n Speak Up, Plus 7 Key Ways to Take Charge of Your Care

n Choose a Support Personn Check IDsn Pay Attention to Your Caren 5 Ways to Fight Infectionsn Don’t Ignore Painn Preventing Falls

Take Chargeof Your Care

Speak Up! Ask Questions and Voice Concerns . . . . . . . . . . . . . 10All About Advance Directives . . . . . . . 24Successful Discharge How to Plan Ahead . . . . . . . . . 25

On Our Cover

10

CONTENTSPHONE DIRECTORY . . . . . . . . . . . . . . 2

OUR COMMITMENT TO CARE . . . . 3

RAPID RESPONSE TEAM . . . . . . . . . 5

FAST FACTS ABOUT YOUR STAY . . 6 Plus TV Channel Guide

SPECIAL SECTION . . . . . . . . . . . . . . . 10

ADULT VACCINES . . . . . . . . . . . . . . . 17

HOSPITAL INFECTIONS . . . . . . . . . . 18

RIGHTS & RESPONSIBILITIES . . . . . 20

NOTICE OF NONDISCRIMINATION . . . . . . . . . . . 22

ADVANCE DIRECTIVES . . . . . . . . . . 24

LEAVING THE HOSPITAL . . . . . . . . . 25

AFTER-HOSPITAL CARE . . . . . . . . . . 26

SPOTLIGHT ON HEALTH . . . . . . . . . 27 Stop Smoking

PATIENT PORTAL . . . . . . . . . . . . . . . . 28

AllianceHealth Woodward is not, in any way, responsible for the advertisements in this booklet. AllianceHealth Woodward makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. AllianceHealth Woodward receives no remuneration in exchange for any advertisement. 082017

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. ©2017 PatientPoint®

2

Phone Directory

Key NumbersMain: 580-256-5511 | Patient Information: 580-254-8468

OTHER HOSPITAL SERVICESAdministration 580-254-8492 Operator 0

Admitting 580-254-8468 Outpatient Clinical Services (chemo) 580-254-8657

Case Management 580-254-8659 Patient Complaint 580-254-8647Emergency

Department 580-256-5511 Quality Management 580-254-8417

Financial Counselor 580- 254-8420 Radiology 580-254-8402Food/Nutrition

Service 580-254-8441 Rehab (PT, OT and Speech) 580-254-8400

Health Record Information 580-254-8661 Security 580-254-8439

Housekeeping 580-254-8606 Senior Circle/ Marketing 580-254-8665

Human Resources 580-254-8668 Surgery 580-254-8694Intensive Care 580-254-8615 Volunteer Services 580-254-8665

Laboratory 580-254-8485 Woodward Clinics 580-254-8600

Medical/ Surgical Unit 580-254-8638

Nursing Administration 580-254-8653 ICU/CCU Ext. 7622

Registered Dietitian/ Diabetes Education 580-254-8456 Medical Surgical 0

Obstetric Unit 580-254-8663 Surgery Ext. 7690

If calling from outside of the hospital, please dial 580-256-5511 and ask for the extension.

CONTACT US900 17th St. • Woodward, OK 73801 • MyAllianceHealth.com

Family Waiting Rooms

3

Family Waiting Rooms

Our Commitment to Care

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. 24). Our Ethics Committee can help your team of support people make difficult decisions. For help, contact the quality director at 580-254-8417.

How are we doing?

Explain things more clearly

Ease your pain

Help you understand your medicine plan

Respond quicker to your needs

We want you to be satisfied with your care. To help,

speak up if we can …

Help keep your room clean or quiet

How are we doing?

Patient Satisfaction Matters to UsHow’s your stay? Are you getting the care you need? Are your doctors and nurses listening and responding to your questions or requests? Our goal is to provide the best quality care. 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 your issue is still not resolved, you may:

n Contact Kim Arnold, RN, chief nursing officer, at 580-254-8651 or by email at Kim.Arnold@MyAllianceHealthOK.com.

n File a complaint with your state or Quality Improvement Organization (QIO). See Rights and Responsibilities p. 21 for contact information.

4

Our Commitment continued

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/hospitalcompareYou also can find information on hospitals through these accrediting organizations:n Healthcare Facilities Accreditation

Program (HFAP): www.hfap.orgn The Joint Commission:

www.qualitycheck.org

Want to Know How We Score?

