Common use of Time for Assessment Clause in Contracts

Time for Assessment. The determination of which appropriate auxiliary aids and services are necessary, and the timing, duration, and frequency with which they will be provided, must be made at the time FNC learns that a Patient or Companion who is deaf or hard of hearing will be using its services, subject to the Patient’s or Companion’s availability to participate, or on the arrival of the Patient or Companion who is deaf or hard of hearing at FNC, whichever is earlier. FNC Personnel will perform an assessment (see paragraph 21) as part of each initial inpatient assessment and document the results in the Patient’s medical chart. In the event that communication is not effective, FNC Personnel will reassess which appropriate auxiliary aids and services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA Administrators. FNC will designate at least one employee as an ADA Administrator or ADA Co-Administrators, and at least one such employee will always be on duty and available twenty-four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids and services, including qualified interpreters. The ADA Administrator or ADA Co-Administrators will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, and distribution. FNC will circulate and post broadly within FNC the name, telephone number, function, and office location of the Administrator(s), including a TTY telephone number, through which the ADA Administrator or Co-Administrator on duty can be contacted twenty-four (24) hours a day seven days a week by Patients and Companions who are deaf or hard of hearing. The ADA Administrator or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 of this Agreement. The ADA Administrator or Co-Administrators will be designated by FNC no later than 30 days following execution of this Agreement and will be subject to approval by the U.S. Attorney’s Office. Auxiliary Aid and Service Log. FNC will maintain a log in which requests for qualified interpreters on site or through video remote services will be documented. The log will indicate the time and date the request was made, the name of the Patient or Companion who is deaf or hard of hearing, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Complaint Resolution. FNC will establish a grievance resolution mechanism for the investigation of disputes regarding effective communication with Patients and Companions who are deaf or hard of hearing. FNC will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC and actions taken with respect thereto. At the time FNC completes its assessment described in paragraph 21 and advises the Patient and/or Companion of its determination of which appropriate auxiliary aids and services are necessary, FNC will notify deaf and hard of hearing persons of its grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven (7) days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or Companions who are deaf or hard of hearing and the responses thereto will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearing. Record of Need for Auxiliary Aid or Service. FNC will take appropriate steps to ensure that all FNC Personnel are made aware of a Patient or Companion’s disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.

Time for Assessment. The determination of which appropriate auxiliary aids and services are necessary, and the timing, duration, and frequency with which they will be provided, must be made at the time FNC learns that a Patient or Companion an appointment is scheduled for Patients who is are known to be deaf or hard of hearing will be using its services, subject to the Patient’s or Companion’s availability to participatehearing, or on upon the arrival of the Patient or Companion who is deaf or hard of hearing at FNCHealthSource Saginaw, whichever is earlier. FNC HealthSource Saginaw Personnel will perform an assessment (see paragraph 21) as part of each initial inpatient patient assessment and document the results in the Patient’s 's medical chart. In the event that HealthSource Saginaw Personnel know or should know that communication is not effective, FNC HealthSource Saginaw Personnel will reassess which appropriate auxiliary aids and services are necessary, in consultation with the person individual with a disability, where possible, and provide such aid or service based on the reassessment. ADA AdministratorsSubsequent Visits. FNC If a Patient or Companion has an ongoing relationship with HealthSource Saginaw, with respect to subsequent visits, HealthSource Saginaw will designate at least one employee as an ADA Administrator or ADA Co-Administrators, and at least one such employee will always be on duty and available twenty-four (24) hours a day, seven (7) days a week, continue to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids and services, including qualified interpreters. The ADA Administrator or ADA Co-Administrators will know where services to the Patient or Companion without requiring another request for the appropriate auxiliary aids or services by the Patient or Companion for each visit. HealthSource Saginaw will keep appropriate records that reflect the ongoing provision of auxiliary aids and services to patients and companions, such as notations in a patient's medical charts. Review of New and Modified Policies. HealthSource Saginaw will submit copies of all policies and procedures that are stored created and/or modified in order to comply with this Agreement for review and how approval to operate them and will be responsible for the United States prior to their maintenance, repair, replacement, and distribution. FNC will circulate and post broadly within FNC the name, telephone number, function, and office location of the Administrator(s), including a TTY telephone number, through which the ADA Administrator or Co-Administrator on duty can be contacted twenty-four (24) hours a day seven days a week by Patients and Companions who are deaf or hard of hearingimplementation. The ADA Administrator United States will make its best efforts to review the proposed policies and procedures within thirty (30) days of receipt. HealthSource Saginaw will adjust its proposed policies and procedures to reflect any reasonable comments or Co-Administrators will be responsible for concerns identified by the complaint resolution mechanism described in paragraph 25 of this AgreementUnited States. The ADA Administrator United States will