Patient Information
Because knowledge is power, Monroe Clinic strives to provide patients and their families with the information they need to take full advantage of our services, ease their uncertainty and make good healthcare decisions.
The information supplied below covers a wide range of topics for both clinic and hospital patients, from directions on how to make a phone call from your hospital room to a suggested list of questions to ask your physician. Monroe Clinic’s Patient Information section includes:
Patient Guide
1. Patient Rights and Responsibilities 2. Patient Safety 3. 6 Steps to Safer Health Care 4. Making Health Care Decisions
5. Notice of Privacy Practices 6. Patient Forms 1. Patient Rights and Responsibilities
If you’re like many of today’s healthcare consumers, you are informed, inquisitive and involved. We at Monroe Clinic not only understand our patients’ proactive stance, we encourage and support it.
Below is a Statement of Rights and Responsibilities, designed to contribute to the effectiveness of your care and to further empower your role as a healthcare consumer.
Because of our values, we believe you have the right to:
- Be treated with respect.
- Consideration of your spiritual, psychological, social and cultural values.
- Participate in decisions regarding your care.
- Accept, limit or refuse treatment.
- Refuse to participate in experimental treatment.
- Be informed of unanticipated outcomes of care.
- Receive information about advance directives.
- Be confident that we keep your healthcare information private and secure.
- Have your decisions respected.
- Privacy and confidentiality.
- Information about pain and pain relief measures.
- Receive the medical care you need.
- Know who is caring for you.
- End of life care.
- Express your grievances.
- Assistance in helping you understand your health plan.
- Receive care in a safe environment.
- Prompt resolution of your grievances and concerns.
- Proper notification of a family member or representative and your physician when you are admitted as an inpatient, unless you express otherwise.
- Freedom from all forms of abuse and harassment.
- Access information in your medical records within a reasonable time frame.
- Freedom from restraints of any form that are not medically necessary.
- Be involved in resolving dilemmas about care decisions.
As a patient, you have a responsibility to:
- Give complete information about your medical situation
- Work cooperatively with your caregiver
- Ask questions if there is anything you do not understand
- Discuss end-of-life decisions
- Meet the financial obligations for your care
- Make the Clinic staff aware of your financial hardships
- Be knowledgeable about your health plan
- Respect the privacy and confidentiality of others
- Not discriminate against Clinic personnel
- Notify the Clinic if you need to cancel an appointment
If you believe that your rights are not being respected, please discuss this with your provider, or you may contact the Patient Advocate at (608) 324-1400.
If your concerns are not resolved to your satisfaction, you may contact the Joint Commission's Office of Quality Monitoring at 1-800-994-6610.
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2. Patient Safety
Patient Safety is everyone’s priority at Monroe Clinic. Physicians, nurses, technologists, pharmacists, and patients all play a role in preventing errors and laying the foundation for successful treatment. This section covers the ways your healthcare team is working to offer a safe patient experience and some tips to help you take part in the process. What are we doing to prevent medical errors?
Your care team at Monroe Clinic is constantly seeking out new and better ways to prevent medical errors. We implement processes that are proven to be effective in eliminating potential errors and look for opportunities to streamline services to provide you with a friendlier experience. In some cases, our efforts go on behind the scenes or have become so embedded into our processes that you as the patient may not even realize that these actions are contributing to your safety.
During your hospital visit, you, the patient, can expect members of your health care team to:
- give you an identification wristband upon admission to the hospital.
- check your wristband each time they give you a medication or draw blood.
- ask you to identify yourself, or have your advocate identify you, when going to tests and procedures.
- ask you to confirm where you are having surgery and mark the surgical site.
- give you an explanation of the name and purpose of any medication, treatment or procedure.
What can I, as a patient, do to assist? You as the patient, or your family advocate, play a vital role. Below are some ways that you can contribute to the safety of your care:
- expect all health care workers to introduce themselves to you. Look for their picture identification badges.
- ask questions when you do not understand what is going on.
- verify that any medication, treatment or procedure is for you, especially if you do not recognize it. This includes making sure you can read the handwriting on any prescriptions.
- make sure your physician knows what medications you are currently taking. This includes prescription and over-the-counter medications, and any dietary supplements such as vitamins or herbs.
- make sure your care team knows about any allergies you may have to medications, food, latex or x-ray contrast dyes.
- freely question your caregivers on infection control precautions, such as if they have washed their hands prior to providing care for you. Hand washing is the most important way to prevent the spread of infections.
- offer to show your wristband to staff when they enter the room.
- ask staff to explain what they are doing and why. Keeping informed of your plan of care has shown to be a key area in error reduction.
- write down important facts your doctor tells you. Don’t be afraid to seek a second opinion. The more information you have about the options available to you, the more confident you will be in the decisions made.
Research shows that patients who take part in decisions about their health care are more likely to have better outcomes. Please let us know how we are doing. If you have any comments, concerns or suggestions on how we can enhance your experience, please speak to your nurse or department director.
