Policies

Non-discrimination

As a recipient of Federal financial assistance Skyline Hospital does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, gender, religion, sexual orientation or national origin, or on the basis of disability or age, in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, or in employment therein, whether carried out by Skyline Hospital directly or through a contractor or through any other entity with which Skyline Hospital arranges to carry out its programs and activities. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the US Department of Health and Human Services issued pursuant to these statutes in Title 45, Code of Federal Regulations, Parts 80, 84, and 91.

In case of questions please contact: 509.493.1101 – Brenda Schneider, Section 504 Compliance Coordinator

Patient Non-discrimination

Scope: This policy applies to all members of the Skyline Hospital workforce, including employees, medical staff members, contracted service providers, and volunteers, and to all vendors, representatives, and any other individuals providing services to or on behalf of Skyline Hospital (“Hospital Personnel”).

Purpose: To ensure that all patients and visitors of Skyline Hospital are treated with equality, in a welcoming, non-discriminatory manner, consistent with applicable state and federal law.

Policy: Skyline Hospital is dedicated to providing services to patients and welcoming visitors in a manner that respects, protects, and promotes patient rights. Skyline Hospital will provide equal access to its facilities and services irrespective of age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, association, veteran or military status, or any other basis prohibited by federal, state, or local law.  Equal access includes physical accommodations for disabled persons, nondiscriminatory delivery of benefits, and reasonable aid in accessing electronic health programs.

Procedure:

  1. Nondiscrimination. Hospital Personnel will treat all patients and visitors receiving services from or participating in other programs of Skyline Hospital and its affiliated clinics with equality in a welcoming manner that is free from discrimination based on age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, association,  veteran or military status, or any other basis prohibited by federal, state, or local law.
  2. Notice. Hospital Personnel will provide notices to patients regarding this Nondiscrimination Policy and Skyline Hospital’s commitment to providing access to and provisions of services in a welcoming, nondiscriminatory manner.  Skyline Hospital will provide notices pursuant to Section 1157 of the Patient Protection and Affordable Care Act.
  3. Reasonable Accommodations. Hospital personnel will inform patients of the availability of and make reasonable accommodations for patients consistent with federal and state requirements. This includes, for example, informing patients of the right to appropriate auxiliary aids and services such as qualified language interpreters for non-English speaking patient’s and sign language interpreters for hearing-impaired patient’s and how to obtain these aids and services. Aids and services will be provided free of charge and in a timely manner when such aids and services are necessary to ensure an equal opportunity to participate to individuals with disabilities or to provide meaningful access to individuals with limited English proficiency.
  4. Visitation Rights. Hospital Personnel will afford visitation rights to patients free from discrimination based on age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, association, veteran or military status, or any other basis prohibited by federal, state, or local law and will ensure that visitors receive equal visitation privileges consistent with patient’s preferences. At the time patient’s are notified of their patient rights, Hospital Personnel will also inform each patient, or the patient support person, including the patient’s attorney in fact, when appropriate, of the patient’s visitation rights, including any clinical restriction on those rights, and the patient’s right, subject to the patient’s consent, to receive visitors whom the patient designates, free of discrimination based upon age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, association,  veteran or military status, or any other basis prohibited by federal, state, or local law. Such visitors include a spouse, registered domestic partner (including same-sex registered domestic partner), another family member, friend, or legal representative of the patient, such as an attorney in fact. Hospital Personnel will also notify patient’s of their right to withdraw or deny such consent at any time. Hospital Personnel will afford such visitors equal visitation privileges consistent with the patient’s preferences.
  5. Provision of Services. Hospital Personnel will determine eligibility for and provide services, financial aid, and other benefits to all patient’s in a similar manner, without subjecting any individual to separate or different treatment on the basis of age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, association, veteran or military status, or any other basis prohibited by federal, state, or local law.
  6. Complaints.
    • Any person who believes that he, she, or another person has been subjected to discrimination which is not permitted by this Policy, may file a complaint using Skyline Hospital’s complaint and grievance procedure, which will provide prompt and equatable resolutions of grievances.
    • Any Hospital Personnel receiving a patient or visitor discrimination complaint will advise the complaining individual that he or she may report the problem to Brenda Schneider, PO Box 99, White Salmon, WA 98672; brendaschneider@skylinehospital.org and file a complaint without fear of retaliation.
    • Hospital Personnel are prohibited from retaliating against any person who opposes, complains about, or reports discrimination, files a complaint, or cooperates in an investigation of discrimination or other proceeding under federal, state or local anti-discrimination law.
  7. Compliance. Skyline Hospital’s Corporate Compliance Officer, Brenda Schneider, is responsible for coordinating compliance with this Policy, including giving notice to and training all Hospital Personnel on this Policy.  Skyline Hospital will designate at least one employee to coordinate its efforts to comply with and carry out its responsibilities under this policy and under Section 1557 of the Patient Protection and Affordable Care Act, including the investigation of any grievance.
End of Life Issues

Policy: Skyline Hospital shall assist those patients who are facing end of life conditions to proceed through the death process with comfort, dignity and respect. As death is viewed as the final act of living, generated from within the person, all efforts will be set forth by the organization to identify, address and positively respond to the patient’s needs, related to all primary and secondary diagnosis and symptoms, and those of their families as they relate to psychological, social, emotional and spiritual issues.

Procedure:

  1. Every effort is made by the members of the healthcare team to identify and respond to the patient’s belief and value systems, including those that are cultural and spiritual. This effort is made for all patients throughout the facility to assure one level of care.
  2. For those patients who require specialized interaction due to belief and value systems, the direct patient care provider will contact the Social Services and/or the Pastoral Care for direction and participation in the patient’s care.
  3. For those patients who are facing end of life issues, an emphasis on therapeutic communication will be in place to allow for identification of end of life issues as they relate to belief and value systems, psycho-social, emotional and spiritual issues. Identification of these issues will be made with the assistance of the Social Services and the Pastoral Care.◦Social Service and Pastoral Care will be notified by the direct patient care provider via the EMR task or phone call of those patients admitted with a terminal illness.
  4. Social Service and Pastoral Care will be notified by the direct patient care provider via the EMR task or by phone call of those patients for whom a diagnosis of terminal illness, either short term or long term has been identified and documented as a definitive primary or secondary diagnosis.
  5. Direct patient care providers will defer to Social Service and/or Pastoral Care in their psycho-social interventions based on those departmental members specialized interactions with the patient and family. Direction will be taken from Social Service and/or Pastoral Care as to management of the patient/family end of life issues as they relate to belief and value systems, cultural, spiritual, emotional and psycho-social issues.
  6. Patient care staff will be educated and trained on the unique needs of the patient facing end of life issues. Staff will be educated on how best to assist the patient and their family members through the end of life process, while maintaining the patient’s comfort, dignity and respect.◦Patient care staff members will be provided with this information annually as an in-service and on an as needed or requested basis.
  7. Advance directives shall be honored in accordance with law and regulation, and hospital capabilities.
  8. Patient wishes concerning organ donation shall be honored according to law and regulation, and in accordance with hospital capabilities.
No Reproductive Health Services

The public hospital district complies with the Reproductive Privacy Act and the hospital licensing regulations regarding policies on reproductive health care. The Reproductive Privacy Act requires a public hospital district that elects to provide maternity care benefits, services or information through a program administered or funded by the public hospital district, to also provide substantially equivalent pregnancy termination benefits, services or information. The hospital licensing regulations require a hospital to post on its website a copy of its reproductive health care policies. The public hospital district does not provide maternity care benefits, services or information or pregnancy termination benefits, services or information.