The Investigation of

The Death of Joan Ellis

PATIENT AND FAMILY RIGHTS

PATIENT RIGHTS AND RESPONSIBILITIES

Jefferson Regional Medical Center respects the rights of the patient and recognizes that each patient is an individual with unique healthcare needs.

JRMC shall endeavor to protect and promote the rights of each patient. In addition to your rights, you have a responsibility to take a role in your care.

Patient’s Rights:

As a patient, you have the following rights:

The Right to Access Care:

- You will not be denied care on the basis of age, race, ethnicity, religion, culture, language,

physical or mental disability, socioeconomic status, gender, sexual orientation, gender

identity or expression, or source of payment.

- You have a right to receive a reasonable response to requests and needs for treatment or

service.

The Right to Make Decisions Involving Your Care

- You, along with your representative, have a right to participate in the development and

implementation of your plan of care and actively participate in decisions regarding your

medical care. To the extent permitted by law, this includes the right to request and/or

refuse treatment.

- Before a procedure or treatment is carried out, you have the right to receive as much

information about any proposed treatment or procedure as needed to give informed consent

or to refuse the course of treatment. Except in emergencies, this information will include

a description of the procedure or treatment, the medically significant risks, benefits, and

side effects involved in the treatment, alternative course of treatment or non-treatment

and the risks, benefits, and side effects involved in each, and to know the name of the

person who will carry out the procedure or treatment.

- You have the right to access protective and advocacy services, including financial counseling,

or have these services accessed on your behalf.

- You have the right to leave the hospital even against the advice of your physician.

- You have the right to have an appropriate assessment and management of pain, and to

receive education related to your pain and pain control measures.

The Right to Information:

- You have the right to receive information from the physician about your illness, course of

treatment, outcomes of care (including unanticipated outcomes), and your prospects for

recovery.

- You have the right to receive information in a language and manner that you can understand.

Communication with you will be effective and provided in a manner that facilitates

understanding by you. Written information provided will be appropriate to your age,

understanding, and as appropriate, language. Communications specific to the vision,

speech, hearing, cognitive, and language-impaired patient will be appropriate to the

impairment.

- You are entitled to information about the hospital’s rules and regulations that affect patient

care and conduct.

- You have the right to be informed of the relationships between JRMC and other persons and organizations that may be participating in the provision of your care.

- You are entitled to access information contained in your medical record upon request within

a reasonable time frame.

- You have the right to raise questions regarding ethical issues and expect assistance in

answering those questions.

The Right to Communication:

- You have the right to have your own physician and family member or representative of

your choice notified promptly of your admission to the hospital.

- Your access to communication, mail, and telephone calls shall not be restricted unless

clinically indicated or specifically requested by you.

- You have the right to know the reasons for any proposed change with the professional

staff for your care.

- You have the right to voice complaints and recommend changes freely without being subject

to coercion, discrimination, reprisal, or unreasonable interruption of care.

- You have the right to be advised of the hospital’s grievance process, should you wish to

communicate a concern regarding the quality of care you receive or if you feel the

determined discharge date is premature.

The Right to Personal Safety:

- You have the right to remain free from seclusion or restraints of any form that are not

medically necessary or are used as a means of coercion, discipline, convenience, or

retaliation by staff.

- You have the right to receive care in a safe environment.

- You have the right to be free from all forms of abuse or harassment.

- You have the right to exercise your rights while receiving care without coercion,

discrimination, or retaliation.

The Right to Personal Privacy and Confidentiality of Medical Treatment/Records:

- You are entitled to your personal dignity; including the right to privacy during hygiene

activities and during treatment.

- You are entitled to full consideration of privacy concerning your medical care program.

Case discussion, consultation, examination, and treatment are confidential and should

be conducted discreetly. You have the right to be advised as to the reason for the

presence of any individual involved in your healthcare.

- You have the right to confidential treatment of all communications and records pertaining

to your care and hospital stay. Written permission will be obtained before medical

records can be made available to anyone not directly involved with your care.

- You have the right to access, request amendment to, and receive an accounting of

disclosures regarding your health information as permitted under applicable law.

- You are entitled to associate and have private conversations with your physician,

attorney, or any other person of your choice.