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. This survey is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S.After you are released from the hospital, you may be selected to participate in the HCAHPS survey. The telephone survey asks multiple choice questions on key care topics, such as: n doctor and nurse communication n medicine and discharge information n pain management and staff responsiveness n overall quality of the hospital environment

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

5

Rapid Response TeamSpecial Support to

Prevent Emergencies

WHEN to Call Rapid Response

Step 1: Dial 4444 on bedside phone.Step 2: Tell the operator: your name, room number, patient’s name and your concern.Step 3: The Rapid Response Team will be sent to your room.

HOW to Call Rapid Response

Call for help if you notice: n changes in heart rate or drop

in blood pressuren change in respiratory

(breathing) rate or oxygen levels

n changes in urine output (much more or less urine)

n change in mental status or level of consciousness

n any time you are worried something might be wrong

n any change in the patient’s condition that needs immediate attention and the healthcare team is not responding, or if you continue to have serious concerns after speaking with the healthcare team

During your stay, you have access to a special service called the Rapid Response Team. You can call this service, and a critical-care team will check on you or your loved one and provide help before there is a life-threatening emergency.

6

Fast Facts About Your Stay

VISITING THE HOSPITAL?Thanks for taking the time to support your loved one’s care and recovery. See p. 8 for important visitor guidelines.

An A-Z Guide to the Most Frequently Asked QuestionsATMFor your convenience, an ATM is located near the cafeteria.

CafeteriaLocation: First floor on the west side of the hospital. Hours:Breakfast: 7:00 a.m. to 9:00 a.m.Lunch: 11:00 a.m. to 1:00 p.m.Dinner: Call ext. 8441 before 2:00 p.m. for a supper tray.Visitors are welcome to dine in the cafeteria for breakfast and lunch. The cafeteria is not open for the evening meal, but you can request a supper tray at a reasonable cost to be delivered to the patient room. We offer daily specials, sandwiches, soup, salad bar, hot beverages, fountain drinks and desserts.

Calling Your NurseA button to call your nurse is located at your bedside. When you press the button, a nurse is alerted through a call system and will respond as quickly as possible.

CellphonesCellphone communication is allowed within the hospital. However, if a cellphone causes interference with equipment or if patient safety issues arise, you may be asked to suspend use.

Fire SafetyWe conduct fire drills from time to time. If you hear an alarm, stay where you are. In an actual emergency, hospital staff will tell you what to do.

7

Gift ShopLocation: Near the cafeteria.Hours: Monday through Friday: 9:00 a.m. to 4:00 p.m. Proceeds from the gift shop are donated back to the hospital through the Auxiliary.

Hearing ImpairedHelp is available for hearing-impaired patients or patients who want to communicate with a hearing-impaired relative or friend. Arrangements also can be made to have a person who uses sign language help a hearing-impaired or deaf patient.

Hospital Safe for ValuablesYou are strongly encouraged not to bring any valuables with you to the health center. If you choose to, you do so at your own risk, as the health center is not responsible for losses. In an urgent situation, valuables may be stored in the safe located in the Emergency Room.

Housekeeping ServicesOur goal is to keep your room, restroom and our entire facility clean. A member of the housekeeping staff cleans your room daily. If there is a housekeeping request, please tell your nurse, and it will be taken care of as soon as possible.

Internet ServiceWe are pleased to provide you with “Hospital Guest Wireless” throughout the facility. No password is required. You simply need to accept the terms, and you will be connected.

InterpretersWe serve to facilitate communication among patients, family members, visitors and AllianceHealth Woodward’s clinical and non-clinical staff by working to minimize the linguistic and cultural barriers to quality care. We will provide you with information in a manner that you can understand. Please let us know if there is a problem with communication, and we will resolve it. We have interpreter resources available at all times.

Mail and FlowersA hospital volunteer will deliver mail, packages and flowers. Any mail received after your discharge will be forwarded to your home address. You may take outgoing mail to the nurses station or give it to your attending nurse. Postage stamps are available in the gift shop.

Pastoral CareOur chapel is on the first floor near the gift shop. Your church representative or pastor is welcome to visit you while you are here. To speak with one of our volunteer hospital chaplains, simply let your nurse know and he or she will arrange to have the chaplain visit you.

