MESSAGE FROM THE CEO
Thank you for your interest in Avita Health System (Avita). I have been privileged to serve as Avita’s President and CEO since 2009. The creation of Avita Health System occurred when Bucyrus Community Hospital and Galion Community Hospital joined in 2011. The hard work and dedication given by the Board of Directors, Medical Staff, and employees has led to Avita’s ability to enhance services to the communities we serve. Avita has grown from approximately 450 employees in 2009 to over 1,800 employees who provide patient care in Crawford, Richland and Marion counties.
Avita is dedicated to providing an extraordinary patient experience and we are proud to have patient satisfaction scores ranking above most regional and national health systems, as measured by the independent patient satisfaction survey process (HCAPS) which is governed by the Federal CMS program. As a not-for-profit health system, we are blessed to be able to give back to the community by providing over twice the amount of uncompensated care to patients needing financial assistance when compared to other national and state health systems.
Avita is one of the few community health systems in Ohio that has not consolidated with a larger metropolitan health system. This means that Avita’s board members live locally, where health services are provided and utilized. The Avita Board realized how difficult it was to maintain local board governance in an era of mergers and acquisitions, which is why they decided to enhance their governance ability by using a comprehensive policy governance system. The policy governance system guides the board on how to effectively govern as a group in fulfilling their leadership role.
Avita truly has a corporate culture of collaboration, where the Board, Medical Staff and Employees work together to maximize Avita’s mission of improving the health and well-being of those we serve. Please explore the website to find out more about the services Avita provides. If you have any further questions, please feel free to contact us.
President and CEO
We understand that no one looks forward to a stay in the hospital. That’s why, at Avita Health System, we strive to make sure patient needs are met. Before your stay, we recommend that you take a minute or two to look through our Patient Information Guides, available here on this page. During your stay, do not hesitate to ask any member of our medical staff to help you make your stay with us as comfortable as possible.
Visiting hours are from 8:30am to 8:30pm
PATIENT RIGHTS AND RESPONSIBILITIES
As a patient of Avita Health System, you have the right to:
- Access to care and treatment, no matter your age, sex, race, color, religion, national origin, handicap, or ability to pay.
- Respect, Consideration and Dignity with respectful care that recognizes your personal dignity and individuality.
- Freedom from Abuse: Freedom from physical, verbal, mental, sexual and emotional abuse or harassment.
- Freedom from Restraints and Seclusion of any form that is not medically necessary. Restraint and seclusion may not be used for punishment or staff convenience.
- Privacy and Confidentiality in keeping with the law. You may expect any discussion involving your care to be discreet, and individuals not directly involved with your care will not be present without your permission. Your personal privacy will be protected.
- Privacy of Your Medical Record and Confidentiality regarding your medical record. You have the right to access the information in your record within a reasonable time frame.
- Safety while you are a patient and in our care.
- Know the Identity of Caregivers and the role of staff providing care to you.
- Prompt Notification of your doctor and your designated representative if you are admitted.
- Communication and Access to Support, including visitors and written/phone communication, as long as it doesn’t interfere with your care or the care of other patients. If you need a translator or special equipment to communicate, we will arrange for those services at no cost to you.
- Participate in Your Own Plan of Care: You, the patient, are the most important person in decisions about your healthcare. You have the right to be involved in care planning and treatment except when physically unable, medically inadvisable or contraindicated for medical reasons.
- Refuse Treatment: You may refuse treatment, within the limits of the law.
- Consultation: You may get a second opinion from another doctor or specialist (at your own request and cost).
- Transfer and Continuity of Care and Information about a decision to transfer you to another facility for specialized services, including the alternatives to such a transfer. You also have the right to be informed by the staff of any discharge instructions or follow-up care.
- Information and Consent about your illness and treatment options, communicated in a way you can understand. You have the right to make decisions regarding your care, and to be included in the consideration of ethical issues regarding your care. You will be allowed to decide whether or not to participate in any research, clinical trials or clinical training programs. When you cannot participate, information is provided to a person designated by you or to another legally authorized person.
- Advance Directives: You may write an Advance Directive (Living Will and/or Durable Power of Attorney for Healthcare or doctor ordered “Do Not Resuscitate”). You can expect that your healthcare providers will provide care that is consistent with these directives.
- Pain Management: You have the right to have your pain relieved as completely as possible.
- Information About Your Healthcare Facility Charges and Rules: You may request and receive an itemized bill for services rendered in the healthcare facility. You have the right to know what the rules and regulations of the healthcare facility are so that you can comply with them.