not unreasonably withhold its approval of proposed policies and procedures. To the extent the United States fails to complete its review within thirty (30) days, any deadline on an obligation that HealthSource Saginaw has with respect to the policy or Co-Administrators procedure will automatically be designated by FNC no later than 30 days following execution of this Agreement and will be subject to approval extended by the U.S. Attorney’s Officenumber of days in excess of thirty (30) days taken by the United States to complete its review. Auxiliary Aid and Service Log. FNC HealthSource Saginaw will maintain a log in which requests for qualified interpreters on site or through video remote auxiliary aids and services will be documented. The log will indicate the time and date the request was made, the name of the Patient or Companion who is deaf or hard of hearingCompanion, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator HealthSource Saginaw for the entire duration of the Agreement, . Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 provided free of this Agreementcharge to Patients and/or Companions. Complaint Resolution. FNC HealthSource Saginaw will establish a utilize its established grievance resolution mechanism for the investigation of disputes regarding effective communication with Patients and Companions who are deaf or hard of hearingCompanions. FNC HealthSource Saginaw will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC HealthSource Saginaw and actions taken with respect thereto. At the time FNC HealthSource Saginaw Personnel completes its the assessment described in paragraph 21 paragraphs 25-26 and advises the Patient and/or Companion of its their determination of which appropriate auxiliary aids and services are necessary, FNC HealthSource Saginaw will notify deaf and hard them of hearing persons of its their grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven thirty (730) days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or and/or Companions who are deaf or hard of hearing and the responses thereto will be maintained by the ADA Administrator HealthSource Saginaw for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearing. Record of Need for Auxiliary Aid or Service. FNC will take appropriate steps to ensure that all FNC Personnel are made aware of a Patient or Companion’s disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.

Time for Assessment. The determination of which appropriate auxiliary aids and services are necessary, and the timing, duration, and frequency with which they will be provided, must be made at the time FNC learns that a Patient or Companion who an appointment is scheduled for the deaf or hard of hard-of-hearing will be using its services, subject to the Patient’s or Companion’s availability to participate, Patient or on the arrival of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearing at FNCDHR, whichever is earlier. FNC DHR Personnel will perform an assessment (see paragraph 2122) as part of each initial inpatient assessment and document the results in the Patient’s 's electronic medical chart. In the event that communication is not effective, FNC DHR Personnel will reassess which appropriate auxiliary aids and services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA Administrators. FNC DHR will designate at least one employee at DHR as an ADA Administrator or ADA Co-Administrators, and at least one such employee . An ADA Administrator will always be on duty and available on-call twenty-four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids and services, including qualified interpreters. The ADA Administrator or ADA Co-Administrators will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, and distribution. FNC DHR will circulate and post broadly within FNC the nameDHR the title, telephone number, function, and office location of the Administrator(s), including a TTY telephone number, through which the ADA Administrator or Co-Administrator on duty can be contacted twentyby deaf or hard-four (24) hours a day seven days a week by of-hearing Patients and Companions who are deaf or hard of hearingCompanions. The ADA Administrator or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 27 of this Agreement. The ADA Administrator or Co-Administrators will be designated by FNC DHR no later than 30 days following execution of this Agreement and will be subject to approval by the U.S. Attorney’s OfficeAgreement. Auxiliary Aid and Service Log. FNC DHR will maintain a log in which requests for qualified interpreters on site or through video remote services will be documented. The log will indicate the time and date the request was made, the name of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearingCompanion, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Complaint Resolution. FNC DHR will establish a grievance resolution mechanism for the investigation of disputes regarding effective communication with deaf and hard-of-hearing Patients and Companions who are deaf or hard of hearingCompanions. FNC DHR will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC DHR and actions taken with respect thereto. At the time FNC DHR completes its assessment described in paragraph 21 paragraphs 22-23 and advises the a Patient and/or Companion of its determination of which appropriate auxiliary aids and services are necessary, FNC DHR will notify deaf and hard of hard-of-hearing persons of its grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A An investigation letter will be sent to the Patient and/or Companion within seven (7) business days and a written response to any grievance filed shall be completed within seven thirty (730) calendar days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or Companions who are deaf or hard of hard-of-hearing Patients and/or Companions and the responses thereto will be maintained by the ADA Administrator for the entire duration of the Agreement, Agreement and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearinghard-of-hearing Patient and/or Companion. Record of Need for Auxiliary Aid or Service. FNC DHR will take appropriate steps to ensure that all FNC DHR Personnel are made aware of a Patient or Companion’s 's disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the electronic medical record. The patient’s 's medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC DHR Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.

