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MDH Online Patient Guide

  • Your Arrival

    Persons who are checking in to Meade District Hospital for either outpatient or inpatient services should use the hospital’s main entrance. Registration representatives are available Monday through Friday from 7 am – 5:30 pm. After hours, you may enter through the ER doors and check in at the nurse’s station.

  • Information We Will Need From You

    You will need to arrive 20 minutes before your appointment for an admission interview. The information we will gather is important for the accuracy of your medical record as well as billing the appropriate insurance plan. Please give us your full legal name (not nickname), date of birth, mailing address and telephone number. We will need to make a copy of your driver’s license and your Medicare, Medicaid or insurance cards. We also will request your social security number and any other special authorizations required by your insurance carrier. You will be asked to give accident information if your visit is covered by a liability or worker’s compensation insurance. You will be asked if you have an advance directive or Durable Power of Attorney for Healthcare. If you do, please bring it with you to registration if one is not already on file in the MDH medical records department.

  • Visitors

    Official visiting hours are 2:00 PM – 4:00 PM and 7:00 PM – 8:30 PM. Family members of patients are welcome to stay as needed or desired by the patient. It is important that visitors respect the patient’s need for rest during recovery. When a particular patient needs extra care, we may set limits on who may visit and for how long. Visitation may be restricted throughout the hospital at certain times such as flu season.

    Visitation Tips:

    • To find a patient’s room assignment, ask someone at the Information Desk in the front lobby or nurses’ station.
    • Always knock and use the sanitizing hand rub before entering the patient’s room.
    • Avoid visiting before 10 am when patients may be busy with daily treatment activities or with their doctors.
    • After 8 pm, we request a quiet environment. On weekends, holidays and after 5:30 pm visitors should enter through the emergency department entrance, as outside doors will be locked.
    • Do not visit if you have a cold or other contagious conditions.
    • For the health and safety of your children, please check with the nurse in charge of the unit before bringing children under 12 years old to the patient care areas of the hospital.
  • Animal Visitations

    This information applies to all ADA service animals, volunteer therapeutic visitation dogs and personal pets brought onto any AVHS facility, including physician offices and clinics.

    The following information and procedures are to promote the physical and mental health of our patients with accommodation of service animals, volunteer dog visitations, and personal pet visitation. Our goal is to provide a safe environment, that provides adequate precautions against transmission of infections, reduces unnecessary exposures to allergens and reduces risk of adverse encounters of animals with patient, visitors and staff.

    Our facilities accommodate service animals, volunteer dog visitation, and personal pet visitation under the following circumstances. The pet handler is responsible for and in control of the pet at all times while on campus. The handler is responsible for providing water and elimination needs. Only dogs will be allowed in facilities. Exotic pets such as reptiles, birds and non-human primates (monkeys) will not be allowed due to the numerous diseases they can carry. Other animals will be evaluated on a case by case basis.

    Animals are prohibited from the following areas:
    a. Cafeteria (exception: ADA Service Dogs)
    b. Isolation room
    c. Food preparation, storage and laundry areas
    d. Drug preparation areas, sterile/clean supply room
    e. Linen storage and laundry areas
    f. Areas where soiled/contaminated materials are stored
    g. Surgical/procedure areas
    h. Diagnostic and treatment areas, e.g., lab, x-ray, outpatient areas, etc. (exception ADA Service Dogs)

     

    ADA Service Animals:

    Beginning on March 15th, 2011 only dogs are recognized as service animals under titles II and III of the ADA. A service animal is a dog that is individually trained to do work or perform tasks for a person with a disability, including a physical, sensory, psychiatric, intellectual or mental disability.

    Under the ADA, service animals must be harnessed, leashed, or tethered, unless these devices interfere with the service animal’s work or the individual’s disability prevents using these devices. In that case, the individual must maintain control of the animal through voice, signal, or other effective controls.

    The owner of the service animal may be asked to remove his or her animal from the premises if the dog is out of control and the handler does not take affective action to control it or the dog is not housebroken.

