Receive the care necessary to regain or maintain his or
her maximum state of health and if necessary, cope
Expect personnel who care for the patient to be
friendly, considerate, respectful and qualified through
education and experience, as well as perform the
services for which they are responsible with the highest
quality of services
Be fully informed and have complete information, to
the extent known by the physician, regarding diagnosis,
treatment, procedure and prognosis, as well as the risks
and side effects associated with treatment and
procedure prior to the procedure.
Be fully informed of the scope of services available at
the facility, provisions for after-hours and emergency
care and related fees for services rendered.
Be a participant in decisions regarding the intensity and
scope of treatment. If the patient is unable to
participate in those decisions, the patient's rights shall
be exercised by the patient's designated representative
or other legally designated person.
Make informed decisions regarding his or her care.
Refuse treatment to the extent permitted by law and
be informed of the medical consequences of such
refusal. The patient accepts responsibility for his or her
actions should he or she refuse treatment or not follow
the instructions ofthe physician or facility.
Approve or refuse the release of medical records to any
individual outside the facility, or as required by law or
third party payment contract.
Be informed of any human experimentation or other
research/educational projects affecting his or her care
of treatment and can refuse participation in such
experimentation or research without compromise to
the patient's usual care.
Express grievances/complaints and suggestions at any
Be given assistance in changing primary care or
specialty physicians if other qualified physicians are
Provide patient access to and/or copies of his/her
Be informed as to the facility's policy regarding advance
Be fully informed before any transfer to another facility
or organization and ensure the receiving facility has
accepted the patient transfer.
Express those spiritual beliefs and cultural practices
that do not harm or interfere with the planned course
of medical therapy for the patient.
Expect the facility to agree to comply with Federal Civil
Rights Laws that assure it will provide interpretation for
individuals who are not proficient in English. The facility
presents information in a manner and form, such as
TOO, large print materials and interpreters, that can be
understood by hearing and sight impaired individuals.
Have an assessment and regular assessment of pain.
Education of patients and families, when appropriate,
regarding their roles in managing pain, as well as
potential limitations and side effects of pain treatment,
Have their personal, cultural, spiritual and/or ethnic
beliefs considered when communicating to them and
their families about pain management and their overall
Exercise his or her rights without being subjected to
discrimination or reprisal.
Voice grievances regarding treatment or care that is (or
fails to be) furnished.
Receive care in a safe setting.
Be free from all forms of abuse or harassment.
To change providers if other qualified providers are
If a patient is adjudged incompetent under applicable State
health and safety laws
by a court of proper jurisdiction, the
rights of the patient are
exercised by the person appointed
under State law to act on the patient's behalf.
If a State court has not adjudged a patient incompetent, any
designated by the patient in accordance
with State laws may
exercise the patient's
rights to the extent allowed by state law.
Be considerate of other patients and personnel and for
assisting in the control of noise, smoking and other
Respecting the property of others and the facility.
Reporting whether he or she clearly understands the
planned course of treatment and what is expected of
him or her.
Keeping appointments and, when unable to do so for
any reason, notifying the facility and physician
Providing care givers with the most accurate and
complete information regarding present complaints,
past illnesses and hospitalizations, medications,
unexpected changes in the patient's condition or any
other patient health matters.
Observing prescribed rules of the facility during his or
her stay and treatment and, if instructions are not
followed, forfeiting the right to care at the facility and is
responsible for the outcome.
Promptly fulfilling his or her financial obligations to the
Payment to facility for copies of the medical records
the patient may request.
Identifying any patient safety concerns.
ADVANCE DIRECTIVE NOTIFICATION:
In the State of Georgia, all patients have the right to
participate in their own health care decisions and to make
Advance Directives or to execute Powers of Attorney that
authorize others to make decisions on their behalf based on
the patient's expressed wishes when the patient is unable to
make decisions or unable to make decisions or unable to
communicate decisions. The Surgery Center respects and
upholds those rights.
However, unlike in an acute care hospital setting, The
Surgery Center does not routinely perform "high risk"
procedures. Most procedures performed in this facility are
considered to be of minimal risk. Of course, no surgery is
without risk. You will discuss the specifics of your procedure
with your physician who can answer your questions as to its
risks, your expected recovery, and care after your surgery.
Therefore, it is our policy, regardless of the contents of any
Advance Directive or instructions from a health care surrogate or
attorney-in-fact, that if an adverse event occurs during your
treatment at this facility, we will initiate resuscitative or other
stabilizing measures and transfer you to an acute care hospital
for further evaluation. At the acute care hospital, further treatments
or withdrawal of treatment measures already begun
will be ordered in accordance with your wishes, Advance
Directive, or health care Power of Attorney. Your agreement
with this facility's policy will not revoke or invalidate any current
health care directive or health care power of attorney.
If you wish to complete an Advance Directive, copies of the
official State forms are available at our facility.
If you do not agree with this facility's policy, we will be pleased
to assist you in rescheduling your procedure.
PATIENT COMPLAINT OR GRIEVANCE:
To report a complaint or grievance you can contact the
facility Administrator by phone at 706-323-8803 or by mail
The Surgery Center, LLC
2548 Weems Road
Columbus, GA 31909
Attn: Sharon Johnson
You may also contact AAAHC by mail at:
Accreditation Association for Ambulatory Health Care, INC.
5250 Old Orchard Road, Suite 200
Skokie, Illinois 60077
Complaints and grievances may also be filed through the
State of Georgia Office of Investigations at:
Georgia Department of Human Resources
Two Peachtree Street NW
Atlanta, Georgia 30303-3186
All Medicare beneficiaries may also file a complaint
or grievance with the Medicare Beneficiary Ombudsman. Visit
the Ombudsman's webpage on the web at: