We, at the Greater Erie Surgery Center want to inform you of your patient rights, with the expectation that, as an informed patient, you will appreciate the efficient care we deliver with the utmost satisfaction to you and your family. You as a patient, or your representative, have the right to receive this information prior to your visit with us. We will attempt to provide this information to you at the time of scheduling, via the mail, or via email. As a patient, you have the right:

  • To be treated with respect, quality care and high professional standards by competent personnel.
  • To know what ASF rules and regulations apply to your conduct as a patient.
  • To be given the name and credentials of the attending physician, and all other practitioners directly participating in your care, along with the names and functions of any other health care professionals having direct contact with you.
  • To have records pertaining to his/her medical care treated as confidential, except as otherwise provided by law and third party contractual arrangements.
  • To consideration of privacy concerning his own medical care program. Case discussion, consultation, examination and treatment are considered confidential and shall be conducted discreetly.
  • To expect emergency procedures to be implemented without unnecessary delay.
  • To have the right to good quality care and highly professional standards that are continually maintained and reviewed.
  • To 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/her behalf to the responsible person.
  • To be informed about pain and pain relief measures.
  • Except for emergencies, the practitioner shall obtain the necessary informed consent prior to the start of a procedure or treatment.
  • A patient or, if the patient is unable to give informed consent, a responsible person, has the right to be advised when a practitioner is considering the patient as a part of a medical care research program or donor program, and the patient, or responsible person, shall give informed consent prior to actual participation in the program. A patient, or responsible person, may refuse to continue in a program to which he/she has previously given informed consent.
  • To refuse drugs or procedures, to the extent permitted by statute, and a practitioner shall inform the patient of the medical consequences of the patient’s refusal of drugs or procedures.
  • To medical and nursing services without discrimination based upon age, race, color, religion, sex, national origin, handicap, disability or source of payment.
  • To access communication aids when English is not the main language.(i.e. interpreter services).
  • The ASF shall provide the patient, or patient designee, upon request, access to the information contained in his medical records, unless access is specifically restricted by the attending practitioner for medical reasons.
  • To expect good management techniques to be implemented within the ASF. These techniques shall make effective use of the time of the patient and avoid the personal discomfort of the patient.
  • To be informed on after hour care and access to emergency care.
  • To be notified, along with your responsible person, if a transfer to another facility is needed. The receiving facility will be notified prior to the transfer.
  • To examine and receive a detailed explanation of his/her bill.
  • To know the services available at the Greater Erie Surgery Center.
  • To inquire about the professional status and credentials of your care professionals (physician and staff) directly involved in your care.
  • To allow your designated representative to participate in the consideration of ethical issues that arise during your care.
  • To change your provider if other qualified providers are available.
  • To be informed of his/her rights at the time of admission.

PATIENT RESPONSIBILITIES

The care of the patient depends partially on the patient. Therefore, in addition to your rights, a patient has a certain responsibilities that are present to the patient in the spirit of mutual trust and respect. Patient responsibilities require the patient:

  • To observe the rules and regulations of the center for your stay and treatment. If not followed, you may forfeit the right to care at the center and you will be responsible for your own outcomes.
  • To provide complete and accurate information to the best of your ability regarding your health, medications (including over-the –counter product, herbals, and dietary supplements), and allergies.
  • To be respectful of your personal property, the center property and the property of other persons in the facility.
  • To be considerate of other patients, their families, and personnel by keeping noise to a minimum.
  • To ask questions concerning your care and treatment. Make it known if you do not understand the planned course of treatment.
  • To notify the center and your physician if you can keep your scheduled appointment.
  • To accept personal financial responsibility for any charges, and prompt payment of any charges not covered by insurance.
  • To provide a responsible adult to transport you home from the facility and remain with you for 24 hours following your procedure, if required by your provider.

NONDISCRIMINATORY POLICY

“This facility has agreed to comply with the provisions of the Federal Civil Rights Act of 1964 and the Pennsylvania Human Relations Act and all requirements imposed pursuant thereto to the end that no person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care or service.”

CIVIL RIGHTS COMPLIANCE

The Greater Erie Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Greater Erie Surgery Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

PATIENT GUARDIAN

The patient’s guardian, next of kin, or legally authorized person has the right to exercise the rights delineated on the patient’s behalf, to the extent permitted by law, if the patient:

  • Has been adjudicated incompetent in accordance with the law.
  • Has designated a legal representative to act on their behalf.
  • Is a minor.

ADVANCE DIRECTIVES

To the extent allowed by law, it is our policy to follow the direction with respect to medical care at the Greater Erie Surgery Center of our patients who have the capacity to make decisions. You are considered competent and able to make decisions for your health care unless you are unconscious, incompetent by a court of law, or medically determined by your attending physician to be unable to make health care decisions.

If you are not able to make decisions, but have a signed Advance Directive, it should be understood that all procedures performed at this surgery center are elective and by definition should not be performed on a patient considered high risk for medical or surgical complications.

You have the right to present your Advance Directive, however, it is our policy that if an adverse event occurs during your care with the surgery center we will initiate resuscitative measures and transfer you to the an acute care hospital for further evaluation and treatment.

If an Advance Directive is provided, a copy will be placed in the patient’s medical record and transferred with the patient, should a hospital transfer be indicated.

Information regarding Advance Directives is available at this surgery center.

PATIENT GRIEVANCES

The Greater Erie Surgery Center provides for and welcomes the expression of grievances, complaints, and suggestions by the patient and the patient’s family at all times. This feedback allows the center to understand and improve the patients’ care and environment. Every patient has the right to file a grievance with the facility Administrator or Director of Nursing.

Complaints may be submitted verbally, by phone or in writing. Please provide name, address, and phone number. Anonymous complaints may be registered. All complaints are kept strictly confidential. One of the above named persons will respond in writing with how the grievance was addressed.

If the patient is not satisfied, the process is given to the Medical Director.

The patient also has the right to file a complaint directly with:

 

Pennsylvania Department of Health

Division of Acute & Ambulatory Care

Room 532 Health and Welfare Building

625 Forster Street

Harrisburg, PA 17120-0701

1-800-254-5164

 

 

Medicare Beneficiary O

Ombudsman

1-800-MEDICARE

(1-800-633-4227)

www.medicare.gov

 

PHYSICIAN PARTICIPATION

This is to inform you that your physician might have a financial interest or ownership in this center. Greater Erie Surgery Center is owned by the following physicians or entities:

Joseph M. Thomas, M.D.

Frederick J. Tomassi, D.P.M.

Daniel J. Olson, D.P.M.