8

Facts About Your Stay continued

Patient MealsWholesome, nourishing and well-balanced meals are an important part of your treatment and recovery. We make every effort to provide nutritious meals that are prepared according to your doctor’s orders.Patients are served breakfast at about 7:30 a.m., lunch at 11:30 a.m. and dinner at 5:30 p.m. Occasionally, your meal may be delayed if you are scheduled for a special test or treatment. Whenever possible, you will be served after your examination or test. A representative from our Nutrition Services Department will visit each patient mid-morning and mid-afternoon to obtain patient orders for each meal. If you are on a special diet prescribed by your doctor, you will have options tailored to your specific needs. If you have any questions regarding your meal service, please call ext. 8441.

Personal Belongings and ValuablesIf you have valuables, such as credit cards, 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. AllianceHealth Woodward cannot be responsible for replacement of personal belongings.

SmokingFor our patients, visitors and staff, we are a smoke free hospital. This includes all electronic smoking devices such as e-cigarettes and vapors. You can request a nicotine replacement alternative from your physician.

TVTelevisions are provided in each patient room. Please be considerate of others by keeping the TV volume down and turning off your TV at bedtime.

Vending MachinesVending machines offering beverages and snacks are located near the cafeteria and on the second floor near the back elevators. They are available 24 hours a day, seven days a week.

Visiting GuidelinesBeginning at 5:30 a.m. each day, all visitors will enter the hospital through the main entrance by the fountain or through the Emergency Room. After 9:00 p.m. each day, all visitors must enter the hospital through the Emergency Room entrance. A visitor arriving before 5:30 a.m. or after 9:00 p.m. must present a photo ID and receive a visitor pass before entering the hospital. The pass must be worn at all times in all areas of the hospital and must be returned to AllianceHealth Woodward when you leave.

9

4 NBC 25 TBN 42 Travel Channel 5 ABC 26 GAC 43 HGTV

8 KOMI Woodward 27 Spike 44 MTV

9 CBS 28 The Weather Channel 45 Syfy

10 QVC 29 CNN 46 Hallmark

11 KOCB Oklahoma City 30 HLN 47 E!

12 Fox Oklahoma City 31 Discovery

Channel 48 Comedy Central

13 PBS 32 TCM 49 AMC 15 USA 33 Nickelodeon 50 Fox News 16 CNBC 34 Freeform 51 Cartoon Network 17 TBS 35 TLC 52 Animal Planet 19 Telemundo 36 TNT 53 National Geographic 20 FX 37 Disney Channel 54 Food Network 21 FS Oklahoma 38 A&E 55 MSNBC 22 ESPN Classic 39 TV Land 56 Outdoor Channel 23 ESPN2 40 VH1 57 C-SPAN 24 Lifetime 41 History 58 CMT

TV CHANNELS

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!

??

10

Take Chargeof Your Care

Is there anything else the hospital should be aware of to improve my care experience?

Ask Yourself

You are the center of your healthcare team. Let this special guide help you get the best results from your hospital stay.

Speak Up! During your stay, our doctors, nurses and staff will treat you and your family as partners in your 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—steps for taking charge of your care, getting the information you need, asking questions and interacting with hospital staff.

11

7 Key WaysTO TAKE CHARGE OF YOUR CARE

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.

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.

12

TAKE CHARGE OF YOUR CARE continued

Choose a Support PersonA 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 ask questions you might not

think of and write down information

n double-check your medicines and treatments

n watch for signs your condition is getting worse and ask for help

Check IDsWhile 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: Ask 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.

Speak up if hospital staff does not 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.

This may seem repetitive at times, but it helps ensure you receive the correct care.

Don’t forget to tell the staff who you’ve picked to be your support person.

Always double-check your name with staff to avoid errors.

13

And Remember, Take Charge of Your Communication

You Are KeyYou are the most important member of your healthcare team.

Understand your treatment

Ask questions

Speak up about pain

Know your medicines

Plan early for a successful discharge

Ask About Jargon: If you hear a medical term you don’t understand, ask what it means.

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: Write down any key facts your doctor tells you so you won’t forget.

Pay Attention to Your Caren Tell your nurse if

something doesn’t seem right.

n Know what time you normally get medicine, and tell your nurse if you don’t get it.

n Request drawings or illustrations to help you learn about your condition.

n Read and understand all medical forms before signing. Ask if you need information explained.

n If your treatment involves medical equipment, practice using it with your nurse before you leave the hospital.

n Don’t be afraid to ask for a second opinion. The more information you have, the better you will feel about making decisions.

n Talk to your doctor and family about whether you want life-saving actions taken.

