Patient Resources

Health Education Health Information Management Patient Rights Notice of Privacy Practices Safety and Security Guidelines Patient Shuttle Service Nondiscrimination & Language Services

Health Education

All patients are encouraged to take full advantage of the resources and tools offered by Aultman Alliance Community Hospital. A nonprofit hospital focused on delivering high-quality medical services close to home.

Health education is an important part of the recovery process and prevention of future illness. The Health Caring Resource Center is located on the first floor next to the gift shop.

Health Educators

Health educators provide information to assist patients in making positive lifestyle changes or learning new skills, providing instructions to assist patients and their families with the transition from the hospital back to the home. The educational services department coordinates a community education program for diabetes and continued education for employees and physicians.

The mission of the Educational Services Department at Aultman Alliance is to help patients achieve their highest level of wellness and independence.
We meet the goals of our mission through a series of education services such as:

certified diabetes education program
Health Caring Resource Center
individualized patient education
community support groups
community seminars
training center for American Heart Association

The vision of the Educational Services Department is to support the goal of developing the best people by enhancing the abilities of staff members and responding to their educational needs.
We accomplish this goal through:

orientation program
assuring competency of existing staff
providing educational resources
continued education opportunities
embracing Planetree philosophy

To contact the Educational Services Department, call 330-596-7888.

Health Information Management

Copies of your medical records can be obtained for personal use or sent directly to a physician. There is a nominal charge for personal use, though medical records sent directly to a physician are free of charge.

Obtain Your Medical Records

To obtain copies of your medical records, contact the Medical Records Department at Aultman Alliance Community Hospital at 330-596-7160. If you need X-ray films, please call 330-596-7700.

Patient Rights

While you are a patient at Aultman Alliance Community Hospital , you and/or your representative have the right to exercise your rights without coercion , discrimination, or retaliation.

AS A PATIENT YOU (OR YOUR REPRESENTATIVE) HAVE THE RIGHT TO:

Have access to treatment that is medically indicated and available here, or at another facility if we do not offer the service, regardless of race, religion, sex, sexual orientation, ethnicity, age, handicap, or nature of source of payment.

Participate in the development and implementation of your plan of care;
His or her representative ( as allowed under state law) has the right to make informed decisions regarding his or her care. This includes being informed of your health status, being involved in care planning and treatment, and being able to request or refuse treatment. This must not be construed as a mechanism to demand provision of treatment or services deemed medically unnecessary or inappropriate;
Formulate advance directives and to have hospital staff and practitioners, who provide care in the hospital, comply with these directives, in accordance with 489.100 of 42 CFR 489.100, 489.102 of 42 CPR 489.102, and 489.104 of 42CFR 489.104.
Have a family member or representative of your choice and your own physician notified promptly of your admission to the hospital;
Personal privacy;
Receive care in a safe setting;
Be free from all forms of abuse or harassment;
Confidentiality of your clinical records;
Access information contained in your clinical records within a reasonable time frame. The hospital must not frustrate the legitimate efforts of individuals to gain access to their own medical records and must actively seek to meet these requests as quickly as its record keeping system permits ;
Be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff;
Be fully informed of and consent to or refuse to participate in any unusual, experimental, or research project without compromising your access to service;
Know the professional status of any person providing your care/serv ices;
Know the reasons for any proposed change in the Professional Staff responsible for your care;
Know the reasons for your transfer within or outside the hospital;
Know the relationship(s) of the hospital to other persons or organizations participating in your care;
Access to the cost, itemized when possible, of services rendered within a reasonable period of time;
Be informed of the source of the hospital's reimbursement for your services, and of any limitations which may be placed upon your care;
Be informed of the right to have pain treated as effectively as possible;
Have any visitors of your choosing, including but not limited to a spouse, a domestic partner (including a same sex domestic partner), another family member, or a friend. Likewise, you may refuse to consent to any person visiting you, or may withdraw consent to a person visiting you at any time. You may designate a "Support Person" to exercise your visitation rights if you are unable to do so yourself. The hospital will not restrict, limit, or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, or disability, nor will it permit anyone else, including your Support Person, to do so. All visitors will enjoy full and equal visitation privileges consistent with your preferences. The hospital may apply reasonable clinical restrictions and other limitations on visitation based upon, but not limited solely to any of the following :
- A court order limiting or restricting contact;
- A visitor's behavior presenting a direct risk or threat to you, hospital staff, or others;
- A visitor behavior that is disruptive to the functioning of the patient care area;
- Your risk of infection by the visitor;
- The visitor 's risk of infection by you;
- Your need for privacy or rest;
- The need of privacy or rest by your roommate;
- Any special restrictions that might apply in a special care unit; and when visitation might otherwise interfere with your care or that of another patient.
The patient's family has the right of informed consent for donation of organs and tissues.
Be notified of his or her rights in a language or manner that the patient can understand:
Know whom to contact with a grievance and have prompt resolution of any and all grievances:

