WELCOME TO ADENA MEDICAL CENTER

WELCOME TO ADENA MEDICAL CENTER Thank you for choosing the Adena Medical Center for your healthcare needs. We are pleased that you have entrusted us with your medical care. Everyone associated with Adena, from your physicians and nurses to technicians and support staff, is dedicated to your well-being. At Adena, we are committed to providing you and your family with the best possible health care services. Our pledge to excellence begins the moment we welcome you through our doors, and our goal is to ensure you receive the highest quality of care during your stay with us. We know hospitals can be confusing places, especially when you re concerned about your health or the health of a loved one. Part of our care for you includes providing you with clear information. This patient guide contains a wealth of information to help you. If you feel we fall short of providing you with excellent service during your stay, we encourage you to speak with your nurse to voice your concerns. We appreciate your direct feedback. Following your hospital stay, you may receive a survey asking for your opinions about the care we provided. Please answer these questions openly and honestly to help us make improvements for the future. On behalf of the entire Adena Medical Center team, please accept our best wishes for your good health. We take pride in offering you quality and compassionate care, and we appreciate your decision to entrust your care to us. If there is anything we can do to make your stay better, please let us know. Sincerely, Mark Shuter President and CEO OUR MISSION: TO HEAL, TO EDUCATE, TO CARE OUR VISION: TO BE THE BEST HEALTHCARE SYSTEM IN THE NATION OUR VALUES: INTEGRITY, COMMUNICATION, TEAMWORK, INNOVATION GUIDING PRINCIPAL: TREAT OTHERS AS YOU WOULD WANT TO BE TREATED - MATHEW 7:12 PAGE - 1

YOUR HOSPITAL STAY Along with state-of-the-art medical care, we go out of our way to make certain you have a comfortable and convenient visit with us, and that your family and friends have a pleasant experience while visiting you. We encourage families to visit patients. We believe that time with loved ones is essential to healing. We ask that you be considerate of your loved one and other patients in the hospital. We have policies and procedures in place for the benefit of you and other patients. Visitation plays an important role in the care of hospital patients. We welcome patient visitation from family and friends. Please be aware that at times it may be clinically necessary to limit a patient s visitation. Please check with a health care team member before entering a patient s room. Please, only two visitors in the room at a time. We ask that you do not visit if you re not feeling well. A phone call to express your concern will be just as appreciated. Children under the age of 10 should be left at home unless special arrangements are made in advance. Children should never be left in the care of a patient. Patient restrooms are to be used by patients only. Public restrooms are conveniently located throughout the hospital. Our staff will be glad to direct you to the nearest public restroom. Please take a few minutes to review these guidelines with your loved ones. PARKING AND FREE VALET SERVICES Adena offers free valet parking at four locations on the main campus: - Main entrance (North) - Emergency Department entrance (West) - The Medical Office Building (MOB) - The Pavilion VISITING HOURS We encourage family and friends to visit with patients between noon and 8 p.m. daily. Our new patient rooms have ample space for visitors. All entrances except for the West Entrance by the Emergency Department will lock at 8 p.m. until 6 a.m. ICU VISITING HOURS ICU visiting hours are 8 a.m. to 8 p.m. No visitors between the hours of 9 a.m. to 11 a.m. please. This time is set aside for the health care team to discuss progress and changes with patients. Children under the age of 14 are not allowed and overnight visitors are not permitted. Only three visitors at a time per patient. SUGARLOAF GIFT SHOP The Sugarloaf Gift Shop is located on the first floor of the hospital. It has a variety of flowers, cards, candy and other gift items. The gift shop is open Monday through Friday from 8 a.m. to 7:45 p.m. and Saturday and Sunday from noon to 7:45 p.m. THE ADENA MEDICAL CENTER CAFETERIA The hospital cafeteria offers a wide variety of nutritious foods and beverages. It is open every day between 6:30 a.m. and 6:30 p.m. except for 10 a.m. to 11 a.m. and 3 p.m. to 4 p.m. for daily cleaning. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 2

YOUR HOSPITAL STAY (CONTINUED) SMOKING Adena Health System is a smoke-free campus for the health and comfort of all our patients and guests. Smoking is not permitted anywhere inside or on the property of any Adena Health System facility, including parking lots. VENDING MACHINES Vending machines are accessible 24 hours a day in the Emergency Department waiting room, the Maternity waiting room and in the cafeteria seating area. Additional vending machines are located near the elevator on the 2nd and 3rd floors. ATM MACHINES A Homeland Credit Union ATM is located in the North Entrance Lobby. A Huntington National Bank ATM is available in the Emergency Department waiting area. PATIENT MAIL SERVICES We deliver mail to patient rooms every day. Once you are discharged from the hospital, we will forward any mail to your home. Each hospital unit also has an outgoing mailbox. The Sugarloaf Gift Shop sells single stamps and books of stamps for your convenience. INTERPRETERS We offer foreign language interpreting services for patients and caregivers whose primary language is not English. We also offer sign language interpreting services for the hearing impaired. Please let us know when scheduling your surgery if you will need an interpreter during your visit. These services are offered free of charge. CHAPEL HOURS AND CHAPLAIN SERVICES Our nondenominational hospital chapel is open 24 hours a day, 7 days a week, for prayer and reflection on the first floor. A hospital chaplain is available from 8 a.m. to 4:30 p.m., Monday through Friday. We also have an on-call chaplain available 24 hours a day. If you would like to speak with a chaplain, you may ask any member of the staff or dial extension 27529. WIRELESS INTERNET ACCESS Adena provides free wireless Internet access throughout the hospital. You may access the Internet with your wireless enabled laptop computer or PDA to browse the Web or keep up on your email. Please take the standard precautions as you would with any Wi-Fi connection, such as running virus protection, ensuring all security patches are current and sending private information using an encrypted Web site. If you are having problems accessing the network, please call the Help desk at 779-4357. PAGE - 3

