For Patients

Glacial Ridge Hospital offers a variety of amenities to make your stay with us as easy and comfortable as possible.

Rooms

All rooms are private, each with its own bathroom with a shower, temperature control, and window blind controls. Each bed has controls on both sides and a “call button” connected to the nursing station.

Telephones / Cell Phones

Telephones are provided in all patient rooms. To make local calls, dial 9 and the number you are calling. For calls outside our local area, dial 9, then 0 and the 10 digit number you are calling, including the area code. An operator will come on the line and assist you with calling collect or using your calling card. If you have any questions about the telephone system, dial 2200 to speak to a receptionist or ask any of our staff for assistance.

A Telecommunications Device for the Deaf/TeleTypewriter (TDD/TTY) is available upon request.

Cell phones are approved for use while in the hospital and on campus unless indicated otherwise.

Cell phone chargers are also available for use upon request. GRHS has an assortment of cell phone chargers that may be borrowed while you are hospitalized.

Television

Cable television is available in all patient rooms; the channel guides are located in the front of the patient guide.

In-Room Activities

(Movies, Music, Books, Games)

Patients and their visitors may use an assortment of movies, music, paperback books, playing cards, and crossword puzzles. Please ask any of our staff if you are interested in these activities.

WIFI HotSpot

Wireless internet access is available in all patient rooms if you have a laptop with a wireless router. Glacial Ridge Health System does not have laptops available for patient or guest use.

Massages

While not complimentary, you may receive a massage in your room from a certified massage therapist who has been approved to give massages at Glacial Ridge Hospital. If you are interested in getting a massage, please ask a nurse for details and pricing information. You are responsible for paying the massage therapist upon service provided. Glacial Ridge Hospice contracts with the same massage therapist. To ensure your well-being, you will need physician approval for this service, dependent upon your current medical condition. Your nurse will make the arrangements on your behalf.

Room Service Meals

Complimentary Room Service is available daily from 6:00 a.m. – 6:00 p.m. by calling 2037. The Room Service Menu in your room provides a variety of choices. Your meals are delivered at your convenience within 40 minutes of placing your order.

• Please note that if your doctor has ordered a special diet, some menu items may be restricted. If that occurs, our Nutrition Services staff will help you make alternate selections.
• Some medications may need to be coordinated with your meal times.

Standard Meal Times

If you are not ordering room service, your meals will arrive at standard times: 7:20 a.m., 11:45 a.m., 5:20 p.m. Meal times are subject to change.

To help improve your condition or prior to certain tests, surgery, etc., your doctor may order a special diet. We accommodate your nutritional needs with alternative meals that meet the requirement.

Health Care Directive

Short Form (PDF)
Long Form (PDF)

Read More
Empowering Choices: The Importance of Health Care Directives

Preparing & Recovering (PDF)

Surgery FAQs (PDF)

Day of Surgery Checklist (PDF)

At Glacial Ridge Health System, we strive to provide you heartfelt care from your initial contact with us to the ongoing relationship we have with you. To us, that includes ensuring that each of our patients are able to manage their financial responsibility for their health care services received. This is about much more than collection efforts; it is about being an advocate for you, our patient.

To that end, we have policies and procedures in place to provide our patients with the following benefits: set up payment plans they can afford, get them signed up for the best health benefits available to them, provide convenient methods for payment, and educate our patients on financial healthcare matters so that they can make decisions as informed healthcare consumers.

Financial Policies

Charity Care / Financial Assistance Policy (Download PDF)

Charity Care / Financial Assistance – Summary (Download PDF)

Charity Care / Financial Assistance Application (Download PDF)

Billing and Collections Policy (Download PDF)

Emergency Medical Care Policy / EMTALA (Download PDF)

Online Bill Pay

Click here to pay your bill online. You will be redirected to a secure website.

Combined Billing Statements

We have all-inclusive, system-wide patient billing statements. This means you will receive balances for your clinic and hospital services on one combined statement.

It is especially important to note that you are receiving a statement from Glacial Ridge Health System, consisting of Glacial Ridge Hospital, Glenwood Medical Center, Brooten Medical Center, and Starbuck Medical Center.

Statements are not detailed.

You will not receive a detailed statement for every clinic visit on these statements. If you wish to receive the details for any clinic visit or hospital admission, please call the business office at 320.634.4521. and request a detailed statement of charges.

Questions?

If you have questions or want more information, please call 320.634.4521 and ask for our patient account representative. You may also use our contact form.