The Right to Formulate Advance Directives and to Appoint a Representative to Make Health Care Decisions on Your Behalf:

- You have the right to formulate Advance Directives and appoint a surrogate to make

health care decisions on your behalf to the extent permitted by law.

- You have the right to have a family member or representative of your choice participate in

your care as appropriate and allowed by law.

- You have the right to have all patient rights apply to the person who may have legal

responsibility to make decisions regarding medical care on your behalf.

- You have the right to expect that hospital staff and practitioners who provide care in the

hospital comply with your directives.

The Right to Transfer and Continuity of Care:

- If your physician feels that you should be transferred to another facility, you have the right

to receive complete information and explanation from the physician concerning the need for, or alternatives to, such a transfer.

- You have the right to have reasonable continuity of care.

- You have the right to be informed by your physician or a delegate of your physician of the

continuing healthcare requirements following your discharge from the hospital.

The Right to Spiritual Beliefs:

- You have a right to have your own cultural, psychosocial, spiritual, and personal values,

beliefs, and preferences respected.

- You have the right to request pastoral and or other spiritual care, which shall be respected

and accommodated, as appropriate.

Patient’s Responsibilities:

In addition to your rights, you also have the responsibility to:

- Follow the hospital’s rules and regulations affecting patient care and conduct.

- Provide accurate and complete information about past and present illnesses, hospitalizations,

medications, herbal remedies, and other matters relating to your health history.

- Make it known whether you clearly understand the plan of care and ask questions if you do

not understand directions or procedures.

- Help your doctor, nurse, and other healthcare support staff in their efforts to care for you by

following their instructions and medical orders.

- Accept medical consequences should refuse treatment or not follow your physician’s orders.

- Formulate an advance directive and appoint a surrogate to make healthcare decisions on

your behalf, to the extent permitted by law. Also, provide information regarding any

advance directives as well as copies of the directives to the hospital.

- Report safety concerns immediately to your doctor, nurse, or any healthcare support staff.

- Ask for pain relief when pain first begins, help the physician or nurse assess the pain, and tell

your doctor or nurse if your pain is not relieved.

- Avoid drugs, alcoholic beverages, or toxic substances, which have not been administered by

your doctor.

- Be considerate of other patients and hospital staff and property.

- Use the call light provided for your safety.

- Provide accurate and timely information concerning your sources of payment and ability to

meet financial obligations.

- Provide prompt payments for services billed that are not covered by insurance or make

proper arrangements regarding an outstanding balance.

CHILDREN'S RIGHTS

In addition to the rights of adult patients, patients under 18, their parents and guardians have the following rights:

- respect for each child and adolescent as a unique person.

- respect for the care-taking role and individual response of the parents or guardians.

- provision for normal physical and psychological needs of a growing child to include

nutrition, rest, sleep, warmth, activity and freedom to move and explore.

- consistent, supportive and nurturing care which meets the emotional and psychological

needs of the child, fosters open communication and encourages human relationships.

- provision for self-esteem needs which will be met by attempts to give the child

- The reassuring presence of a caring person, especially a parent

- Freedom to express feelings or fears with appropriate reactions

- As much control as possible, over both self and situation

- Opportunities to work through experiences before and after they occur, verbally, in play or in

other appropriate ways.

- Recognition and reward for coping well during difficult situations.

- provision for varied activities of life which contribute to cognitive, social, emotional and hysical development needs. These can include play, educational and social activities

essential to all children and adolescents.

- information about what to expect prior to, during, and following procedures or treatments and

staff support in coping with such experiences.

- participation of children and their parents/guardians in decisions affecting their medical

treatment.

ETHICAL DILEMMAS

JRMC's Ethics/Organ Donation Committee can help patients or families who are facing complicated choices. The committee is there to offer

guidance in resolving ethical conflicts. This committee can help in the following situations:

- Anytime the care team needs help making an ethical decision.

- When there is a disagreement between the family and the care team.

- When a family member is on life support and termination is considered.

- Any questions or concerns about the living will.

Anyone can request a consultation with JRMC's Ethics/Organ Donation Committee. For more information, please contact the Executive Office, 541-

7271.

