PATIENT BILL OF RIGHTS

 AS A PATIENT, YOU HAVE THE RIGHT TO:

1.     Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity by competent, caring healthcare providers who act as your advocates.

2.        Upon request, be given the name of your attending practitioner, the names of all other practitioners directly participating in your care and the names and functions of other health care persons having direct contact with you

3.        Consideration of privacy concerning your own medical care program.  Case discussion, consultation, examination and treatment are considered confidential and shall be conducted discreetly.

4.        Confidentiality of records and disclosures.  Except when required by law, you have the right to approve or refuse the release of records.

5.        Understand that the surgery center rules and regulations apply to all patients.

6.        Expect that emergency procedures will be implemented without unnecessary delay.

7.        Good quality care and high professional standards that are continually maintained and reviewed.

8.        Full information in layman’s terms, concerning diagnosis, treatment and prognosis, including information about alternative treatments and possible complications. When it is not medically advisable to give the information to the patient, the information shall be given on his behalf to the responsible person.

9.        Except in emergencies, the practitioner shall obtain the necessary informed consent prior to the start of a procedure.

10. Receive advice when a practitioner is considering the patient as part of a medical research program or donor program. The patient or the responsible person shall give informed consent prior to participate in such programs and may refuse to continue in such programs, even following previous consent to participate.

11. Refuse drugs or procedures, to the extent permitted by statute, and a practitioner shall inform you of the medical consequences of your refusal of drugs or procedures.

12. Receive treatment without regard to race, color, national origin, age, and handicap, religious or fraternal organization.

13. An interpreter, where possible, if you do not speak English.

14. Upon request, access (for you or your designee) to the information contained in your medical record, unless access is specifically restricted by the attending practitioner for medical reasons.

15. Expect good management techniques to be implemented within the surgery center.  These techniques shall make effective use of the patient time and avoid discomfort to patients.

16. Expect that if an emergency occurs and you need to be transferred to another facility, your responsible person will be notified.  The institution to which you are being transferred shall be notified prior to your transfer.

17. Receive an itemized bill for all services.

18. Expect that the surgery center will provide information for continuing health care requirements following discharge and the means for meeting them.

19. Be informed at the time of admission of your rights.

AS A PATIENT, YOU ARE RESPONSIBLE FOR:

Providing, to the best of your knowledge, accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate physician(s).

Following the treatment plan recommended by the primary physician involved in your case.

Providing an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.

Indicating whether you clearly understand a contemplated course of action and what is expected of you and ask questions when you need further information.

Your actions if you refuse treatment, leave the facility against the advice of the physician, and/or do not follow the physician’s instructions relating to your care.

Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.

Providing information about and/or copies of any living will, power of attorney, or other directive that you desire us to know about.

GRIEVANCE PROCEDURES

If you feel that any of your rights have been violated or that Pennsylvania Eye & Ear Surgery Center, LLC, have mislead or mistreated you, please contact our Administrator at (610-378-1348) or send a letter describing your Grievance to: David L. O’Donnell, MBA C/O Pennsylvania Eye & Ear Surgery Center 1 Granite Point Drive, Suite 200, Wyomissing, PA 19610-1986

You may also contact the PA Department of Health by calling 800-254-5164

PENNSYLVANIA EYE & EAR SURGERY CENTER IS JOINTLY OWNED BY:

Eye Consultants of Pennsylvania, PC and Berks ENT Surgical Associates, Inc.