<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".36" citation="COMAR 10.07.01.36" title_num="10" subtitle_num="07" chapter_num="01" heading="Patient Rights.">
  <paragraph num="A.">
    <text>A hospital shall develop a listing of the rights of patients that is consistent with the requirements of:</text>
    <paragraph num="(1)">
      <text>The Joint Commission;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Health-General Article, §19-342, Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>42 CFR §482.13.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The hospital’s patient rights shall at minimum address:</text>
    <paragraph num="(1)">
      <text>Patient privacy and confidentiality;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Informed decision making and informed consent;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Visitation;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Advance directives;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Access to patient medical records;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Complaint and grievance process;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Freedom from:</text>
      <paragraph num="(a)">
        <text>Physical or mental abuse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Neglect;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Harassment; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Mistreatment;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>A patient’s right to expect and receive appropriate assessment, management, and treatment of pain as an integral component of the patient’s care; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Communication in a manner the patient can understand.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>All patients receiving services at the hospital, have the right to receive written copies of the hospital’s patient rights upon request.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The hospital’s patient rights shall be easily accessible to patients and visitors.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Hospital staff who are responsible for patient care shall:</text>
    <paragraph num="(1)">
      <text>Receive training regarding the hospital’s patient rights; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be able to assist patients and their families to:</text>
      <paragraph num="(a)">
        <text>Access the services of the hospital’s patient advocacy staff;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>File a complaint or grievance; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Obtain a written copy of the hospital’s patient rights documents.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>