As a patient at Antelope Valley Hospital, you have the right to:
Be informed of your rights as a patient in advance of,
or when discontinuing, the provision of care. You may
appoint a representative to receive this information if you
Receive Beneficiary Notice of Non‑Coverage and
the right to appeal premature discharge.
Access and accommodation for religious and spiritual
Considerate and respectful care, and to be made
comfortable. You have the right to respect for your
cultural, psychosocial, spiritual and personal values,
beliefs and preferences.
Have a family member (or other representative of your
choosing) and your own physician notified promptly of your
admission to the hospital.
Know the name of the physician who has primary
responsibility for coordinating your care and the names
and professional relationships of other physicians and
non‑physicians who will see you.
Receive information about your health status,
diagnosis, prognosis, course of treatment, prospects
for recovery and outcomes of care (including
unanticipated outcomes) in terms you can understand.
You have the right to effective communication and to
participate in the development and implementation of
your plan of care, including the choice of a Home
Health Agency, Durable Medical Equipment Company or a
Skilled Nursing Facility after discharge. You have the
right to participate in ethical questions that arise in
the course of your care, including issues of conflict
resolution, withholding resuscitative services, and
forgoing or withdrawing life‑sustaining treatment.
Communications that will be effective and provided
in a manner that facilitates understanding. Written
information provided will be appropriate to your age,
understanding and language. If applicable,
communications will be appropriate to your vision,
speech, hearing, cognitive and language‑impairment.
Make decisions regarding medical care and receive as
much information about any proposed treatment or
procedure as you may need in order to give informed
consent or to refuse a course of treatment. Except in
emergencies, this information shall include a
description of the procedure or treatment, the
medically significant risks involved, alternate
courses of treatment or non‑treatment and the
risks involved in each, and the name of the person who
will carry out the procedure or treatment.
Request or refuse treatment, to the extent permitted by
law. However, you do not have the right to demand
inappropriate or medically unnecessary treatment or
services. You have the right to leave the hospital even
against the advice of physicians, to the extent
permitted by law.
Access to protective and advocacy services or have
these services accessed on your behalf.
Be advised if the hospital/personal physician proposes
to engage in or perform human experimentation
affecting your care or treatment. You have the right
to refuse to participate in such research projects.
Reasonable responses to any reasonable requests made
Appropriate assessment and management of your pain,
information about pain, pain relief measures and to
participate in pain management decisions. You may
request or reject the use of any or all modalities to
relieve pain, including opiate medication, if you
suffer from severe chronic intractable pain. The
doctor may refuse to prescribe the opiate medication,
but if so, must inform you that there are physicians
who specialize in the treatment of severe chronic pain
with methods that include the use of opiates.
Formulate advance directives. This includes designating
a decision maker if you become incapable of
understanding a proposed treatment or become unable to
communicate your wishes regarding care. Hospital staff
and practitioners who provide care in the hospital
shall comply with these directives. All patients’
rights apply to the person who has legal responsibility
to make decisions regarding medical care on your behalf.
Have personal privacy respected. Case discussion,
consultation, examination and treatment are
confidential and should be conducted discreetly. You
have the right to be told the reason for the presence
of any individual. You have the right to have visitors
leave prior to an examination and when treatment issues
are being discussed. Privacy curtains will be used in
Confidential treatment of all communications and records
pertaining to your care and stay in the hospital. You
will receive a separate “Notice of Privacy Practices”
that explains your privacy rights in detail and how we
may use and disclose your protected health information.
Obtain information on disclosure of protected
health information, in accordance with federal
and state law.
Access information contained in your medical
record within a reasonable time frame (usually
within 48 hours of a request)
Receive care in a safe setting, free from mental,
physical, sexual or verbal abuse and neglect,
exploitation or harassment. You have the right to
access protective and advocacy services including
notifying government agencies of neglect or abuse.
Be free from restraints and seclusion of any form used
as a means of coercion, discipline, convenience or
retaliation by staff.
Reasonable continuity of care and to know in advance
the time and location of appointments as well as the
identity of the persons providing the care.
Be informed by the physician, or a delegate of the
physician, of continuing healthcare requirements and
options following discharge from the hospital. You have
the right to be involved in the development and
implementation of your discharge plan, including your
choice of a Home Health Agency, Durable Medical
Equipment Company or a Skilled Nursing Facility. Upon
your request, a friend or family member may be provided
this information also.
Know which hospital rules and policies apply to your
conduct while a patient.
Designate visitors of your choosing, if you have
decision‑making capacity, whether or not the visitor
is related by blood or marriage, unless:
No visitors are allowed.
The facility reasonably determines that the
presence of a particular visitor would endanger the
health or safety of a patient, a member of the
health facility staff or other visitor to the
health facility, or would significantly disrupt the
operations of the facility.
You have told the health facility staff that you no
longer want a particular person to visit.
However, a health facility may establish reasonable
restrictions upon visitation, including restrictions upon
the hours of visitation and number of visitors.
Have your wishes considered, if you lack
decision‑making capacity, for the purposes of
determining who may visit. At a minimum, the hospital
shall include any persons living in your household.
Examine and receive an explanation of the hospital’s
bill regardless of the source of payment.
Exercise these rights without regard to sex, race,
color, religion, ancestry, national origin, age,
disability, medical condition, marital status, sexual
orientation, educational background, economic status or
the source of payment for care.
File a grievance. If you want to file a grievance with
this hospital, you may do so by writing to the
Patient and Guest Relations Department
Antelope Valley Hospital
1600 West Avenue J Lancaster, CA 93534
or by calling 661‑949‑5650.
The Patient Grievance Committee will review each
grievance and provide you with a written response
within thirty business days. If the grievance cannot be
resolved or completed within 30 days, the hospital will
inform the patient or the patient’s representative that
the hospital is still working to resolve the grievance.
The written response will contain the name of a person
to contact at the hospital, the steps taken to
investigate the grievance, the results of the grievance
process and the date of completion of the grievance
process. Concerns regarding quality of care or
premature discharge will also be referred to the
appropriate Utilization and Quality Improvement
Organization (QIO). A grievance committee reviews and
monitors all grievances.
File a complaint with the State Department of Public
Health regardless of whether you use the hospital’s
grievance process. Contact information is:
Los Angeles County Department of Public Health
Health Facility Inspection Unit
Acute and Ancillary Division
3400 Aerojet Avenue, Suite 323
El Monte, CA 91731
Phone: 800‑228‑1019 or 626‑569‑3724
If you have a concern you would like to express to The
Joint Commission, you can contact them at:
The Joint Commission Office of Quality Monitoring
One Renaissance Boulevard
Fax: 630‑792‑5636 Email Website
File a complaint with the Centers for Medicare &
Medicaid Services (CMS), Division of Laboratory
Services (CLIA). When you have a specific concern about
our laboratory operations, contact them at
877‑267‑2323 ext. 63531.