Privacy, Quality and Safety

Notice of Privacy Practice

This Notice outlines your rights to the access and release of medical information regarding your care and treatment at Edgerton Hospital and Health Services. This information is provided in accordance with Federal regulations described in

R.S. 40:1299.96, 45 CFR 164.524 and 45 CFR 164.528.

Understanding Your Health Records and Information 

A record of your visit is created each time you visit a hospital, physician or other healthcare provider. Typically, these records contain essential information about your care and treatment. They describe the reason for you visit, examination and test results, your medical history, any diagnoses and treatments, your plan of care and the ultimate disposition of your care. All of this information is usually referred to as you “medical records” or “health information.” Your medical record essentially serves as a:

• Basis for planning your care and treatment.
• Means of communication between the multiple health care professionals involved in your care and treatment.
• Legal document describing the care provided and follow-up care needed.
• Source of information required for use by public health officials to assess the effectiveness of providers and health care programs in the State.
• Source of data for the hospital to assess its performance and plan for future service needs.
• Source of data and statistics for use in medical research.

By law, hospitals, physicians and health care providers own the medical records they create and are held responsible for their storage and safekeeping in accordance with applicable State and Federal laws. While you have specific rights to the access and release of information concerning your personal medical records, you do not own them.

Please review our full Notice of Privacy Practice. 
Spanish Version

Requests for Information and Problem Reporting

If you have any questions regarding health information policies and practices, please contact our Health Information Office at 608-884-1628.

Edgerton Hospital and Health Services, Medical Record Department
11101 N. Sherman Road
Edgerton, WI 53534
Phone: 608-884-1628
Fax: 608-884-1626

Download our Patients’ Rights and Responsibilities
English version
Spanish version

To report concerns about patient safety and quality of care, contact:

Quality Director
Edgerton Hospital and Health Services
11101 N. Sherman Road
Edgerton, WI 53534
608-561-6620 

Wisconsin Department of Health Services
Wisconsin Division of Quality Assurance
PO Box 2969
Madison, WI 53701
608-266-8481

Safety

Pursuant to Section 940.204 of the Wisconsin Statutes, whoever intentionally causes bodily harm or threatens to cause bodily harm to a health care provider or to a family member of a health care provider can be found GUILTY of a Class H felony, which means a person who harms or threatens to harm a health care provider, or their family member, could be:
• fined up to $10,000, and
• imprisoned for up to 6 years.

AND, if the person causing the injury or making the threat uses a weapon or has prior convictions, the potential imprisonment may be increased by as much as an additional 4 years.