3. 6 Steps to Safer Health Care Ask Questions if YOU have Doubts or Concerns. Ask questions and make sure you understand the answers. Your health is too important to worry about being embarrassed if you don’t understand something that your doctor, nurse or other health care professional tells you. Take a relative or friend with you to help you ask questions and understand the answers. Keep and Bring a List of ALL the Medicines YOU Take. Give your doctor and pharmacist a list of all the medicines that you take, including non-prescription medicines. Tell them about any drug allergies you have. Ask about the purpose of the medication and ask for written information about it. Ask about any side effects. Get the Results of Any Test or Procedure. Ask when and how you will get the results of tests or procedures. Don’t assume that no news is good news. Call your doctor and ask for your results. Ask what the results mean for your care. Notice Whether YOUR Caregivers Have Washed Their Hands or Used a Hand Sanitizer. You may ask all health care workers who have direct contact with you whether they have washed or sanitized their hands. Don’t be afraid to gently remind a doctor, nurse or lab technologist to do this. Hand-washing is the most important way to prevent the spread of infections. Make Sure ALL Health Care Workers Confirm YOUR Identity. Staff will check your arm band or will ask you to verify your identity by asking your name and date of birth. If you are scheduled for surgery, we will ask you to confirm where you are having surgery and will have you mark the site. You can expect that all health care workers identify themselves to you. Ask if YOU Have ANY Questions Regarding YOUR Safety. Monroe Clinic is committed to providing safe health care for our patients and their families. We believe that everyone plays an important role in your safety, including YOU. If you have any comments or concerns about patient care & safety, please ask to speak with the Director, Supervisor or Team Leader. You may also contact our Chief Medical Officer at 324-2566.
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4. Making Health Care Decisions
Advance Directives
The choices you make today may someday play an important role in your plan of care tomorrow. You have probably heard of situations where a person is incapacitated and cannot choose their own course of medical treatment. In such cases, a family member may have to face these difficult decisions on their loved one’s behalf. The situation is one that nobody hopes to face, but by taking a proactive approach by preparing Advanced Directives, you can ease the fear, tension and uncertainly of this otherwise difficult scenario.
In consultation with your physician, you should consider treatment options you would want for yourself should you become incapacitated. More importantly, you should discuss your values and beliefs with your spouse and/or family members. The completion of an Advance Directive provides that opportunity.
An Advance Directive is a Living Will or Power of Attorney for Health Care recognized under state law. The Advance Directive is not a requirement in order to have your health care decisions respected but does provide written instructions should you become incapable of voicing your wishes.
If you would like additional information concerning Advance Directives, please talk to your physician or a member of the nursing staff.
DNR Bracelets
The DNR (Do Not Resuscitate) bracelet is a written order by a Wisconsin licensed physician to a qualified patient. It will direct EMS and healthcare personnel not to attempt CPR (CardioPulmonary Resuscitation) on a person with a valid DNR bracelet.
If you wish to learn more about obtaining the DNR bracelet, talk to your physician.
5. Notice of Privacy Practices
For the purposes of this Notice, Monroe Clinic and the Madison Radiologists, S.C. are participating in a joint arrangement. Both will continue to maintain separate businesses, however, this joint arrangement means that the terms outlined in this Notice apply to both organizations named and that these organizations may share patient information as necessary to provide our patients with treatment, obtain payment for services, and conduct our healthcare operations. Wherever Monroe Clinic is named in this document, please acknowledge that it means Monroe Clinic and the Madison Radiologists, S.C.
Monroe Clinic is dedicated to maintaining the privacy of your health information. You are being given this notice as a description of our legal duties and privacy practices concerning your personal health information. In general, whenever we need to release your health information, we must only release specific, limited information to achieve the purpose for which the information is being used or disclosed. According to Federal law, State statutes, and as healthcare professionals, Monroe Clinic must follow the privacy practices described in this notice.
We reserve the right to change the privacy practices described in this notice in accordance with the law. Changes to our privacy practices would apply to all health information that we maintain. If we change our privacy practices, you will be provided with a revised copy of the privacy notice at the time of your first visit to Monroe Clinic after the revision has been made.
Once you have received this privacy notice or we have made a good faith effort to provide you with this notice, we can use your health information for the following purposes:
1. TREATMENT. Your doctor may use your health information to provide care to you and disclose your health information to others who provide care to you. For example, a doctor may use the information in your medical record to determine which treatment option, such as a drug or surgery, best meets your health needs. The treatment selected will be documented in your medical record so that other healthcare professionals can make informed decisions about your care. If it is determined that a prescription is needed to provide you with the best treatment, your information will be used to write the prescription and your information will be disclosed to a pharmacy when the prescription is ordered for you. Nursing or other healthcare professionals (example: technicians and therapists) may use the information to verify your doctor's treatment orders. You should also be aware that not all laboratory tests can be performed in Monroe Clinic laboratory facilities. We may send your lab samples to an outside laboratory to perform the test and send the results back to Monroe Clinic.
2. PAYMENT. In order for an insurance company to pay for your treatment, we must submit a bill that identifies you, your diagnosis, and the treatment provided to you. As a result, we will pass such health information on to your insurance company in order to help receive payment for your medical bills. We also may use and disclose your information to obtain payment from other third parties that may be responsible for payment of your healthcare costs, such as other family members. We may also use your information to bill you directly for services and items. Monroe Clinic may also need to obtain prior approval from your insurance company and may need to give the insurance company information that will explain the necessity of the care and services that will be provided to you.
3. HEALTH CARE OPERATIONS. Monroe Clinic may need to use or disclose information for the purposes of operating our business. We may need your diagnosis, treatment, and outcome information in order to improve the quality or cost of care we deliver. These quality and cost improvement activities may include evaluating the performance of your doctors, nurses, and other healthcare professionals, or for examining the effectiveness of the treatment provided to you when compared to patients in similar situations. We may need to use your information to provide data for auditing, compliance programs, and legal services. Information may also be used to assist us in creating supervised learning programs for students and trainees of healthcare professions.
Additionally, we may want to use your health information as a way to contact you. For example, we may want to send you a reminder about an appointment. In this case, we would use the computer system to determine the date and time of your next appointment, and obtain your address. We would use that information to send you a note to help you remember the appointment.
Or, we may look at your medical information and decide that another treatment or new service we offer may interest you. For example, if you are a diabetic patient, we may send you information on new diabetes treatment options, the Diabetic Support Group, or the Diabetes Clinic.