Time for Assessment. The determination of which appropriate auxiliary aids and services are necessary, and the timing, duration, and frequency with which they will be provided, must be made at the time FNC learns that a Patient or Companion who an appointment is scheduled for the deaf or hard of hard-of-hearing will be using its services, subject to the Patient’s or Companion’s availability to participate, Patient or on the arrival of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearing at FNCthe Hospital, whichever is earlier. FNC Hospital Personnel will perform an assessment (see paragraph 2123) as part of each initial inpatient assessment and document the results in the Patient’s electronic medical chart. In the event that communication is not effective, FNC Hospital Personnel will reassess which appropriate auxiliary aids and services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA Administrators. FNC Dominion Hospital will designate at least one employee at the Hospital as an ADA Administrator or ADA Co-Administrators, and at least one such employee or his or her designee(s) (typically the nursing supervisors) will always be on duty and available to Hospital staff, Patients, and Companions twenty-four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids and services, including qualified interpreters. The ADA Administrator or Administrator, ADA Co-Administrators Administrators, or his or her designee(s) will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, and distribution. FNC Dominion Hospital will circulate and post broadly within FNC continue to include in the on-duty nursing supervisor’s binder located in the Nursing Supervisor’s Office the name, telephone number, function, number and office location of the Administrator(s), including a TTY telephone number, number through which the on-duty ADA Administrator or Administrator, Co-Administrator on duty Administrator, or designee can be contacted twenty-four (24) hours a day seven days a week by Patients and Companions Hospital Personnel providing services to individuals who are deaf or hard of hard-of-hearing. The ADA Administrator or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 of this Agreement. The ADA Administrator or Co-Administrators will be designated by FNC the Hospital no later than 30 thirty (30) days following execution of this Agreement and notice of such designation will be subject provided to approval the AUSA ▇▇▇▇▇▇ ▇▇▇▇▇▇ or, if he is unavailable, another attorney designated by the U.S. United States Attorney’s Office. Auxiliary Aid and Service Log. FNC Dominion Hospital will maintain a log in which requests for qualified interpreters on on-site or through video remote services will be documented. The log will indicate the time and date the request was made, the name of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearingCompanion, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator Administrator(s) for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 47 of this Agreement. The Hospital will implement the Auxiliary Aid and Service Log no later than thirty (30) days following execution of this Agreement. Complaint Resolution. FNC Dominion Hospital will establish a continue to utilize its established grievance resolution mechanism for the investigation of disputes regarding effective communication with deaf and hard-of-hearing Patients and Companions who are deaf or hard of hearingCompanions. FNC Dominion Hospital will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC the Hospital and actions taken with respect thereto. At the time FNC Dominion Hospital completes its assessment described in paragraph 21 paragraphs 23-24 and advises the Patient and/or Companion of its determination of which appropriate auxiliary aids and services are necessary, FNC the Hospital will notify deaf and hard of hard-of-hearing persons of its grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven thirty (730) days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or Companions who are deaf or hard of hard-of-hearing Patients and/or Companions and the responses thereto will be maintained by the ADA Administrator Administrator(s) for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearinghard-of-hearing Patient and/or Companion. Record of Need for Auxiliary Aid or Service. FNC Dominion Hospital will take appropriate steps to ensure that all FNC Hospital Personnel involved in providing care to hearing-impaired Patients and their Companions are made aware of a Patient or Companion’s the disability and the auxiliary aid aid(s) and services service(s) needed so that effective communication with such person will be achieved. These steps will include designating this information in the electronic medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.