PATIENT COMPLAINTS/GRIEVENCE PROCEDURE

It is the goal of the administration and staff of JRMC that you have a pleasant hospital stay and that we meet your needs and expectations. In the

event that you are not satisfied with your care or the service you receive, please speak with your nurse or ask to speak with the manager of the floor

or department where you are receiving care. If you are not satisfied with the response you receive, please contact Guest Relations at (870) 541-7662.

If you are not satisfied with the results of the complaint investigation and resolution, you may file a formal grievance by contacting Administration as

listed below.

JRMC Executive Office

1600 West 40th

Pine Bluff, AR 71603

870-541-7370

www.jrmc.org

FILING A COMPLAINT

In addition to the organization’s complaint process, any person may file a complaint about a health facility with the Arkansas Department of Health or

Arkansas Foundation for Medical Care. Arkansas Department of Health

Health Facilities Services Division

5800 West 10th, Suite 400

Little Rock, AR 72204

(501)661-2201

www.healthy.arkansas.gov

Arkansas Foundation for Medical Care

P.O. Box 180001

Fort Smith, AR 72918

(888) 354-9100

www.afmc.org

To get information about how to get your Medicare questions and complaints handled, you may call 1-800-633-4227. TTY users should call 1-877-

486-2048. Medicare Beneficiary Ombudsman’s web site: www.com.hhs.gov/center/ombudsman.asp.

JEFFERSON HOSPITAL ASSOCIATION, INC.

Notice of Privacy Practices Effective September 8, 2014

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO

THIS INFORMATION. PLEASE REVIEW CAREFULLY This Notice applies to all of the records of your care created by Jefferson Hospital Association, Inc. ('JHA') and its covered entities as listed at the

end of this Notice. The policies described in this Notice extend to Jefferson Regional Medical Center, its staff, any affiliated organization covered by

this Notice, and to Physicians and other Medical Staff/Allied Health Professionals when they participate in providing JHA services.

YOUR HEALTH RECORD

Each time you visit a hospital, physician, or other healthcare provider, a record of your visit is made. Usually, this record contains your health history,

examinations, symptoms, test results, diagnoses, treatment, and a plan for future care. This information, often referred to as your medicalrecord,

serves as:

- the basis for planning your care and treatment

- a means of communication among the many healthcare professionals who contribute to

your care

- a legal document describing the care you receive

- the means by which you or a third-party payer can verify that services billed were actually

provided

- a tool in educating healthcare professionals

- a source of data for medical research

- a source of information for public health officials working to improve the health of the nation

- a source of data for facility planning and marketing

- a tool we may use to assess and improve the care we give and the outcomes of care.

The confidentiality of the information in your health record is protected under state and federal law. Understanding what is in your medical record

and how your health information is used will help you to:

- ensure its accuracy

- better understand who, what, when, where, and why others may access your health

information

- make informed decisions when authorizing disclosures

- better understand the rights described below

WE ARE REQUIRED BY LAW TO:

Maintain the privacy of protected health information (PHI) and notify you in the event of a breach of unsecured PHI after consideration of at least the

following four objective factors;

- The nature and extent of the PHI involved, including the types of identifiers and the likelihood of re-identification;

- The unauthorized person who used the PHI or to whom the disclosure was made;

- Whether the PHI was actually acquired or viewed; and

- The extent to which the risk to the PHI has been mitigated.

Provide you with this Notice of our legal duties and privacy practices with respect to your PHI;

Follow the terms of the Notice that is currently in effect;

Notify you if we are unable to agree to a requested restriction on how your information is used or disclosed;

Accommodate reasonable requests you may make to communicate PHI by alternative means or at alternative locations; and

Obtain written authorization to use or disclose your PHI for reasons other than those listed below and permitted by law.

YOUR RIGHTS UNDER THE FEDERAL PRIVACY LAW

Although your health record is the physical property of the healthcare provider or facility that puts it together, you have certain rights:

1) You may request that we restrict certain ways in which we use and share your health

information for treatment, payment, and our healthcare operations. To make this request,

you must complete a Request for Restrictions of Information Uses and Disclosures, which is

available at the JRMC Medical Records Department. You may restrict disclosure to a health

plan if the disclosure is for carrying out payment or health care operations and is not

otherwise required by law, and the information pertains to a healthcare item or service

for which you or someone acting on your behalf has paid out of pocket in full.

