wishes are met and This facility has detailed your loved ones policies on the withholding are sure of what and withdrawing of you want. mechanical support and compliance with advance directives. St. Joseph also has an Ethics and Human Values Committee, which serves those who need a forum with consultation, discussion, support and assistance in facing choices or resolving ethical conflicts.
Before You Leave the Hospital
A successful recovery after your stay starts with a solid plan before you go.
Plan Early to reduce your chances of being readmitted and
increase your chances for a healthy recovery. Take steps as soon as possible during your stay to plan for a successful transition from the hospital.
To begin, ask to speak with your discharge planner, and review the following: n your discharge summary and discharge plan n your complete medicine list and instructions n your upcoming appointments n what to do if you don’t feel well
A Reason To Plan Early If you need a rehabilitation facility, nursing home, skilled care or other service after your stay, you’ll need time to find and weigh your options. For help comparing services in your local area, go to: n www.medicare.gov/nursinghomecompare n www.medicare.gov/homehealthcompare n www.qualitycheck.org
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Before You Leave continued
Checklist for Discharge Make sure you have the following information before you leave the hospital.
p Discharge summary. This includes why you were in the hospital, who cared for you, your procedures and medicines.
Not Ready To Leave? You have the right to appeal your discharge if you don’t agree with the decision that you are ready to leave the hospital. Speak with your discharge planner or physician and share your concerns. You also may need to reach out to Medicare, Medicaid or your insurance company.
p Medicine list. This includes all your new and former prescriptions, overthe-counter medicines, vitamins and supplements. Ask if there are any medicines you can stop taking or that are not good to take together. Also make sure you know why, how and when to take each one. p Prescriptions. Check that your pharmacy has your new prescriptions and you have a plan to get them filled. p Follow-up care instructions. Beyond medicine, this can include: n warning signs to watch for n foods or activities to avoid n daily living adjustments n tests or appointments (like how to get into bed) n how to care for incisions or n who to call with questions use equipment p After-hospital services. Know how much support you’ll need in these areas: n Personal care: bathing, eating, dressing, toileting n Home care: cooking, cleaning, laundry, shopping n Healthcare: taking your medicines, doctor’s appointments, physical therapy, wound care, injections, medical equipment p Local resources. Ask your discharge planner for help finding local after-care services or other support groups. Try the teach-back method. Repeat back what you hear the discharge planner say to make sure you understand the details correctly. 24
Top 10 Questions to Ask Before Discharge 1. What number can I call 24 hours a day if I have questions or concerns? Who is my contact? 2. Has my follow-up appointment been scheduled? With whom? Do I have a ride there? 3. What are key warning signs I need to watch out for? Whom do I call if they happen? 4. What special equipment do I need? What special instructions do I need (wound care, injections, etc.)? 5. What kinds of activities and foods are limited? For how long? 6. Do the doctors caring for me after my stay have access to my test results and medicines? Do I need follow-up tests? 7. Are my new medicines safe to take with my other medicines, vitamins or supplements? 8. D o I know how and when to take my medicines and how I will get prescriptions filled? 9. Who will provide the extra personal, home or healthcare services I may need? 10. Who can help me if I have concerns about medical costs?
Need Medical Equipment or Supplies? If you need durable medical equipment (walker, wheelchair, hospital bed, oxygen, etc.), Medicare will only cover the cost if you use an approved supplier. To find one in your area, visit www.medicare.gov and select “Find suppliers of medical equipment and supplies� or call 1-800-MEDICARE (800-633-4227).
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After-Hospital Care Quick Guide to Recovery Options for After Your Stay
After-hospital care that fits your needs is important. Make sure you understand what your hospital staff recommends for you.
Home Healthcare— Care provided by professionals in your home to help maintain or restore health. Includes: home care services such as housekeeping and meal preparation; personal care services such as bathing, dressing or eating; and healthcare services such as physical therapy or skilled nursing. Independent Living—
Communities with individual, private apartments or homes. Includes: meals, housekeeping, maintenance, social activities and possibly transportation. Healthcare services like skilled nursing are not usually standard.
Assisted Living— Individual units or apartments, usually in a longterm care facility. Includes: home and personal care services, as well as help managing health conditions and medicine routines—plus social activities and transportation. Medical staff is on-site 24 hours.
