PATIENT RIGHTS

This Facility adopts and affirms as policy the following rights of patient/clients who receive services from our facility. The facility will provide the patient or the patient’s representative verbal and written notice of such rights in advance of the date of the procedure in accordance with 42 C.F.R. 416.50, and these patient rights will be posted within the facility in the facility’s waiting room(s).

The patient rights are as follows:

• Treatment without discrimination as to age, race, color, religion, sex, national origin, political belief, or handicap. It is our intention to treat each patient as a unique individual in a manner that recognizes their basic human rights.
• Considerate and respectful care including consideration of psychosocial, spiritual, and cultural variables that influence the perceptions of illness.
• Receive, upon request, the names of physicians directly participating in your care and of all personnel participating in your care.
• Obtain from the person responsible for your health care complete and current information concerning your diagnosis, treatment, and expected outlook in terms you can be reasonably expected to understand. When it is not medically advisable to give such information to you, the information shall be made available to an appropriate person in your behalf.
• Receive information necessary to give informed consent prior to the start of any procedure and/or treatment, except for emergency situations. This information shall include as a minimum an explanation of the specific procedure or treatment itself, its value and significant risks, and an explanation of other appropriate treatment methods, if any.
• The patient may elect to refuse treatment. In this event, the patient must be informed of the medical consequences of this action. In the case of a patient who is mentally incapable of making a rational decision, approval will be obtained from the guardian, next-of-kin, or other person legally entitled to give such approval. The facility will make every effort to inform the patient of alternative facilities for treatment if we are unable to provide the necessary treatment.
• The facility will provide the patient or patient representative with the facilities policies and description of the State health and safety laws on advance directives, and upon request, refer you to resources for general information on how to formulate an advance directive, including where to obtain the official State advance directive form, and appointing a surrogate to make health care decisions on your behalf, to the extent permitted by law. Access to health care at this facility will not be conditioned upon the existence of an advance directive.
• Privacy to the extent consistent with adequate medical care. Case discussions, consultation, examination and treatment are confidential and should be conducted discreetly.
• Privacy and confidentiality of all records pertaining to your treatment, except as otherwise provided by law or third party payment contract.
• A reasonable response to your request for services customarily rendered by the facility, and consistent with your treatment.
• Expect reasonable continuity of care and to be informed, by the person responsible for your health care, of possible continuing health care requirements following discharge, if any.
• The identity, upon request, of all health care personnel and health care institutions authorized to assist in your treatment.
• Refuse to participate in research or be advised if your personal physician and/or facility proposes to engage in or perform human experimentation affecting his/her care or treatment. Refusal to participate or discontinuation of participation will not compromise the patient’s right to access care, treatment or services
• Upon patient request, examine and receive a detailed explanation of your bill including an itemized bill for services received, regardless of sources of payment.
• Know the facility’s rules and regulations that apply to your conduct as a patient.
• Be advised of the facility grievance process, should he or she wish to communicate a concern regarding the quality of the care he or she receives or if he or she feels the determined discharge date is premature. Notification of the grievance process includes: who to contact to file a grievance, and that he or she will be provided with a written notice of the grievance determination that contains the name of the contact person, the steps taken on his or her behalf to investigate the grievance, the results of the grievance and the grievance completion date.
• Complaint or criticisms will not serve to compromise future access to care at this facility. Staff will gladly advise you of procedures for registering complaints or to voice grievances including but not limited to grievances regarding treatment or care that is (or fails to be) furnished.
• Access and copy information in the medical record at any time during or after the course of treatment. If patient is incompetent, the record will be made available to his/her guardian.
• Expect to be cared for in a safe setting regarding: patient environmental safety, infection control, security and freedom from abuse or harassment.
• Receive care, free of restraints unless medically reasonable issues have been accessed and pose a greater health risk without restraints.
• Participate in the development, implementation and revision of his/her care plan.

• Complaints may be directed to the following Facility Contacts: 1490 E. Foremaster Drive, Bldg. C., St. George, UT 84790. Facility Administrator: Dan Nielson, Phone: 435-628-9152. Director of Nursing: Ken Summerhays, Phone 435-627-5304. Business Office Manager: Jen Jorgensen, Phone: 435-627-5333.
• Complaints may be directed to the following State Agency: Utah Bureau of Health Facility Licensing, Certification and Resident Assessment, P.O. Box 144103, Salt Lake City, UT 84114-4103; or call 1-800-662-4157.
• Web site for the Medicare Beneficiary Ombudsman: www.medicare.gov or 1-800-633-4227 or https://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html
• Accreditation Assocation for Ambulatory Health Care (AAAHC) 1-847-853-6060 www.aaahc.org

PATIENT RESPONSIBILITIES

As the Patient you have the responsibility to:

1. Respect the property, comfort, environment and privacy of other patients and staff.

2. Cooperate with all persons providing your care and treatment.

3. Provide accurate and complete information concerning your health and medical history by answering all questions as truthfully and completely as you can, including “NPO” status.

4. Have a responsible driver to take you and help you at home.

5. Inform the nurse of any medications you are currently taking and all known allergies.

6. Try to understand and follow instructions concerning your treatment and ask questions if you do not understand or need an explanation.

7. Agree to follow all discharge instructions.

8. Accept responsibility for consequences following a decision to refuse treatment or to follow instructions.

9. Immediately inform your physician of any changes in your condition or adverse reactions.

10. Report the effectiveness of interventions for pain on my behalf and work with the nursing staff to achieve a comfortable level of pain control.

11. Be responsible in your payment for treatment and to be cooperative and timely in providing insurance and other necessary financial information.

12 In compliance with the Utah Clean Air Act, the patient will not be allowed to smoke in the building or on the premises while under the care of the Coral Desert Surgery Center.

13. Inform Coral Desert Surgery Center of any Living Will, Medical Power of Attorney, or any other Directive that could affect your care.