YOUR RESPONSIBILITIES AS A PATIENT ARE TO:

Provide complete and accurate information about your past , present, and developing health conditions;
Discuss pain relief with your doctors and nurses and ask for pain relief when pain begins or if your pain has not been relieved;
Follow the treatment plan recommended by your physician and be accountable for your actions if you refuse treatment or do not follow instructions;
Be considerate of the property and rights of other patients and hospital colleagues, treating them with courtesy and respect , and be responsible for your own belongings; and
Assure prompt fulfillment of financial obligations related to your health care.

To let us know about a concern, complaint or grievance contact:

Quality Services Department
Aultman Alliance Community Hospital
200 East State Street Alliance, Ohio 44601
330-596-7154 (7154 from a patient phone)

You may also contact one of the following to express your concern:

Ohio Department of Health
246 North High Street
Columbus, Ohio 43215
1-800-342-0553
Email: HCComplaints@odh.ohio.gov

LivantaLLC
BFCC-QIO Program
10820 Guilford Road, Suite 202
Annapolis Junction, MD 20701-1105
1-888-524-9900
TTY 1-888-985-8775

Psychiatric: Disability Rights Ohio
200 Civic Center Drive, Suite 300
Columbus, Ohio 43215
614-466-7264
1-800-282-9181 (Toll free in Ohio only)

Notice of Privacy Practices

Aultman is committed to protecting our patients’ confidential information. Aultman maintains compliance with the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all other federal, state and local laws to ensure the privacy and security of an individual’s protected health information.

As part of HIPAA requirements all new patients seeing their health care provider upon their initial visits will receive a copy of our Notice of Privacy Practices. This notice describes how we may use information about you within Aultman and how we may disclose it to others outside Aultman. This notice also describes your privacy rights as a patient. Please review it carefully, and let us know if you have questions.

Notice of Privacy Practices

Contact Aultman's Privacy Officer

If you have questions or concerns regarding your privacy or would like to file a breach of confidentiality complaint, you may contact our Compliance Department at:

Call: 330-363-3380
Email: compliance@aultman.com
Mailing Address:
Aultman Health System
Compliance Department
Attn: Privacy Officer
2600 Sixth St. SW
Canton, Ohio 44710

Regular business hours Monday - Friday, 8:30 a.m. to 5 p.m. After hours, please leave a message and your call will be returned.

Safety and Security Guidelines

The safety and security of all Aultman Alliance Community Hospital visitors and patients is important to us. Safety and security are crucial in providing the best care close to home.

We recommend that you follow these safety and security guidelines.

While in your room, if you need assistance, please do not hesitate to use the nurse call button. Side rails are on your bed for your protection, and your nurse will advise you when they should remain in the upright position. Remember to keep your bed in a lowered position when you are getting in and out of it. For your safety, the Engineering Department, prior to use, must inspect personal electrical items such as blow dryers and curling irons.

Notify your nurse if you have an electrical item you would like to use during your hospital stay. Valuables such as large amounts of money, credit cards and jewelry should be left at home or stored in the Hospital safe. The Hospital is not responsible for any belongings not stored in the Hospital safe. Smoking is not permitted anywhere on the Hospital campus.

Patient Shuttle Service

We offer a Shuttle Service to patients in the city limits of Alliance to make sure you can get to your appointments. We realize that not every patient has access to reliable transportation.

Shuttle Service

We offer a shuttle service to patients in the city limits of Alliance to make sure you can get to your appointments. If you don't have a way of getting to the hospital on your own, you do not have to cancel your appointment, instead call our Shuttle Service.

Aultman Alliance Community Hospital started the Shuttle Service to help fill the gap in transportation services when taxi services in town closed down. The Shuttle Service provides round-trip transportation from a patient's home to a hospital department, as long as both are within Alliance city limits. The Shuttle Service is available weekdays from 7 a.m. - 3:30 p.m. Advanced notice must be given at least 24 hours prior to the time of appointment. Patients must be self sufficient or have an aide. Family members must accompany patients under the age of 16.

