Patients Rights and Responsibilities

Decision Making

You or your representative(s) have the right to:

• Be informed before care is given or discontinued whenever possible.
• Receive complete and current information regarding your health status in terms you can understand.
• Participate in planning for your treatment, care and discharge recommendations.
• Receive an explanation of proposed procedure or treatment, including risks, serious side effects and treatment alternatives, including request for second opinion.
• Make informed decisions regarding care and treatment offered to you.
• Participate in managing your pain effectively.
• Request a specific treatment.
• Refuse or discontinue a treatment to the extent permitted by law and to be informed of the consequences of such refusal.
• Arrangement for transfer to higher level of care (Hospital) should this be necessary, providing full explanation of the need based on your medical condition.
• Have persons of your choice promptly notified of hospital admission.
• Accept, refuse or withdraw from clinical research.
• Choose or change your healthcare provider.
• Receive care and/or a referral according to the urgency of your situation.

Quality of Care

You have the right to:

• Respectful treatment, which recognizes and maintains your dignity and personal values.
• Receiving care in a safe setting.
• Information and identification of all healthcare personnel providing care to you.
• Disclosure of who is primarily responsible for your care.
• Pastoral and/or spiritual support.
• Interpreters and/or special equipment to assist language needs.
• Information about continuing healthcare requirements following discharge.

Confidentiality and Privacy

You have the right to:

• Personal Privacy.
• Personal information being shared only with those who are involved in your care.
• Confidentiality of your medical and billing records.

Grievance Process

You and your representative have the right to:

• Register a complaint with your healthcare providers without a fear of reprisal.
• Contact Administration at phone number provided here within to file a formal grievance.
• Receive a timely response with the results of your complaint (when issued to the Center directly).

Advance Directives

You have the right to know that:

• Patients treated at Foothills Surgery Center are expected to be in reasonably good health and of low surgical/procedure risk; making resuscitation appropriate for conditions of preserving life, until transfer to hospital occurs. I understand that my advance directives will not prevent treatment of a life threatening condition should one occur while I am receiving care at Foothills Surgery Center.  In the event of a life threatening condition, I will be treated, stabilized and transferred via EMS to the closest appropriate acute care facility.

Access to Medical Records

You have the right to:

• Review and receive a copy of your Medical Records at any time upon written request.

Seclusion and Restraints

You have the right to:

• Be free of any sort of restraint unless medically necessary.
• Be free from seclusion or restraint for behavioral management unless there is a need to protect your physical safety or the safety of others.

Billing

You have the right to:

• A complete explanation of your bill.

Providing Information

You have the responsibility to:

• Provide accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other health-related matters.
• Report perceived risks in your care and unexpected changes in your condition.
• Ask question regarding your treatment plan to become informed before decisions are made.
• Provide accurate and updated demographic and contact information for insurance and billing.

Involvement

You have the responsibility to:

• Actively participate in your treatment by following your recommended treatment plan.

Respect and Consideration

You have the responsibility to:

• Act in a respectful and considerate manner toward healthcare providers, other patients, and visitors; physical or verbal threats or conduct which is disruptive to business operations will not tolerated.
• Be respectful of the possessions or property of others.
• Be mindful of noise levels.

Insurance Billing

You have the responsibility to:

• Know the extent of your insurance coverage.
• Know your insurance requirements such as pre-authorization, deductibles and co-payments.
• Call the billing office with questions or concerns regarding your bill.
• Fulfill your financial obligations as promptly as possible.