- Beneficiary Notice of Non-Coverage and the right to appeal a premature discharge with your payer.
- Complain or File a Grievance: You may voice a complaint by giving it in writing, or asking to speak with someone in charge. The complaint will be forwarded to the appropriate member of leadership where it will be reviewed and addressed. Any employee can provide you with directions on how to file a complaint/grievance.
The staff of Avita Health System will do everything we can to make sure that your care is appropriate and prompt. If you are ever dissatisfied with your treatment, please approach a member of the staff and they will attempt to resolve things as quickly as possible. You may also contact our Patient Relations Coordinator by calling:
- Bucyrus Hospital: 419-563-9328 or by emailing firstname.lastname@example.org
- Galion Hospital: 419-468-0827 or by emailing email@example.com
- Avita Ontario: 567-560-3370 or by emailing firstname.lastname@example.org
Our Patient Relations Coordinator will make sure your information is forwarded to leadership. If you feel your concern was not adequately addressed, you may also file a complaint with someone outside the healthcare facility.
The following organizations accept comments on Avita Health System:
- DNV GL Healthcare: 866-523-6842
- DNV GL Healthcare: email@example.com
- Ohio Department of Health: 800-669-3534
- Medicare QIO KePro: 800-589-7337
The following organizations accept comments on Avita Ontario ASC:
- Ohio Department of Health: 800-669-3534
- Ohio Department of Health Complaint Unit
246 North High Street, Columbus, OH 43215
or e-mail at HCComplaints@odh.ohio.gov
- Office of Medicare Ombudsman
As a patient of Avita Health System, you have responsibilities:
- Provision of Information: Provide complete and accurate information to the best of your ability about your health history, present complaint, hospitalization, any medications, including over-the-counter products and dietary supplements, any allergies or sensitivities and any other matters pertaining to your health. You have the responsibility to report any changes in your condition to your healthcare provider.
- Compliance with Instructions: Follow the treatment plan recommended by your practitioner, including the instructions of nurses and other health professionals as they carry out your plan of care. If you do not understand the information provided or your plan of care, you are responsible for asking questions. You must provide a responsible adult to take you home from the facility and remain with you for the amount of time your provider has told you. You are responsible for keeping appointments and, when unable to do so, for canceling/rescheduling in a timely manner.
- Refusal of Treatment: You are responsible for your actions if you refuse treatment or do not follow your practitioner’s instructions.
- Healthcare Facility Regulations: Follow healthcare facility rules and regulations. You will be informed of rules that apply to you when you become a patient.
- Respect and Consideration: Be considerate of the rights of other patients, staff, and healthcare facility property, including assisting in the control of noise and the number of visitors.
- Advance Directives: Provide the healthcare facility with copies of Advance Directives if you have them so they can be followed in the event of a terminal illness or if you are unable to speak for yourself.
- Healthcare Facility Charges: Be prompt to pay healthcare facility bills, to ask questions concerning the bill, and to provide the information necessary for insurance processing.
Patient education regarding rights and responsibilities:
Patients who are admitted to an Avita Health System hospital are offered a list of these rights and responsibilities. They are also posted in registration areas.
MESSAGE FROM COMPLIANCE/ETHICS AND PRIVACY DIRECTOR
Avita Health System’s Board of Directors pledges to its patients, staff, and the public that Avita is an honest, ethical, and reputable healthcare system. Avita’s Compliance/Ethics and Privacy Program was designed to show Avita’s commitment to operating in an ethical and honest manner by establishing guidelines, processes, and policies designed to prevent and detect illegal conduct, provide education and training, monitor operations, and business practices.
Avita strives to attain the highest ethical standards and to follow the laws, regulations and policies that govern the healthcare industry. Avita’s staff is required to follow the Code of Conduct and to conduct themselves with the utmost integrity.
The Compliance/Ethics and Privacy Committee is comprised of the Compliance/Ethics and Privacy Director, the CEO, CFO, COO, and senior management, who together promote the reporting of illegal, inappropriate, or unethical conduct.
If you have questions or concerns, please contact the Compliance/Ethics and Privacy Director, at 419-468-0571.
Cinda M. Kropka
Compliance/Ethics and Privacy Director
HIPAA PRIVACY RULE
Most of us believe that our medical and other health information is private and should be protected, and we want to know who has this information. The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information. The Privacy Rule applies to all forms of individuals’ protected health information, whether electronic, written, or oral.