For more information or to call and schedule an appointment, call the Aultman Alliance Health Partners Shuttle Service line at 330-596-7133.

Nondiscrimination & Language Services

DISCRIMINATION IS AGAINST THE LAW

Aultman Health System complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Aultman Health System does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

Aultman Health System

Provides people with disabilities reasonable modification and free appropriate auxiliary aids and services to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audit, accessible electronic formats, other formats)
Provides free language assistance services to people whose primary language is not English, which may include:
- Qualified interpreters
- Information written in other languages

If you need reasonable modification, appropriate auxiliary aids and services or language assistance services, contact Patient Relations at 330-363-4992.

If you believe that Aultman Health System has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex you can file a grievance with the Civil Rights Coordinator, by contacting Patient Relations at 2600 Sixth St. SW, Canton, OH 11710, telephone 330-363-4992, fax 330-363-3149, CivilRightsCoordinator@aultman.com. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Patient Relations is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independent Ave. SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019; 1-800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

This notice is available at Aultman Health System websites:
Aultman.org
Aultmanalliance.org
Aultmanorrville.org

Notice of Availability of Language Assistance

English

ATTENTION: If you speak English free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-330-363-4992 (TDD: 711 or 1-800-750-0750) or speak to your provider.

Español (Spanish)

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-330-363-4992 (TDD: 711 or 1-800-750-0750) o hable con su proveedor.

中文 (Chinese)

注意：如果您说[中文]，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 1-330-363-4992（文本电话 711 or 1-800-750-0750）或咨询您的服务提供商。

Deutsch (German)

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-330-363-4992 (TDD: 711 or 1-800-750-0750) an oder sprechen Sie mit Ihrem Provider.

العربية(Arabic)

تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم TDD: 711 or 1-800-750-0750 (1-330-363-4992) أو تحدث إلى مقدم الخدمة.

Deitsch(Pennsylvania Dutch)

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call. 1-330-363-4992 (TDD: 711 or 1-800-750-0750).

РУССКИЙ (Russian)

ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-330-363-4992 (TDD: 711 or 1-800-750-0750) или обратитесь к своему поставщику услуг.

Français (French)

ATTENTION: Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-330-363-4992 (TDD: 711 or 1-800-750-0750) ou parlez à votre fournisseur.

Việt (Vietnamese)

LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-330-363-4992(Người khuyết tật: 711 or 1-800-750-0750) hoặc trao đổi với người cung cấp dịch vụ của bạn.

Cushite/Oromo
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa. 1-330-363-4992 (TDD: 711 or 1-800-750-0750).

한국어 (Korean)

주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-330-363-4992 (TDD: 711 or 1-800-750-0750) 번으로 전화하거나 서비스 제공업체에 문의하십시오.

Italiano (Italian)

ATTENZIONE: se parli Italiano, sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l'1-330-363-4992 (TDD: 711 or 1-800-750-0750) o parla con il tuo fornitore.

日本語 (Japanese)

注：日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。1-330-363-4992（TDD: 711 or 1-800-750-0750）までお電話ください。または、ご利用の事業者にご相談ください。

Nederlands (Dutch)

LET OP: als je Nederlands spreekt, zijn er gratis taalhulpdiensten voor je beschikbaar. Passende hulpmiddelen en diensten om informatie in toegankelijke formaten te verstrekken, zijn ook gratis beschikbaar. Bel 1-330-363-4992 (TDD: 711 or 1-800-750-0750) of spreek met je provider.

українська мова (Ukrainian)

УВАГА: Якщо ви розмовляєте українська мова, вам доступні безкоштовні мовні послуги. Відповідні допоміжні засоби та послуги для надання інформації у доступних форматах також доступні безкоштовно. Зателефонуйте за номером 1-330-363-4992 (TDD: 711 or 1-800-750-0750) або зверніться до свого постачальника.

Română (Romanian)

ATENȚIE: Dacă vorbiți o limbă în afară de engleză, serviciile gratuite de asistență lingvistică sunt disponibile pentru dumneavoastră. Serviciile și ajutoarele auxiliare adecvate pentru a oferi informații în formate accesibile sunt, de asemenea, disponibile gratuit. Sunați la 330-363-4992 sau vorbiți cu furnizorul dumneavoastră.