PATIENT BELONGINGS AND VALUABLES PATIENTS AND VISITORS ARE RESPONSIBLE FOR ALL BELONGINGS. ADENA MEDICAL CENTER IS NOT RESPONSIBLE FOR REPLACING LOST OR MISPLACED ITEMS. WE RECOMMEND YOU BRING ONLY ESSENTIAL ITEMS TO THE HOSPITAL AND OFFER THE FOLLOWING TIPS TO HELP KEEP YOUR PERSONAL ITEMS SECURE: CLOTHING Storage space in patient rooms is limited. A robe and slippers are necessary for all patients. Hospital gowns are provided. We suggest that clothing worn to the hospital be sent home with family/friends and have appropriate clothing brought to the hospital shortly before patient discharge. DENTURE CARE Patients are asked if they wear dentures or bridges and if so, a staff member will provide a denture cup to store them in when not in use. The cup will be labeled with the patient s name. Please avoid placing dentures on a meal tray, under a pillow, on the sheets or in any concealed place where they may be lost or accidentally thrown out. HEARING AIDS Hearing aids should be kept in the original case provided upon purchase. If the original case is not available, nursing staff will provide a container labeled with patient name to store the aids in when not in use. Do not leave aids unprotected on the bedside or over-bed table. EYEGLASSES AND CONTACT LENSES Glasses are best secured in a case with patient name on it when not in use. To prevent loss or damage to eyeglasses during hospitalization, patients are asked to not leave them unprotected on the bedside table, in a robe pocket or on the bed. WHEELCHAIRS, WALKERS, CANES Please put your name on all necessary items that are brought to the hospital including wheelchairs, walkers, and canes. MEDICATIONS Bring a current list of medications the patient is taking to the hospital. This includes herbal and over the counter medications as well as prescription medications. If a list is not available, bring in the medication containers for the staff to create a current medication list. The containers can then be taken home by a family member or friend. If medications are unable to be sent home, they may be stored by the pharmacy until discharge. At this time they will be retrieved from the pharmacy. Medications brought from home are not to be stored at the bedside. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 4

PATIENT BELONGINGS AND VALUABLES (CONTINUED) VALUABLES Please leave all valuables at home or send them home with a family member or friend upon admission to the hospital; this includes cash, checkbooks, credit cards, jewelry and other items deemed to be of value, wallet, purse, cell phone, laptop compters, e-readers, I-Pads, etc., or any other item that would be considered a loss if misplaced. Patients move about during a hospital admission for testing, procedures and treatments or from one inpatient unit to another due to their medical condition. If family members are not present, valuable items should be given to the nursing staff to be secured in a valuables envelope and locked in the safe. They are not to be kept at the bedside. A receipt is placed on the chart for the valuables locked in the safe. To retrieve valuables, the patient will request through the patient care provider who will contact Security to retrieve the valuables. The secured bag is opened in the presence of the patient and the valuables are match to the contents listings. The receiver of the valuables signs the Security Valuables Sheet. LOST ITEMS Unless placed in our possession for safekeeping, Adena health System does not replace lost items. We will be happy to check our lost and found for your items. If you are/were an inpatient, please call the unit that is/ was responsible for your care. If you are/were an outpatient, please speak with the practice manager of the outpatient unit. To file a lost items report, please contact the Adena Security Office at 740-779-7505. PAGE - 5

TV AND PHONE SERVICES Each patient room has a local phone for your convenience, and you may make outgoing calls at any time. You may also receive phone calls daily from 10 a.m. to 9 p.m. You will be charged a fee for long-distance calls. PAY PHONES There are pay phones in the Emergency Department waiting room, outside the third-floor Wound Care Unit and near the Same-Day Surgery Unit on the second floor. MOBILE PHONES Because mobile phones and similar devices can interfere with medical equipment, we require you and your visitors to restrict mobile phone use to specially marked, safe zone areas. LOCAL CALLS There is no charge for local calls. To place a call dial 9 followed by the desired phone number. LONG-DISTANCE CALLS To make long distance calls dial 9-1-area code-number To reach the hospital operator, please dial 0. Incoming phone calls cannot be received before 10 a.m. or after 9 p.m. Please inform your family and friends of this restriction. The telephone number to your room is posted on the bathroom door. CALLING YOUR NURSE To call your nurse, press the red rectangle on the pillow speaker or use the call button built into the bed side rail. Your nurse also carries a communication device similar to a cell phone. His/her number is posted on the white board hanging on the wall. You may call your nurse directly using the number provided. TELEPHONE DIRECTORY Audiology & Speech Services - 27690 Billing Office - 24200 Central Scheduling - 27711 Diabetes Educator - 27681 Insurance Verification - 24481 Emergency Department - 27606 Medical Records - 27640 Nutrition Service - 27521 Pastoral Care - 27529 Gift Shop - 26430 Security - 27505 Social Services - 27691 ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 6