Without Your Consent or Authorization
According to Federal regulations and state laws, we may use your health information without specific authorization from you for the following purposes:
1. As required or permitted by law. We will disclose your health information when required to do so by any Federal, State, or local law. Sometimes we must report some of your health information to legal authorities such as law enforcement officials, court officials, or government agencies. We will notify the appropriate authorities if we believe a patient is a victim of abuse, neglect, or domestic violence. We may disclose health information to law enforcement under certain circumstances. For instance, under limited circumstances if you are the victim of a crime or for the purposes of reporting a crime. We may also need to report certain types of wounds or physical injuries as required by law, or in response to a court order, warrant, or other authorized legal proceeding.
2. For public health activities. We may be required to report your health information to authorities to help prevent or control disease, injury, or disability. This may include using your medical record to report certain diseases, injuries, birth or death information, or information of concern to the Food and Drug Administration. We may use or disclose your information to notify an appropriate individual when there has been exposure to a communicable disease or there may be a risk for contracting or spreading a disease. We may also have to report to your employer certain work-related illnesses and injuries so that your workplace can be monitored for safety.
3. For health oversight activities. We may disclose your health information to authorities so they can monitor, investigate, inspect, discipline, or license those who work in the health care system or for government benefit programs.
4. For activities related to death. We may disclose your health information to coroners, medical examiners and funeral directors so they can carry out their duties related to your death, such as identifying the body, determining cause of death, or in the case of funeral directors, to carry out funeral preparation activities. We may also use or disclose your health information to the appropriate authorities if we have reason to believe that your death was the result of criminal conduct.
5. For organ, eye, or tissue donation. We may disclose your health information to people involved with obtaining, storing, or transplanting organs, eyes, or tissue for donation and transplant purposes.
6. For research. Under certain circumstances, and only after a special approval process, we may use and disclose your health information to help conduct research. Such research might try to find out whether a certain treatment is effective in curing an illness.
7. To avoid a serious threat to health or safety. As required by law and standards of ethical conduct, we may release your health information to the proper authorities if we believe, in good faith, that such release is necessary to prevent or minimize a serious and approaching threat to your health or safety or the health and safety of the public.
8. For military, national security, or incarceration/law enforcement custody. If you are involved with military, national security, or intelligence activities, or you are in the custody of law enforcement officials or an inmate in a correctional institution, we may release your health information to the proper authorities so they may carry out their duties under the law. We may use health information to assist in identifying or locating a suspect, fugitive, missing person, or material witness.
9. For workers' compensation. We may disclose your health information to the appropriate persons in order to comply with the laws related to workers' compensation or other similar programs. These programs may provide benefits for work-related injuries or illness. We will only disclose information related to the workers' compensation claim.
10. To those involved with your care or payment of your care. Upon admission to the hospital, you will be asked to identify a "spokesperson". This is the only person to whom we will release information regarding your care and condition. If you are unable to identify a spokesperson at the time of admission due to your condition, we will use information from a previous admission or our reasonable and best medical judgment. If any other person inquires about your medical condition or care, that person will be referred to your designated spokesperson. In the outpatient setting, information will be shared with the individual(s) that accompany you into the patient room. If you do not wish for your information to be shared with the other individual(s) who have accompanied you, let your physician and/ or nurse know that you wish to receive your health information in private. Your healthcare and condition information will not be released to any other individual without your written permission. Regarding payment for care, we will give information to you and to the person indicated as the responsible party for your bill. In the event that a power of attorney for healthcare is indicated and effective information for payment will be shared with that individual. Information regarding payment will be shared with individuals other than yourself, the responsible party, or the power of attorney for healthcare only with your written permission. In addition, we may release your health information to organizations authorized to handle disaster relief efforts (example: The Red Cross) so those who care for you can receive information about your location or health status. We may also release information in the case of a disaster situation to those who may need to know in order to prevent further public harm.
11. Monroe Clinic Directory. You will be asked at the time of an admission whether you wish others to be able to contact you while in the hospital. If you wish, information will be released to your visitors regarding your location in the facility and your telephone extension number. If you prefer that you not have visitors or phone calls, you may say so at this time. Religious affiliation will also be made available and disclosed only to clergy. If you do not wish to have your religious affiliation known and do not wish to have visits from the clergy, you may designate so at the time of admission. If you are unable to designate your wishes at the time of your admission, we will refer to the information you gave us during a previous admission or use our best and reasonable medical judgment.
12. We may use certain information (name, address, telephone number, dates of service, age, and gender) to contact you in the future to raise money for Monroe Clinic. We may also provide this information to Monroe Clinic and Hospital Foundation for the same purpose. The money raised will be used to expand and improve the services and programs we provide the community.
NOTE: Except for the situations listed above, we must obtain your specific written authorization/ informed consent for any other release of your health information. If you sign an authorization/ informed consent to release information, you may withdraw your authorization at any time, as long as your withdrawal is in writing. If you wish to withdraw your authorization, please contact and submit your written withdrawal to Monroe Clinic Medical Records Department.
Your Health Information Rights
You have several rights with regard to your health information. If you wish to exercise any of the following rights, please contact the Medical Records Department. Specifically, you have the right to:
1. Inspect and obtain a copy of your health information. With a few exceptions, you have the right to inspect and obtain a copy of your health information. However, this right does not apply to information gathered for judicial proceedings. In addition, we may charge you a reasonable fee if you want a copy of your health information. If you want to inspect or obtain a copy of your health information, you must complete and submit Monroe Clinic's Authorization For Disclosure of Medical Records form to the Medical Records department. Please be aware that records are not always immediately available for copy or inspection. Please allow at least 48 hours from the date of service to obtain access for copies or inspection. Inspection may occur during regular business hours.
