Patient Rights & Responsibilities

As a patient at Grady, you have the right to…

  • Health care services no matter your age, color, national origin, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression.
  • Receive emergency or medically necessary care without discrimination on the basis of source of payment or ability to pay.
  • Be treated with respect and courtesy. We will protect your dignity.
  • Privacy. The hospital, your doctor, and others caring for you will protect your privacy as much as possible.
  • Expect that treatment records are confidential unless you have given permission to release information or reporting as required or permitted by law.
  • Respect for your religion, beliefs, and social needs. You may call the Chaplain at (404) 616-4270, Monday through Friday, 8:30 a.m. to 5 p.m. After 5 p.m. or on weekends and holidays, you may page (404) 703-1670. Our Chapel is on the 1st floor of the hospital.
  • Clear communication from our staff. We will use the language you choose in a way in which you want to receive information.When you do not understand, please tell us or ask questions. If you want us to communicate with another person about your health information, tell us.
  • Free services to help you communicate with the staff. If you have vision, speech, or hearing issues, or if English is not your first language, our language interpreters or other appropriate staff can help.
  • Talk to your doctor about your care.
  • Know the names of the doctors responsible for your care.
  • Know the name of each member of your healthcare team.
  • Be told by your doctor about any unexpected outcomes of treatment.
  • Understand your condition, progress, and all recommended tests and procedures and their effectiveness.
  • Decide with your doctor your plan of care.
  • Involve your family or support person in decisions about your care. You, or a person you choose to make medical decisions for you, can say how much you want your family involved in your care.
  • Have your decision-maker work with your care team, speak for you, and make health care decisions for you, if you cannot communicate for yourself.
  • Gill out a new or change an Advance Directive. The Advance Directive tells your family and hospital staff your wishes for end-of-life care, including life support and organ donation. The Advance Directive may also name a healthcare agent in the event you cannot make decisions. This may be a family member, friend, support person or same-sex partner. The hospital staff will follow the instructions in the Advance Directive.
  • Receive care even if you do not have an Advance Directive.
  • Agree to or refuse treatment. Your doctor will explain to you, in language you understand, risks, benefits, discomforts, side effects, and the purpose of the treatment. Your doctor will also talk to you about your other treatment choices and their risks and benefits. You have a right to know what may happen if you refuse treatment.
  • Choose if you want to participate in research. You can also choose to be in photos or in videos (that are not used for your care).
  • Not be secluded or restrained, unless medically necessary.
  • Have your pain checked and controlled.
  • Have emotional support from a family member, support person, or friend during your hospital visit.
  • Have or refuse visitors, mail, or telephone calls during your stay. You also have the right not to be listed in the hospital’s directory.
  • View and get a copy of your medical record. Medical Records (Health Information Department) can be reached at (404) 616-4282.
  • Keep your personal clothing and belongings. This includes hearing aids, glasses, canes, service animals, and wheelchairs. The hospital is not responsible for personal items. Please give jewelry, money, and other valuables to your family to take home. 
  • A safe, secure environment, with no neglect, exploitation, verbal, mental, physical, or sexual abuse. The hospital will report cases of abuse to the police or other agencies. If you feel your environment is not safe, you have a right to contact Protective Services.
Fulton County:  
Adult Abuse and Neglect(404) 657-5250 or (866) 552-4464
Child Abuse and Neglect(855) 422-4453 or (404) 699-4399
DeKalb County: 
Adult Abuse and Neglect(866) 552-4464
Child Abuse and Neglect(404) 370-5066
Senior Connection(404) 370-5066
Mental Health Resources:  
Georgia Crisis and Access Line(404) 730-1600 or (800) 715-4225
  • Ask to make changes to your medical record and ask how it will be used and shared. You may ask that all communication be kept private. You have a right to tell us if you think your personal information has been stolen or misused. If you have any questions, call the Compliance Department at (404) 616-1706 or (800) 349-4098 after hours.
  • See your bill and your payment options.
  • Have follow-up care from Grady when you are discharged home or transferred to another hospital. If transferring, however, the receiving hospital or doctor must accept the transfer.
  • File a complaint or grievance. If you have concerns about quality of care or service you received or other issues, you may submit a complaint in person, by phone (404) 616-3500, or in writing to the Patient & Family Experience Department.