14

TAKE CHARGE OF YOUR CARE continuedTAKE CHARGE OF YOUR CARE continued

Some infections can spread easily, so staff and visitors may be asked to wear isolation clothing like gowns and masks. Your doctors or nurses also may take extra precautions. This is the best way to reduce the spread of these infections.

5 Ways to Fight InfectionsThe hospital is a place you come to get well, but you also can come in contact with germs that can make you feel worse. Ask friends and family not to visit if they are sick. You also can reduce your chances of infection by taking the following safety precautions:

1 Clean your hands. n after touching hospital

objects or surfaces n before and after eating n after using the restroom

2 Ask hospital staff members to clean their hands. We ask that all staff members clean their hands when entering and exiting your room. 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!

3 Cover your cough if you are sick. If you are sick or have an infection, limit this spread of germs by sneezing and coughing into tissues, promptly throw them away and avoid touching others. 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 bandage or dressing covering a wound, incision or IV site becomes loose, wet or painful, notify your nurse. 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.

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

15

TAKE CHARGE OF YOUR CARE continued

Don’t Ignore PainNo 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?

How bad is it on this pain scale?

You’re the Expert on Your Pain

0No

Hurt

2Hurts

Little Bit

4Hurts

Little More

6Hurts

Even More

8Hurts

Whole Lot

10HurtsWorst

*Copyright 1983, Wong-Baker FACES® Foundation, www.WongBakerFACES.org. Used with permission.

Wong-Baker FACES® Pain Rating Scale

q aching q bloating q burning q comes and goesq constant

q cramping q cuttingq dull q numbing q pressing

q pressure q pulling q radiating q searingq sharp

q shootingq soreness q stabbing q throbbing q tightness

Which words describe 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.

16

TAKE CHARGE OF YOUR CARE continued

Preventing FallsAs a patient, you can help reduce the risk of falling by:n Speaking up and notifying staff if you feel unsteady, dizzy or lightheaded

when you stand or walk.n Using the nurse call button for help getting out of bed.n Having a colored wristband that lets the staff know you might need

assistance getting out of bed.n Asking for help going to the bathroom or walking around. (And using

hospital handrails when they’re available.)n Wearing nonslip socks or footwear.n Keeping often-used items and walking aids within easy reach (glasses,

remote, tissues, etc.).n Making sure your wheelchair is locked when you get in or out of it. Never

step on the footrest.n Making sure your robe or pajamas don’t drag on the floor. They can cause

you to trip.n Asking your nurse to show you how to walk properly with your IV pole,

drainage bags or any other equipment. n Reporting spills on the floor immediately.n Telling the nurse you need help if you feel nervous about walking.n Your visitors and family also can help by making sure your room is not

cluttered and moving chairs back against the wall before they leave.Help us protect you from falls by speaking up and telling us if you feel unsteady, dizzy or lightheaded.

Be Prepared to Ask Your Doctor Questions About Your Care. Write Your Questions Here.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

17

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 older than 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 older. Shingles causes rash, blisters and severe pain.

Pneumococcal Vaccines—Recommendations recently changed for pneumonia vaccines. Even if you already received one vaccine, you may still 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 6 to 12 months after receiving the PCV13 vaccine (see above).

Adult Vaccines Which Vaccines You Need

to Protect Your Health

Talk to Your DoctorYour 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.

18

According to the U.S. Department of Health and Human Services, 1 in 25 patients gets a healthcare-associated infection while staying at the hospital. Often, these happen because hospital procedures and equipment can expose internal parts of your body to germs. The chart below lists common infections and steps you can take to prevent them.

Prevent Hospital InfectionsTake Steps to Reduce Your Risk During Your Stay

INFECTION HOW IT STARTS

Catheter-Associated Urinary Tract Infections (UTI)

Surgical Site Infections

Central Line-Associated Bloodstream Infections

Ventilator-Associated Pneumonia

Germs enter your urinary tract while using a tube to drain urine

Germs affect the site of your surgery—either on your skin or internally

Germs enter your bloodstream through a large tube that’s inserted in a vein near your neck, chest or groin

Germs enter your lungs through a tube in your mouth, nose or neck used to help you breathe