2. Request to correct your health information. If you believe your health information is incorrect, you may ask us to correct the information. You will be asked to make the request in writing and give a reason as to why your health information should be changed. Any corrections accepted by Monroe Clinic will be appended to the original documentation. Whenever the original documentation is used or disclosed, the new corrective statement will accompany the documentation. The original statements will not be completely removed from your record. For your convenience, a form for making this request may be obtained, at no charge to you, from Monroe Clinic. All requests for correction must be submitted to Monroe Clinic's Medical Records department. Your request will be denied if you do not submit the request in writing. Your request may also be denied if (1.) we determine the original information to be accurate and complete, (2.) the information is not part of the information kept by or for Monroe Clinic, (3.) the information was not created by Monroe Clinic, unless the individual or entity that created the information is not available to amend the information, or (4) the information is restricted by a state or federal law.
3. Request restrictions on certain uses and disclosures. You have the right to ask for restrictions on how your health information is used or to whom your information is disclosed, even if the restriction affects your treatment, or our payment, or health care operation activities. For example, if you receive certain medical devices such as those used outside our facility, you may refuse to release your name, address, telephone number, social security number, or other identifying information for purpose of tracking the medical device. If you request restriction on information that would prohibit collection of payment from a third party (example: insurance company), you will be responsible for the payment for that service. In order to request a restriction, you must submit the request in writing. The restriction must be stated in a clear, concise manner and must include the following: (a.) the information you wish restricted, (b.) whether you are limiting Monroe Clinic's use or disclosure, or both, and (c) to whom you want the limits to apply. For your convenience, and at no charge to you, there is a form available from Monroe Clinic to assist you with providing the necessary information. The use of our form is not required, but would be helpful in filing your request. Please note that we are not required to agree in all circumstances to your requested restriction and will notify you in writing if we cannot agree. If we do agree to your request, we are bound by our agreement except when otherwise required by law or in emergencies.
4. As applicable, receive confidential communication of health information. You have the right to ask that we communicate your health information to you in different ways or places. For example, you may wish to receive information about your health status in a more private room or through a written letter sent to a private address. Your request for confidential communication must be made in writing if at all possible. For your convenience, a form may be obtained from Monroe Clinic, at no charge to you, to assist you in making your request. We must accommodate reasonable requests. If the request is deemed unreasonable or is impossible for Monroe Clinic to comply with, we will notify you.
5. Receive a record of disclosures of your health information. You have the right to ask for a list of the disclosures of your health information we have made during the previous six years, but the request may not include dates before April 14, 2003. This list must include the date of each disclosure, who received the disclosed health information, a brief description of the information disclosed, and why the disclosure was made. Certain routine disclosures will not be included on this list, such as a doctor sharing information with his or her nurse for purposes of your treatment, or when the billing department files an insurance claim. Your request to receive this information must be made in writing. For your convenience, a form for this purpose may be obtained from Monroe Clinic, at no charge to you. The first list you request within a 12 month period is free of charge, but Monroe Clinic may charge you for additional lists within the same 12 month period. You will be notified of any costs involved with additional requests, and you may withdraw your request before you incur any costs. We must comply with your request for a list within 60 days, unless you agree to a 30 day extension.
6. Obtain a paper copy of this notice. Upon your request, you may at any time receive a paper copy of this notice, even if you previously reviewed this notice on our website. You may also at any time request additional paper copies if you misplace your original copy.
7. Complaints. If you believe your privacy rights have been violated, you may file a complaint with us and /or with the Federal Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing such a complaint. To file a complaint with either Monroe Clinic or the Office for Civil Rights, please contact Monroe Clinic's Patient Advocate at (608) 324.1400. You will be provided with the necessary assistance.
If you have any questions regarding your privacy rights or the information in this notice, please contact Monroe Clinic's HIPAA Coordinator at (608) 324-1802.
This Notice of Medical Information Privacy is Effective April 14, 2003.
6. Patient Forms
The following forms are available for download (PDF):
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Hospital Visits
1. A Positive Health care Experience 2. Hospital Amenities and Services 3. Monroe Clinic Inn 4. Your Hospital Team 5. Patient Support
1. A Positive Health care Experience
Whether our patients are recovering from a complex procedure, undergoing monitoring, or welcoming a new baby into their family, we strive to offer them a comfortable setting and convenient amenities.
As a patient, you can find a friend and advocate in our team of caregivers. All of Monroe Clinic’s employees are responsible for providing you with service that meets or exceeds your expectations. You should feel free to bring any concerns or problems to their attention. When you have any immediate needs, please ask a nurse or physician for assistance.
If you have any questions or concerns that you feel have not been resolved to your satisfaction, please call the Patient Advocate at extension 1400 during normal business hours.
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2. Hospital Amenities and Services
Your Room
Your room assignment at Monroe Clinic is based on your admitting diagnosis and the bed availability on the day of your admission. Patients are placed in the area equipped with the people and tools designed to care for their specific health concerns. As the status of a patient’s health changes, he or she may be moved to a different location that best corresponds to his or her care needs.
To Call a Nurse
Please do not hesitate to call your nurse if you have questions or need assistance. Simply press the "Nurse" button on the hand-held remote control unit or use the control in the side rail panel of your bed. Your call will be answered as quickly as possible.
Your Bed
Hospital beds are electrically operated to support your medical needs and personal comfort. Your nurse will show you how to work your bed properly. Your hospital bed is probably higher and narrower than your bed at home. Bedside rails are provided for your protection. They may be raised at night or during the day if you’re resting, recovering from surgery or taking certain medications.
Room temperature
The temperature in your room may be adjusted for your comfort. Please call your nurse if you would like your room temperature adjusted.