2) You may request reports of your condition or treatment be given to family members, friends,

or other people involved with your healthcare or payment for your healthcare. These requests should be directed to your doctor or nurse, who will make appropriate notations

in your chart. We are not required to agree to your requests, but will try to honor all

reasonable requests.

3) You may obtain a paper copy of the Notice of Privacy Practices upon request.

4) You may view and copy your medical record. While you are undergoing treatment

in the hospital, your record is considered 'open'. Requests to view an open

medical record must be directed to your physician or a nurse. When you are

discharged from the hospital, your record is considered 'closed'. Requests to

view a closed medical record must be directed to the Medical Records Department.

We may deny your request to inspect and/or copy in certain limited circumstances.

If you are denied access to your health information, you may ask that the denial be

reviewed. If such a review is required by law, we will select a licensed health care

professional to review your request and our denial. The licensed health care professional

conducting the review will not be the person who denied your request, and we will comply

with the outcome of the review. You also have the right to access your PHI record in an

electronic format and to direct JHA to send the record directly to a third party.

Note: We reserve the right to charge a reasonable cost-based fee for making copies.

5) You may request to amend your health record. To exercise this right, you must complete a

Request for Amendment of Health Information, which is available through the Medical

Records Department. We are not required to agree to requested amendments. We may

deny your request if you ask us to amend information that (a) was not created by us

unless the person or entity that created the information is no longer available to

make the amendment; (b) is not part of the PHI kept by or for JHA; (c) is not part

of the information you would be permitted to inspect and copy; or (d) is accurate

and complete.

6) You may obtain a list, called an 'Accounting of Disclosures', that describes how your health

information was shared over the time period specified in your request (six years preceding

the date of your request is the maximun time period allowed). This accounting will not list

certain uses or disclosures, such as those made for the purposes of treatment, payment, or

healthcare operations. To exercise this right, you must complete a Request for Accounting

of Disclosures, which is available through the Medical Records Department. We will notify

you of any cost involved, and you may choose to withdraw or modify your request before any

costs are incurred.

7) You may request that communications of your health information be sent to an alternative

location or by alternative means (for example, in a closed envelope or to a secondary

address). To exercise this right, you must contact either the JRMC Business Office or the

Admissions Department.

8) You may revoke an authorization to use or disclose your health information. We are unable,

however, to take back any disclosures we have already made as a result of that authorization

9) Upon request you or a personal representative may be provided access to completed Lab

test reports. You can sign up for our Patient Portal at https://jchart.jrmc.org to gain

online access to your health information. If you do not have a login, simply click

‘Register Now’ and follow the instructions to create your account. You may also call

us at 870-541-4077.

10) You may file a complaint, either with the JHA Privacy Officer (870) 541-7390 or the

Secretary of Health and Human Services (877) 696-6775, if you believe your privacy rights

have been violated.

YOU WILL NOT BE RETAILIATED AGAINST FOR FILING A COMPLAINT.

OUR RESPONSIBILITY UNDER THE FEDERAL LAW

FEDERAL LAW REQUIRES US TO:

  • protect the privacy and security of your PHI by establishing reasonable and appropriate physical, administrative, and technical safeguards
  • provide you with a Notice of Privacy Practices in order to inform you of our legal duties and privacy practices regarding the information we collect and maintain about you; and follow the requirements of the current Notice and all related JHA policies and procedures.

Note: We reserve the right to change our information privacy practices and the terms of this Notice, and to make the new provisions effective for all health information we maintain. This includes health information created or received before the date the revised Notice becomes effective. If our privacy practices change, we will post a revised Notice on our website (www.jrmc.org) and in each of our covered clinics. We will not put changes into effect before the effective date listed on the revised notice.


PERMITTED USES AND DISCLOSURES OF YOUR HEALTH INFORMATION

  • We will not use or disclose your health information without your authorization, except as described in this Notice.
  • Uses and Disclosures for Treatment, Payment, and Healthcare Operations
  • We may use and disclose your health information for treatment purposes.