Thank you for choosing Glacial Ridge Health System for all of your healthcare needs. We trust that your experience with us has been exceptional, and we look forward to caring for you in the future.

Price Transparency

Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services required hospitals and health systems to post their “current, standard charges.” This price transparency is intended to assist patients in comparing costs for medical services.

Hospital charges are the amount Glacial Ridge Health System would bill an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.

It is important when you have the opportunity to shop for medical services that you contact your insurance carrier to understand which costs will be covered and which will be your responsibility. View Glacial Ridge Health System’s current standard charges and price transparency.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. For questions or more information about your right to a Good Faith Estimate, visit CMS.gov or call 320.634.2204.

Learn more about Good Faith Estimates.

Learn more about Your Rights and Protections Against Surprise Medical Bills.

Request Estimate

To request a Good Faith Estimate for a specific procedure, clinic visit, or hospital stay, please call Austin Ver Steeg at 320.634.4521 or email [email protected]. You may also use our contact form.

Patients’ Bill of Rights (PDF)

Discrimination is Against the Law

Glacial Ridge Health System complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Glacial Ridge Health System does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Glacial Ridge Health System:

Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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, which may include:

• Qualified interpreters
• Information written in other languages.

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, notify registration or scheduling staff, or contact us through the Minnesota Relay program, or contact Kirk Stensrud.

Minnesota Relay

This is a free, federally mandated Telecommunications Relay Services (TRS) program that allows individuals who are deaf, deafblind, hard of hearing, or speech disabled to place and receive telephone calls. The Minnesota Relay also offers Spanish Relay for translation.

You may dial 7-1-1 and be connected to Minnesota Relay. Once connected to the relay service, tell the communications assistant the type of relay call you wish to make (i.e. TTY, HCO, VCO, STS, Spanish, etc.).

While the 7-1-1 access number is easy to remember, dialing the direct toll-free number for a specific type of relay call may result in faster connections because the call does not need to be transferred.

TTY, Voice, ASCII, Hearing Carry Over: 1-800-627-3529

Speech-to-Speech: 1-877-627-3848

Voice Carry Over: 1-877-627-3024

Two-Line Voice Carry Over: 1-866-855-4611

Spanish Relay: 1-877-627-5448

Language Assistance Services

If you need language assistance services, they are available to you, free of charge.

Spanish
ATENCIÓN: si habla español, tiene servicios de asistencia lingüística gratuitos disponibles. Llame a Spanish Relay al 1-877-627-5448 para asistencia.

 

Section 1557 of the Patient Protection and Affordable Care Act

https://www.hhs.gov/civil-rights/for-individuals/section-1557/index.html

 

Filing a Grievance

If you believe that Glacial Ridge Health System 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: Kirk Stensrud, CEO.

Mailing Address:
Glacial Ridge Health System
Attn: Kirk Stensrud, CEO
10 Fourth Ave SE
Glenwood, MN 56334

Phone: 320.634.4521
Fax: 320-634-2269
Email: [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Kirk Stensrud, CEO, is available to assist you.

 

Filing a Civil Rights Complaint

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 at https://ocrportal.hhs.gov/ocr/smartscreen/main.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
1-800-868-1019, 800-537-7697 (TDD)

Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html.

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

How We Use and Disclose Your Health Information

We use or share your health information in the following ways: (In Minnesota we will obtain your consent)

Treatment
• We may use your health information to provide care and share it with other professionals who are treating you.
• Example: A doctor treating you may share your health information when consulting with a specialist.
Payment
• We may use and share your health information to bill and obtain payment for the healthcare services you receive.
• Example: We give information about you to your health insurance plan so it will pay for your services.
Healthcare Operations
• We may use and share your health information to run our practice, improve your care, and contact you when necessary.
• Example: We may use your health information to review your treatment and services to evaluate our quality of care, provide medical students and hospital staff education, etc.

We may share your health information in the following situations unless you tell us otherwise.

Friends and Family
• We may disclose to your family and close personal friends any health information directly related to that person’s involvement in your care.
Directories
• We may maintain a patient directory that includes your name and location within the facility, religious designation, and general information about your condition (fair, serious, etc.)
Disaster Relief
• We may disclose your health information to disaster relief organizations in an emergency so your family can be notified about your condition and location.

If you are not able to tell us your preference, we may go ahead and share your information if we believe it is in your best interest or needed to lessen a serious and imminent threat to health or safety.