TV AND PHONE SERVICES (CONTINUED) TELEVISION Televisions are provided for each of our patients. Please be considerate of others and keep the TV volume down. Televisions are controlled by the pillow speaker and channel listings are below. Closed captioning is available for the hearing impaired. TELEVISION CHANNEL LISTINGS 2 TW1 3 TBS 4 NBC 5 ABC Family 6 ABC 7 WHO 8 Fox 28 9 WOSU 10 WBNS 11 WOUB 12 WGN 13 WWHO 14 QVC 15 HSN 16 C-Span 18 GMC 19 Weather Channel 21 INSP 22 EWTN 23 TV Guide 25 Education 26 History Channel 27 Weather Channel 28 A&E 29 ESPN 30 ESPN 2 31 FSN 32 USA 33 Lifetime 34 TV Land 35 HGTV 36 DSC 37 NICK 38 SPIKE 39 TNT 40 BRAVO 41 MTV 42 VH1 43 HLN 44 MSNBC 45 CNN 46 CNBC 47 Fox News 48 Golf 49 STO 50 BTN 51 Animal Planet 52 AMC 53 Cartoon Network 54 Nick Jr. 55 Disney Channel 56 Food Network 57 Comedy Channel 58 True TV 59 We 60 E! 61 TLC 62 SyFy 63 National Geographic Channel 64 BET 65 FX 70 Hallmark Channel PAGE - 7

NUTRITION SERVICES WELCOME TO NUTRITION SERVICES AT ADENA HEALTH SYSTEM Good nutrition is the cornerstone to maintaining good health and recovering from illness. MEAL DELIVERY Breakfast: 7:30 am - 8:30 am Lunch: 11:30 am - 12:30 pm Supper: 4:30 pm - 5:30 pm BETWEEN MEALS A pantry is available on every unit with small snacks and beverages. Please let the staff know if there is something you would like. GUEST TRAYS Guest trays for families are always available. For a nominal fee, the guest tray will be delivered with the patient trays. CONTACT INFORMATION Diet office: ext. 27523 - Responsible for daily menu processing Dietitians: ext. 27520 - Responsible for providing nutrition therapy and counseling to hospitalized patients Nutrition main office: ext. 27511 - Responsible for all aspects of food/nutrition DIET The diet you are placed on in the hospital depends on your medical condition and may change throughout your stay. The following diets are the most prescribed: NPO This diet means nothing by mouth. This diet is often used if you are having tests, procedures and/or surgery. If you are unsure if you are allowed to have anything to eat or drink, please ask the staff before eating or drinking. Tests and procedures may be delayed if you eat/drink when not allowed. CLEAR LIQUID This diet provides fluid and energy, and requires minimal digestion. Medical testing, abdominal discomfort and recent surgery are some of the reasons for this diet order. Common foods on this diet include juice, broth and jello. FULL LIQUID This diet is designed to provide foods that are liquid or become liquid at room temperature. This diet is often a transition between clear liquids and solid foods. Common foods on this diet include creambased soups, puddings, ice creams and milk. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 8

NUTRITION SERVICES (CONTINUED) ADENA MEDICAL CENTER MAIN CAMPUS - NORTH ENTRANCE HEART HEALTHY (REGULAR) This diet includes well-balanced, heart healthy foods. Your tray will contain a seasoning packet instead of salt, and foods low in fat and cholesterol. A heart healthy diet also contains no caffeine. You may be placed on a heart healthy diet for any heart-related condition. Adena Health System believes a heart healthy diet is the best choice for patients. CARBOHYDRATE CONTROLLED (DIABETIC) This diet is designed to help control blood-sugar levels. Your tray will contain a sugar substitute packet instead of regular sugar. This diet incorporates all of the heart healthy options. RENAL The renal diet is designed to protect your kidney function and prevent further complications by limiting the amount of sodium, potassium and phosphorus in your diet. We have the ability to adjust this diet if you also have diabetes. TEXTURES Any diet ordered at Adena Health System can be adjusted based on the patient s tolerance to textures and liquid consistencies. Please let a staff member know if you are having difficulty chewing and swallowing. A DIETITIAN IS AVAILABLE TO DISCUSS YOUR DIET CONCERNS AS NEEDED BY CONTACTING EXT. 27520. PAGE - 9

YOUR RIGHTS AND RESPONSIBILITIES ADENA HEALTH SYSTEM CARES ABOUT AND RESPECTS YOUR RIGHT TO DETERMINE THE COURSE OF YOUR TREATMENT. WE WANT YOU TO BE AWARE OF YOUR RIGHTS AS A PATIENT UNDER ADENA HEALTH SYSTEM S POLICY AND FEDERAL AND STATE LAW. YOU HAVE THE RIGHT TO Necessary treatment regardless of race, color, national origin, religion, sex, gender identity, sexual orientation, disability or source of payment. Be treated with respect. This includes respect for religious and cultural beliefs, and emotional needs. Accept or refuse medical treatment to the extent permitted by law. You have the right to expect that we will do everything possible to control your pain, regardless of whether you accept or refuse recommended treatment. Have us explain things to you in a way you can understand so that you can make informed decisions about your care. This includes your condition, likelihood of recovery, procedures that may be done, risks, benefits and side effects of those procedures and any medically reasonable alternatives. This also includes a foreign language or sign-language interpreter for you or your caregiver at no cost. Expect us to perform any testing or medical procedures in the safest possible manner. A safe environment that is free from any concerns of harassment or abuse, humiliation, neglect and/or financial or other exploitation. Not be restricted in your movements unless medically indicated. You have the right to expect us to follow the strictest guidelines for the use of restraints and seclusion. Be informed (or have your support person informed where appropriate) of your visitation rights and hours, including any clinical restriction or limitation on these rights. This means that you have a right to privacy and may have visitors whom you choose, including a domestic partner (including same-sex domestic partner), another family member, or a friend; and you have the right to refuse to see any visitor that you designate. Ensure that all your visitors enjoy full and equal visitation privileges consistent with your preferences; whether they are related to you or not. This means that Adena Health System 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. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 10