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Telephones
Telephones are available in each patient room, and each room has its own phone number. Incoming calls to patient rooms are connected directly from 7 a.m. to 10 p.m. To assure a quiet, restful environment for our patients, calls are received at our switchboard after 10 p.m. To place a free local call in the Monroe area or the towns of Albany, Blanchardville, Brodhead, Browntown, Juda, Monticello, New Glarus, South Wayne and Woodford, dial 9 and the telephone number. To place a long distance call with a phone card, you may dial "9" and the number on the card. If you do not have a phone card, but would like to purchase one, please dial "0" to reach the switchboard operator. You may choose to purchase a 60-minute phone card for $5.00 or 120-minute phone card for $10.00. To place a long distance call without a phone card, you may dial "9" and "0" and wait for the operator to answer. If you have any questions, please ask your nurse.
Television
A color television and VCR is provided in each patient room. Approximately 36 channels are available in most areas of the hospital. To offer a relaxing environment for all of our patients, we ask that TV volumes are kept low.
Movies
A library of PG, PG-13 and Children's animated movies are available at no additional cost for your use during your stay here. A listing of movie titles may be obtained at the following nurse's stations: ICU, 3W, 4W, Family Birth Center, Family Practice, Oncology and Rheumatology.
Incoming Inpatient E-mail
You may wish to receive communications from your friends and family by using Monroe Clinic's inpatient e-mail address. It is: inpatient@monroeclinic.org, with the first line of the message as your name.
Once received, messages are placed in a sealed, addressed envelope and given to the volunteer delivering mail. The volunteers and staff who handle the message during the delivery process treat it with respect to each patient’s confidentiality. Envelopes containing undeliverable e-mail messages (messages received after the patient leaves) will be left with the hospital building switchboard and mailed to the patient's home.
E-mail is printed Monday through Friday by the Volunteer Services Department and delivered with the regular mail once a day, between 10 a.m. and 11 a.m. Messages printed after 11 a.m. on a Friday will be delivered on Monday. There is no e-mail service on weekends or evenings.
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Food Service
Wholesome, nourishing and well-balanced meals are an important part of your treatment and recovery. Monroe Clinic makes every effort to provide nutritious meals that are prepared according to your doctor’s orders.
Guest Tray Services
Visitors are invited to take advantage of our room service Guest Tray Program. Just request a Guest Menu at the Nurses Station, then call Nutrition Services at extension 1240 to place your order. Delivery may take approximately 30 minutes, and payment should be made at the time of delivery (by cash or check). This service is available during regular cafeteria meal hours.
Monroe Clinic Cafeteria
Your friends and family are welcome in Monroe Clinic's Cafeteria, located on the lower level of the hospital building. Daily specials are served in addition to a salad bar, grilled items, snacks, coffee and other beverages.
The meal hours are:
Breakfast: 6:30 - 9:30 a.m. weekdays 6:30 -11 a.m. weekends (continental) Lunch: 11 a.m. - 1:30 p.m. weekdays 11 a.m. - 1 p.m. weekends Supper: 4:45 - 6:30 p.m. weekdays 4:45 - 6:15 p.m. weekends
Holiday meal hours are the same as weekends. Snack service is available all day from opening to closing. Vending machines are also available 24 hours a day in the Snack Shop, located on the first floor of the hospital building, and outside of the Monroe Clinic Cafeteria.
Smoking
To provide a healthy, comfortable environment for patients and visitors, Monroe Clinic is a smoke-free institution. Smoking is permitted in designated areas outside the buildings. Ask your nurse for more information.
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Surgical Waiting Area
If you are scheduled for surgery, your family and friends may wait in the Surgical Waiting Area on the third floor of the hospital building, unless the physician has requested that they wait in another area. The Surgical Waiting Area is a comfortable area where visitors can relax, read, talk or watch television. Beverages are available. Volunteers staff the lounge area from 6 a.m. until 4 p.m. Monday through Friday. Friends and family members waiting in this area are encouraged to register with the volunteer, so he or she can coordinate communications with your physician.
Pharmacies
Monroe Clinic has two pharmacy locations for the convenience of our patients. Monroe Clinic's hospital pharmacy, which is designated for inpatient prescriptions only, is located on the lobby level near the main elevators and may be reached at (608) 324-1242. The pharmacy in the clinic building is also located on the lobby level, just inside the main entrance. Besides selling prescriptions, the clinic pharmacy also sells cards, magazines, medical equipment and supplies (such as dressings, ostomy needs, and diabetic supplies) and over-the-counter medications. The clinic pharmacy may be reached by dialing "9" (for an outside line) and then 325-3111.
Fresh Flowers
Fresh flowers are available for sale in a cooler in the hospital lobby. Cash or credit cards are accepted currency. For safety reasons, we ask that live flowers or plants are not brought into the ICU. Volunteers deliver flowers to your room.
Chapel
A chapel is located on the first floor of the hospital. The Chapel reflects the Roman Catholic faith tradition; however, visitors of all faiths are welcome to visit the chapel for worship services, prayer and quiet reflection. Daily Mass is celebrated at 6 a.m. Monday through Thursday and at 4:15 p.m. on Friday.
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Gift Shop
Monroe Clinic's gift shop, Clare's Closet, is located on the first floor of the hospital building. Open Monday through Friday from 9 a.m. to 4 p.m., the shop offers a wide variety of distinctive gift items, as well as an array of useful visitors merchandise (toiletries, magazines, books, etc). Clare's Closet can be reached by calling (608) 324-1301 during normal business hours.
Click here to learn more about Clare’s Closet.