We may share your health information for other reasons with your consent:

Public health and safety
• We can share your health information in certain situations to help prevent disease, assist with product recalls, report adverse reactions to medications, or to prevent a serious threat to anyone’s health or safety.
Research
• We can use or share your information for health research.
Required by law
• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Organ and tissue donation
• We can share health information about you with organ procurement organizations.
Medical examiner or funeral director
• We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Workers’ compensation
• We can share information to employers for worker’s compensation claims.
Law enforcement
• We may share information for law enforcement purposes, such as when a crime is committed at our facility or to help locate a suspect, fugitive witness, or missing person.
Correctional institutions
• We can share information with correctional institutions about their inmates.
Health Oversight Agencies
• We may share information with health oversight agencies when authorized by law, and other special government functions such as military, national security, and presidential protective services.
Lawsuits and legal actions
• We may share information about you in response to a court or administrative order, or in response to a subpoena.

In all cases, including those listed above, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

We may contact you in the following situations:

Appointment reminders: To remind you of appointments with us.
Treatment options: To provide information about treatment alternatives or other health-related services that may be of interest to you.
Fundraising: We may contact you about fundraising activities, but you can tell us not to contact you again.

Your Rights That Apply to Your Health Information

When it comes to your health information, you have certain rights.

Get a copy of your medical records
• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
• You can ask us to correct health information that you think is incorrect or incomplete. We may deny your request, but we’ll tell you why in writing.
• These requests should be submitted in writing to the contact listed below.
Request confidential communications
• You can ask us to contact you in a specific way (for example, cell or office phone) or to send mail to a different address.
• Reasonable requests will be approved.
Ask us to limit what we use or share
• You can ask us to restrict how we share your health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it could affect your care. If we agree to your request, we may still share this information in the event that you need emergency treatment.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for the purpose of payment or our operations. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
• You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
• You can ask for a paper copy of this Notice at any time, even if you have agreed to receive it electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
File a complaint if you feel your rights are violated
• You can complain if you feel we have violated your rights by contacting us using the following contact information:
Privacy Officer
Glacial Ridge Health System
10 Fourth Avenue SE
Glenwood, MN 56334
1-320-634-4521
[email protected]

• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights using the following contact information:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
https://www.hhs.gov/hipaa/filing-a-complaint/index.html

• We will not retaliate against you for filing a complaint.

In these cases, we never share your information unless you give us written permission:
• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

In the case of fundraising:
• If we have your substance use disorder patient records, subject to 42 CFR part 2, we will give you clear and obvious notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this Notice and offer to give you a copy.
• We will not use or share your information other than as described in this notice unless you tell us we can in writing. You may change your mind at any time by letting us know in writing.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

We can change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, in our office, and on our website.

Effective Date

This Notice of Privacy Practices is effective September 23, 2013.

This Notice of Privacy Practices applies to the following organizations.

This Notice of Privacy Practices applies to all Glacial Ridge Health System facilities and services. All entities, sites and locations follow the terms of this Notice. These entities, sites and locations may share medical information with each other for treatment, payment or operations described in this Notice.

Providers that participate in an organized health care arrangement will use and share your personal information as necessary to carry out treatment, payment or for health care operations.

How to Request Medical Records

We have two options for you to request your medical records. The most efficient way is to request online, however you can also download and return a form.

Patient Request Online

Our online records request verifies your identity by asking for a photo of your driver’s license or state ID, which you can take via webcam or smartphone. It takes approximately 5-10 minutes, and you choose either electronic or mail delivery! Click: Request Your Medical Records Online.

OR – Patient Request By Mail or In Person

Please download and complete this form: Authorization to Disclose Health Information. Print clearly and fill out as much information as possible. If you are unsure of specific dates, please give a range of dates or specific information you are looking for to help us find the correct medical information. Sign and date the form in the designated area on the bottom of the form. Based on the type of request you make, there may be a charge for this service. Please allow 7 – 10 days for processing.

You may return the completed form in person, by fax to 320.634.2262 or by mail:

Glacial Ridge Hospital
Attn: Release of Information
10 4th Ave. SE
Glenwood, MN 56334

Questions

If you have questions regarding the release of information, please call 320.634.4521.

How can I get a copy of a birth certificate?

All birth certificates for those born at Glacial Ridge Hospital in Glenwood, MN, may be obtained from the Minnesota Department of Health (MDH) or the Recorder’s Office at the Pope County Courthouse.

Healthcare Provider Request

This link is for healthcare providers only. Must have HIPAA-compliant organization email address. Click: Request a Patient’s Medical Record Online.

Questions

If you have questions regarding the release of information, please call 320.634.4521.