     

    Volunteer Therapeutic Visitation Dogs:

    The following will need to be confirmed prior to the volunteer therapeutic visitation dog serving.
    a. The dog has been certified (registered) by a nationally recognized volunteer therapeutic visitation dog program or the facilities own behavioral testing conducted by an independent State of Kansas licensed veterinarian.
    b. The handler of the dog has been accepted as a volunteer for the facility.
    c. All dogs proposed as participants in the program will be screened for health, required vaccinations and behavior.
    d. Each volunteer therapeutic visitation dog must have a veterinarian-clinic-patient relationship with a doctor who is currently licensed in the States of Kansas.
    e. The facility has on file individual records for the volunteer therapeutic visitation dog, which include all documentation for certification, behavioral testing and vaccinations.
    f. While Visiting Patient’s Rooms:

    i. Handlers will be responsible to keep the scheduled assigned hours.
    ii. Check in at the nurse’s station for information on patients who should not be visited, or for those with specific needs.
    iii. Respect all assigns of patients in isolation. Do not visit these rooms for the protection of the animal and the patient.
    iv. Knock before entering any room. Hear an invitation to enter before going in. Introduce yourself and the volunteer therapeutic visitation dog.
    v. Report any problems resulting from the visit to the nursing staff. Notify the Infection Control Director or the Administrator of the facility in his/her absence for further instructions.

    AVHS Therapy Dog Visitation Forms

     

    Personal Pet Visitations:

    Personal pet visitation is a source of comfort to patients and will be permitted using the following guidelines.
    a. Approved personal pets are allowed to visit at the discretion of the care provider team which includes but not limited to the attending Physician, the assigned nursing staff which includes Infection Control as appropriate.
    b. Visits are limited to the patient’s room only. The handler will allow the animal to interact only with the patient.
    c. Pets should be freshly bathed and in a pet carrier or under control of the handler.
    d. If a private room is not available, and there is another patient in the room, the roommate must consent to the visit.
    e. Pet handler may be asked to remove animal at any time or limit visits if the nursing staff deems necessary.
    f. Caution must be used to make sure the animal does not lick or come in contact with the patient’s non-intact skin (surgical sites, drainage tubes, wounds).

    Approval for Animal Visitation Form

     

    PROCEDURE FOR ALL ANIMAL VISITS:

    a. Contact the Infection Control Manager or the Administrator in his/her absence before animals enter the premises.
    b. The handler will make sure that before the visit:

    a. The animal should have been bathed within the past 22 hours and is completely dry.
    b. The handler should be able to provide the animal’s proof of vaccination on request.

    c. The handler is responsible for cleaning up any elimination mishaps the dog has while on AVHS property, inside or out. Use baggies when outside or gloves to pick up stool and tie off glove or bag and dispose in an outdoor waste receptacle.
    d. Use caution for patients who have wounds and dermatitis when having contact with an animal.
    e. If allowed in the bed, place a barrier between the patient’s linen and the animal’s coat.
    f. Never leave animal alone with the patient.
    g. Do not permit animal to come in contact with another patient or staff member without that person’s permission.
    h. Practice appropriate hand hygiene after handling animal. Wash hands with soap and water if appropriate.
    i. In case of an incident (animal bite, scratch, etc.), notify the healthcare staff to include the Administrator and Infection Control.

     

    DEFINITIONS:
    1. Service Animal: Dogs that are individually trained to do work or perform tasks for people with disabilities. Examples of such work or tasks include guiding people who are blind, alerting people who are deaf, pulling a wheelchair, alerting and protecting a person who is having a seizure, reminding a person with mental illness to take prescribed medication, calming a person with Post Traumatic Stress Disorder (PTSD) during an anxiety attack, or performing other duties. Service animals are working animals, not pets. The work or task a dog has been trained to provide must be directly related to the person’s disability. Dogs whose sole function is to provide comfort or emotional support DO NOT qualify as service animals under the ADA. This definition does not affect or limit the broader definition of “assistance animal” under the Fair Housing Act or the broader definition of “service animal” under the Air Carrier Access Act. Some State and local laws can be obtained from the State Attorney General’s office.
    2. Therapeutic Visitation Dog: These dogs are household pets whose handlers take time to visit hospitals. Nursing homes, detention facilities, and rehabilitation facilities. Visitation dogs help people who have to be away from home due to mental or physical illness or court order. These people miss their pets, and a visit from a visitation dog can brighten the day, lift spirits, and help motivate them in their therapy or treatment with the goal of going home to see their own pets.
    3. Personal Pet: A patient’s personal pet.

