Star Surgery Center Patient Rights
- The PATIENT has the right to be treated with consideration, respect, and dignity.
- The PATIENT has the right to be provided appropriate privacy.
- The PATIENT, the PATIENT REPRESENTATIVE and/or surrogate has the right to all complete and current information concerning their diagnosis to the degree known, evaluation, treatment, and prognosis, in terms that he/she can understand. If not medically advisable to give information to the patient, the information shall be made available to a person designated by the patient or to a legally authorized person.
- The PATIENT has the right to know the credentials of health care professionals responsible for coordinating their care.
- The PATIENT has the right to participate in their own healthcare decisions except when such participation is contraindicated due to medical reasons
- 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 privacy and security of any individually identifiable health information.
- The PATIENT has the right to be informed of any persons other than authorized staff that would be observing or participating in his/her treatment and to refuse that observation and/or participation.
- The PATIENT has the right for all clinical records to be treated as confidential and given the opportunity to approve or refuse their release according to HIPPA.
- The PATIENT has the right to information concerning the facility to which he/she may have to be transferred. The facility, that the patient is to be transferred to, 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 to participate.
- The PATIENT has the right to expect quality care and service in a safe setting within Star Surgery Center.
- The PATIENT has the right to accurate information regarding the competence, capabilities, and services of the organization, the healthcare professionals, and medical staff.
- The PATIENT has the right to be informed of the mechanism by which he/she will have continuing health care and actions to take in the event the facility is closed or for a potential emergency following discharge from Star 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 and any other necessary financial arrangements pertaining to their care
- The PATIENT has the right to know what Star Surgery Center Rules and Regulations apply to his/her conduct, responsibilities, and participation as a patient.
- The PATIENT has the right to expect reasonable attempts to communicate in their language or manner primarily used by them including utilization of an interpreter.
- The PATIENT has the right to be free from any act discrimination or reprisal.
- The PATIENT has the right to request to change any provider, if available.
- The PATIENT has the right to be free from all forms of abuse or harassment.
- The PATIENT has the right to voice grievances regarding treatment or care that is (or fails to be) furnished as well as methods for providing feedback, compliments, or complaints.
- The PATIENT, patient’s representative and/or surrogate has a right to be provided written information pertaining to the facility-specific policy for advance directives. State-specific forms (as applicable to State health and safety laws for Advance Directives) will be provided upon request.
Star Surgery Center Patient Responsibilities
- It is the PATIENT’S responsibility and those accompanying the PATIENT to be respectful of all health care providers and staff, as well as other patients and follow the Center’s policies
- It is the PATIENT’S responsibility to read and understand all permits and/or consents to be signed: Ask the healthcare provider to clarify any information not understood about your care or services before signing.
- 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 and reactions.
- It is the PATIENT’S responsibility to notify the Star Surgery Center if you have a living will, medical power of attorney or other directive that could affect your care.
- It is the PATIENT’S responsibility to follow the agreed-upon treatment plan prescribed by their provider and participate in their care.
- The PATIENT is responsible for their own actions if they refuse treatment or do not follow preoperative instructions.
- It is the PATIENT’S responsibility to provide adult transportation to and from Star Surgery Center and remain with him/her for 24 hours as indicated in the discharge 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 follow the discharge instructions if any complications or unexpected outcomes occur.
- It is the PATIENT’S responsibility to assure all payments for services rendered are on a timely basis and ultimate responsibility is the patients, regardless of the 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 Star Surgery Center, if the PATIENT, PATIENT REPRESENTATIVE, and/or surrogate thinks their right(s) have been violated or if the PATIENT has a significant complaint.
- It is the PATIENT’S responsibility to make known if they want to change providers and understand that they have a right to change their provider if other qualified providers are available.
You have the Right to express your Concerns or Grievances regarding your care:
Chief Executive Officer
Star Surgery Center, LLC
14155 N. 83rd Ave,
Building 6
Suite 140
Peoria, AZ 85381
623-248-5842
E-mail: Staci.Long@starsurgeryaz.com
Accreditation Association for Ambulatory Health Care
3 Parkway North
Suite 201
Skokie, IL 60077
Complaints@aaahc.org
847-853-6060
U.S. Department of Health and Human Services
200 Independence Ave, SW
Room 509F, HHH Building
Washington, DC 20201
https://Medicareombudsman@cms.hhs.gov
800-633-4227
877-486-2048 TTY
Arizona Department of Health Services
Health Care Facility Complaint
150 North 18th Avenue
Phoenix, AZ 5007
602-364-2536
https://azcarecheck.azdhs.gov/s/complaints
U.S. Department of Health and Human Services Office of Civil Rights
https://www.hhs.gov/civil-rights/filing-a-complaint/index.html
800-368-1019
800—537-7697 TTY
E-mail: OCRMail@hhs.gov