Time for Assessment. The determination of which appropriate auxiliary aids Auxiliary Aids and services Services are necessary, and the timing, duration, and frequency with which they will be provided, must be made (a) at the time FNC learns that a an appointment is scheduled for the Patient or Companion who is deaf or hard of hearing will be using its servicesif the Patient makes the appointment or, subject to the Patient’s or Companion’s availability to participate, or (b) on the arrival of the Patient or Companion who is deaf or hard of hearing companion at FNCAstria Health, whichever is earlier. FNC If someone other than the Patient schedules the appointment and that individual identifies a need for auxiliary aids and services for a Patient or Companion then (1) that person must be asked if the Patient is deaf, hard-of-hearing, blind, low-vision, or deaf-blind and if so, then what Auxiliary Aids and Services are necessary when the Patient presents in person and (2) an independent assessment will be performed when the Patient presents for their appointment. Hospital Personnel will perform an assessment (see informed by the information collected as described in paragraph 21) 19 as part of each initial inpatient assessment and document the results in the Patient’s 's medical chart. It may not necessary to perform the assessment for each subsequent visit to Astria Health or to require the Patient to request Auxiliary Aids and Services for each subsequent visit to Astria Health. In the event that the initial form of communication is not effectiveeffective or circumstances change (see paragraph 28, FNC below), Hospital Personnel will reassess which appropriate auxiliary aids Auxiliary Aids and services Services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA AdministratorsAssistive Device Point Persons. FNC Astria Health will designate at least one employee as an ADA Administrator employee(s) with the collateral title of Assistive Device Point Person. The employee(s) so designated or ADA Co-Administrators, and at least one such employee his or her designee(s) will always be on duty and available to Astria Health, Patients, and companions twenty-four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids Auxiliary Aids and servicesServices, including qualified interpretersQualified Interpreters. The ADA Administrator Assistive Device Point Person and his or ADA Co-Administrators her designees will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, replacement and distribution. FNC The Assistive Device Point Person will circulate also be responsible for the maintenance and post broadly within FNC the name, telephone number, function, and office location repair of the Administrator(s), including a TTY auxiliary aids. Astria Health will include in its intranet under the name "Assistive Device Point Person" and its "Quick List" phone directory the telephone number, number through which the ADA Administrator or Coon-Administrator on duty Assistive Device Point Person can be contacted twenty-four (24) hours a day seven days a week by Patients and Companions who are deaf or hard of hearingHospital Personnel providing services to Patients. The ADA Administrator Assistive Device Point Person and his or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 of this Agreement. The ADA Administrator or Co-Administrators her designees will be designated by FNC Astria Health no later than 30 thirty (30) days following execution of this Agreement and notice of such designation will be subject provided to approval by the U.S. Attorney’s 's Office. Auxiliary Aid and Service Log. FNC Astria Health will maintain a log in which requests for qualified interpreters on Qualified Interpreters on-site or through video remote services will be documented. The log will indicate indicate: The name of the Patient or companion; The nature of the Auxiliary Aid or Service requested; The time and date the request was made, the name of made by the Patient or Companion who is deaf or hard of hearing, the time and date of the scheduled appointment (if a scheduled appointment was madeapplicable), the nature of the auxiliary aid or service provided, and the ; The time and date the appropriate auxiliary aid request was made by staff after assessing the needs of the Patient (if applicable); The name of the staff member making the request; The time and date the request was made for, i.e. for immediate use (emergent need) or service for a scheduled appointment (stating the date and time of the appointment); The time and date the request was fulfilled; and The nature of the Auxiliary Aid or Service provided. If no auxiliary aid the requested Auxiliary Aid or service Service was not provided, was not provided in the type requested, or was provided outside of the timeliness provisions contained in paragraph 28 of this agreement, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determinationexplaining why. Such logs will be maintained by the ADA Administrator Assistive Device Point Person for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 42 of this Agreement. The Hospital will begin using the Auxiliary Aid and Service Log no later than sixty days (60) days following execution of this Agreement. Complaint Resolution. FNC Astria Health will establish implement a grievance resolution mechanism for the investigation of disputes complaints regarding effective communication with Patients and Companions who are deaf or hard of hearingCompanions. FNC In particular: Astria Health will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC Astria Health and actions taken with respect thereto. At the time FNC Astria Health completes its assessment described in paragraph 21 paragraphs 19-20 and advises the Patient and/or Companion companion of its determination of which appropriate auxiliary aids Auxiliary Aids and services Services are necessary, FNC Astria Health will notify deaf and hard of hearing persons such Patients and/or companions of its grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven thirty (730) days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or Companions who are deaf or hard of hearing and/or companions and the responses thereto will be maintained by the ADA Administrator Assistive Device Point Person for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids Auxiliary Aids and services Services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearing. Record of Need for Auxiliary Aid or Service. FNC will take appropriate steps to ensure that all FNC Personnel are made aware of a Patient or Companion’s disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companioncompanion.

