Determination Not to Provide Requested Auxiliary Aid or Service Sample Clauses

Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in paragraph 30.1 of this Agreement, SFHMC determines that it will not provide a particular auxiliary aid or service requested by a Patient or Companion who is deaf or hard of hearing, SFHMC personnel shall so advise the individual requesting the auxiliary aid or service. In the event that an auxiliary aid or service is necessary and SFHMC determines that it will not provide a particular auxiliary aid or service requested by the Patient or Companion who is deaf or hard of hearing, some means of effective communication must be secured. SFHMC shall document the basis for the determination, including the date of the determination, the name and title of the SFHMC personnel who made the determination, and the alternative auxiliary aid or service, if any, that SFHMC decided to provide, in an Auxiliary Aid and Service Log as set forth in paragraph 31. A copy of this documentation shall be retained and a copy shall be provided to the Patient or Companion upon request.
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Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section V of this Agreement, a covered ETMC facility or service decides not to provide a particular auxiliary aid or service requested by a Patient and Companion, ETMC Staff at the facility or service shall so advise the person requesting the auxiliary aid or service and document the basis for the determination, including the date of the determination, the name and title of the ETMC Staff who made the determination, and the alternative auxiliary aid or service, if any, that ETMC has decided to provide. Upon request, a copy of this documentation shall be provided to the Patient and Companion and retained in the Patient’s medical record.
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section V of this Agreement, a Genesis skilled nursing facility decides not to provide a particular auxiliary aid or service requested by a Patient and/or Companion, Genesis Staff shall so advise the person requesting the auxiliary aid or service and document the basis for the determination, including the date of the determination, the name and title of the Genesis Staff who made the determination, and the alternative auxiliary aid or service, if any, that Genesis has decided to provide. Upon request, a copy of this documentation shall be provided to the Patient and/or Companion and retained in the Patient’s records.
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section IV.F of this Agreement, CHRISTUS TMF determines that it will not provide a particular auxiliary aid or service requested by a Patient or Companion who is deaf or hard of hearing based on undue financial or administrative burden or because an equally effective auxiliary aid or service is available, CHRISTUS TMF personnel shall so advise the individual requesting the auxiliary aid or service, provide a copy of the Grievance Procedure, and secure a means of effective communication in a timely manner. CHRISTUS TMF shall document the basis for the determination, including the date of the determination, the name and title of the CHRISTUS TMF personnel who made the determination, and the alternative auxiliary aid or service, if any, that CHRISTUS TMF decided to provide, in the Patient’s record, as set forth in Section IV.G, and in the Auxiliary Aid and Service Log, as set forth in
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Paragraph 34 of this Agreement, UVMMC determines that it will not provide a particular auxiliary aid or service requested by a Patient or Companion who is deaf or hard of hearing based on undue financial or administrative burden or because an equally effective auxiliary aid or service is available, UVMMC personnel shall so advise the individual requesting the auxiliary aid or service, provide a copy of the Grievance Procedure, and secure a means of effective communication in a timely manner. UVMMC shall document the basis for the determination, including the date of the determination, the name and title of the UVMMC personnel who made the determination, and the alternative auxiliary aid or service, if any, that UVMMC decided to provide, in the Patient’s record, as set forth in Paragraph 36, and in the Auxiliary Aid and Service Log, as set forth in Paragraph 45. A copy of this documentation shall be provided to the Patient or Companion upon request.
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section V of this Agreement, an ADC facility or service decides not to provide a particular auxiliary aid or service requested by a Patient and/or Companion, ADC Staff at the facility or service shall so advise the person requesting the auxiliary aid or service and document the basis for the determination, including the date of the determination, the name and title of the ADC Staff who made the determination, and the alternative auxiliary aid or service, if any, that ADC has decided to provide. Upon request, a copy of this documentation shall be provided to the Patient and/or Companion and retained in the Patient’s medical record.