NOTICE OF PRIVACY PRACTICES
A Notice of Privacy Practices is a document that informs patients how Avita uses and discloses their health information. The Notice also informs the patients when the provider can use or disclose their health information with and without their permission and informs the patient about rights to their health information.
Avita’s Compliance Hotline may be used to report suspected illegal or unethical behavior. You can use the hotline if you want to remain anonymous. Listen to the instructions, and then leave your message. If you wish to be contacted, you may also leave your name and number. The Compliance/Ethics and Privacy Director will review your message and thoroughly investigate your allegation.
There are other ways to report a suspected violation or concern:
- Call the Compliance/Ethics and Privacy Director directly at 419-468-0571
- Email the Compliance/Ethics and Privacy Director at CKropka@avitahs.org
- Mail your report to:
Compliance/Ethics and Privacy Director
Avita Health System
269 Portland Way S, Galion OH 44833
EXAMPLES OF ILLEGAL OR UNETHICAL BEHAVIOR
- Submitting a false claim to Medicare or Medicaid
- Conflict of Interest
- Unethical Business Practices
- HIPAA Violations
OTHER CONTACT INFORMATION
At any time, or if you are not satisfied with Avita Health System’s response to your concern of fraud, waste, or abuse, you may contact:
MISSION, VISION, AND VALUES
The mission of Avita Health System is to improve the health and well-being of those we serve.
Avita Health System is a locally governed, patient-centered, integrated health care system that is committed to providing superior medical services to North Central Ohio. Avita Health System will be the health care system and employer of choice, strategically use its resources to maximize the mission, and strive for continuous quality improvements.
- Accountable for our actions and attitudes.
- Value patients by providing them with exceptional care and honoring their informed healthcare choices.
- Integrity by having a commitment of doing what is right.
- Teamwork by collaboratively working together.
- Accept our leadership responsibility by leading strategically and focusing our resources to maximize Avita’s mission.
Our 340B Story
340B by the numbers (FY19)
$1.7 million: Approximate annual 340B drug savings that benefit Avita Health System patients and surrounding communities (based on FY19 data)
$75.1 million: Cost of uncompensated, unreimbursed and charity care for Avita Health System (FY19)
8 (454,407): Number of counties (population) served by Avita Health System hospitals and clinics
About Avita Health System
Avita Health System is a nonprofit, patient-centered health care system in North Central Ohio. It was established in 2011 as the parent company of Bucyrus and Galion Hospitals. In 2017, Avita opened its third hospital, located in Ontario, and now has over 40 clinics in Crawford, Richland, and Marion counties with more than 155 employed medical providers, 1,091 affiliated medical providers, and 1,900 employees. Avita’s mission is to improve the health and wellbeing of those it serves and is dedicated to providing an extraordinary patient experience that consistently ranks above most regional and national health systems. Unique to the area, Avita is an independent, locally-governed health care system with a board of directors that live in the communities where health services are provided. As a nonprofit health care system, Avita values charitable giving by providing over twice the amount of uncompensated care to patients needing financial assistance in comparison to other national and state health systems.
Benefits of the 340B Program
Avita Health System relies on the 340B Drug Pricing Program in order to “stretch scarce Federal resources as far as possible, reaching more eligible patients and providing more comprehensive care”, as Congress had originally intended. The 340B program is funded entirely through drug manufacturer discounts and there is no cost to the taxpayer or community. The 340B program is critical to ensuring Avita’s role as a safety-net community hospital, thereby providing vital access to comprehensive and life-saving health services, programs, and prescription drugs. Savings realized through participation in the 340B program are reinvested into Avita Health System’s internal programs and services, or the expansion of external community assistance programs. These programs and services include, but are not limited to:
- Maintaining community access to 24/7 critical services including emergency medicine (ER), inpatient care, surgery, advanced imaging, and intensive care at all three Avita Health System hospitals
- Expanding access to specialized services and medical expertise, such as cardiac catheterization, comprehensive cancer services, and telestroke medicine
- Access to pediatric physical therapy and speech therapy
- Expanding access to state-of-the-art technology, including 3D mammography, 3T MRI, and robotic surgery
- Access to charity and indigent care programs, as well as financial assistance for basic medical services, oncology and other specialty medications
- Access to patient billing advocates and financial counselors to assist with needs beyond direct medical care, such as gas, electricity, transportation, etc.