19

SYMPTOMS PREVENTION

n fevern burningn painn bloody or

frequent urination

n rednessn painn drainage of

cloudy fluidn fever

n red skin and soreness at site

n fevern chills

n coughn mucusn fevern chillsn shortness

of breath

n clean hands before touching arean keep urine bag below level of bladder to

prevent backflow n don’t tug, pull, twist or bend the tube n secure catheter to your leg and ask every day

if it’s still needed

n do not shave surgery site (irritation increases risk of infection)

n clean hands before touching arean don’t let visitors touch or dress your woundn ask your nurse to show you how to care for

your wound

n clean hands before touching arean make sure staff wears gloves, gown, cap, mask

and sterile drape when handling tuben speak up if your bandage comes off, looks wet

or dirty, or if your skin looks soren avoid touching tube or letting visitors

touch tuben ask that tube be removed as soon as possible

n clean hands before touching arean ask if it’s safe to raise the head of your bedn know how often the inside of your mouth

needs to be cleaned and speak up when it hasn’t happened

n ask that tube be removed as soon as possible

SuperbugsSuperbugs are strains of bacteria that are resistant to several types of antibiotics. For many years, antibiotics have been prescribed to people around the world for unnecessary reasons. The overuse of antibiotics helped to create these resistant superbugs; examples include MRSA, VRE, ESBLs and C. diff. These superbugs can be spread from person to person by touch or from contaminated objects on surfaces. They also can survive for long periods of time on hands and other surfaces. Remember to only take antibiotics when prescribed by your doctor. Protect yourself by taking these steps below, and lastly, always remember to wash your hands and ask everyone you see during your stay to wash his or her hands, too.

20

Rights & Responsibilities

You Have the Right to: Be treated in a dignified and respectful manner and to receive reasonable responses to reasonable requests for service

Effective communication that provides information in a manner you understand, in your preferred language with provisions of interpreting or translation services at no cost, and in a manner that meets your needs in the event of vision, speech, hearing or cognitive impairments; information should be provided in easy to understand terms that will allow you to formulate informed consent

Respect for your cultural and personal values, beliefs and preferences

Personal privacy, privacy of your health information and to receive a notice of the hospital’s privacy practices

Pain management Accommodation for your religious and other spiritual services

Access, request amendment to and obtain information on disclosures of your health information in accordance with law and regulation within a reasonable time frame

Have a family member, friend or other support individual to be present with you during the course of your stay, unless that person’s presence infringes on others’ rights, safety or is medically contraindicated

Care or services provided without discrimination based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression

Participate in decisions about your

care, including developing your treatment plan, discharge planning and having your family and personal physician promptly notified of your admission

Select providers of goods and services to be received after discharge

Refuse care, treatment or services in accordance with law and regulation and to leave the hospital against advice of the physician

Have a surrogate decision-maker participate in care, treatment and services decisions when you are unable to make your own decisions

Receive information about the outcomes of your care, treatment and services, including unanticipated outcomes

Give or withhold informed consent when making decisions about your care, treatment and services

Receive information about benefits, risks, side effects to proposed care, treatment and services; the likelihood of achieving your goals and any potential problems that might occur during recuperation from proposed care, treatment and service and any reasonable alternatives to the care, treatment and services proposed

Give or withhold informed consent to recordings, filming or obtaining images of you for any purpose other than your care

Participate in or refuse to participate in research, investigation or clinical trials without jeopardizing your access to care and services unrelated to the research

Know the names of the practitioner who has primary responsibility for your care, treatment or services and the names of other practitioners providing your care

21

Formulate advance directives concerning care to be received at end-of-life and to have those advance directives honored to the extent of the hospital’s ability to do so in accordance with law and regulation; you also have the right to review or revise any advance directives

Be free from neglect; exploitation; and verbal, mental, physical and sexual abuse

An environment that is safe, preserves dignity and contributes to a positive self-image

Be free from any forms of restraint or seclusion used as a means of convenience, discipline, coercion or retaliation; and to have the least restrictive method of restraint or seclusion used only when necessary to ensure patient safety

Access protective and advocacy services and to receive a list of such groups upon your request

Receive the visitors whom you designate, including but not limited to a spouse, a domestic partner (including same sex domestic partner), another family member, or a friend. You may deny or withdraw your consent to receive any visitor at any time. To the extent this hospital places limitations or restrictions on visitation; you have the right to set any preference of order or priority for your visitors to satisfy those limitations or restrictions

