PATIENT BILL OF RIGHTS AND RESPONSIBILITIES

POLICY:

 Every patient has the right to be treated as an individual with his rights respected.

PURPOSE:

To assure the rights of all patients coming to the Eastside Endoscopy Center are respected without regard to sex, culture, economic status, education, handicap, race, color, age, or religious background.

PROCEDURE:

Patient’s coming to the Eastside Endoscopy Center will be made aware of their rights prior to the day of their procedure at Eastside Endoscopy Center. Their rights are as follows:

1. To receive treatment without discrimination as to race, color, religion, sex, national origin, disability, or source of payment.
2. To receive considerate and respectful care in a clean and safe environment free of unnecessary restraints.
3. To understand the indications for the procedure.
4. To receive all the information they need to give informed consent for any procedure, including the possible risks and benefits of the procedure.
5. To receive complete information about their diagnosis, planned treatment and prognosis. When it is medically inadvisable to give such information to a patient, the information will be provided to a person designated by the patient or to a legally authorized person.
6. To participate in all decisions involving health care, except when such participation is contra-indicated for medical reasons.
7. To provide privacy, confidentiality and integrity of all information and records regarding their care.
8. To approve or refuse the release of their medical records except when required by law.
9. To be aware of fees for service and the billing process.
10. To refuse treatment and be told what effect this may have on their health.
11. To complain without fear of reprisals about the care and service they are receiving.
12. To assure safe use of equipment by trained personnel.
13. To refuse to participate in experimental research.
14. To change primary or specialty physicians if they choose to do so, or if ther qualified physicians are available.
15. To be assured that in the event of needed long term care, this organization will provide the mechanisms to help advance the development of continuing quality care for those patients who require it.
16. To expect that your report of pain will be believed and addressed.
17. To have a choice where you have your endosocpy, according to your insurance and other medical reasons or exclusions.

Expressing Satisfaction and Concerns

Patients and families at Eastside Endoscopy Center can notify the administrator or the nurse manager to express their satisfaction and concerns regarding their patient care experience.

If an individual has any concerns about patient care and safety at Eastside Endoscopy Center that the center has not addressed the individual has the right to contact one or more of the following agencies:

• Centers for Medicare and Medicaid Services by calling 1-800-MED-ICARE. For the hearing impaired please dial 1-877-486-2048.
• The State of Michigan, Department of Community Health, Bureau of Health Systems by calling 1-800-882-6006 or by going to their website at http://www.michigan.gov/bhs.
• The Accreditation Association for Ambulatory Health Care, Inc. by calling                      1-847-853-6062 or by visiting http://www.aaahc.org.
• If you are Medicare Beneficiary and have a quality concern, you may call Michigan Peer Review Organization (MPRO) at 1-800-365-5899. If you are hearing impaired call       1-800-365-5899.

Your Responsibilities

 Patients coming to Eastside Endoscopy Center will be made aware of their responsibilities and expected conduct while undergoing treatment. The responsibilities and conduct are as follows:

• To ask about test results-don’t assume no news is good news.
• To provide the health care providers with information about any past illnesses, hospitalizations, medications, and other health matters.
• To ask questions if you do not understand instructions or explanations given by the health care providers and/or staff.
• To keep appointments as scheduled and to telephone the office in case of cancellation.
• To follow health care providers instructions and plan of treatment.
• To make payments for services rendered if a balance remains after
• insurance pays.
• To discuss consequences of refusing treatment or not adhering to the plan of treatment or leaving AMA, with their physician.