Time for Assessment. The determination of which appropriate auxiliary aids and services are necessary, and the timing, duration, and frequency with which they will be provided, must be made at the time FNC learns that a Patient or Companion who an appointment is scheduled for Patients known to be deaf or hard of hearing will be using its services, subject to the Patient’s or Companion’s availability to participate, or on the arrival of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearing at FNC▇▇▇▇▇, whichever is earlier. FNC Hospital Personnel will perform an assessment (see paragraph 21) as part of each initial · inpatient assessment and document the results in the Patient’s 's electronic medical chart. In the event that Hospital Personnel know or should know that communication is not effective, FNC Hospital Personnel will reassess which appropriate auxiliary aids and services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA Administrators. FNC ▇▇▇▇▇ will designate at least one employee at ▇▇▇▇▇ as an ADA Administrator or ADA Co-Administrators, and at least one such employee will always be on duty call and available twenty-twenty four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids and services, including qualified interpreters. The ADA Administrator or ADA Co-Administrators CoAdministrators will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, and distribution. FNC ▇▇▇▇▇ will circulate and post broadly within FNC ▇▇▇▇▇ the name, telephone number, function, and office location of the Administrator(s), including a TTY telephone number, through which the ADA Administrator or Co-Administrator on duty can be contacted twenty-four (24) hours a day day, seven days a week week, by deaf or hard-of-hearing Patients and Companions who are deaf or hard of hearingCompanions. The ADA Administrator or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 of this Agreement. The ADA Administrator or Co-Administrators will be designated by FNC ▇▇▇▇▇ no later than 30 60 days following execution of this Agreement and will be subject to approval by the U.S. US Attorney’s 's Office. Auxiliary Aid and Service Log. FNC ▇▇▇▇▇ will maintain a log in which requests for qualified interpreters on site or through video remote services will be documented. The log will indicate the time and date the request was made, the name of the deaf or hard-of-hearing Patient or Companion who is deaf or hard of hearingCompanion, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 43 of this Agreement. Complaint Resolution. FNC ▇▇▇▇▇ will establish a maintain its established grievance resolution mechanism for the investigation of disputes regarding effective communication with deaf and hard-of-hearing Patients and Companions who are deaf or hard of hearingCompanions. FNC ▇▇▇▇▇ will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC ▇▇▇▇▇ and actions taken with respect thereto. At the time FNC ▇▇▇▇▇ completes its assessment described in paragraph 21 paragraphs 21-22 and advises the Patient and/or and/ or Companion of its their determination of which appropriate auxiliary aids and services are necessary, FNC ▇▇▇▇▇ will notify deaf and hard of hard-of-hearing persons of its their grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven thirty (730) days of receipt of the complaint. Copies of all grievances related to provision of services for deaf or hard-of hearing Patients and/ or Companions who are deaf or hard of hearing and the responses thereto will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearinghard-of-hearing Patient and/ or Companion. Record of Need for Auxiliary Aid or Service. FNC ▇▇▇▇▇ will take appropriate steps to ensure that all FNC Hospital Personnel are made aware of a Patient or Companion’s 's disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the electronic medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.