Parking
Parking for patients and visitors is available 24 hours a day, seven days a week. All parking at Monroe Clinic is free. To best meet our patients needs, we also offer designated parking for Premiere Program Members, Family Birth Center patients, and pharmacy customers.
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3. Monroe Clinic Inn
Welcome!
The Monroe Clinic Inn, located in the hospital building, offers you hospitality and comfort -- just what you would expect from Monroe Clinic. Monroe Clinic Inn is a convenient place to stay while you are here for your own health care or while you are here to be near a family member or friend who is receiving care at Monroe Clinic.
Each room in Monroe Clinic Inn features a comfortable queen-size bed, color TV, radio, and telephone. As a guest of the Inn, you are invited to enjoy the in-house food services, Monroe Clinic’s Chapel, and our Clare’s Closet Gift Shop.
Premier Program Members receive one free night per visit if having an appointment lasting more than four hours, a colonoscopy, surgery/procedure and/or a CT Scan.
Patients receiving chemotherapy or cataract surgery may stay at Monroe Clinic Inn for free as long as necessary. For more information or to arrange for accommodations, please call (608) 324-2000 and ask about Monroe Clinic Inn.
4. Your Hospital Team
Each of Monroe Clinic’s patients are supported by a knowledgeable team of caregivers whose skills are collectively focused on the patient’s health, comfort and recovery. All members of your hospital team are there to meet your care needs and answer your questions. If a member is unable to answer your questions, he or she will find someone who can.
Your Medical Team
The physician who admits you is responsible for coordinating your care while you are in the hospital. If you have questions about your illness or treatment plan, please talk to your admitting physician.
A team of professional registered nurses, licensed practical nurses and nurse assistants provides 24-hour nursing care. A nurse manager is responsible for directing and coordinating nursing care on each unit. Please feel free to contact your nurse or the nurse manager if you have questions or concerns.
Hospitalist
The Hospitalist Service is made up of a team of physicians and nurses who specialize in caring only for patients during a hospital stay. Your Hospitalist physician is board-certified in Internal Medicine and serves as your primary care physician’s “partner” in caring for you while you are in the hospital.
During your stay, your Hospitalist physician will be in daily contact with your primary care physician discussing your medical history and collaborating on the most appropriate plan for your hospital course of treatment. Your Hospitalist physician is accessible to speak with you and your family 24 hours a day, seven days a week.
Pastoral Care
Monroe Clinic has a full-time Chaplain and a Night Chaplaincy program to meet the spiritual, psychological, and emotional needs of our patients, allowing us to offer the holistic approach in the promotion of health and wellness to our patients. If you would like to speak with a member of our Pastoral Care staff, please ask your nurse to contact them. A chapel is also located on the hospital building's first floor.
For more information about our Pastoral Care services, click here.
Dietitians
The hospital maintains a staff of full-time registered dietitians to meet your dietary needs during your stay. If you have questions about your meals or diet, call ext.1240.
Volunteers
Volunteers provide many services to help ensure your comfort while you are a patient at Monroe Clinic. Volunteers operate Clare's Closet (Monroe Clinic's gift shop), escort patients to Admissions, staff some reception desks, operate the infant car seat rental program, deliver mail and provide other services. There is also a Volunteen program for young people ages 12 to 18.
Our Volunteers are trained to work in a patient care setting and share our employees’ concern for your confidentiality and privacy. Individuals interested in becoming volunteers at Monroe Clinic can contact Volunteer Services at (608) 324-1569.
For more information about our Volunteer services, click here.
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5. Patient Support
Going Home
When you are well enough to leave, your physician will write a discharge order. Your physician and nurse will talk with you about any instructions for your continued care. Checkout time is 11 a.m. As a service to our patients, the pharmacy fills take-home prescriptions. These charges are not paid by your clinic insurance plan, and will not be added to your bill. Payment by credit card, drug insurance card or cash (including co-pays) will be accepted.
Home Care
With Home Care, you receive many needed health services in your own home. A team of health professionals – registered nurses, therapists, and aides – can work with your doctor to provide the health care you need while you're home.
Services are covered by Medicare, Medicaid and private insurances. Monroe Clinic's Home Care services are available in Green, Rock, Layfayette, Stephenson, Winnebago, and Jo Daviess Counties. You can contact Monroe Clinic Home Care office at (608) 324-1230 or (800) 367-8406.
For more information about our Home Care services, click here.
Hospice
When a terminal illness is diagnosed, Monroe Clinic Hospice provides palliative care for patients and support for families. The Hospice team is comprised of a group of health care professionals and volunteers. The patient's and family's wishes are at the heart of a care plan designed to allow the remaining time together to be spent in a meaningful way. Although physicians often refer their patients with terminal illnesses to Hospice, referrals can also be made by family members, friends, clergy, or other health care professionals.
Hospice care is covered by Medicare, Medicaid and most private insurances. Monroe Clinic's Hospice services are available in Green, Rock, Layfayette, Stephenson, Winnebago, and Jo Daviess Counties. You can contact Monroe Clinic Hospice office at (608) 324-1230 or (800) 367-8406.
For more information about our Hospice services, click here.
Tell Us What You Think
After your hospital visit, you may be receiving a survey in the mail regarding your experience at Monroe Clinic. Expressing what you think and how you feel will enable us to improve our service quality and surpass your expectations.
An outside firm by the name of Press Ganey has been contracted to conduct this survey. Please be assured that your responses will be completely confidential. Feel free to express your honest thoughts and opinions. When you receive a survey, please take the time to fill it out and return it to Press Ganey.
Standards for Privacy of Protected Health Information
Monroe Clinic respects our patients right to confidentiality and privacy during their visit. Our employees have been trained to uphold the federal law named the “Health Insurance Portability and Accountability Act” (HIPAA), which outlines patients’ rights concerning the use of individually identifiable health information.