- Subsidizing chemotherapy and immunotherapy for uninsured and underinsured patients
- Providing clinical pharmacy services (Medication Therapy Management clinic) to at-risk patients to improve medication adherence and outcomes
- Partnerships with local communities to provide community health improvement services, such as diabetes prevention, prenatal support, and tobacco cessation
- Access to free sports physicals and athletic training services to local schools
- Providing pediatric vaccines at all pediatrician physician practices system-wide
- 24/7 access to forensic services, including free medical screenings and exams for victims of sexual assault and abuse, child abuse, domestic violence, human trafficking, and other criminal offenses
Impact of Scaling back the 340B Program
Avita Health System is committed to our mission of improving the health and wellbeing of those we serve. We fulfill our mission primarily through the services and programs that we offer our patients, as well as through the support that we give to our communities. Scaling back the 340B Program would threaten our capacity to offer the services described above to our patients.
- Crawford County Implementation Strategy – 2019
- Crawford County Health Needs Assessment – 2019
- Crawford County Implementation Strategy Outcomes – 2016
- Crawford County Health Needs Assessment – 2016
- Crawford County Implementation Strategy – 2016
- Crawford County Implementation Strategy Outcomes – 2013
- Crawford County GCH Implementation Strategy – 2013
- Crawford County BCH Implementation Strategy – 2013
- Crawford County Community Health Needs Assessment – 2013
- Richland County Health Needs Assessment – 2017
- Richland County Implementation Strategy – 2017
LANGUAGE ASSISTANCE SERVICES
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Avita Health System complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Avita Health System does not exclude people or treat them differently because of race,color, national origin, age, disability, or sex.
AVITA HEALTH SYSTEM:
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, please inform your Admitting Clerk or call 419-468-4841
If you believe that Avita Health System has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by contacting our Compliance/Ethics & Privacy Director & Civil Rights Coordinator.
You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
- Electronically through the Office for Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
- By mail at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW Room 509F
Washington, DC 20201-0004
- By phone at:
(800) 368-1019 TDD: (800) 537-7697
- Complaint forms are available at: hhs.gov/ocr/office/file/index.html
Avita Health System complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex
Avita Health System cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color,
nacionalidad, edad, discapacidad o sexo.
Avita Health System 遵守適用的聯邦民權法律規定，不因種族、膚色、民 族血統、年齡、殘障或性別而歧視任何人。
Avita Health System erfüllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.
قرعلا ساسأ ىلع زیمی الو اھب لومعملا ةیلاردفلا ةیندملا قوقحلا نیناوقب وأ ةقاعإلا وأ نسلا وأ ينطولا لصألا مزتلی Avita Health System .سنجلا وأ نوللا وأ
Avita Health System iss willich, die Gsetze vun die Owwerichkeet zu folliche un duht alle Leit behandle in der seem Weg. Es macht nix aus, vun wellem Schtamm ebber beikummt, aus wellem Land die Voreldre kumme sinn, was fer en Elt ebber hot, eb ebber en Mann iss odder en Fraa, verkrippelt iss odder net.
Avita Health System соблюдает применимое федеральное законодательство в области гражданских прав и не допускает
дискриминации по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола.
Avita Health System est conforme aux lois fédérales relatives aux droits civils applicables et ne fait aucune discrimination sur la base de la race, la couleur, l’origine nationale, l’âge, le handicap ou le sexe.
Avita Health System tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính
Avita Health System Seera hariiroo hawwaasummaa Fedeeraalaan wal qabatan sanyiidhaan, bifaan, dhiigaan, umriidhaan, hiri’ina qaamaan, yookiin koorniyaadhaan hin loogu.
Avita Health System은(는) 관련 연방 공민권법을 준수하며 인종, 피부색, 출 신 국가, 연령, 장애 또는 성별을 이유로 차별하지 않습니다.。
Avita Health System è conforme a tutte le leggi federali vigenti in materia di diritti civili e non pone in essere discriminazioni sulla base di razza, colore, origine nazionale, età, disabilità o sesso.
Avita Health System は適用される連邦公民権法を遵守し、人種、肌の色、 出身国、年齢 、障害または性別に基づく差別をいたしません。
Avita Health System voldoet aan de geldende wettelijke bepalingen over burgerrechten en discrimineert niet op basis
van ras, huidskleur, afkomst, leeftijd, handicap of geslacht
Avita Health System дотримується чинних федеральних законів про цивільні права і не допускає дискримінації за ознакою раси, кольору шкіри, національного походження, віку, інвалідності чи статі.
Avita Health System se conformează legilor Federale privind drepturile civile și nu discriminează pe baza rasei, culorii, originii naționale, vârstei, dizabilităților sau sexului.