Decision Making
You or your representative or surrogate have the right to:
- Be informed of your rights before patient care is given or discontinued whenever possible
- Receive complete and current information regarding your health status in terms you can understand
- Participate in care, planning, treatment, and discharge recommendations
- Receive an explanation of any proposed procedure or treatment, including risks, serious side effects and treatment alternatives
- Make informed decisions regarding care and treatment
- Participate in managing your pain effectively
- Request a specific treatment
- Refuse or discontinue a treatment to the extent permitted by law and to be informed of the consequences of such refusal
- Request a second opinion
- Have persons of your choice and your physicians promptly notified of hospital admission
- Write a Living Will, Medical Power of Attorney, and/or a CPR Directive.
- I understand this facility does not honor Advanced Directives and waive my rights, while under the effects of anesthesia at Creek side Surgery center. I may present my Advanced Directive to the facility, in the event my condition requires transfer to a hospital, a copy of my Advanced Directive will be sent with me. I may request information regarding Advanced Directives.
- Accept, refuse or withdraw from clinical research
- Choose or change your healthcare provider
- Receive care and/or a referral according to the urgency of your situation
- When medically stable, you may be transferred to another facility (hospital) after the need has been fully explained
Quality of Care
You have the right to:
- Respectful treatment, which recognizes and maintains your dignity and values
- Care in a safe setting
- Identification of all healthcare providers
- Know who is primarily responsible for your care
- Pastoral and/or spiritual support
- Interpreters and/or special equipment to assist language needs
- Information about continuing healthcare requirements following discharge
- Patients will be free from all forms of abuse and harassment
Grievance Process
You or your representative or surrogate have the right to:
- Voice a complaint to your healthcare providers and administrators without a fear of reprisal
- Contact Sue Sumpter, Administrator at 339-7815 or ssumpter@creeksidesurgerycenter.com to file a formal grievance
- Receive a timely response with the results of your complaint (when issued to the Surgery Center directly); unresolved complaints are directed to the Center Director within 3 days and are responded to within 30 days
- If a grievance or complaint is not solved to the patient’s or family’s satisfaction, the grievance maybe filed in writing with:
Department of Health:
The State of Alaska: 907-334-2483 or http://www.hss.state.ak.us, toll free 1-888-387-9387, Fax 907-334-2682
CMS Ombudsman Webpage:
https://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html Select inquiries/complaint (Medicare recipients)
CMS 1-800-MEDICARE (1-800-633-4227)
To issue a complaint with the AAAHC, The Accreditation Association for Ambulatory Health Care, Inc.
Telephone: 847-853-6060 or http://www.aaahc.org/eweb
Elder Abuse Hotline:
1-800-478-9996 (toll free in Alaska) or 907-269-3666
Confidentiality and Privacy
You have the right to:
- Personal privacy
- Personal information being shared only with those who are involved in your care
- Confidentiality of your medical and billing records
Access to Medical Records
You have the right to:
- Review and get a copy of your Medical Records at any time upon written request
Seclusion and Restraints
You have the right to:
- Be free of any sort of restraint unless medically necessary
- Be free from seclusion or restraint for behavioral management unless there is a need to protect your physical safety or the safety of others
Billing
You have the right to:
- A complete explanation of your bill.
