Muskegon Surgery Center

	Muskegon Surgery Center – Patient Bill of Rights The PATIENT has the right to be treated with consideration, dignity and respect. The PATIENT and/or the PATIENT REPRESENTATIVE has the right to all complete and current information concerning their diagnosis and treatment in terms that he/she can understand. The PATIENT has the right to know the person or persons responsible for coordinating their care. If not medically advisable to give information to the patient, the information shall be made available to an appropriate person on the patient's behalf. The PATIENT has the right to receive enough information from the physician so that he/she can understand the services being rendered in order to sign the informed consent. The PATIENT has the right to refuse treatment and to be informed of the consequences of his/her actions. The PATIENT has the right to change their provider if other qualified providers are available. The PATIENT has the right to privacy of any information or treatment concerning his/her own medical care. The PATIENT has the right to be informed of any persons other than routine personnel who will observe or participate in his/her treatment, and to refuse that observation and/or participation. The PATIENT has the right for all medical records to be treated as confidential, and to be given the opportunity to approve or refuse their release unless this would cause a negative outcome in the continuation of medical care. The PATIENT has the right to information concerning the facility to which he/she may have to be transferred. The facility to receive the patient must give approval prior to the patient transfer. The PATIENT has the right to know if any research will be done during his/her treatment and has the right to refuse it. The PATIENT has the right to expect quality care and service from Muskegon Surgery Center. The PATIENT has the right to be informed about the mechanism by which he/she will have continuing health care following discharge from Muskegon Surgery Center. The PATIENT has the right to examine and receive an explanation of their bill, regardless of the source of payment. The PATIENT has the right to know, in advance, the expected amount of his/her bill, regardless of the source of the payment. The PATIENT has the right to know which Muskegon Surgery Center rules and regulations apply to his/her conduct as a patient. Muskegon Surgery Center – Pediatric Patient Bill of Rights All children have a right to cry, laugh, or be made comfortable if it helps them feel better. They also have a right to: Ask to have a parent or another adult stay with them during their examination. Tell their caregiver when and where something hurts. Ask questions if they don't understand a medical procedure or what's happening to them. Choose which ear should be looked at first, or which arm to have an injection in, if needed. Ask for something to ease their pain. Listen to music, play a game or read a book to help distract them during medical procedures. Have an adult with them when they ask, except when the presence of another person would or may impact their care and cause a negative outcome. To have a schedule for procedures that doesn't keep them hungry or thirsty any longer than necessary. To always be called by their name. Muskegon Surgery Center – Patient Responsibilities It is the PATIENT'S responsibility to read and understand all permits and/or consents to be signed. Patients should ask either the nurse or physician to clarify any information not understood about their care or services. It is the PATIENT'S responsibility to provide complete and accurate information to the best of his/her ability about his/her health, any medications, including over-the-counter products and dietary supplements, and any allergies or sensitivities. It is the PATIENT’S responsibility to notify Muskegon Surgery Center if they have a living will, medical power of attorney or other directive that could affect their care. It is the PATIENT'S responsibility to follow the treatment plan prescribed by his/her provider and to notify Muskegon Surgery Center on admission if pre-operative instructions have not been followed. The PATIENT is responsible for his/her actions if they refuse treatment or do not follow pre-operative instructions. It is the PATIENT'S responsibility to provide adult transportation to and from Muskegon Surgery Center, and to arrange for a responsible adult to remain with them for 24 hours after they leave the center, appropriate to the medications and/or anesthesia to be given according to pre-operative instructions. It is the PATIENT'S responsibility to follow the post-operative instructions given by the physician(s) and/or nurses. This includes instructions regarding post-operative appointments. It is the PATIENT'S responsibility to contact the physician if any complications occur. It is the PATIENT’S responsibility to ensure that all payments for services rendered are made on a timely basis. The patient is ultimately responsible for payment, regardless of insurance coverage. It is the PATIENT’S responsibility to provide financial and/or insurance information regarding who will be responsible for the bill including current address and authorized contact information. It is the PATIENT'S responsibility to notify the administration of Muskegon Surgery Center if the PATIENT or the PATIENT REPRESENTATIVE thinks their right(s) have been violated or if the PATIENT has a suggestion, comment, or complaint. Complaints should be directed to: Julie Greene, CEO Muskegon Surgery Center 1400 Mercy Drive, Muskegon, MI, 49444 231-733-7800 It is the PATIENT’S responsibility and those who accompany the PATIENT to be respectful of all health care providers and staff, as well as other patients, and to follow the Center's policies. PATIENTS and/or PATIENT REPRESENTATIVES should contact the office of the Medicare Beneficiary Ombudsman at www.cms.hhs.gov/center/ombudsman.asp or the State of Michigan Representative if they have a concern or complaint about Muskegon Surgery Center. Anyone may file a complaint against a licensed or certified health care facility by: Submitting the BHS Online Complaint Form on the Internet at http://www.michigan.gov/bhs by clicking “Health Systems & Licensing” (button in left-hand column), “Featured Services”, form title (in center of page), Completing and mailing a Health Facility Complaint Form (BHS-OPS-361)—for health facilities other than nursing homes (see Facility Types Investigated By MDCH, BHS below), Submitting a letter with at least the required complaint information shown above, Calling the toll-free Complaint Hotline at 1-800-882-6006 to file an oral complaint or to inquire about filing a complaint. Mail written complaints to: Michigan Department of Community Health Bureau of Health Systems, Complaint Investigation Unit P. O. Box 30664 Lansing, MI 48909 Fax: 