A physician, therapist, nurse, or other member of your healthcare team will record information in your medical record to assist in your diagnosis and determine the best course of treatment for you. The primary caregiver will give treatment orders and will document what he or she expects other members of the healthcare team to do to treat you. Other members of your healthcare team, which could include nurses, technicians, medical students, and other personnel, will also document important information about your care, which will help the primary caregiver determine the best course of treatment. When necessary, your healthcare providers will share information in order to consult with other physicians about your treatment. We will also provide information from your record to your regular physician or to specialists to whom you are referred, in order to help them treat you once you are discharged from JRMC.

  • We may use and disclose your health information for payment purposes. A bill may be sent to you or to a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used. (Remember that it is your right to ask that such communications be sent to another location or by another means, as long as appropriate arrangements are made for payment). In order to obtain prior approval or to determine whether your plan will cover the treatment, we also may tell your health plan and/or referring physician about a treatment you are going to receive.If you paid in full for your services, you have the right to limit the information that is shared with your health plan or insurer. To do this you must ask before you receive any services. Let us know you want to limit sharing with your health plan when you schedule your appointment. Any information shared before we receive payment out of pocket in full, such as information for preauthorizing your insurance, may be shared. Also, because we have a medical record system that combines all your records, we can limit information only for an episode of care (service given during a single visit to the clinic or hospital). If you wish to limit information beyond an episode of care, you will have to pay out of pocket in full for each future visit as well.


  • We may use and disclose your health information for healthcare operations. Members of the Medical Staff, Risk Management, or Quality Management may use information in your medical record to assess the care and outcomes in your case and others like it. The Information will be used to improve the quality and effectiveness of the healthcare services we provide. Other activities that fall under the definition of 'healthcare operations' include: conducting training programs; contacting healthcare providers and patients with information about treatment alternatives; and certification, licensing, and credentialing activities.
  • Disclosures Made to Business Associates There are some services provided to our organization through contracts with business associates who must have access to PHI in order to do their jobs. Examples of these services include medical transcription, billing and collection services, and even some software vendors. To protect the confidentiality of your information, however, we require each business associate to sign an agreement defining the appropriate use of patients' health information and requiring the business associate to establish safeguards to protect the information.

USES AND DISCLOSURES FOR WHICH NO PERMISSION IS REQUIRED

  • Uses and Disclosures Required by Law We may use and disclose your PHI where required by law, provided the use or disclosure complies with and is limited to the relevant requirements of the law
  • Communicable Disease We may disclose your PHI to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition if we or a public health authority is authorized by law to notify such person necessary in the conduct of a public health intervention or investigation.
  • Employers

We may disclose your PHI to your employer regarding any work-related illness or injury or medical surveillance of the workplace, under certain circumstances.

  • Threat to Health and Safety To avert a serious threat to health and safety, we may disclose your PHI in certain circumstances consistent with applicable law, including to prevent or lessen a serious, imminent threat to the health or safety of a person or the public and when the disclosure is to a person who is reasonably able to prevent or lessen the threat
  • Research We may disclose information to researchers without your authorization in certain limited circumstances (For example, when an Institutional Review Board has reviewed the research proposal and has established guidelines to ensure the privacy of your health information).
  • Funeral Directors, Coroners, and Medical Examiners We may disclose protected health information to a coroner or medical examiner consistent with applicable law to carry out their duties. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose protected health information about patients of the hospital to funeral directors as necessary to carry out their duties.
  • Organ Procurement Organizations Consistent with applicable law, we may disclose health information to organizations engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplantation.
  • Fundraising We may use information about you (such as your name, address, and phone number) and the dates you received services here in order to contact you, for the purpose of raising money for our hospital. The money raised through these activities is used to expand and support the healthcare services and educational community. If you do not wish to be contacted as part of our fundraising efforts you may opt-out of such notification by notifying the Privacy Officer in writing at the address listed below. If you do not opt-out in writing, we may use your information as described.
  • Food and Drug Administration (FDA) We may disclose to the FDA health information regarding adverse events, product and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacement.
  • Worker's Compensation We may disclose health information to the extent necessary to comply with laws relating to worker's compensation or other similar programs established by law.
  • Public Health Activities As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability. This category includes:

(a) Incidents of suspected child abuse;

(b) Reyes syndrome;

(c) AIDS or HIV;

(d) Sexual assaults;

(e) Knife or gunshot wounds,

(f) Domestic violence; and

(g) Sudden death of a child.