Grady expects you to do the following…

  • Give us correct and complete information about who you are, your health (past and current), insurance, and Advanced Directives.
  • Tell us about any cultural, ethnic, dietary, religious, or spiritual beliefs/practices that may affect your care.
  • Tell your doctor and others on your care team about any changes in your health.
  • Work with your doctors and other staff on decisions about your care.
  • Understand that you do not have a right to get treatment you do not medically need.
  • Ask questions when you do not understand information about your care or what we expect you to do.
  • Remind our staff to wash his or her hands before and during any contact with you.
  • Make sure we use two ways to identify you (like your name and birthdate) before doing any procedure on you.
  • Follow your doctor’s treatment plan. Speak up if you think you cannot follow the plan.
  • Accept responsibility for what may happen if you don’t follow the treatment plan or you refuse treatment.
  • Remain responsible for and keep your personal property safe during your stay. Please send your valuables home with your family.
  • Follow the hospital’s patient conduct rules.
  • Respect hospital property and other people’s property.
  • Keep and be on time for appointments.
  • Keep your payment information up-to-date.
  • Pay for the care and treatment you receive.
  • Show respect and consideration to the staff. Respect the rights of other patients and families. Grady will not allow any kind of violence (physical assault, threats, and verbal abuse).

Grady Patient’s Rights Definitions:

Family: Two or more persons who are related in any way biologically, legally or emotionally. Family includes any individual that plays a significant role in the patient’s life such as spouses, domestic partners, significant others, parents (of both different-sex and same-sex), and other individuals not legally related to the patient.

Surrogate decision maker: Someone appointed to make decisions on behalf of another. A surrogate decision-maker makes decisions when an individual is without decision-making capacity, or when an individual has given permission to the surrogate to make decisions. Such an individual is sometimes referred to as a legally responsible representative.

Support Person: An individual selected by the patient to provide emotional support, relieve stress, give comfort, and alleviate fear during the course of the patient’s hospital stay. The support person may or may not be the patient’s surrogate decision-maker or legally authorized representative.

Discrimination is Against the Law

Grady Health System (“Grady”) does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression, as well as source of payment for care.  Nor Grady does not exclude people or treat them differently.

Grady provides free aids and services to people with disabilities to communicate effectively with us, such as access to qualified sign language interpreters and access to information written in other formats (large print, audio, accessible electronic formats, other formats).

We also provide free language services to people whose primary language is not English, either through qualified interpreters or information written in other languages.

Continue reading…

Patient Rights and Responsibilities

Grady Health System (GHS) recognizes and respects patient rights and encourages its patients to become more informed and involved in their care. All patients deserve care, treatment, and services provided in a way that respects and fosters their personal dignity, autonomy, positive self-regard, civil rights, and cultural, psychosocial, and spiritual values, beliefs, and preferences.

    1. Purpose:

The purpose of this policy is to:

      • Ensure care, treatment, and services are provided in a way that respects and fosters the patient’s rights as outlined in this policy.
      • Ensure care, treatment, and services are provided in a way that holds patients accountable for their responsibilities as outlined in this policy.
      • Provide guidelines for informing patients of their rights, helping patients understand and exercise their rights, respecting patients’ values, beliefs and preferences, and informing patients of their responsibilities regarding their care, treatment, and services.
    1. Procedure:
      1. Informing Patients of their Rights and Responsibilities
        1. Patient Rights and Responsibilities will be posted in all outpatient care areas.
        2. All patients, or their representative, will receive a copy of their Rights and Responsibilities as a patient from the Patient Access Representative upon inpatient admission.
        3. Upon admission, all adult patients will be asked whether or not he/she has an advance directive (Durabler Power of Attorney for Health Care or a Lining Will). The patient is provided information and education as it relates to formulating an advance directive.
          1. If they have not already done so, adult patients will be informed of their right to formulate advance directives and their right to appoint a health care agent.
          2. A health care proxy, advance directive or similar instrument executed in another state or jurisdiction will be honored to the same extent as a proxy or advance directive created pursuant to this law.
      2. Patient Right

The Grady Health System recognizes that each patient has the right to:

      1. Receive Information in a manner he or she understands
        1. Patients have the right to the availability of mechanisms to ensure understanding and effective communication in a manner tailored to the patient’s age, language of preference (see policy on Language Interpretive Services) and ability to understand.
        2. Patients have to right to request auxiliary aids when necessary.
      2. Participate in decisions about his or her care, treatment or services
        1. Patients have the right to talk with their doctor anytime and participate in the development and implementation of his/her plan of care and make informed decisions regarding his/her care.
        2. Patients have the right to include or exclude any or all family members from participating in decisions about their care.
        3. Patient has the right to know the name of the doctor responsible for their care and each member of the health team.
        4. Patient has the right to understand your condition, progress and all recommended tests and procedures.
        5. Patient has the right to be told by the physician of any unexpected outcome or treatment and any the effect, short or long term.
      3. Give or withhold Informed consent
        1. Patients have the right to accept medical care or refuse treatment to the extent permitted by law and to be informed of the medical consequences of such refusal (See “Informed Consent” policy).
        2. Patients do NOT have the right to demand treatment or services your doctor believes are medically unnecessary or inappropriate.
        3. Patients have the right to give or withhold informed consent to produce or use recordings, films or other images of the patient for purposes other than his or her care(See “Photography, Audio and Video Recording” policy).
      4. Protection during research, investigation, and clinical trials
      5. Have his or her decisions regarding care, treatment, and services received at the end of life addressed
        1. Patients have the right to formulate advance directives and appoint a substitute decision maker (family member, friend or same sex partner) to make health care decisions on his/her behalf to the extent permitted by law.
        2. Patient has a right to receive care even if you do not have an Advance Directive.
      6. Patients have the right to have their wishes honored concerning organ donation and/or any other end of life decision as indicated in the advanced directive, when made known to the hospital, or when required by the hospital’s policy.
      7. Be free from neglect; exploitation; and verbal, mental, physical, and sexual abuse.
      8. An environment that preserves dignity and contributes to a positive self-image.
        1. Patients have the right to impartial access to treatment that is available, medically indicated, appropriate, and within the capacity and scope of the GHS mission regardless of race, creed, sex, age, color, national origin, religion, disability, diagnosis, or sexual orientation and gender identification or expression as well as source of payment.
        2. Patients have the right to have their religious, spiritual, psychosocial, cultural, ethnic, and personal values, beliefs, and preferences respected and accommodated.
        3. Patients have a right to not be secluded or placed in restraints unless medically necessary.
        4. Patients has a right to have their pain checked and controlled.
      9. Have complaints reviewed by the hospital
        1. Patients have the right to voice concerns to the office of Patient and Family Experience, hospital staff, medical staff, or risk management without fear of reprisal or discrimination, and receive a timely response from the appropriate hospital representative.
        2. A Patient may file a complaint with the Department of patient Family experience. The complaint will be reviewed within 30 days and a letter sent to the pt. explaining how the issue was handled.
        3. Patients may utilize the hospital’s grievance process as well as, or instead of filing a complaint with the State agency.*

Grady Health System
Patient & Family Experience Department
80 Jesse Hill Jr. Drive, SE
Box 26249
Atlanta, Georgia 30303
(404) 616-3500

The Joint Commission
The Office of Quality and Patient Safety (OQPS)
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Website:, using the “Report a Patient Safety Event” on the homepage
Fax: (630) 792-5636

Alliant – Georgia Medical Care Foundation, Attention: Beneficiary Complaints
1455 Lincoln Parkway, Suite 800, Atlanta, GA 30346
(678) 527-3000

Georgia Department of Community Health, Healthcare Facility Regulation Division
2 Peachtree Street NW, Suite 21-325, Atlanta GA 30303-3167
(404) 657-5700 or (800) 878-6442 Fax: (404) 657-5731

        1. Patients have the right to receive care in a safe environment free of neglect, exploitation, verbal, mental, physical or sexual abuse. The hospital reports cases of neglect and abuse to the police and other Protective Services at any of the offices listed below.
          1. Fulton County
            Adult Abuse and Neglect (404) 657-5250 or (866) 552-4464
            Child Abuse and Neglect (855) 422-4453 or (404) 699-4399
          2. DeKalb County
            Adult Abuse and Neglect (866) 552-4464
            Child Abuse and Neglect (404) 370-5066
          3. Mental Health Resources
            Georgia Crisis & Access Line (404) 730-1600 or (800) 715-4225
        2. Personal privacy and confidentiality of all records and communication regarding their care and to request a paper copy of GHS Notice of Privacy Practices. These privacy practices indicate patients have:
          1. The right to say who can view their health information (Only authorized hospital personnel may have access to the record. All other persons must present credentials prior to record access, i.e., insurance representative, nursing home screening, etc.).
          2. The right to access, updates, and request amendment to parts of their health information if they feel information in their files is incorrect.
          3. The right to know what health information will be given to others. (Explicit authorization must be obtained from the patient or legal guardian prior to the release of any part of the medical record).
          4. The right to have their identifying information, i.e. name, address, social security number, medical or financial information, safeguarding by hospital personnel and improper use of such information prevented. (Patients should report concerns regarding suspected identity theft or misuse of patient identifying information to the HIPAA Hotline 404-616-2118).
        3. Protection under the Mental Health Law (refers to patients’ hospitalized in Behavioral Health Services only). It is unlawful to inform anyone of the patient’s hospitalization without written consent by the patient.
      1. Patient, Family, and Visitor Responsibilities:

The patient and/or family have the following responsibilities:

      1. To provide accurate and complete health, medical and insurance information including an advance directive if he/she has one.
      2. To participate in decisions relating to care and treatment plan for your condition as outlined by your providers.
      3. Be aware that his/her right to be involved in his/her plan of care does not include receiving medically unnecessary treatment.
      4. To ask questions, acknowledging when he/she does not understand the diagnosis, treatment course including options.
      5. Assume responsibility for actions and outcomes of those actions if you fail to adhere to the treatment plan agreed upon or refuse treatment.
      6. Maintain and secure his or her personal valuables, property and other assistive devices during their stay. GHS is not responsible for the loss and/or damage of any patient’s personal effects, valuables and/or any other assisted devices.
      7. Follow instructions and accept consequences.
      8. Follow all hospital rules affecting patient conduct and care.
      9. Show respect and consideration to all staff and property and be considerate of the rights of other patients and or families and hospital personnel.
      10. Meet financial obligations associated with the health care services received.
      11. Keep all scheduled appointments and be on time for scheduled appointments.
      12. To request that your healthcare provider washes his/her hands prior to and during any interaction with you, and use at least two ways to correctly identify you before performing a procedure.
      13. Show consideration for others around him/her, including other patients and staff. Violence (includes physical assault, threatening behavior or verbal abuse) will not be tolerated by the Grady Health System.
    1. Definitions:
      1. Legal Guardian/Representative: Any adult to whom authority to make health care decisions is delegated under a health care proxy
      2. Adult: Any person who is 18 years of age or older, or is the parent of a child or has married and is considered an adult.
      3. Advance Directive: Instructions regarding health care relating to the provision of care.
      4. Capacity: The ability to understand, comprehend and appreciate the nature and information provided about the proposed diagnosis, treatment and options, including the benefits and disadvantages of the treatment, and to reach an informed decision in a voluntary, knowing and rational manner.; which includes the ability to communicate these choices.
      5. DNR (Do Not Resuscitate): Decision not to initiate cardiopulmonary resuscitation (CPR).
      6. Personal Value: Individual convictions considered important to that individual
      7. Culture: The thoughts, communications, actions, customs, beliefs, values, practices of racial, ethnic, religious, or social groups.
      8. Privacy: Freedom from the observation, intrusion, or attention of others. There are multiple forms of privacy including but not limited to: information privacy, physical privacy, decisional privacy, proprietary privacy.
      9. Confidentiality: The right to provide information of a personal, private and/or sensitive nature with the knowledge the information will not be revealed to another party without consent.
Patient/Family Visitation

All visitors designated by the patient (or support person where appropriate) shall enjoy visitation privileges that are no more restrictive than those that immediate family members would enjoy. Prior to care being provided, Grady Health System (GHS) shall inform each patient at the time he/she is informed of his/her other rights (or his/her support person, where appropriate) in writing of:

      1. Patient’s visitation rights;
      2. Patient’s right to receive the visitors whom he/she designates, including, but not limited to, a spouse, a domestic partner (including a same sex domestic partner), another family member, or a friend;
      3. Patient’s right to withdraw or deny such consent at any time; and
      4. Justified clinical restrictions which may be imposed on a patient’s visitation rights.
    1. Purpose:

To ensure that all visitors of patients shall enjoy equal visitation privileges consistent with patient preferences and subject to the Hospital’s Justified Clinical Restrictions.