517-241-0093 Muskegon Surgery Center – Patient Bill of Rights The PATIENT has the right to be treated with consideration, dignity and respect. The PATIENT and/or the PATIENT REPRESENTATIVE has the right to all complete and current information concerning their diagnosis and treatment in terms that he/she can understand. The PATIENT has the right to know the person or persons responsible for coordinating their care. If not medically advisable to give information to the patient, the information shall be made available to an appropriate person on the patient's behalf. The PATIENT has the right to receive enough information from the physician so that he/she can understand the services being rendered in order to sign the informed consent. The PATIENT has the right to refuse treatment and to be informed of the consequences of his/her actions. The PATIENT has the right to change their provider if other qualified providers are available. The PATIENT has the right to privacy of any information or treatment concerning his/her own medical care. The PATIENT has the right to be informed of any persons other than routine personnel who will observe or participate in his/her treatment, and to refuse that observation and/or participation. The PATIENT has the right for all medical records to be treated as confidential, and to be given the opportunity to approve or refuse their release unless this would cause a negative outcome in the continuation of medical care. The PATIENT has the right to information concerning the facility to which he/she may have to be transferred. The facility to receive the patient must give approval prior to the patient transfer. The PATIENT has the right to know if any research will be done during his/her treatment and has the right to refuse it. The PATIENT has the right to expect quality care and service from Muskegon Surgery Center. The PATIENT has the right to be informed about the mechanism by which he/she will have continuing health care following discharge from Muskegon Surgery Center. The PATIENT has the right to examine and receive an explanation of their bill, regardless of the source of payment. The PATIENT has the right to know, in advance, the expected amount of his/her bill, regardless of the source of the payment. The PATIENT has the right to know which Muskegon Surgery Center rules and regulations apply to his/her conduct as a patient. Muskegon Surgery Center – Pediatric Patient Bill of Rights All children have a right to cry, laugh, or be made comfortable if it helps them feel better. They also have a right to: Ask to have a parent or another adult stay with them during their examination. Tell their caregiver when and where something hurts. Ask questions if they don't understand a medical procedure or what's happening to them. Choose which ear should be looked at first, or which arm to have an injection in, if needed. Ask for something to ease their pain. Listen to music, play a game or read a book to help distract them during medical procedures. Have an adult with them when they ask, except when the presence of another person would or may impact their care and cause a negative outcome. To have a schedule for procedures that doesn't keep them hungry or thirsty any longer than necessary. To always be called by their name. Muskegon Surgery Center – Patient Responsibilities It is the PATIENT'S responsibility to read and understand all permits and/or consents to be signed. Patients should ask either the nurse or physician to clarify any information not understood about their care or services. It is the PATIENT'S responsibility to provide complete and accurate information to the best of his/her ability about his/her health, any medications, including over-the-counter products and dietary supplements, and any allergies or sensitivities. It is the PATIENT’S responsibility to notify Muskegon Surgery Center if they have a living will, medical power of attorney or other directive that could affect their care. It is the PATIENT'S responsibility to follow the treatment plan prescribed by his/her provider and to notify Muskegon Surgery Center on admission if pre-operative instructions have not been followed. The PATIENT is responsible for his/her actions if they refuse treatment or do not follow pre-operative instructions. It is the PATIENT'S responsibility to provide adult transportation to and from Muskegon Surgery Center, and to arrange for a responsible adult to remain with them for 24 hours after they leave the center, appropriate to the medications and/or anesthesia to be given according to pre-operative instructions. It is the PATIENT'S responsibility to follow the post-operative instructions given by the physician(s) and/or nurses. This includes instructions regarding post-operative appointments. It is the PATIENT'S responsibility to contact the physician if any complications occur. It is the PATIENT’S responsibility to ensure that all payments for services rendered are made on a timely basis. The patient is ultimately responsible for payment, regardless of insurance coverage. It is the PATIENT’S responsibility to provide financial and/or insurance information regarding who will be responsible for the bill including current address and authorized contact information. It is the PATIENT'S responsibility to notify the administration of Muskegon Surgery Center if the PATIENT or the PATIENT REPRESENTATIVE thinks their right(s) have been violated or if the PATIENT has a suggestion, comment, or complaint. Complaints should be directed to: Julie Greene, CEO Muskegon Surgery Center 1400 Mercy Drive, Muskegon, MI, 49444 231-733-7800 It is the PATIENT’S responsibility and those who accompany the PATIENT to be respectful of all health care providers and staff, as well as other patients, and to follow the Center's policies. PATIENTS and/or PATIENT REPRESENTATIVES should contact the office of the Medicare Beneficiary Ombudsman at www.cms.hhs.gov/center/ombudsman.asp or the State of Michigan Representative if they have a concern or complaint about Muskegon Surgery Center. Anyone may file a complaint against a licensed or certified health care facility by: Submitting the BHS Online Complaint Form on the Internet at http://www.michigan.gov/bhs by clicking “Health Systems & Licensing” (button in left-hand column), “Featured Services”, form title (in center of page), Completing and mailing a Health Facility Complaint Form (BHS-OPS-361)—for health facilities other than nursing homes (see Facility Types Investigated By MDCH, BHS below), Submitting a letter with at least the required complaint information shown above, Calling the toll-free Complaint Hotline at 1-800-882-6006 to file an oral complaint or to inquire about filing a complaint. Mail written complaints to: Michigan Department of Community Health Bureau of Health Systems, Complaint Investigation Unit P. O. Box 30664 Lansing, MI 48909 Fax: 517-241-0093