     

    REFERENCES AND SOURCES OF EVIDENCE:
    1. American Disabilities action of 1990 – 222.aqda.gov
    2. ADA 2010, Revised Requirements: Service Animals. http://www.ads.gov/service_animals_2010.htm
    3. APIC Text of Infection Control and Epidemiology, 4th edition.
    4. Guidelines for Environmental Infection control in Health Care Facilities, Recommendations of CDC and the Healthcare Infection control Practices Advisory Committee (HICPAC)- US Department of Health and Human Services, CDC 2003.
    5. www.therapydogs.org/library/articles/119
    6. The Joint Commission
    7. Center for Medicaid and Medicare Services
    8. www.kdheks.gov/bhfr/download/Hospital Regulations Nov2001pdf

  • Cafeteria and Vending Machines

    Cafeteria: Visitors are welcome to dine in the cafeteria. It is located just past the main lobby on the right and is open from 6 am – 7 pm. The dining hall is always open and has coffee, tea and water.

    Meal times are as follows:

    Breakfast  7:30 – 9:30 AM priced per item

    Lunch  11:30 – 1:00 PM $6.00 meal

    Dinner  5:30 – 6:30 PM $6.00 meal

     

    If you are staying with a patient, guest meal trays may be purchased in the cafeteria.

    Soft drink and snack machines are available just off the main lobby.

  • Patient Billing Services

    MDH recognizes its responsibility to render necessary acute hospital care to all persons in need of such care, regardless of race, creed or economic circumstances. However, we also have a responsibility to the community of maintaining a financially viable institution. This responsibility can only be accomplished through the payment of all accounts in a timely manner. Our patient counselors are here to verify your insurance coverage and to assist the nurse case manager with your pre-authorization requirements. They can help you to understand your potential financial responsibility for hospital services.

  • General Billing Procedures

    Your bill represents the charges for the services you received during your hospital visit. For inpatient care, the daily rate includes bed occupancy, meals and nursing care. In addition to the daily rate, your bill reflects charges for laboratory tests, x-rays, medications, use of the operating room and any other tests, procedures or supplies your doctor may have ordered. You will receive a statement that will show the balance due after your insurance has paid. An itemized statement is available upon request. Our business office hours are 7 am – 5:30 pm, Monday through Friday.

  • Separate Billing Statements

    In addition to the hospital bill, patients will receive separate bills from the private doctors, surgeons, and consulting physicians, such as radiologists (x-ray) and pathologists (laboratory). If there are any questions about these bills, the patient should contact the office of the provider from whom the bill has been sent.

  • Insurance Coverage

    The hospital participates with Medicare, Kansas and Oklahoma Medicaid, Tricare, most Commercial Insurance, and Worker’s Compensation. You are responsible for providing insurance information at the time of service. If insurance information is not provided in a timely manner, you may be responsible for the entire bill.  For inpatient, surgical and selected outpatient therapies, procedures, and testing, we will verify that the insurance is in effect at the time of service. The patient or his guarantor is responsible for complying with the insurance company’s requirements, which may include obtaining referral, pre-certification, second opinions and/or ensuring that the hospital belongs to the particular network of managed care providers. MDH will file your primary and any secondary insurance claims.

    Once your insurance has paid, you will receive a statement requesting the remaining balance in full within 30 days. If you cannot make payment in full, please call to work on arrangements for payment. Financial Assistance is available to those who qualify.