* Correctional Institution

Should you be an inmate of a correctional institution, we may disclose to the institution or its agents, health information necessary for your health and the health or safety of others.


  • Law Enforcement. We may disclose PHI for law enforcement purposes under the following circumstances: (1) as required by law or in response to a valid subpoena, warrant, summons, or similar process; (2) if a law enforcement official needs limited information about you because of a reasonable belief that you pose a danger to yourself, a particular person or people, or if you are trying to obtain narcotics illegally; (3) if it is believed you have been a victim of a crime and Arkansas law allows JHA to make the disclosure, although we will try to ask you before making the disclosure; (4) as permitted by Arkansas law, if a crime occurs at JHA and we think your protected health information is evidence of the crime and (5) as permitted by Arkansas law, in an emergency health care situation if necessary to report a crime.


  • Legal Proceedings If you are involved in a lawsuit or a dispute, we may disclose your PHI, subject to all applicable legal requirements, in response to a court order, administrative order or subpoena.
  • Health Oversight Agencies Federal law makes a provision for your health information to be released to an appropriate health oversight agency, public health authority, or attorney provided that a work force member believes in good faith that we have engaged in unlawful conduct, have otherwise violated professional or clinical standards, or are potentially endangering one or more patients, workers, or the public.


  • The U.S. Department of Health and Human Services (HHS) Under the privacy standards, we must disclose your health information to HHS as necessary for them to determine our compliance with their standards.


  • Military and Veterans If you are a member of the armed forces, we may be required by military command or other government authorities to disclose your PHI. We may also disclose information about foreign military personnel to the appropriate foreign military authority.


Uses and Disclosures that We May Make Unless You Object

  • Hospital Directory - For the benefit of visiting family members, friends, and clergy, our hospital maintains a directory which contains the name and location of each patient. When you are admitted, or in emergency situations as soon as reasonably possible, you will be given the opportunity to tell us if you object to being included in this directory. The information will be available to members of the clergy and to anyone who asks for you by name. If you tell us that you do not wish to be included in the directory, we will not tell visitors or callers that you are here. It will be up to you to notify family, friends, and spiritual counselors of your condition and location.


  • Notification We may use or disclose information to notify or help a family member, personal representative, or other person involved in your care, of your location and general condition.


  • Communication Health professionals, using their best judgment, may disclose to a family member, other relative, friend, or any other person you identify, health information relevant to that person's involvement in your care or payment for care.


  • Other Contacts We may contact you to provide appointment reminders, information about treatment alternatives, or other health-related benefits and services that may be of interest to you.


  • Other Uses and Disclosures - Other uses and disclosures besides those identified in this Notice will be made only with your written authorization which you may revoke at any time in writing, unless we have already taken action in reliance on your authorization. Specifically, we must have your written authorization to use or disclose psychotherapy notes except as permitted or required by law and personal information for marketing purposes, in most instances. In addition, we cannot sell your personal information unless we have your written authorization which must state that the disclosure of the information will result in remuneration to us.


  • For more information or to report a problem We have established policies and procedures to ensure protection of our patient's privacy rights. To report a problem, exercise the rights listed above, or to obtain more information on any matter covered in this Notice, please contact:

JRMC, Privacy Officer

1600 W. 40th Avenue

Pine Bluff, AR 71603

(870) 541-7476


  • To file a complaint with the U.S.Secretary of Health and Human Services, please contact:

Secretary of Health and Human Services

The U.S. Department of Health and Human Services

200 Independence Avenue, S.W.

Washington, D.C. 20201

(202) 619-0257

Toll Free: 1-877-696-6775


Arkansas Department of Health Health Facility Services

5800 West Tenth Street, Suite 400

Little Rock, AR 72204-1704

(501) 661-2201


JHA includes the following Covered Entities:

Jefferson Regional Medical Center

Jefferson Surgery Center

Cardiology Associates of South Arkansas

Endocrinology of South Arkansas

Family Health Care Assoc of Southeast Arkansas

GI Associates of South Arkansas

Health Care Plus

Neurosurgery Associates of South Arkansas

OB/GYN Associates of South Arkansas

Pine Bluff Specialty Clinic

South Arkansas Orthopedics Center

Surgical Associates of Southeast Arkansas.