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).
Colorado Department of Health 303-692-2904 or email: hfdintake@cdphe.state.co.us
Select inquiries/complaint (Medicare recipients)
CMS 1-800-MEDICARE (1-800-633-4227)
To issue a complaint with the Joint Commission for Accreditation go to http://www.jointcommission.org
To obtain information about Advance Medical Directives, please visit www.caringinfo.org or call 1-800-658-8898
Advance Directives
You have the right to know that:
- Patients treated at Steamboat 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 Steamboat 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.
Patient Responsibilities
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.
The Steamboat Surgery Center is a joint venture between:
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