- Every patient has the right to courtesy, respect, dignity, privacy, responsiveness, and timely attention to his/her needs regardless of age, race, sex, national origin, religion, cultural, or physical handicap, personal value and beliefs.
- Every patient has the right to every consideration of privacy and individuality as it relates to his/her social, religious and psychological wellbeing.
- Every patient has the right to confidentiality. The right to approve or refuse the release of medical information to any individual outside the facility, except in the case of transfer to another health facility, or as required by law or third party payment contract.
- Every patient has the right to express grievances or complaints without fear of reprisals.
- Every patient has the right to be free from all forms of abuse or harassment.
- Every patient has the right to continuity of health care. The physician may not discontinue treatment of a patient as long as further treatment is medically indicated, without giving the patient sufficient opportunity to make alternative arrangements.
- Every patient is provided complete information regarding diagnosis, treatment and prognosis, as well as alternative treatments or procedures and the possible risk and side effects associated with treatment. If medically inadvisable to disclose to the patient such information, the information is given to a person designated by the patient, surrogate, or to a legally authorized individual.
- Every patient has the right to make informed decisions regarding the heath care that is recommended by the physician. Accordingly, the patient may accept or refuse any recommended medical treatment.
- Every patient or patient’s representative or patient’s surrogate will be informed of their rights prior to the start of the procedure with verbal and written notice.
- Every patient has the right to be informed of any research or experimental projects and to refuse participation without compromise to the patient’s usual care.
- Every patient has the right to appropriate treatment and care to include the assessment/management of pain.
- Every patient has the right to understand facility charges. The right to an explanation of all facility charges related to your health care.
- Every patient has the right to all resuscitative measures; therefore we will not honor Advance Directives.
- Every patient has the right to participate in their health care treatment and decisions.
- Patients are responsible to be honest and direct about matters that relate to them, including answering questions honestly and completely.
- Patients are responsible to provide an accurate past and present medical history. Present complaints, past illnesses, hospitalizations, surgeries, existence of advance directive, medication and other pertinent data.
- Patients agree to accept all caregivers without regard to race, color, religion, sex, age, gender preference, or handicap, or national origin.
- Patients are responsible for assuring that the financial obligations for health care rendered are paid in a timely manner.
- Patients are responsible to sign required consents and releases as needed.
- Patients are responsible for their actions if they should refuse a treatment or procedure, or if they do not follow or understand the instructions given them by the physician or Advanced Regional Surgery Center employees.
- Patients are responsible for keeping their procedure appointment. If they anticipate a delay or must cancel, they will notify the Advanced Regional Surgery Center as soon as possible.
- Patients are responsible for the disposition of their valuables, as Advanced Regional Surgery Center does not assume the responsibility.
- Patients are responsible to be respectful of others, or other people’s property and the property of the Surgery Center.
- Patients are to observe safety and no smoking regulations.
- All patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Powers of Attorney that authorize others to make decisions on their behalf when the patient is unable to make or communicate decisions. Advanced Regional Surgery Center respects and upholds those rights.
- While no surgery is without risk, the procedures performed in this facility are considered to be of lower risk than those performed at an acute care hospital setting. You will discuss the specifics of your procedure with your physician who can answer your questions as to risk, expected recovery, and care after the surgery.
- If an adverse event occurs during your treatment at Advanced Regional Surgery Center, we will initiate resuscitative or other stabilizing measures and transfer you to an acute care hospital for further evaluation. At the acute care hospital, further treatments or withdrawal of treatment measures already begun will be ordered in accordance with your wishes, Advance Directive, or Health Care Power of Attorney. Your agreement with this facility’s policy will not revoke or invalidate any current Health Care Directive or Health Care Power of Attorney.
- If you wish to complete an Advance Directive, copies of official state forms are available at www.in.gov
Patient Complaint or Grievance
- To report a complaint or grievance, you may contact the facility Administrator by phone at 812-722-1480 or by mail to our address.
- Complaints and grievances may also be filed through the Indiana Department of Health, in writing at: Indiana State Department of Health, 2 North Meridian Street, 4B, Indianapolis, IN 46204. Email complaints to email@example.com or call the toll free number: 1-800-246-8909.
- All Medicare beneficiaries may file a complaint or grievance with the Medicare Beneficiary Ombudsman online at: www.medicare.gov/Ombudsman/resources.asp or call 1-800-MEDICARE (1-800-633-4227).