For a listing of HIPAA privacy rights, please refer to the Notice of Privacy Practices (PDF). This document requires Adobe Acrobat Reader. Click here for a free download.
Only individuals with a legitimate “need to know” may access, use or disclose patient information. Protected health information may be released to other covered health care providers without patient authorization if used for treatment, payment, health care operations, or for public good purposes as permitted by state and federal laws.
Disclosures of protected health information for uses and disclosures outside treatment, payment and health care operations require patient authorization.
While receiving care in the hospital, you may ask for your name to not be included in the hospital directory, which means that people asking for you will be told “I have no information about this patient.” If you want to receive deliveries of cards and flowers, then you should have your name included in the hospital directory. If you include your name in the hospital directory, your name will also appear on a list for clergy members of your faith.
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1. Appointments 2. Registration 3. Calling Your Physician 4. Making the Most of Your Appointment
1. Appointments
Patients should schedule their clinic visits in advance by calling (608) 324-2000 (or the department-specific phone number) or making future appointments in person during a clinic visit. Our staff will work with you to offer a timely, convenient appointment. Our staff understands that patients’ schedules can change, so we simply ask that if you are unable to keep a scheduled appointment, let us know so we can reschedule the cancelled time for another patient and help you find a more convenient time. In the event of a health care emergency, please call and explain your situation. Every effort will be made for you to be seen the same day.
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2. Registration
In order to provide you with the best possible care, it is important that you register each time you come to Monroe Clinic to assure that all vital information is current. If you are not sure where to register, the greeter at the information desk in the main lobby can direct you. Please present your insurance card, as well as any co-payments, at the registration desk.
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3. Calling Your Physician
To speak with your physician during regular business hours, please dial (608) 324-2000. If you wish to speak to your physician in a non-emergency situation, you may call the appropriate appointment-desk phone number. If your physician is unable to speak with you when you call, please state the nature of your question and your physician will return your call. A fee may be associated with a phone consultation. If your call is an emergency, dial 911 or (608) 324-1160 for the Emergency Room.
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4. Making the Most of Your Appointment
Click here for a printable (PDF) version. This document requires Adobe Acrobat Reader. Click here for a free download.
More and more patients are playing a proactive role in their treatment and healthcare plan. We at Monroe Clinic see patients not only as recipients of care, but as integral members of their healthcare team. In order to achieve the best outcome for your health, here are some useful tips to help you during your clinic visit.
Questions to ask
Take with you a list of questions or issues that you wish to discuss. Some examples might include:
- What is my diagnosis?
- What caused my condition?
- How will this condition affect my health now and in the future?
- Should I watch for any particular symptoms and notify you if they occur?
- Should I make any lifestyle changes?
- About your treatment:
- What is the treatment for my condition?
- When will the treatment start, and how long will it last?
- What are the benefits of this treatment, and how successful is it?
- What are the risks and side effects associated with this treatment?
- Are there foods, drugs, or activities I should avoid while I'm on this treatment?
- If my treatment includes taking a medication, what should I do if I miss a dose?
- Who should I contact in an emergency or if I am worried?
- Are other treatments available?
- About your tests:
- What kinds of tests will I have?
- What do you expect to find out from these tests?
- When will I know the results?
- Do I have to do anything special to prepare for any of the tests?
- Do these tests have any side effects or risks?
- Will I need more tests later?
Effective Communication
Understanding your doctor's responses is essential to good communication. If you don't understand your doctor's responses, don’t be embarrassed to let him or her know and keep asking questions until you do understand. Take notes, or get a friend or family member to take notes for you, and ask your doctor to write down his or her instructions to you. You can check with your doctors to see if there is any printed material available about your condition.
Knowing Your History
During a clinic visit, your provider will inquire about your condition, such as symptom history, other problems you may have, which medications you are taking, and whether other family members have the same problem. To help your physician provide you with the best possible care, it’s important that you can provide him or her with the most accurate, up-to-date information. That’s why it’s a good idea to prepare answers to these questions ahead of time.
The basic list of information that doctors seek to know about their patient is as follows:
- Current Illness: What is the major problem(s) affecting you?
- History of present illness: What are your symptoms? When did they start? How have they progressed, what makes them better or worse?
- Past medical history: Do you have any other medical problems? Have there been medical problems in the past? Which medications do you take, and do you have any known medication allergies?
- Family history: Are there any other family members with similar symptoms, other neurological disorders, or other major medical disorders?
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Billing and Financial Information
1. Insurance 2. Your Health. Your Choice. 3. Cost of Services 4. Separate Billing 5. Medicare and Medical Assistance 6. Community Charity Care 7. Income Guidelines for Community Charity Care
1. Insurance
If 60 days have passed between your last appointment and/or insurance confirmation, our registration personnel will ask you for current insurance information to ensure billing and claim accuracy. Please bring your insurance card with you when you come to Monroe Clinic.
Co-payments are due at the time of your appointment. To assist in the insurance process, Monroe Clinic files claims as a courtesy to our patients, and we will issue you a statement showing the claim has been filed.
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2. Your Health. Your Choice.
To see the numerous plans that Monroe Clinic offers, please click here (PDF). This document requires Adobe Acrobat Reader. Click here for a free download.
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3. Cost of Services
We respect your right to know the cost of our services and treatments before you utilize them. Upon your request, approximate fee information is available at the Patient Accounts office prior to a service. Information is also available to assist you in clarifying bill charges to your insurance company. If you have any questions about service fees or your bill, please call: Patient Accounts (608) 324-2802.
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4. Separate Billing
Due to the nature and origin of the service, charges for clinic services, hospital services and Madison Radiology services are billed separately. If you have a managed care plan, please check with your insurance company to determine if your provider is a participant in your health plan.
