PATIENT RIGHTS

The patient has a right to:

• Be informed of his/her rights as a patient in advance of, or when discontinuing, the provision of care.
• Exersice these rights without regard to race, sex, cultural, educational or religious background or the source of payment for care.
• Receive considerate and respectful care, provided in a safe environment.
• Remain free from seclusion or restraints of any form that are not medically necessary.
• Coordinate his/her care with physicians and other healthcare providers.
• Receive information from the physician about illness, course of treatment and the prospects for recovery in terms that he/she can understand.
• Receive information about any proposed treatment or procedure as needed to give informed consent or to refuse treatment.
• Have a family member or representative of his/her choice be involved in his/her care.
• Full consideration of patient privacy with regards to consultation, examination, treatment or surgery.
• Confidential treatment of all communication and records pertaining to patient care. Access to information in his/her medical records within a reasonable time frame, when requested.
• Leave the facility even against medical advice.
• Be informed by a physician or designee of the continuing healthcare requirements after discharge.
• Examine and receive an explanation of the bill regardless of payment source.
• Be advised of the facility's grievance process.
• Have all patient's rights apply to the person who has legal responsibility to make decisions regarding medical care on behalf of the patient.
• All facility personnel performing patient care activities observe the aforementioned rights.

The patient has the responsibility to:

• Provide accurate and complete information concerning present complaints, past illnesses, current medications and dietary supplements, hospitalizations or any other health related issues.
• Make it known whether the planned surgical procedure/treatment risks, benefits and alternative treatment have been explained and understood.
• Follow the treatment plan established by the physician including physician instructions given by the nurses and other health care professionals.
• Keep appointments or notify the facility and/or physician in advance, if unable to do so.
• Accept full responsibility for refusal of treatment and/or not to follow insturctions.
• Assure that financial obligations of his/her care are fulfilled as promptly as possible.
• Be respectful of others in the facility: providers, staff and other patients.
• Provide responsible adult to transport him/her home from the facility following surgical procedure.

Complaints against the Surgery Center should be directed to:

Indiana State Department of Health Indiana State Department of Health

2 North Meridian Street , 4B

Indianapolis , IN 46204

1-800-246-8909

complaints@isdh.in.gov

The Office of the Medicare Ombudsman's (OMO)

www.medicare.gov/ombudsman/activities.asp