value. quality care. convenience.
225 Greenfield Parkway
Suite 105
Liverpool, NY 13088
Ph: 315.451.6911
Fax: 315.451.1540
PATIENT RIGHTS AND RESPONSIBILITIES
The patient has the right:
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To be treated with courtesy, respect, and consideration with appreciation of his or her individual dignity and with protection and provision of personal privacy as appropriate
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To an environment that is respectful, safe and secure for self/person and property without being subjected to discrimination or reprisal
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To confidentiality of information gathered during treatment
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To prompt and reasonable response to questions and requests
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To know who is providing and is responsible for his or her care and their credentials
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To know what patient support services are available, including whether an interpreter is available if he or she does not speak English
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To know what rules and regulations apply to his or her conduct
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To be given by the health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis.
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To refuse treatment, except as otherwise provided by law
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To be given, upon request, full information and necessary counseling on the availability of known financial resources for his or her care
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To know upon request and in advance of treatment, whether the health care provider or health care Facility accepts their Advance Directives
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To receive upon request, prior to treatment, a reasonable estimate of charges for medical care
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To receive a copy of reasonably clear and understandable, itemized bill and, upon request, to have charges explained
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To receive impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment
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To change their healthcare provider if other qualified providers are available
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To receive treatment for any emergency medical condition that will deteriorate from failure to provide treatment
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To know if medical treatment is for purposes of experimental/research and to give his or her consent or refusal to participate in such experimental research
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To make informed decisions regarding his or her care
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To be fully informed about a treatment or procedure and the expected outcome before it is performed
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To approve or refuse their release of confidential disclosures and records, except when release is required by law
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To express grievances regarding their treatment or care that is or fails to be furnished or regarding any violation of his or her rights.
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To express a grievance, the patient may contact the facility by telephone at 315-451-6911 or write a letter to Specialty Surgery Center of CNY, 225 Greenfield Parkway, Suite 105, Liverpool, NY 13088. For New York State complaints, you may contact the Department of Health at 800-804-5447. The Office of the Medicare Ombudsman website is http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html
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To participate in all aspects of health care decisions, unless contraindicated for medical reasons
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To appropriate assessment and management of pain
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To be free from all forms of abuse or harassment
A patient is responsible:
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For providing to the health care provider, to the best of his or her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications including over-the-counter products and other dietary supplements, allergies and sensitivities and other matters relating to his or her health
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For having a responsible adult to transport him or her home from the facility and to remain with him or her for 24 hours
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For reporting unexpected changes in his or her condition to the health care provider
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For reporting to the healthcare provider whether he or she comprehends a contemplated course of action and what is expected of him or her
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For following the treatment plan prescribed/recommended by the health care provider and participate in his or her care
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For keeping appointments and when he or she is unable to do so for any reason, for notifying the Facility
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For his or her actions if he or she refuses treatment or does not follow the health care provider's instructions
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For assuring that the financial obligations of his or her health care are fulfilled as promptly as possible
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For accepting personal financial responsibility for any charges not covered by his or her insurance
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For following Facility rules and regulations affecting patient care and conduct
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For consideration and respect of the facility, health care professionals and staff, other patients and property
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For informing his or her provider of any living will, medical power of attorney or other directive that could affect care.