224 Hamburg Turnpike
Wayne, New Jersey 07470
973-942-6900
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224 Hamburg Turnpike Wayne, New Jersey 07470 973-942-6900 |
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Last update: 05/06/2008 |
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Health Insurance Portability and
Accountability Act
What to Expect During Your Hospital Stay
Admitting Procedures If you are going to be admitted to the hospital, please bring your insurance card and another form of identification. If your primary insurance carrier is an HMO or commercial insurance company, or if you are a Medicare patient who has enrolled in a Medicare/HMO program, it is important to know your policy and if your insurance company will allow you to be admitted to St. Joseph’s Wayne Hospital. Every policy is different. Some carriers may require you to pre-certify your admission (to notify or receive approval) before a planned admission or within 24 hours after an unexpected admission.
Upon admission to the hospital, you will be given a room assignment. Most patient rooms are semiprivate (two patients per room); however, a limited number of private rooms are available. If you would like a private room, your request should be made one day prior to admission; a cash deposit will be required. For further information, please call 973-956-3315.
Television Television service can be requested by dialing Ext. 3760 or by asking your nurse. A representative from TV Rental Co. will visit your room daily. If you have any problems regarding your television that cannot be resolved with your TV rental representative, please contact the Communications Department at 973-956-3759.
Telephone If you did not request telephone service upon admission, ask your nurse for a telephone authorization form. Service will be provided as soon as possible. Public telephones are located on each patient floor, near the Information Desk, and in the Emergency Department lobby.
Special Needs It is our policy to respect the rights and interests of disabled individuals and anyone with special needs to ensure accessibility to all hospital services. Equipment such as telephone amplifiers, telephone touch-tone devices for the deaf; and assistive devices for activities of daily living are available at no cost. Translators to serve non-English speaking patients and to provide sign language for deaf and hearing-impaired patients are also provided.
Surgical Information If you are scheduled for surgery, the anesthesiologist assigned to your care will discuss anesthetic management with you and will review your chart to be certain you are properly prepared. Your nurse will also explain the steps involved in preparing for surgery.
Food and Nutrition Services We provide nutritious, high quality meals to all patients. All meals are consistent with any dietary restrictions that may have been ordered by your physician as part of your treatment. These restrictions may change during your stay due to changes in your physical condition, preparation for testing or medical procedures, or as a result of such testing and procedures. Consequently you may find that the selections you make may be changed to comply with your doctor’s orders.
Each morning, a menu will be presented on your breakfast tray for you to select for the following day’s meals. A dietary representative will visit you to collect your completed menu. Guest trays are available for a nominal fee. To select today’s menu, alter your menu selections, or order a guests tray, please dial Ext. 4308 to speak to a dietary representative.
Clinical Nutrition Services Clinical nutritionists are available to develop an individualized diet plan in accordance with your prescribed diet, taking into consideration your medical condition, personal nutrition history, and ethnic/religious food preferences. Nutrition counseling services may be provided to you and your family members either as an inpatient or outpatient. If you would like to speak to a clinical nutritionist, please dial Ext. 3308.
Wishing Well Boutique The Boutique at St. Joseph’s Wayne Hospital is open Monday through Friday from 9:00 am to 3 pm. Newspapers, magazines, toiletries, flowers and other items may be purchased by calling the Boutique at 973-942-3346, Ext. 4190, or from a volunteer who visits your room.
Mail Services Incoming mail is delivered to your room daily by a volunteer. Outgoing mail may also be given to a volunteer. Mail received after you are discharged will be forwarded to your home address.
Nursing Care
Patient Education St. Joseph’s Wayne Hospital is pleased to have on staff a nurse educator who is available to patients in need of one-on-one instruction or additional information about their illness. With a special emphasis on diabetes, the nurse educator is an excellent resource for both inpatients and outpatients. For further information, call 973-956-3351 or ask your staff nurse.
Safety Precautions
The Health Care Team/Universal Precautions Physicians representing a wide range of medical specialties work closely with nursing and support staff to provide you and your family with the most professional, compassionate care possible.
Experienced registered nurses and licensed practical nurses staff each unit around the clock, assessing patient needs and planning nursing care from admission to discharge.
Other key staff include social workers; physical, occupational and speech therapists; pharmacists; dieticians; and mental health professionals.
You may notice that some of our staff wears protective gowns, masks, eyewear and aprons during certain procedures. St. Joseph’s Wayne Hospital practices “Universal Precautions” formulated by the Centers for Disease Control and Prevention. These precautions are designed to prevent the spread of germs and disease to the greatest extent possible.
Organ and Tissue Donations Upon entering St. Joseph’s Wayne Hospital, you will be asked if you are currently- or wish to become- a potential organ donor. We are required by law to make the inquiry and provide information about organ donation and availability. The concept of organ and tissue donation deserves thoughtful consideration-one donor can change the lives of as many as 75 individuals.
