Downloadable Grievance
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Grievance Procedure

A patient grievance may be initiated by a patient or someone on behalf of a patient.

To initiate the grievance process, a signed and dated written complaint (with the assistance of clinical staff, as necessary) is filed with the patient advocate or acting patient advocate. Complaints must include: Date, Approximate time, Description of the incident/situation, and Name(s) of individual(s) involved.

The patient advocate is­­­­­­­­­­­­­ Pat Brown, who can be reached by dialing 513-536-0880.  The patient advocate is accessible in person during normal business hours of 8:30 a.m. to 5:00 p.m. During evenings, weekends, and holidays, clinical staff or the clinical shift supervisor are available as needed.  The name, title, location, hours of availability, and telephone numbers of the patient rights representative(s) are available at all times to the patient; the patient’s legal guardian (if any); and, consistent with patient confidentiality, the patient’s family and/or significant others.

The patient advocate will meet with the patient or the person who initiated the complaint to collect relevant information and documents the relevant information on the grievance file for follow up.

A written acknowledgment of receipt of the grievance is provided to each griever.  Such acknowledgment shall be provided within three (3) working days from receipt of the grievance.  The written acknowledgment shall include, but not be limited to, the following: date grievance was received; summary of grievance; overview of grievance investigation process; timetable for completion of investigation and notification of resolution; and treatment provider contact name, address and telephone number.

The patient advocate investigates the complaint and takes the necessary steps to resolve it.  The complaint must be resolved within twenty (20) working days of receipt of the grievance.  Any extenuating circumstances indicating that this time period will need to be extended must be documented in the grievance file and written notification given to the patient/client.

A written notification and explanation of the resolution will be provided to the patient or to the griever on behalf of the patient.  Records of grievances, their subject matter and resolution status will be provided to others upon request with written permission from the patient.

If the patient advocate is the subject of the grievance, or if the complainant is dissatisfied with the resolution, an alternate, impartial individual is identified to investigate the complaint. The patient has the option at any time to file a grievance with an outside organization such as:


Ohio Department of Mental Health
30 E. Broad Street, 8th Floor
Columbus, OH 43215-3430
Telephone: (614) 466-2596
TDD/TTY (614) 752-9696.

Ohio Legal Rights Services
8 E. Long Street, Suite 500
Columbus, OH 43215-2999
Telephone: (614) 466-7264
TTY (614)728-2553.

MHRS Board of Warren and Clinton Counties
107 Oregonia Road

Lebonon
, OH 45036
Telephone: (513) 695-1736

Ohio Department of Alcohol and Drug Addiction Services (ODADAS)
2 Nationwide Plaza
280 N. High Street
, 12th Floor Columbus, OH 43215
Telephone: (614) 466-3445
TDD/TTY (614) 644-9140

U.S. Department of Health & Human Services
Office for Civil Rights
233 N. Michigan Avenue

Chicago
, IL 60601
Telephone: (312) 886-2359
TDD/TTY (312) 353-5693

Attorney General’s Office
Health Care Fraud Unit
101 E. Town Street, 5th Floor Columbus, OH 43215. 
Telephone: (614) 466-0722

Counselor, Social Worker and Marriage and Family Therapists Board
50 W. Broad Street, Suite 1425 Columbus, OH 43215-5919 
Telephone: (614) 466-0912
 


State Medical Board of Ohio
77 S. High Street, 17th Floor
Columbus, OH 43215-6127
Telephone: (614) 466-3934

Ohio Board of Nursing
17 South High Street, Suite 400
Columbus, OH 43215-3413
Telephone: (614) 466-3947

State Board of Psychology
77 S. High Street, 18th Floor
Columbus, OH 43215-6108
Telephone: (614) 466-8808.

Client Assistance Program
(for Vocational Rehabilitation)
8 E. Long Street
Columbus
, OH 43215 
Telephone: (614) 466-9956 or
800-282-9181

Client Advocacy Coordinator
Ohio Department of Mental Health
30 E. Broad Street, 8th Floor
Columbus, OH 43215-3430
Telephone: (614) 466-2333.

Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Blvd.
Oakbrook Terrace
, IL 60181
Telephone: 800-994-6610