  • If you are without insurance coverage

    Our patient representatives will assist you in exploring all possible resources for medical assistance within the community, including welfare and other State and Federal agencies. MDH will accept monthly payments after all other alternative methods of payment have been exhausted. Monthly payments are set according to the current board-approved payment schedule. Personal financial information may be required to set appropriate payment arrangements.

  • Senior Health Insurance Counseling for Kansas (SHICK)

    If you have questions about health insurance for seniors, a free confidential consultation may be arranged. SHICK has trained volunteers to help you with Medicare, questions regarding supplemental insurance, long-term care and other health insurance subjects that concern elder Kansans.

    To find a SHICK counselor in your area call 800-860-5260 or visit https://kdads.ks.gov/commissions/commission-on-aging/medicare-programs/shick

  • Financial Assistance

    Financial assistance may be available to cover emergency or medically necessary services to those who are financially unable to pay. Financial assistance applications area available upon request. The amount of assistance you will receive will depend on:

    • Household income
    • Number of dependents
    • Your assets
    • Qualified medical expenses
  • Patient Rights

    When you are admitted to the hospital, you will be given a copy of the MDH Patient Bill of Rights with your admission papers. It is very important that you understand this information. If you have any questions or need further explanation, please ask.

  • Privacy Practices (HIPAA)

    Follow the link below to review the latest HIPAA information. When you come to the hospital for tests/procedures or admission, you will have a chance to review a paper copy of the MDH Privacy Practices (HIPAA) information. It is very important that you understand this information. If you have any questions or need further explanation, please ask.

     

    https://avhealthsystem.com/home-style-5/notice-of-privacy-practices/

  • Minors (age 17 and under)

    Parents who want a caregiver to bring their children to MDH for treatment or who want children of driving age to present for tests on their own, must make prior arrangements with us to authorize consent for treatment and billing. In the event of a potentially life-threatening emergency, minors will receive treatment as directed by the physician.

  • When Your Child is a Patient

    We ask that all children under 12 years of age be accompanied at all times by a parent or an adult who has the parent’s written consent to authorize treatment for the child.

  • Important Medical Information

    1. Hand washing is the number one method of germ control. The importance of good hand washing cannot be stressed enough. It is especially important during a hospital visit that you utilize good hand washing to prevent the spread of infection.

    2. Infection control is a very important aspect of care within our facility. It is our goal to protect patients as well as families and visitors. There may be occasions when you see an isolation notice on a patient room door. It will have specific instructions available so that you will know exactly how to prepare yourself before entering the patient’s room. Any questions that you have will be answered as completely as possible, understanding that patient confidentiality is our number one priority.

  • Communication Information to Persons with Language Needs

    If you do not speak English, follow this link for information regarding how we can assist you.

    Translation

  • Student Teaching

    Because we understand the importance of education in the medical field, we are proud to be affiliated with local educational institutions in providing a clinical environment in which students can work and learn. You may have contact with practical nursing students, registered nursing students or medical (physician) students. A licensed professional supervises students at all times.

  • Patient Opinion Survey

    It is our goal to achieve patient and family satisfaction. Following your inpatient visit at MDH, you may be asked your opinion of the services and care you have received. You may also be asked for your suggestion on areas that we may need to improve. Please give us your honest input and suggestions so that we may continue to work to improve the services that we provide.

  • Patient and Family Relations

    Our goal is to provide quality patient care as well as patient satisfaction. Every employee at MDH is involved in this process. We will ask for your feedback, input and suggestions regarding what we could do to make your stay more pleasant and better meet your individual needs.

  • Patient Education

    We believe in the importance of educating our patients and their families. We provide written information regarding individual diagnosis, complications and preventative care. It is our goal to provide as much education as possible in order to improve our patient’s quality of life.

  • Going Home

    Upon discharge, patients will receive a copy of their discharge instructions, which will include medication dosages and times and any other treatments or instructions. Our discharge planner will assist you with any medical equipment needed in the home or with any type of home health follow-up.