YOUR RIGHTS AND RESPONSIBILITIES (CONTINUED) Confidentiality of your treatment, diagnosis, and medical records unless you give us authorization or as otherwise allowed by law. You have the right to ask us not to reveal that you are a patient of Adena Health System. Be involved in all aspects of your care, including the right to request second opinions and/or to consult with other physicians at your own expense. Know the name of the person who is caring for you and his/her professional status. You have the right to know who is responsible for ordering and performing a procedure or treatment for you. Access protective services, e.g., guardianship and advocacy groups or Adult/Child Protective Services. Be informed of and participate in (or not participate in) any educational, public health, or clinical research or other experimental project if these affect your care or treatment. Transfer to another facility at your request or with your consent after receiving an explanation of the need for transfer and alternatives to the transfer, if the receiving facility agrees. Prepare advance directives, such as Living Will or a Durable Power of Attorney for Health Care. Upon request, Adena Health System can provide assistance with the completion of these documents. A patient (i) who is unable to understand and/or make decisions regarding his or her care; (ii) who cannot communicate his or her wishes; or (iii) who is under the legal age of 18 and is not otherwise emancipated, has the right to have decisions made on the patient s behalf by his or her parent/ guardian, next of kin, or legally authorized representative. If you have any question or complaint about any services provided by Adena Health System, we encourage you to talk with your doctor, nurse, or the manager of the department or office where you are receiving services. If the issue is not resolved to your satisfaction, please call our Patient Comment line at 740-779-7364 or 1-877-779-7364. Please be assured that bringing your issue to our attention will not result in any form of retaliation or barrier to receiving services. You also have the right to write the Ohio Department of Health, PCSU, 246 North High Street, Columbus, Ohio, 43215; or by telephone at 1-800-342-0553, from 8:00 am to 5:00 pm, Monday through Friday. PAGE - 11

SPEAK UP During your stay, our physicians, nurses and staff will treat you and your family as partners in your care. It s important that you speak up and participate in your care. Ask questions, voice your concerns and don t be afraid to raise any issues about your care and treatments, as well as overall hospital services. Make sure you are getting the correct treatments and medicines, and know what medicines you take and why you take them. You may want to choose a family member or friend to be your advocate. While you are in the hospital, a number of people will enter your room. Be sure to: Ask for the ID of everyone who enters. Speak up if hospital staff do not ask to check your ID Ask if staff cleaned their hands before touching you. If you are told you need certain tests or procedures, ask why you need them, when they will occur and how long it will be before you get the results. PATIENT IDENTIFICATION Any time staff enters your room to administer medications, transport you or perform procedures and treatments, they must check your birth date and name before they proceed. At times, you may be asked the same questions a number of times. We are aware this may be annoying. Please understand however, this is a critical component in our patient safety program. It helps guarantee all of our patients receive the correct medications and treatments. FIGHTING INFECTIONS While you are here to get well, there is the possibility of developing an infection during your stay. The single most important thing you can do to help prevent infections is to wash your hands and make sure everyone who touches you including your doctors and nurses wash their hands, too. You, your family and friends should wash hands after touching objects or surfaces in the hospital room, before eating and after using the restroom. It is also important that your healthcare providers wash their hands with either soap and water or with an alcohol-based hand cleaner both before and and after they touch you. You and your family should not be afraid or embarrassed to speak up and ask them to clean their hands. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 12

PATIENT SAFETY: A GUIDE TO PREVENTING FALLS IN THE HOSPITAL ADENA STAFF STRIVES TO CREATE AN ENVIRONMENT THAT PROMOTES HEALING AND DECREASES RISKS FOR FALLING. OUR FOCUS IS ON YOUR SAFETY AND WELL-BEING. WE ARE DEDICATED TO MAKING YOUR STAY AS COMFORTABLE AND SAFE AS POSSIBLE. WHY IS IT IMPORTANT TO PREVENT FALLS? A fall can occur while you are in the hospital. Falls and complications after a fall can prolong your hospital stay and recovery. WHO IS AT RISK FOR FALLS? Anyone can fall. Falls can occur in any age group, at any time and in any place. WHY IS THERE AN INCREASED RISK FOR FALLS WHILE I AM IN THE HOSPITAL? While in the hospital, many factors increase your risk for a fall. Those include: New medication or recent changes in your medication Recent surgery or procedure Increased weakness and problems with balance Being attached to medical equipment A history of falling in the past Unfamiliar surroundings Poor eyesight or hearing Problems with memory or thinking caused by medications and/or illness The need to urinate frequently or having diarrhea Getting up too quickly, which can cause a change in blood pressure that may result in dizziness and loss of balance PAGE - 13