Examine and receive an explanation of the bill for services, regardless of the source of payment

You Have the Responsibility to: Provide accurate and complete information concerning your present medical condition, past illnesses or hospitalization and any other matters concerning your health

Tell your caregivers if you do not completely understand your plan of care

Follow the caregivers’ instructions Follow all medical center policies and procedures while being considerate of the rights of other patients, medical center employees and medical center properties

You Also Have the Right to:Lodge a concern with the state, whether you have used the hospital’s grievance process or not. If you have concerns regarding the quality of your care, coverage decisions or want to appeal a premature discharge, contact the State Quality Improvement Organization (QIO).Regarding Problem Resolution, You Have the Right to:Express your concerns about patient care and safety to hospital personnel and/or management without being subject to coercion, discrimination, reprisal or unreasonable interruption of care; and to be informed of the resolution process for your concerns. If your concerns and questions cannot be resolved at this level, contact the accrediting agency indicated below:Oklahoma State Department of Health1000 NE 10thOklahoma City, OK 73117405-271-5600

KEPRO5700 Lombardo Center Dr., Ste. 100Seven Hills, OH 44131844-430-9504 Fax: 844-878-7921

Office of Quality and Patient Safety The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL 60181 800-994-6610 Email: patientsafetyreport@jointcommission.org

22

Welcome

This provider complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. This provider does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. This provider:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

n Qualified sign language interpreters n Written information in other formats (large print, audio, accessible electronic

formats, other formats) Provides free language services to people whose primary language is not English, such as:

n Qualified interpreters n Information written in other languagesIf you need these services, contact the Risk Officer/ADA Coordinator at AllianceHealth Woodward.If you believe that this provider has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: Risk Officer/ADA CoordinatorAllianceHealth Woodward17240 Cortez Blvd.Brooksville, FL 34601 580-256-5511 • TTY: 800-722-0353Fax: 580-254-8418 • WoodwardOKRiskManager@chs.netYou can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Risk Officer/ADA Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at U.S. Department of Health and Human Services, 200 Independence Ave. SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.

Notice of Nondiscrimination

Call 1-580-256-5511 (TTY: 1-800-722-0353).??

23

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you.

SpanishATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Chinese注意：如果您使用繁體中文，您可以免費獲得語言援助服務。

Korean주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

GermanACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Arabic

Burmeseသတျပရန အကယ၍ သငသည ျမနမာစကား က ေျပာပါက၊ ဘာသာစကား အကအည၊ အခမ၊ သငအတြက စစဥေဆာငရြကေပးပါမည။

HmongLUS CEEB TOOM: Yog tias koj hais lus Hmoob, kev pab cuamtxhais lus, yog pab dawb xwb.

TagalogPAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo ng tulong sa wika.

FrenchATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

Laotianເອາໃຈໃສ: ຖາທານເວາພາສາລາວ, ພວກເຮາມບລການໃຫຄວາມຊວຍເຫອດານພາສາໂດຍບເສຍຄາໃຊຈາຍໄວບລການທານ.

Thaiเรยน: ถาคณพดภาษาไทย คณสามารถใชบรการชวยเหลอทางภาษาไดฟร

Urdu

CherokeeHagsesda: Iyuhno hyiwoniha Tsalagi gawonihisdi, Adasdalisgi gawonihisdi unadasdelvdi, asewui tla gohusdiyidagvwalida. Nihi etsadvnvisdanelvi.

Persian

OK

24

Advance Directives

FILL OUT YOUR FORMSMake 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 your nurse.

A Simple and Smart Way to Take Charge of Your Care

One of the most important decisions you can make about your care is to fill out advance directives in case you can no longer speak for yourself. Advance directives are documents that let others know your wishes about the type of care you want. And they will only be used if you become unconscious or too ill to communicate yourself.Different states have different laws about advance directives. Check with your Admissions department or nurse if you have any questions. Directives can include:

Living Will This set of instructions explains the type of life-prolonging medical care you wish to accept or refuse. It can include your wishes about the use of resuscitation (CPR) if your heart stops, a ventilator if you stop breathing, or feeding tubes or IVs if you cannot eat or drink.

Durable Power of Attorney for Healthcare This is a legal document that names your healthcare proxy—someone who can make medical decisions for you if you’re unable to do so. An official healthcare proxy can represent your wishes on emergency care but also on other medical issues like potential treatment options, blood transfusions, kidney dialysis, etc. Choose someone you trust, discuss your medical wishes, and make sure the person agrees to represent you in this role.