Time for Assessment. The determination of which appropriate auxiliary aids Auxiliary Aids and services Services are necessary, and the timing, duration, and frequency with which they will be provided, must be made (a) at the time FNC learns that a an appointment is scheduled for the Patient or Companion who is deaf Deaf or hard Hard of hearing will be using its servicesHearing if the Patient makes the appointment or, subject to the Patient’s or Companion’s availability to participate, or (b) on the arrival of the Patient or Companion who is deaf Deaf or hard Hard of hearing Hearing at FNCthe Hospital, whichever is earlier. FNC If someone other than the Patient schedules the appointment then (1) that person must be asked if the Patient is Deaf or Hard of Hearing and if so, then what Auxiliary Aids and Services are necessary when the Patient presents in person and (2) an independent assessment will be performed when the Patient who is Deaf or Hard of Hearing presents for their appointment. Hospital Personnel will perform an assessment (see informed by the information collected as described in paragraph 21) 22 as part of each initial inpatient assessment and document the results in the Patient’s medical chart. It is not necessary to perform the assessment for each subsequent visit to Overlake Medical Center or to require the Patient to request Auxiliary Aids and Services for each subsequent visit to Overlake Medical Center. In the event that the initial form of communication is not effectiveeffective or circumstances change (see paragraph 28, FNC below), Hospital Personnel will reassess which appropriate auxiliary aids Auxiliary Aids and services Services are necessary, in consultation with the person with a disability, where possible, and provide such aid or service based on the reassessment. ADA AdministratorsAssistive Device Point Persons. FNC Overlake Medical Center will designate at least one employee as an ADA Administrator Assistive Device Point Person. This Assistive Device Point Person or ADA Co-Administrators, and at least one such employee his or her designee(s) will always be on duty and available to Overlake Medical Center staff, Patients, and Companions twenty-four (24) hours a day, seven (7) days a week, to answer questions and provide appropriate assistance regarding immediate access to, and proper use of, the appropriate auxiliary aids Auxiliary Aids and servicesServices, including qualified interpretersQualified Interpreters. The ADA Administrator Assistive Device Point Person and his or ADA Co-Administrators her designees will know where the appropriate auxiliary aids are stored and how to operate them and will be responsible for their maintenance, repair, replacement, replacement and distribution. FNC The Assistive Device Point Person will circulate also be responsible for the maintenance and post broadly within FNC the name, telephone number, function, and office location repair of the Administrator(s), including a TTY auxiliary aids. Overlake Medical Center will include in its intranet under the name “Assistive Device Point Person” and its “Quick List” phone directory the telephone number, number through which the ADA Administrator or Coon-Administrator on duty Assistive Device Point Person can be contacted twenty-four (24) hours a day seven days a week by Patients and Companions Hospital Personnel providing services to individuals who are deaf Deaf or hard Hard of hearingHearing. The ADA Administrator Assistive Device Point Person and his or Co-Administrators will be responsible for the complaint resolution mechanism described in paragraph 25 of this Agreement. The ADA Administrator or Co-Administrators her designees will be designated by FNC Overlake Medical Center no later than 30 thirty (30) days following execution of this Agreement and notice of such designation will be subject provided to approval by the U.S. Attorney’s Office. Auxiliary Aid and Service Log. FNC will maintain a log in which requests for qualified interpreters on site or through video remote services will be documented. The log will indicate the time and date the request was made, the name of the Patient or Companion who is deaf or hard of hearing, the time and date of the scheduled appointment (if a scheduled appointment was made), the nature of the auxiliary aid or service provided, and the time and date the appropriate auxiliary aid or service was provided. If no auxiliary aid or service was provided, the log shall contain a statement why the auxiliary aid and service was not provided. The log should include the identity of the FNC personnel who conducted the assessment and made the determination. Such logs will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Complaint Resolution. FNC will establish a grievance resolution mechanism for the investigation of disputes regarding effective communication with Patients and Companions who are deaf or hard of hearing. FNC will maintain records of all grievances regarding effective communication, whether oral or written, made to FNC and actions taken with respect thereto. At the time FNC completes its assessment described in paragraph 21 and advises the Patient and/or Companion of its determination of which appropriate auxiliary aids and services are necessary, FNC will notify deaf and hard of hearing persons of its grievance resolution mechanism, to whom complaints should be made, and of the right to receive a written response to the grievance. A written response to any grievance filed shall be completed within seven (7) days of receipt of the complaint. Copies of all grievances related to provision of services for Patients or Companions who are deaf or hard of hearing and the responses thereto will be maintained by the ADA Administrator for the entire duration of the Agreement, and will be incorporated into the semi-annual Compliance Reports as described in paragraph 50 of this Agreement. Prohibition of Surcharges. All appropriate auxiliary aids and services required by this Agreement will be provided free of charge to the Patient or Companion who is deaf or hard of hearing. Record of Need for Auxiliary Aid or Service. FNC will take appropriate steps to ensure that all FNC Personnel are made aware of a Patient or Companion’s disability and auxiliary aid and services needed so that effective communication with such person will be achieved. These steps will include designating this information in the medical record. The patient’s medical record shall be conspicuously labeled (such as with a sticker, indicator, or label on the cover) to alert FNC Personnel to the fact that the Patient and/or Companion is deaf or hard of hearing. The medical record shall indicate the mode of communication requested by and provided to the Patient or Companion.