PATIENT SAFETY (CONTINUED) WHAT WILL THE STAFF DO TO HELP KEEP ME FROM FALLING? Staff members will: Review your history of falling Evaluate your current condition If you are considered a high fall risk, staff will: Post yellow magnets on door frames Apply a yellow bracelet to your wrist Give you yellow double-treaded socks to wear to alert other staff that you are at risk for falling Orient you to your new surroundings Place a call light and needed objects within your reach Assist you with bathroom needs, as necessary Ensure your room is free of unneeded equipment HOW CAN I KEEP FROM FALLING? Tell your nurse if you have a history of falling Ask for help before trying to get out of bed or using the bathroom or bedside commode After calling for help, stay where you are and wait for staff to assist you When finished with the bathroom or bedside commode, use the call light and wait for staff to assist you Wear non-skid footwear Use equipment that has been provided for your safety Do not use IV poles or furniture with wheels for support while you are walking BY TAKING PART IN YOUR OWN CARE, YOU CAN HELP MEMBERS OF YOUR HEALTH CARE TEAM TO AVOID MEDICATION ERRORS. Be sure all of your doctors know what medications you have been taking, including prescription drugs, over-the-counter medications, herbal and vitamin supplements, natural remedies and recreational drugs. Be sure your doctors know about any allergies you have to medications, anesthesia, foods, latex products and other things. When you are brought medication or IV fluids, prior to being given or taken for other treatments and/or tests (such as blood draws and x-rays), ask the staff member to be certain you are the patient who is supposed to receive the items. Show that person your ID bracelet to double-check. Remember you play an important role in helping to reduce medication errors. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 14

PAIN MANAGEMENT DO YOU HAVE PAIN? YOU ARE THE EXPERT ABOUT HOW YOU ARE FEELING. BE SURE TO TELL YOUR DOCTOR OR NURSE WHEN YOU HAVE ANY KIND OF PAIN. TO HELP DESCRIBE YOUR PAIN, BE SURE TO REPORT: When the pain began Where you feel pain How the pain feels sharp, dull, throbbing, burning or tingling If the pain is constant, or if it comes and goes What, if anything, makes the pain feel better What, if anything, makes the pain feel worse How much, if any, pain your medicine is taking away If your medicine helps with the pain and how many hours it helps USE THE PAIN-RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE ABOUT YOUR PAIN. THE MOSBY PAIN SCALE 0 1 2 3 4 5 6 7 8 9 10 NO PAIN MODERATE PAIN WORST POSSIBLE PAIN Describing your pain level in exact terms can be difficult. That s why we encourage our patients to use a pain scale that includes both numbers and facial expressions. If you re unable to speak about your pain, point to one of the faces to show your physician how you feel. Or use the numbers at the bottom of the scale to describe the intensity of your pain. PAGE - 15

ADVANCE DIRECTIVES If you should ever get into a situation where you cannot make your own medical decisions, who would you trust to speak on your behalf? We want you to be in control of your health care at all times. This means telling your doctors and nurses who to turn to and what care you would want if you were ever unable to speak for yourself. We hope this never happens, but it is important to be prepared. Advance directives - a living will and durable power of attorney are legal documents that allow you to give direction to medical personnel, family and friends concerning your future care when you cannot speak for yourself. You do not need a lawyer in order to complete advance directives. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 16

YOUR PRIVACY AND INFORMATION You have privacy rights under federal law that protect your health information. These rights are important for you to know. Federal law sets rules and limits on who can look at and receive your health information. Most doctors, nurses, pharmacies, hospitals, clinics, nursing homes and many other health care providers must follow this law. Also, health insurance companies, HMOs, most employer group health plans and certain government programs that pay for health care, such as Medicare and Medicaid, must abide by this law. The information your doctors, nurses and other health care providers put in your medical records, as well as conversations your doctor has with nurses and others regarding your care or treatment, is protected. Also protected is information about you in your health insurer s computer system and billing information about you at your clinic. PROVIDERS AND HEALTH INSURERS WHO ARE REQUIRED TO FOLLOW THIS LAW MUST COMPLY WITH YOUR RIGHT TO: Ask to see and get a copy of your health records Have corrections added to your health information Receive a notice that tells you how your health information may be used and shared Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing Get a report on when and why your health information was shared for certain purposes File a complaint TO MAKE CERTAIN YOUR HEALTH INFORMATION IS PROTECTED IN A WAY THAT DOESN T INTERFERE WITH YOUR HEALTH CARE, YOUR INFORMATION CAN BE USED AND SHARED IN THE FOLLOWING WAYS: For your treatment and care coordination To pay doctors and hospitals For family members or friends who are involved with your health care or your health care bills To make sure doctors give good care and nursing homes are clean and safe To protect the public s health, such as reporting the incidence of flu To make required reports to the police when necessary Without your written permission, your provider cannot give your health information to your employer, use or share your health information for marketing or advertising purposes, or share private notes about your mental health counseling sessions. You may request to be included or excluded from the Facility Directory. PAGE - 17

PATIENT ADVOCACY HOW ARE WE DOING? Your opinion is important to us! Many patients, families, and visitors are not aware that they can talk to someone about their experience whether good or bad. During your stay or visit, you can speak to the charge nurse, supervisor, manager or director of the department. The Patient Advocacy Office is also available to assist. HOW TO CONTACT THE OFFICE OF PATIENT ADVOCACY If you have been unable to resolve your problem within the department in which it occurred, you may contact the Office of Patient Advocacy by: Our phone number is 740-779-7364 or toll free 877-779-7364. Write to the Patient Advocacy Office at: Office of Patient Advocacy Adena Medical Center 272 Hospital Road Chillicothe, OH 45601 Or by email at patadvocate@adena.org Patients also have the right to contact the Ohio Department of Health at the following: Ohio Department of Health, PCSU 246 North High Street Columbus, Ohio, 43215 1-800-342-0553 Hours: 8:00 am to 5:00 pm, Monday through Friday. WHY IT IS IMPORTANT TO CALL US We rely on feedback to improve and evaluate the services we offer the community. WHEN TO CALL US The Patient Advocacy Office is here to help you with: Concerns about our services Concerns about our care Concerns about our employees Compliments to our staff Requests for information Other concerns or comments ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 18