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5. Medicare and Medical Assistance
If you are eligible to receive Medicare benefits, please tell the registration personnel at the time you register for your appointment. We will bill Medicare; however, you are responsible for the co-insurance, amounts applied to the deductible, and any denied or non-covered charges. If you are eligible for Medical Assistance, please present your current Medical Assistance card at the registration desk at the beginning of each visit.
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6. Community Care
Monroe Clinic gives special consideration to persons in need of financial assistance through Monroe Clinic’s Community Care program. For more information about the Community Care program, please call (608) 324-1259.
Effective January 1, 2008: Expanded Community Care provisions and a new uninsured discount policy.
Community Care. Monroe Clinic is expanding the criteria used to establish Community Care (formerly known as Community Charity Care) eligibility. Discounts will be available on a sliding scale based on financial resources up to 300% of federal poverty guidelines. At twice the previous cap of 150%, we anticipate the expanded provisions will make it possible to offer assistance to approximately four times as many individuals as in 2007.
In order to qualify for Community Care discounts, patients must complete an application, which includes providing proof of financial resources and applying for any federal or state assistance for which they may be eligible. Detailed information and application forms are available upon request from Patient Accounts at 608/324-2802 or to download a Community Care Application, please click here.
Please note: Monroe Clinic provides Community Care for our Primary and Secondary care areas which include only the attached zip codes (view pdf).
Uninsured Discount. Monroe Clinic will begin a new policy of discounting charges 10% for patients without health insurance. This discount is comparable to some of our contractual arrangements with third party payers and will be applied automatically on the billing statements of those patients presenting with no health insurance. When combined with the prompt payment discount of 15%, patients can save up to 25% on their charges. (Prompt payment discount information will also be included on the billing statement.)
Monroe Clinic strives to create healthy communities through God's healing spirit. These changes will allow us to better serve the community's most vulnerable patients-including those with limited financial or insurance resources.
7. Income Guidelines for Community Care
The following tables show at what income level and family size you become eligible for assistance, based on gross family income, assets and family size.
Medical Services-Reduced Cost:
| Family Size |
Gross Income and Assets Value Within |
| 1 |
$10,210-$30,630 |
| 2 |
$13,690-$41,070 |
| 3 |
$17,170-$51,510 |
| 4 |
$20,650-$61,950 |
| 5 |
$24,130-$72,390 |
| 6 |
$27,610-$82,830 |
| 7 |
$31,090-$93,270 |
| 8 |
$34,570-$103,710 | Medical Services-No Cost:
| Family Size |
Gross Income and Assets Value Less Than |
| 1 |
$10,210 |
| 2 |
$13,690 |
| 3 |
$17,170 |
| 4 |
$20,650 |
| 5 |
$24,130 |
| 6 |
$27,610 |
| 7 |
$31,090 |
| 8 |
$34,570 | Amounts effective March 1, 2007:
For family units with more than eight members, add $3,400 for each additional member. Providing reduced costs or free care to those who meet criteria is part of our mission and commitment to the communities we serve. Monroe Clinic does not receive grant, governmental or other funding to provide community care.
For Visitors
1. Visiting Hours 2. Monroe Clinic Inn 3. Send Flowers online 4. Send a Cheer Card online 5. Apply for or shop Clare’s Closet online 6. Visit our Web Nursery
1. Visiting Hours
Visitors can be good medicine for patients, so we encourage family members and friends to visit. In order to enhance the quality of care and allow time for recovery and relaxation, specific visiting hours and guidelines have been established for each unit.
Medical/Surgical Unit: 11 a.m. - 8 p.m. parents of pediatric patients: anytime Family Birth Center: fathers, siblings, and grandparents: anytime other visitors: 11 a.m. - 8 p.m.
Intensive Care: anytime (immediate family only)
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2. Monroe Clinic Inn
Welcome!
The Monroe Clinic Inn, located in the hospital building, offers you hospitality and comfort -- just what you would expect from Monroe Clinic. Monroe Clinic Inn is a convenient place to stay while you are here for your own Health Care or while you are here to be near a family member or friend who is receiving care at Monroe Clinic.
Each room in Monroe Clinic Inn features a comfortable queen-size bed, color TV, radio, and telephone. As a guest of the Inn, you are invited to enjoy the in-house food services, Monroe Clinic’s Chapel, and our Clare’s Closet Gift Shop.
Premier Program Members receive one free night per visit if having an appointment lasting more than four hours, a colonoscopy, surgery/procedure and/or a CT Scan.
Patients receiving chemotherapy or cataract surgery may stay at Monroe Clinic Inn for free as long as necessary. For more information or to arrange for accommodations, please call (608) 324-2000 and ask about Monroe Clinic Inn
3. Send Flowers
Click here to send flowers to a loved one during their hospital stay.
4. Send a Cheer Card
Click here to send an uplifting note to a hospital patient.
5. Clare’s Closet
Staffed by volunteers, Clare’s Closet is a distinctive shopping experience situated on the first floor of Monroe Clinic‘s hospital building. Proceeds generated by Clare’s Closet help improve patient services and help improve our community. Folks who stop by Clare’s Closet while visiting Monroe Clinic often find themselves returning to check out our fun and ever-changing selection of merchandise, whether they have an appointment with their physician or not. Click here to shop online.
6. Visit Our Web Nursery
Monroe Clinic and Growing Family have teamed up to offer Web Nursery, an online nursery that gives you the opportunity to see your friend’s or relative’s newborn baby. The baby’s parents must register in order for visitors to view their page. You can see a picture of the newborn along with other information including birth weight and length. You can even write messages of congratulations to the parents. Click here to check it out.
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