Customer Information
| Keeping Patients Safe
Improving Healthcare Safety … What Should I Know?
Quality of Care Information If you have any quality of care or safety concerns about St. Alexius Medical Center that you feel have not been adequately addressed, please call St. Alexius Administration at 701-530-7600. As an accredited facility by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) you also have the option of notifying the Joint Commission. You may do so in the following manner: E-Mail: Fax: Office of Quality Monitoring (630) 792-5636
Mail: Office of Quality Monitoring Joint Commission on Accreditation of Healthcare Organizations One Renaissance Boulevard Oakbrook Terrace, IL 60181 If you have questions about how to file your complaint, you may contact the Joint Commission at this toll free U.S. telephone number (800) 994-6610, 8:30 a.m. to 5 p.m., Central Time, weekdays.
Authorization for Release of Information
1. Download Form – Authorization of Release of Information 2. Complete the Authorization for Release of Information form in its entirety. Be sure you sign and date the form. If you need any assistance, feel free to contact Health Information Management at (701) 530-8935. 3. Send completed form by e-mail, fax or by mail to Health Information Management. If you are emailing the form, you must scan the completed document and attach it to your email. The form is not interactive. E-mail to: Fax to: (701) 530-8984 US Mail: Health Information Management St. Alexius Medical Center PO Box 5510 Bismarck, ND 58506-5510
|