PATIENT ADVOCACY WHEN NOT TO CALL US The Patient Advocacy Office will try to assist you as best we can, however, a Patient Advocate is NOT the best individual to help you with: Locating lost belongings: If you are/were an inpatient, please call the unit that is/ was responsible for your care. If you are/were an outpatient, please speak with the practice manager of the outpatient unit. To file a lost items report, please contact the Adena Security Office at 740-779-7505 Questions about billing or health insurance: Please call the Business Office at 740-779-4470 or 800-975-7541. Finding a primary care physician: Please call the Physician Referral Line at 877-779-7585. Requests for medical records: Please call Medical Records at 740-779-7640. PAGE - 19

CORPORATE COMPLIANCE ADENA HEALTH PAVILION - ADENA MEDICAL CENTER MAIN CAMPUS To fulfill our mission to patients, Adena Health System strives every day to treat others as they would want to be treated. A vital part of that mission is preserving our integrity as a caring and compassionate healthcare organization. Adena s Compliance and Ethics Department has been designed to help employees do the right thing in the course of their work. If you have a concern or witness something that you think may be wrong, you need to speak out. The following options are available to you for reporting: The following options are available to you for reporting: Discuss with the manager Call the Adena Compliance Line at 740-779-8780 Call the toll-free alert line at 877-373-0124 You may remain anonymous if you wish. ETHICAL CONCERNS: Any ethical concerns related to patient care or treatment at Adena Health System may be brought to the attention of a member of the Ethics Committee by contacting one of our Chaplains. The switchboard operator can connect you. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 20

WHAT YOU NEED TO KNOW BEFORE YOU LEAVE When it is time to be released from the hospital, your physician will authorize a hospital discharge. This doesn t mean you are completely well it only means you no longer need hospital services. If you disagree, you or your caregiver may appeal the decision. You or a relative also can appeal your doctor s discharge decision. If you re a Medicare patient, be sure you are given An Important Message from Medicare from the hospital s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information about appealing a discharge decision. On the other hand, when you learn your physician has approved your discharge, there are several things you or your caregiver need to address. First, know who will be involved in your discharge process. This starts with the hospital s discharge planner who may be a nurse, social worker, or administrator, or be known by another title. You and your caregiver should meet with this person early in your hospital stay. If you do not, find out who this person is and plan to meet with them before your expected discharge date. Make sure you have the following information before you leave the hospital: Discharge summary: An overview of why you were in the hospital, which healthcare professionals saw you, what procedures were done, and what medications were prescribed. Medication list: What medications you need to be taking, why and in what dosage. Prescriptions: The prescribed medications you need to take with you. Be sure to fill your prescriptions promptly. Be sure to ask what foods and activities to stay away from while on your medications. Follow-up care instructions. Make certain you have paperwork that tells you the following: What dietary restrictions you need to follow and for how long What kinds of activities you can and can t do, and for how long How to properly care for any injury or incisions you may have What follow-up tests you may need and when you need to schedule them What medicines you must take and why, and for how long. When you need to see your physician Any other home care instructions for your caregiver, such as how to get in and out of bed, how to use and monitor equipment, and what signs and symptoms to watch for Telephone numbers to call if you or your caregiver have any questions When you leave the hospital, you may need to spend time in a rehabilitation facility, extended care facility or other institution. You may need to schedule tests, have treatments at another department or office, or have in-home therapy. Be sure to speak with your nurse or physician to get all the details you need before you leave. PAGE - 21

WHAT YOU NEED TO KNOW BEFORE YOU LEAVE (CONTINUED) ADENA MEDICAL OFFICE BUILDING - ADENA MEDICAL CENTER MAIN CAMPUS You and your caregiver may feel unprepared for what will happen after your discharge. Make sure you are provided with information about local services, including transportation, equipment, home care, patient care and respite care. When your physician feels you are ready to be discharged, please speak with your nurse about our discharge procedures. Here are tips to help with the discharge process: Be sure you and/or your caregiver have spoken with a discharge planner and you understand what services you may need after leaving the hospital. Verify your discharge date and time with your nurse or doctor. Arrange for someone to pick you up. Check your room, bathroom and bedside table for any personal items. Make sure you or your caregiver has all the discharge instructions and prescriptions. Don t be afraid to ask questions. We are here for you. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 22

