Privacy Statement, Joint Commission Public Notice & Non-Discrimination Policy
If you have any questions about this notice, or to obtain a copy of this notice, please contact our privacy specialist, Director of Quality and Regulatory Compliance, 850 S. Fifth Street, Allentown, Pennsylvania 18103-3295; (610)-778-9266.
JOINT COMMISSION PUBLIC NOTICE
The purpose of the survey is to evaluate the organization’s compliance with established Joint Commission standards. The survey results will be used to determine the terms and conditions under which accreditation should be awarded to the organization.
Joint Commission standards deal with organizational quality of care issues and the environment in which care is provided. Anyone believing that he or she has pertinent information about such matters may request a Public Information Interview with the Joint Commission’s field representatives at the time of survey. Information presented at the interview will be carefully evaluated for relevance to the accreditation process. The request should indicate the nature of the information to be provided at the interview.
Please address written requests to:
Division of Accreditation Operations
Office of Quality Monitoring
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Or Fax your request to 630-792-5636
Or E-mail your request to: complaint@Joint Commission.org
Or you may call the Joint Commission directly at 1-800-994-6610.
The Joint Commission will acknowledge such a request in writing, or by telephone, and will notify Good Shepherd of the request for any interview. Good Shepherd will then notify the interviewee of the date, time and place of the meeting.
- 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, contact Samuel Miranda, Jr., MS, RN, NEA-BC at 610-776-3261.
If you believe that Good Shepherd 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 with:
Samuel Miranda, Senior Vice President, Patient Care and Chief Nursing Officer
850 S. 5th Street
Allentown, PA 18103
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Samuel Miranda is available to help you.
You can 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, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Good Shepherd Rehabilitation Network cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.