Nursing Home— Long-term care facility with individual rooms for those who don’t need a hospital, but can’t be cared for at home. Includes: all daily living and personal care services, 24-hour skilled nursing care, plus social activities and events. Special units often available for people with Alzheimer’s disease or memory loss.
Hospice— Care program that
provides support for terminally ill patients and families in hospitals, facilities or homes. Includes: 24-hour help with pain control, symptom management and emotional or spiritual support. To get started evaluating or finding after-hospital care resources in your area, visit:
n
n
ldercare Locator E www.eldercare.gov ational Respite Network and N Resource Center www.archrespite.org
Contact your health insurance, Medicare or Medicaid to find out what care and services are covered for you, and to obtain help with costs. 26
Hospital Resources Carondelet Home Care Services
Carondelet Home Care Services delivers quality, compassionate care to patients in the comfort of their own homes. Home healthcare allows patients to receive needed healthcare services while surrounded by family and friends at home, reducing the time it takes to recover from illnesses, injuries or surgery and shortening hospital stays. Our experienced team of professionals is highly trained to provide a range of services, including: skilled nursing physical therapy n occupational therapy n speech therapy n home health aides n medical social work services n n
For more information on Carondelet Home Care Services, call 913-529-4800 or 816-655-5494 or visit carondelethomecare.com.
With Lifeline, when help is needed, the individual just presses a waterproof Personal Help Button that can be worn as a pendant or wristband. A personal response associate responds quickly and assesses the situation. If emergency services are needed, the associate dispatches emergency responders and retrieves relevant medical information from the individual’s profile all while they’re on the line with Lifeline. For more information on Lifeline, call 913-529-4870 or visit carondelethomecare.com.
Follow-Up Care
After your discharge from St. Joseph’s, you may need additional follow-up care to help you reach your full potential for recovery and independence. Many patients benefit from home health, private duty or long-term care.
Lifeline
Lifeline is an easy-to-use medical alert service that works with your landline telephone to ensure assistance always is available. Whether you need emergency services or just the assistance of a family member or friend to help you get back on your feet, Lifeline can help you 24 hours a day, seven days a week.
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Hospital Resources continued HELP Team
If you, a family member or visitor has a medical concern or wants further assessment, call the medical center operator by dialing 0 and ask for the HELP Team. The nursing supervisor will respond to your concern by assessing your situation and activating additional assistance when needed.
Patient Portal
Through our secure patient portal, sjhealthkc.com, you can check lab results and other hospital reports, discharge instructions, view medications and allergies, and more. It’s fast. It’s easy. It’s your health. sjhealthkc.com If you have questions about the patient portal, call Medical Records 816-943-2117.
Security: Walking Escorts
The safety of our patients and visitors is a priority at St. Joseph’s. We maintain 24-hour security with public safety officers who continuously patrol our campus. To request a walking escort or share any other security-related concern, call 816-655-3000.
Spiritual Care
Chaplains and Spiritual Care volunteers visit patients daily. They provide spiritually centered holistic care, respectful of and responsive to all people. To have a chaplain paged, dial 0 for the medical center operator or ask your nurse. Our hospital has a chapel open 24/7 for quiet meditation and prayer, located in the Atrium across from the information desk. All are welcome. Mass is celebrated by our priest/chaplain Monday though Friday at 1:30 p.m. and Sunday at 8 a.m. Additional religious services and prayer resources are available throughout the year.