RESOURCES YOUR HEALTH CARE TEAM Physicians Several different physicians may be involved in caring for you. Your attending physician has primary responsibility for your care. This physician may be a member of the Adena Hospitalists staff, which cares for patients while they are admitted to the medical center. Hospitalists are in the medical center and are able to respond quickly to changes in your condition, orders, tests and procedures. They also continuously monitor your progress, update family with condition status and answer any questions you or family members may have. Our hospitalists maintain communication among nurses, case manager and family physicians to ensure you receive excellent care. Your hospitalist works closely with your primary physician to make sure your care is consistent and coordinated. Consulting physicians are specialists, such as cardiologists, nephrologists and neurologists, who provide expert opinions and collaborate with your attending physician when needed. Nurses You will be cared for around-the-clock by our team of Registered Nurses and Patient Care Associates. A Nurse Manager is responsible for coordinating and managing your nursing care, with a Charge Nurse assisting in the day-to-day operations. Please feel free to ask any questions you may have about your care. Also at times, nursing students may observe and participate in your care. Patient Advocates If you, family members or friends have concerns about your stay, or if your stay and care do not meet your expectations, please speak to the manager of the unit or department providing your care. If your problem has not been resolved to your satisfaction, please call the Patient Advocate at extension 27364 or toll free 1-877-779-7364. The patient advocate will strive to resolve your concern informally or assist you in lodging a formal complaint. Interpreters/Patient Advocates Adena Medical Center provides free interpreter services to all patients and visitors. Interpreters are available in the medical service or by telephone 24 hours a day, 7 days a week. Clinical Dietitians A clinical dietitian is assigned to every patient and works closely with your physician and nurse to ensure your individual nutrition needs are met. The clinical dietitian also is available to provide you with diet instructions, menu planning and lifestyle changes, as well as a special diet if prescribed after your discharge. Call 740-779-7520 to talk with a clinical dietitian. Social Workers Social workers are assigned to each patient care area. They are trained to assist you and family members with the social and emotional issues related to your hospitalization. They can assist you in choosing a guardian or durable power of attorney and help with arranging rehabilitation or long-term care. Chaplain & Spiritual Care Hospital chaplains are available to provide spiritual and pastoral care for patients, families and friends, especially in times of crisis, grief or loss. Our chaplains are professionally trained and are a vital part of holistic care. Our chaplains can also contact your clergy, congregation or faith community to make arrangement for your religious and spiritual needs. PAGE - 23

RESOURCES YOUR HEALTH CARE TEAM (CONTINUED) Palliative Care Consultants The Palliative Care Service is an expert team of professionals available to assist with pain and symptom management, as well as complex decision-making for patients with advanced chronic, life-limiting or terminal illness. They work in close collaboration with a patient s physician to deliver additional support. Ethics Consultants Everyone works hard to make certain you receive the best possible care while you are here. Our ethics consultants support patient rights, making certain you receive the best and most appropriate care possible. If you have a concern, ask your nurse or other members of your health care team to contact an ethics consultant. Pharmacists While you are in the hospital, all of your medications are dispensed by our hospital pharmacists. They can answer any questions you have regarding your medications. Rehabilitation Therapists Physicial therapists, occupational therapists and speech pathologists may work with you, your family and your medical team to help meet goals of recovery. Therapy may range from brief consultation to long- term intervention, based on the extent of your injuries or illness. Technicians and Technologists Skilled health professionals perform and assist with laboratory procedures and other procedures, including X-rays, mammograms, ultrasound, CT scans, MRIs, cardiac catheterization and radiation therapy that help in diagnosing and treating your illness or injury. Volunteers Volunteers provide valuable assistance to patients and staff in the Adena Health System. Our volunteers work at reception desks, deliver mail and help in the gift shop. They also work behind the scenes on a variety of projects. To obtain information about joining the volunteer program, call Cindy Drummond at 740-779-7526 or e-mail at cdrummond@adena.org. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 24

OUR LOCATIONS WE HAVE MANY LOCATIONS IN SOUTH-CENTRAL OHIO THAT MAKE IT EASY TO GET THE CARE YOU NEED. EACH LOCATION OFFERS SKILLED PROFESSIONALS AND MANY STATE- OF-THE-ART SERVICES. OUR GOAL IS TO HELP PATIENTS GET BACK TO ENJOYING LIFE AS SOON AS THEY CAN. HERE IS A LISTING OF ALL OF OUR LOCATIONS: ADENA MEDICAL CENTER 272 HOSPITAL ROAD CHILLICOTHE, OHIO 45601 (740) 779-7500 Located in Chillicothe, the Adena Medical Center is our primary hospital, with 233 beds for adults and children. Our hospital offers emergency care, cardiac (heart) care, intensive care, orthopaedic (bone) care, surgical care, rehabilitation services and general medical care. We also offer CT and MRI scans., along with other radiology and diagnostic testing. Our medical team works together to diagnose and treat your medical condition. Free valet parking is available at the West and North Entrances. ADENA HEALTH PAVILION 4437 STATE ROUTE 159 CHILLICOTHE, OHIO 45601 (740) 779-7500 The Adena Health Pavilion is on the main campus of the Adena Medical Center. This is where patients may receive CT and MRI scans, lab work, and outpatient surgery. Free valet parking is available at the entrance. ADENA MEDICAL OFFICE BUILDING 4439 STATE ROUTE 159 CHILLICOTHE, OHIO 45601 (740) 779-7500 The Adena Medical Office Building, in on the main campus of the Adena Medical Center and houses offices for many of our physician practices. Free valet parking is available at the entrance. ADENA URGENT CARE FOR CHILDREN ADENA MEDICAL CENTER, WEST ENTRANCE 272 HOSPITAL ROAD CHILLICOTHE, OHIO 45601 (740) 779-8440 Our Adena Urgent Care for Children helps you child when your pediatrician s office is closed. We care for your child s bumps, ear aches, cuts, fevers and other ailments. The center is open Monday through Friday from 5:30 p.m. until 8 p.m. and on Saturday and Sunday from noon until 8 p.m. PAGE - 25