Healthcare Surrogate A person (agent) appointed to make medical decisions on your behalf if you are unable to do so. This person is sometimes chosen by patients themselves, or, depending on state regulations, may be chosen by the patient’s doctor in certain circumstances. If you are choosing your own healthcare surrogate, 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.

25

A successful recovery after your stay starts with a solid plan before you go.

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 area, go to:

n www.medicare.gov/nursinghomecomparen www.medicare.gov/homehealthcomparen www.qualitycheck.org

Before You Leave the Hospital

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 your nurse to have your discharge planner contact you to review the following: n your discharge plan n your complete medicine list and instructions n your upcoming appointments n what to do if you don’t feel well

26

After-Hospital Care Quick Guide to Recovery Options for After Your Stay

Contact your health insurance, Medicare or Medicaid to find out what care and services are covered for you, and to obtain help with costs.

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.

Assisted Living—Individual units or apartments, usually in a long-term 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 for individuals 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.Some nursing homes also offer short-term rehabilitative stays for patients recovering from an injury or illness.

Hospice—Care program that provides support for terminally ill patients and families in hospitals, facilities or homes, depending on the patient’s condition. 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 Eldercare Locator www.eldercare.gov n National Respite Network and Resource Center www.archrespite.org

27

No matter how long you’ve been a smoker, it’s never too late to quit this unhealthy habit. The benefits start right away and last a lifetime:n 20 MINUTES after quitting, your

heart rate and blood pressure drop.n 2 WEEKS TO 3 MONTHS after

quitting, your circulation improves and your lungs work better.

n 1 YEAR after quitting, your risk of heart disease is half that of a smoker’s.

n 5 YEARS after quitting, your risk of mouth, throat, esophagus and bladder cancers is cut in half.

n 10 YEARS after quitting, your risk of lung cancer is half that of a smoker’s.

n 15 YEARS after quitting, your risk of heart disease is the same as a nonsmoker’s.

Ready, Set, Quit! Now that you’ve decided to quit, take it one day at a time. Remind yourself that you are in control—you can choose to smoke or not. Be prepared to have nicotine cravings. They usually pass soon, so wait it out. The good news is that they become weaker and less frequent the longer you go without smoking. When a craving hits, take a walk, call a friend or do something else you enjoy.If you need help quitting or coping with cravings while you’re here, call 580-254-8412.

Stop SmokingReduce Your Chances of Returning to the Hospital

1. Fight the Urge Don’t let yourself think that you can have just one cigarette, but if you do slip, start again and make tomorrow your new first day to quit.

2. Get Moving Exercise is a good way to keep your mind off cigarettes. The longer you go without smoking, the better you can breathe and the easier it will be to exercise.

3. Keep Your Mouth Busy Try toothpicks, celery, sugarless gum or sugar-free lollipops.

3 Tips to Help You Quit

SPOTLIGHT ON HEALTH

28

Patient Portal

Get Connected with My Health Home Patient Portal

It’s Confidential and SecureYour information in the My Health Home Portal is confidential, using a secure, encrypted connection that meets the highest industry standards. We will not share, sell or lease your personal information with any outside party not affiliated with our organization. Only you—and those you authorize—will be able to see or access the information in your Portal.

A secure online home to access your hospital information. You can have online access to your hospital inpatient records—test results, medications, diagnoses and discharge instructions—through our secure Patient Portal, My Health Home. This information usually is available by the second day of your inpatient stay or soon after you leave the hospital after a one-day stay.

It’s quick and free to set up an account. Ask a staff member or stop by Registration to set up your My Health Home account. After providing your email address, you will receive an email with a link to the Portal so you can finalize your account.If you did not provide an email address during your hospital stay, you can call our toll-free Help Line at 877-456-9617 or the Hospital Health Information department to verify your identity and provide an email address to receive instructions and set up your account.

It’s easy to use and convenient.The Portal has user-friendly navigation and can be accessed any time from any computer or smartphone with internet connection. Once you set up your account, bookmark the site to make it easy to view, download and share your information. When new information is added, you will receive an email directing you back to your Portal, where the new information will be highlighted. Access My Health Home Patient Portal at www.alliancehealthwoodward.com/alliancehealth-woodward/myhealthhomepatientportal.aspx.