Contact Us 269.321.3390

Patient Rights

Rights of Patients

The following list of patient rights incorporates language from the State of Michigan Rules and Regulations for Ambulatory Care Facilities, Medicare Rules and the AAAHC Accreditation Handbook for Ambulatory Health Care.

The patient has the right to exercise his or her rights without being subjected to discrimination, reprisal, harassment, retaliation, or discharge by its owners, administrator, employees, or representatives.

A patient shall not be denied medical care on the basis of race, religion, national origin, sex, age, handicap, marital status, sexual preference, or source of payment.

Respect

• Patients are treated with respect, consideration and dignity for both property and person.

Dignity/Privacy

• Patients are provided privacy in the administration of their care as can be accomplished by the physical constraints of the Center.

Consideration and Safety

• Receive care in a safe setting.

• Have care provided without any forms of abuse or harassment and from physical and chemical restraints, except those necessitated by an emergency to protect the patient and/or others.

• Medically appropriate pain and symptom management as a basic and essential element of his or her medical treatment.

Confidentiality

• Patient disclosures and records are treated confidentially, and patients are given the opportunity to approve or refuse their release, except when release is required by law. The patient may obtain or inspect his/her medical records.

Information

• Patients are provided, to the degree known, complete information concerning their diagnosis, evaluation, treatment and prognosis before the treatment or procedure is performed. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person.

• Patient conduct and responsibilities.

• Disclose physician financial interests or ownership in the Center.

• Services available at the organization.

• Provisions for after-hours and emergency care.

• Fees for services including the right to receive and examine an explanation of his/her bill. Also, he/she is entitled to know who is responsible for his/her care.

• Payment policies.

• Advance directives, as required by state or federal law and regulations.

• The credentials of health care professionals.

• Marketing or advertising regarding the competence and capabilities of the organization is not misleading to patients.

• Patients are provided with appropriate information regarding the absence of malpractice insurance coverage.

• These rights must be provided to the patient or the patient's representative both verbally and written in a manner in which the patient or the patient's representative understands prior to the start of the procedure.

• Patients are informed about procedures for expressing suggestions, complaints and grievances regarding treatment or care that is (or fails to be) furnished, including those required by state and federal regulations.

Participation in Care

• Patient's right to refuse to participate in experimental research.

• The patient has the right to actively participate in decisions about his/her care.

• Patients are informed of their right to change their provider if other qualified providers are available.

• Patients are given the opportunity to participate in decisions involving their care, except when such participation is contraindicated for medical reasons.

 Patient Responsibilities

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

• Follow the treatment plan prescribed by his/her provider.

• The patient is encouraged to ask any and all questions of the physician and staff in order that he/she may have a full knowledge of the procedure and aftercare.

• 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.

• Provide a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, if required by his/her provider.

• Inform his/her provider about any living will, medical power of attorney, or other directive that could affect his/her care.

• Accept personal financial responsibility for any charges not covered by his/her insurance.

• Be respectful and considerate of the rights of all the health care providers, staff, and other patients and visitors.

• Conduct themselves in a quiet and orderly manner, assisting in the control of noise, unauthorized smoking, and the number of visitors in the waiting and recovery areas.

Patient Guardian

The patient's guardian, next of kin, or legally authorized responsible 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

Statement of Limitation:

ASC Wide Conscious Objection:

Due to the fact that Kalamazoo Endo Center, LLC is an Ambulatory Surgery Center for the purpose of performing elective Endoscopy in a safe and uncomplicated manner, patients are expected to have excellent outcomes. If a patient should have a complication, the center physicians and staff will always attempt to resuscitate the patient and transfer the patient to Bronson Methodist Hospital or Borgess Medical Center in the event of deterioration.

If a patient should provide his/her advance directive, a copy will be placed on the patient's medical record and transferred with the patient should a hospital transfer be ordered by his/her physician.

At all times the patient or his/her representative will be able to obtain any information they need to give informed consent before any treatment or procedure.

In order to assure that the community is served by this facility, information concerning advance directives is available at the facility.

Patient Rights Notification

Each patient at the center will be notified of their rights in the following manner:

• A written notice provided in a language and manner the patient understands prior to the start of the procedure.

• A verbal notice provided in a language and manner the patient understands prior to the start of the procedure.

• A posted notice visible by patients and families waiting for treatment.

Physician Participation

This is to inform you that your physician might have

a financial interest or ownership in this center. The following are physicians who have a direct or indirect ownership interest of 5 percent or more:

Thomas Gushurst M.D.,  Heidi Gjersoe M.D.,  William Hanavan M.D.,  William Webb, M.D.

 Patient Grievances

The patient and family are encouraged to help the facility improve its understanding of the patient's environment by providing feedback, suggestions, comments and/or complaints regarding the service needs, and expectations.

A complaint or grievance should be registered by contacting the center and/or a patient advocate at

the Michigan State Department of Health or Medicare (numbers provided in this flyer). The surgery center will respond in writing with notice of how the grievance has been addressed.

Contacts:

Kalamazoo Endoscopy Center

Administrator

3300 Cooley Dr.

Portage, Michigan 49024

Ph. 269-321-3390

Michigan Department of Community Health

Bureau of Health Systems

Ottawa Building, 1st Floor

611 W. Ottawa Street

PO Box 30664

Lansing, Michigan 48909

Complaint Hotline

Ph. 1-800-882-6006

Medicare Beneficiary Ombudsman

1-800-MEDICARE (1-800-633-4227)

www.medicare.gov/Ombudsmaniresources.asp

Kalamazoo Endo Center

3300 Cooley Court

Portage, Ml49024

Phone: 269-321-3390 • Fax: 269-321-3392