OUR LOCATIONS (CONTINUED) ADENA CANCER CENTER 4435 STATE ROUTE 159 CHILLICOTHE, OHIO 45601 ONCOLOGY MAIN (740) 542-3030 RADIATION ONCOLOGY (740) 542-3000 The Adena Cancer Center houses the latest in cancer care advances. These advances are being used by our cancer specialists to provide our patients with exceptional treatment. Patients of the Adena Cancer Center will be able to see their physician and receive advanced testing and therapy in one convenient location, close to home, family and friends. The same treatments that are provided to cancer patients at major centers are available here at Adena. Along with advanced technology and treatment, physicians, nurses and support staff provide highly personalized care that distinguishes Adena from other hospital systems around the nation. ADENA GREENFIELD MEDICAL CENTER 550 MIRABEAU STREET GREENFIELD, OHIO 45123 (937) 981-9400 The Adena Greenfield Medical Center is a 25-bed critical care hospital and has been serving the community since 1918. At Greenfield, we offer 24-hour emergency care, employment physicals, pre-employment drug screening, inpatient rehabilitation and many other outpatient services. ADENA REHABILITATION AND WELLNESS CENTER 445 SHAWNEE LANE CHILLICOTHE, OHIO 45601 (740) 779-7661 The Adena Rehabilitation and Wellness Center helps patients recover from injuries and surgeries. With a full staff of physical and occupational therapists, and state-of-the-art exercise equipment to help you recover faster, you can get back to living a full and active life more quickly. ADENA COUNSELING CENTER 455 SHAWNEE LANE CHILLICOTHE, OHIO 45601 (740) 779-4888 Therapists at the Adena Counseling Center diagnose and treat mental illness in a comfortable and friendly environment. We also offer counseling services for young children, teenagers and adults of all ages in individual, family and group settings. Support groups for a variety of topics are offered. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 26

OUR LOCATIONS (CONTINUED) ADENA HEALTH CENTER AND AFTER HOURS CARE - JACKSON 1000 VETERANS DRIVE JACKSON, OHIO 45640 (740) 395-8050 The Adena Health Center in Jackson provides blood tests, mammograms, MRIs, X-rays, heart testing, bone-density testing, lung function testing, speech, occupational and physical therapy; and diabetes education. Along with Primary Care, we offer specialists in Orthopaedics, OB/GYN, Cardiology, Neurology, Nephrology and General Surgery. Our specialists are here to make it easy for you to get the care you need, close to home. Adena After Hours Care treats patients for medical conditions that are not emergencies but too uncomfortable to wait for an appointment with a family physician. After Hours Care is an extension of the Jackson Area Family Practice and Pediatrics primary care office. No appointments are necessary. Hours are Monday through Friday from, Noon to 8 p.m. and Saturday and Sunday from, 10 a.m. to 2 p.m. Closed on all major holidays. ADENA HEALTH CENTER - OAK HILL 315 WASHINGTON STREET OAK HILL, OHIO 45656 (740) 395-8080 Adena s Oak Hill location features healthcare services for the family provided by Adena Jackson Family Practice and Pediatrics. Our dedicated team is here to provide you with quality, patientcentered care in a convenient location that is close to home. The center also offers lab services and diagnostic testing. ADENA HEALTH CENTER AND URGENT CARE - WESTERN AVENUE 55 CENTENNIAL BLVD. CHILLICOTHE, OHIO 45601 (740) 779-4000 The Adena Health Center on Western Avenue offers mammograms, X-rays, cardiac testing, an outpatient lab and lung function testing. Also offered at this location is an urgent care service, which can help you with most minor medical concerns when they occur after hours, such as the flu, cuts and sprains. The Adena Urgent Care on Western Avenue is open from 10 a.m. until 8 p.m. every day and most holidays. PAGE - 27

OUR LOCATIONS (CONTINUED) ADENA HEALTH CENTER AND URGENT CARE - WAVERLY 12340 STATE ROUTE 104 WAVERLY, OHIO 45690 (740) 941-5100 The Adena Health Center in Waverly offers mammograms, cardiac testing, an outpatient lab, speech, physical and occupational therapy, X-rays and a pediatrician. An on-staff dietician can help you learn how to have a healthy diet and control your weight. Along with primary care, we offer specialists in OB/GYN, Cardiology, Sports Medicine, Neurology and Occupational Health. The Urgent Care in Waverly can help you with most minor medical concerns when they occur after hours, such as the flu, cuts and sprains. The facility is open from 10 a.m. until 8 p.m. every day and on most holidays. ADENA HEALTH CENTER - WASHINGTON COURT HOUSE 308 HIGHLAND AVENUE, SUITE C WASHINGTON C.H., OHIO 43160 1-855-232-9274 The Adena Health Center in Washington Court House offers patients convenient access to physicians and specialists who provide care through a wide range of services. Specialists include, OB/GYN, Cardiology, Orthopaedics, Colon and Rectal Surgery consultation, Neurology and Nephrology. We also provide x-rays and outpatient lab services. ADENA HEALTH CENTER - CIRCLEVILLE 798 NORTH COURT STREET CIRCLEVILLE, OHIO 43113 740-420-3000 The Adena Health Center in Circleville offers patients convenient access to physicians and specialists who provide care through a wide range of services. Specialists include, OB/GYN, Cardiology and Orthopaedics. We also provide x-rays and outpatient lab services. FOR MORE INFORMATION ON OUR LOCATIONS, CARE AND SERVICES, PLEASE VISIT ONLINE AT WWW.ADENA.ORG. ADENA - TO HEAL. TO EDUCATE. TO CARE. 0912-1A PAGE - 28