Discharge Planning
Why So Early, Why So Fast?: Today, federal health care regulations require that hospitals initiate early and appropriate discharge planning. The earlier your discharge plans are discussed, the more likely it is that you will be able to have everything in place when your doctor is ready to discharge you from the hospital. If you and your doctor agree that you should move onto the next level of care, plans will be initiated at a convalescent center, such as a nursing home, subacute care center, or rehabilitation center. Regardless of whether you will require short-term or extended care, appropriate planning and paperwork are essential.
Federal health care regulations require that your case manager/social worker be able to document that specific discharge plans are being made. This is particularly true if you require a “level of care” change, which means that your continued recovery no longer requires that you remain hospitalized.
St. Joseph’s Wayne Hospital is an acute care facility. Your insurance will only cover care if your treatment meets pre-established medical criteria. Your insurance company will not cover your inpatient hospital stay and will deny payment if the care you are receiving is not acute care and could have been received in another setting, such as at home or in a nursing home.
Your case manager/social worker is in contact with your insurance company every day and will be able to tell you what care; treatment and medications are covered or not covered by your insurance. If you have questions or concerns, please call 973- 956-3707 to speak with your case manager.
Payment Information If you have Medicare or Medicaid, your rate is based on a system called Diagnosis-Related Groups (DRG’s). All other types of insurance, if applicable, are based on the hospital’s charges or on negotiated discounts with your insurance company.
If your are covered by an HMO, managed care or other insurance plan, your insurance company will automatically be billed on your behalf, provided you submitted the necessary information before you were admitted. Within 60 days, you will receive an itemized statement indicating the amount your insurance company has paid and, if applicable, the remaining balance to be paid by you.
Please keep in mind that you will receive separate statements for most services. For instance, you will receive separate bills for use of the hospital facilities in addition to the professional service fee of the physician. Other tests that may be billed separately include x-rays, laboratory, cardiology and consulting physicians; such services are provided by independent physicians who are not employees of the hospital.
You have the right to receive all the hospital care that is necessary for the proper diagnosis and treatment of your illness or injury. According to federal law, your discharge date must be determined solely by your medical needs-not by DRG’s or Medicare payments.
You will be asked to sign a “Consent for Appeal” form prior to services being rendered. This will enable St. Joseph’s Wayne Hospital to appeal the insurer’s decision regarding reimbursement.
If you have concerns or questions, please bring them to the attention of your social worker/case manager. The Case Management Department can be reached at 973-956-3707. The Patient Accounts Department can be reached at 973-956-3313.
Your Rights and Responsibilities One of the first things we encourage you to do is familiarize yourself with the Patient Bill of Rights and Responsibilities. These rights apply to all patients, including adults, minors, older adults and newborns. As a patient of St. Joseph’s Wayne Hospital, you are entitled to be informed about your medical condition and treatment, to consent to or refuse care, and to prepare an Advance Directive (living will) indicating the kind of medical care you want if you become unable to decide for yourself. Throughout your stay at St. Joseph’s Wayne Hospital, the Patient Advocate is available to assist you and your family with any questions or concerns you may have.
For help with decisions regarding life support, care at the end of life, or other bioethical issues, you may ask the Patient Advocate to arrange a meeting with our Bioethics Committee. This committee is comprised of hospital personnel and community representatives who are available to review patients’ or families bioethical concerns and offer other recommendations.
You also have the right to file a written complaint against a hospital, either with the hospital or with the Department of Health, for failure to comply with the provisions listed in the Patient Rights and Responsibilities. The department’s address is: Complaint Program, Division of Health Facilities Evaluation, CN 367, Trenton, NJ 08625-0367. The hospital or Department of Health, as appropriate, will investigate a written complaint. The Department of Health will investigate a written complaint filed with the department and report its findings to the hospital and to the patient. If you have any questions concerning your rights as a patient, contact St. Joseph’s Wayne Hospital Department of Patient Satisfaction at 973-956-3735.
Resolving Complaints:
Advance Directives All New Jersey hospitals and nursing homes re required by law to ask patients, upon admission, if they have an Advance Directive—a living will or durable power of attorney for health care. The law is in compliance with the federal Patient Self-Determination Act of 1990.
An Advance Directive is a legally recognized document that clearly states a person’s preferences for medical treatment in life sustaining matters. It speaks for the patient should that individual become incapable of making or voicing health care decisions in accepting or refusing treatment. Individuals do not need an attorney or physician to complete a living will, but the document must be witnessed by two adults. For additional Advance Directive information, please contact Patient Satisfaction at 973-956-3735.
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Copyright © [2001] [St. Joseph's Wayne Hospital] |
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