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting an appropriate assessment, JDH denies the Patient’s or Companion’s choice of auxiliary aid or service or otherwise determines that the circumstances do not warrant provision of a particular auxiliary aid or service, JDH Personnel will so advise the person requesting the aid or service, and, in the Patient’s medical record, will: (a) identify the individual making the determination and (b) document (i) the date and time of the denial; (ii) any alternative auxiliary aid or service that was provided; and (iii) the specific reason for denying the requested auxiliary aid or service. If JDH makes a decision to deny any auxiliary aid or service based on undue financial and administrative burden, that decision must be made by the Compliance Coordinator or his or her designee after considering all resources available for use in the funding and operation of the service, program, or activity, and must be accompanied by a written statement of the reasons for reaching that conclusion. A copy of the written statement will be provided to the Patient or Companion; will be maintained with the compliance report described in this Agreement; and will be placed in the Patient’s medical record. The Patient or Companion will also be provided a copy of the Grievance Procedure. Statement of Refusal of Interpreter Services. If a Patient or Companion does not request an auxiliary aid or service or states that an interpreter is not necessary, JDH Personnel shall utilize a qualified interpreter or other effective means of communication to explain the risks of proceeding without an auxiliary aid or service. JDH Personnel shall document the auxiliary aid or services used to explain the risks described above. If the Patient and/or Companion continue to refuse interpreter services, JDH Personnel will notate that refusal in the Patient’s record and/or in the Patient Registration system and use whatever means are available for effective communication with the Patient and/or Companion subject to the limitations set forth in this Agreement, including the limitations on the use of an adult accompanying a Patient or Companion to interpret or facilitate communication. Reassessment. In the event that a utilized auxiliary aid or service was not effective for communication, JDH Personnel will promptly reassess which appropriate auxiliary aids and services are necessary, in consultation with the Patient or Companion where possible, and provide such aid or service based on the re...
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Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section V of this Agreement, a UUHC facility decides not to provide a particular auxiliary aid or service requested by a Patient and/or Companion who has a hearing, vision, or speech impairment, UUHC Personnel at the facility shall so advise the person requesting the auxiliary aid or service and document the basis for the determination, including the date of the determination, the name and title of the UUHC Personnel who made the determination, and the alternative auxiliary aid or service, if any, that UUHC has decided to provide. Upon request, a copy of this documentation shall be provided to the Patient and/or Companion who has a hearing, vision, or speech impairment, and retained in the Patient’s medical record. .
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting an appropriate assessment, JDH denies the Patient’s or Companion’s choice of auxiliary aid or service or otherwise determines that the circumstances do not warrant provision of a particular auxiliary aid or service, JDH Personnel will so advise the person requesting the aid or service, and, in the Patient’s medical record, will: (a) identify the individual making the determination and (b) document (i) the date and time of the denial; (ii) any alternative auxiliary aid or service that was provided; and (iii) the specific reason for denying the requested auxiliary aid or service. If JDH makes a decision to deny any auxiliary aid or service based on undue financial and administrative burden, that decision must be made by the Compliance Coordinator or his or her designee after considering all resources available for use in the funding and operation of the service, program, or activity, and must be accompanied by a written statement of the reasons for reaching that conclusion. A copy of the written statement will be provided to the Patient or Companion; will be maintained with the compliance report described in this Agreement; and will be placed in the Patient’s medical record. The Patient or Companion will also be provided a copy of the Grievance Procedure.
Determination Not to Provide Requested Auxiliary Aid or Service. If, after conducting the assessment as described in Section V of this Agreement, DCH facility or service decides not to provide a particular auxiliary aid or service requested by a Patient and/or Companion, DCH Staff at the facility or service shall so advise the person requesting the auxiliary aid or service and document the basis for the determination, including the date of the determination, the name and title of the DCH Staff who made the determination, and the alternative auxiliary aid or service, if any, that DCH has decided to provide. Upon request, a copy of this documentation shall be provided to the Patient and/or Companion and retained in the Patient’s medical record.
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