Stop Smoking Resources
If you are a smoker and would like help quitting, many resources are available in our community: American Cancer Society 6700 Antioch Rd., Suite 100 Merriam, KS 66204 913-432-3277
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American Lung Association of Missouri 2400 Troost Ave., Suite 4300 Kansas City, MO 64108 816-842-5242
National Center for Health Promotion 5457 NE Wedgewood Lane Lee’s Summit, MO 64064 816-373-7968
American Lung Association of Kansas 4300 Drury Lane Topeka, KS 66604 800-586-4872
Cancer Information Services 1-877-444-QUIT
Independence Health Department 223 N. Memorial Dr. Independence, MO 64050
Missouri Quit Line 800-QUIT-NOW Kansas Quit Line 800-KAN-QUIT
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Staff Definitions Case Management 816-943-2570
We assign a dedicated case manager to each patient floor to assist patients and their families. As a free service, the case manager can answer questions and address concerns during your hospitalization and discharge. Your case manager will work closely with your physician and the hospital staff to ensure you receive the best care possible. Case managers can help with: n
n
n
n
F acilitating discharge planning with your physician and coordinating home healthcare or, if needed, your transfer to a skilled, intermediate or residential care facility ffering support and assisting in O coordinating services for patients in our rehabilitation units who require physical, speech and occupational therapy ssisting new mothers with A nutritional information, counseling and addressing financial concerns; they also can offer assistance to birth parents who have made an adoption plan for their child and provide special support for parents who are coping with the illness or loss of a newborn roviding counseling and offering P emotional support and assistance to you and your family
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n
orking with community agencies W to provide support and education to patients and their families; they also can help patients prepare advance directives, living wills or durable powers of attorney
Hospitalists
During your stay, you may receive care from one of our highly trained hospitalists. Our hospitalists are physicians specializing in inpatient care who work closely with your primary care physician to coordinate your care, share treatment options and monitor your recovery around the clock during your stay. Upon discharge, your hospitalist will discuss your discharge instructions and medications, and will assist you with setting up a follow-up appointment with your primary care physician.
We Are Here to Serve You. If, at any time during your stay, you have a question about who is caring for you or you need help for any reason, please ask. Our staff member will find the right person to provide you with the care you need.
Adult Vaccines
Which Vaccines You Need to Protect Your Health 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).
Talk to Your Doctor 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.
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Support for Caregivers How to Play a Role in Your Loved One’s Recovery
We encourage patients to pick a key person to support them during their hospital stay. Whether you are that primary support person, or just one of many people caring and supporting your loved one, you can play an important role in making sure your loved one gets the safest and best care both here and beyond the hospital.
What to Know Before You Leave
Caregivers can help ensure the best outcome for their loved one after a hospital stay by getting the answers to these three questions: n
n
n
hat is the next step for medical W care (home or facility, follow-up with primary care physician or physical therapy, etc.)? Help your loved one arrange the details to make this happen—financial plan, transportation, scheduling, etc. hat new and former medicines W does my loved one need to take? Help your loved one understand the details—timing, dosing instructions, side effects, prescription refills, etc. hat health warning signs do I W need to watch for and what do I do if they happen? Help your loved one by writing these symptoms down as well as the name and contact number to call.
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Caregivers Need Care, Too If you feel like you need a break or help, reach out to friends and family. And consult the resources listed here. RESOURCES n National Alliance for Caregiving caregiving.org n
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Family Caregiver Alliance caregiver.org Caregiver Action Network caregiveraction.org
5211 West 103 Street Overland Park, KS 66207 Phone: 913-383-2569 Fax: 913-383-2611 A premier 210-bed rehab and healing center located in the heart of Johnson County 24-hour skilled rehabilitation services • Long-term care • Secured memory care Assisted living • Respite care • Hospice available VA contracted and veteran’s program Physical, occupational and speech therapy available • Transportation available Private rooms available • We accept Medicare, Kansas Medicaid, private insurance
1242 Wornall Road Kansas City, MO 64145 Phone: 816-942-6705 Fax: 816-942-5494 Located in South Kansas City, Brook Chateau offers: Long-term care • Secure female memory care Behavior unit and skilled rehabilitation services Private rehab rooms available Transportation available We accept Medicare, Missouri Medicaid, and private insurance
416 South High Street Butler, MO 64730 Phone: 816-679-6158 A 98-bed premier rehab and healing center 24-hour nursing care Individualized therapies Hospice available Respite care We accept Medicare, Missouri Medicaid, and private insurance
We’ll Manage Your Pain So You Can Manage Your Life When chronic pain disrupts your quality of life and does not improve with standard treatments, the Pain Clinic at St. Joseph Medical Center provides comprehensive pain management care utilizing the latest treatment options. Our board-certified physicians are experienced in utilizing proven effective treatments to help reduce or eliminate chronic pain. Our clinic is an integrated department of the Medical Center and is located near the main entrance to the Medical Mall, entrance B. For more information or to schedule an appointment, call 816-943-3926. St. Joseph Pain Clinic’s physicians are board certified by the American Board of Medical Specialties. Vincent G. Johnson, DO Richard L. Morgan, MD James Edward Johnson, DO N. Wayne Brown, MD
St. Joseph Medical Center Pain Clinic
1000 Carondelet Drive • Kansas City, MO 64114 StJosephkc.com