    1. Procedures:
      1. General Guidelines
        1. Open Visitation
          Grady Health System supports open visitation from primary supports and/or family members. Primary supports can usually come to the hospital at any time, at the discretion of the patient, or at the discretion of the patient’s representative if the patient is a minor or does not possess decision-making capacity. The patient or patient’s representative may make visitation limitations in conjunction with the primary nurse and the health care team. Visitors may be asked to leave their loved one’s room at any time for safety, infection control, or privacy reasons or during certain procedures or treatments.
        2. Overnight Accommodations
          Primary Supports/ Family Members can stay in the patient’s room in the bedside chair overnight. Visitors requiring overnight accommodations should be referred to the Social Worker for assistance with reservations at a nearby facility. All persons in the hospital after 8:30 p.m. must wear an identification badge which can be obtained at the Security Desk in the main Clinic Atrium. Neither primary supports staying overnight nor their belongings should obstruct health care providers’ access to or ability to care for the patient. Patients and visitors are responsible for all personal belongings. Grady is NOT responsible for replacing lost or misplaced items, so it is recommended that only essential items are brought into the hospital.
        3. Patients In Semi-Private Rooms
          If the patient is in a semi-private room, consideration should be given to other patients in the room when determining visitation. Only same sex/gender patients are permitted to stay in the same inpatient room. Visitors and primary supports must seek permission from the primary nurse and the other patient residing in the inpatient room prior to staying overnight.
        4. Critical Care
          ICU Visitation is limited to two family members at any one time. The ICU will be closed to visitation during the following instances:

          • 6:30-8:30 a.m. and 6:30-8:30 p.m. for confidentiality reasons during shift report
          • During any ICU medical crisis
          • When any complicated bedside treatment is being performed

For End-of-Life care, special exceptions to the visitation guidelines may be made by the Unit Director or designee.

      1. Prisoner Patient
        To promote the safety of GHS staff, visitors and patients, prisoner patients are not allowed visitors or telephone calls unless specifically coordinated by the law enforcement, detention or correctional agency.
      2. Child Visitation
        Children younger than 16 years of age must be accompanied and supervised at all times by an adult who is not a patient. Children under 12 years of age must also have special permission from the Charge Nurse / Unit Director or designee. 
      3. Selection Of Visitors
        The Hospital shall accept verbal confirmation from a patient for individuals who should be admitted as visitors of the patient and individuals who should be denied visitation rights. The Hospital may record such information in the patient’s records for future reference. In the event the patient is a minor, the legal parent of the minor shall be given the opportunity to verbally designate the individuals permitted to visit the minor patient.
      4. Selection Of A Support Person
        A patient may verbally designate a Support Person to exercise the patient’s visitation rights on his or her behalf, should the patient be unable to do so. Upon such designation by a patient, the legal status of the relationship between the patient and the designated Support Person shall be irrelevant. This designation of an individual as the patient’s Support Person however does not extend to medical decision making. In the event the patient is unable to exercise his or her patient visitation rights, the Hospital shall recognize the Support Person’s verbal directive as to who should be admitted as visitors of the patient and individuals who should be denied visitation rights with respect to such patient.
      5. Incapacited Patient
        In the event a patient is unable to select visitors due to incapacitation and such patient has not designated a Support Person to exercise the patient’s visitation rights, the Hospital may consider the following non-exhaustive forms of proof to establish the appropriateness of a visitor or to designate a Support Person for the incapacitated patient when two or more individuals claim to be the incapacitated patient’s Support Person capable of exercising the patient’s visitation rights:

        1. An advance directive naming the individual as a support person, approved visitor, or designated decision maker (regardless of the State in which the directive is established)
        2. Written documentation of the patient’s chosen individual(s) even if it is not a legally recognized advance directive
        3. Marital/or-marriage-like relationship status
        4. Acknowledgement of a committed relationship (e.g., an affidavit)
        5. Existence of a legal relationship (may be a legal relationship recognized in another jurisdiction, even if not recognized in the Hospital’s jurisdiction, including: parent-child, civil union, marriage, or domestic partnership)
        6. Shared residence
        7. Shared ownership of a property or business
        8. Financial interdependence
      6. Infection Control Considerations
        Primary supports and/or visitors with active tuberculosis, chickenpox, shingles, measles, mumps, acute respiratory illness, colds, flu, fever, diarrhea, or certain skin infections should not come to the hospital. In addition, primary supports or visitors who have been exposed to chickenpox, measles, mumps, or pertussis (whooping cough) should not visit the hospital until they have consulted with their primary care provider to determine whether they are susceptible to the infection. If there is a question about whether a person should be allowed to visit, Grady’s Department Infectious Control should be consulted. In the event of an end-of-life or emergent situation, where the question arises of possible exception(s) to these restrictions, Infection Control and the Unit Director should be notified.
        Additional patient/family guidelines are listed below:

        1. All visitors must wash their hands. Please wash your hands prior to entering and upon leaving the patient’s room.
        2. Food and drink are not permitted in patient rooms.
        3. Bathrooms within the patient rooms are not for visitor use.
        4. Live plants and cut flowers are not permitted in patient rooms.
      7. Department Specific Visiting Guidelines
        Please refer to department specific policies for special visitation guidelines for Mental Health, the Neonatal Intensive Care Unit (NICU, and the Family Birth Center)
    1. Definitions

Primary Support – Primary support is defined by the patient as the group of significant people who normally provide the patient with physical, psychological, or emotional support. This includes spouses, domestic partners, significant others, parents (of both different and same sex), and other individuals not legally related to the patient. A patient’s primary supports are defined by the patient and are not limited to relatives. The support individual may or may not be the patient’s surrogate decision-maker or legally authorized representative. When the patient is unable to define primary supports, the patient’s representative will provide this definition.
Surrogate / Legal Guardian / Representative – A surrogate decision-maker is an adult who makes health care decisions when delegated under a health care proxy and/or when the patient is without decision making capacity. Surrogates are sometimes referred to as a legally responsible representative.
Visitor – Visitors are guests of the patient or family. In some cases, visitors may be relatives. Visitors have restricted times during which they may see the patient.
Adult – An adult is defined as a person 16 years of age or older.
Justified Clinical restrictions on Patient’s Visitation Rights – The Hospital may impose Justified Clinical Restrictions on a patient’s visitation rights. When restricting visitation rights, the Hospital shall explain to the patient (or Support Person as applicable) the reasons for the restrictions or limitations on the patient’s visitation rights and how the Hospital’s visitation policies are aimed at protecting the health and safety of all patients.

Non-Discrimination Policy

As a recipient of Federal financial assistance, Grady Health System (GHS) does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of age, sex, sexual orientation, gender, gender identity or expression, race, color, national origin, ethnicity, culture, language, citizenship, socioeconomic status, marital status, physical or mental disability, religion, or veteran status in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by GHS directly or through a contractor or any other entity with which GHS arranges to carry out its programs and activities.

The purpose of this policy define GHS’ policy regarding non-discrimination in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the US Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, and 91.

  1. Purpose: The purpose of this policy define GHS’ policy regarding non-discrimination in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the US Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, and 91.
  2. Procedure:
    1. Communication of Policy: GHS’ notice of non-discrimination is communicated to all participants, beneficiaries, and other interested persons via multiple methods including but not limited to the following: the notice is placed in public areas, is posted in public registration areas, and is posted on the GHS website.
    2. Designation of Section 504 Coordinator: The Director of Patient Family Experience serves as the Section 504 Coordinator.
    3. Compliance Process: Inquiries about this policy, or complaints alleging violations of the above should be directed to:
      Chief Compliance & Privacy Officer
      Grady Health System
      80 Jesse Hill Drive SE
      Atlanta, GA 30303
      (404) 616-1706

      An individual who files a complaint may pursue other remedies including filing with:
      Officer for Civil Rights, DHHS
      61 Forsyth Street, SW – Suite 16T70
      Atlanta, GA 30303-8909
      (404) 562-7886; (404) 562-7884 (TDD)
      (404) 562-7881 (FAX)

    4. Sanctions: GHS workforce members who engage in activity in violation of this Policy may be subject to disciplinary action, up to and including termination of employment.
  3. Definitions
    1. Workforce Member – Includes but are not limited to GHS employees, contractors, consultants, and medical staff members.
    2. Grady Health System – The organization operated by Grady Memorial Hospital Corporation which includes Grady Memorial Hospital, all hospital based and neighborhood clinics, Crestview, Hughes Spalding Children Hospital and all other components of Grady Health System.
  4. References, Cross References or Regulatory Indexing
    1. 45 C.F.R Part 84
    2. 229 U.S.C. 794
    3. OIG Supplemental Compliance Program Guidance for Hospitals