HospitalInspections.org

Based on medical record review, interview, and policy review, the hospital failed to provide State Agency contact information for 20 of 20 medical records reviewed (Patients #1-20). Failure to inform patients of all contact information for grievance reporting placed patients at risk for not having a place to voice concerns about their care.

Findings include:

- Patient #1's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #2's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #3's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #4's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #5's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #6's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #7's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance..

- Patient #8's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance..

- Patient #9's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #10's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #11's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #12's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #13's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #14's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #15's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #16's closed medical review on 3/7/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #17's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #18's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance..

- Patient #19's closed medical review on 3/6/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.

- Patient #20's closed medical review on 3/8/2017 revealed signed documentation that the patient received the "Patient Bill of Rights" pamphlet at admission. Review of the document received by the patient lacked evidence of contact information for the Kansas Department of Health and Environment to be used if the patient wanted to file a grievance.


Quality Vice President Staff C interviewed on 3/8//2017 at 9:45 am confirmed the Hospital patient's rights handbook that is provided to all patients does not include contact information for the Kansas Department of Health and Environment (KDHE).

Policy review of "Patient Complaint and Grievance Process" on 2/8/2017 directed "...In addition to the internal process, patients receive information on lodging external complaints which includes the Kansas Department of Health and Environment (KDHE) and the Quality Improvement Organization (QIO) if they have a complaint regarding quality of care, insurance coverage, or a premature discharge..."