Patient Information

Patient Responsibilities

The competent adult patient will be advised of his/her responsibilities as a patient of the Surgery Center.

Provision of Information: A patient has the responsibility to provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his/her health. He/she has the responsibility to report unexpected changes in his condition to the responsible practitioner. A patient is responsible for reporting whether he/she clearly comprehends a contemplated course of action and what is expected of him/her.
Compliance with Instructions: A patient is responsible for following the treatment plan recommended by the practitioner primarily responsible for his/her care. This may include following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care and implement the responsible physician's orders, and as they enforce the applicable clinic rules and regulations. The patient is responsible for keeping appointments and when he/she is unable to for any reason, for notifying the responsible practitioner.
Refusal of Treatment: The patient is responsible for his/her actions if he refuses treatment or does not follow the practitioner's instructions.
Surgical Center Charges: The patient is responsible for assuring that the financial obligations of his/her health care are fulfilled as completely as possible.
Surgical Center Rules and Regulations: The patient is responsible for following clinic rules and regulations affecting patient care and conduct.
Respect and Consideration: The patient is responsible for being considerate of the rights of other patients and clinic personnel and for assisting in the control of noise, smoking and the number of visitors. The patient is responsible for being respectful of the property of other persons and of the Surgery Center.

Patient Bill of Rights:

Considerate and respectful care, and to be made comfortable. You have the right to respect your personal values and beliefs.
Be provided with appropriate privacy. Case discussion, consultation, examination and treatment are confidential. You have the right to be told the reason for the presence of any individual. You have the right to have visitors leave prior to an examination and when treatment issues are being discussed.
Disclosures and records are treated confidentially and, except when required by law, you are given the opportunity to approve or refuse their release.
Know the name of the physician who has primary responsibility for coordinating your care and the names and professional relationships of other physicians and non-physicians who will see you. Credentialing information can be provided upon request.
The right, to the degree known, to information concerning diagnoses, treatments, and prognoses necessary to enable you to make treatment decisions that reflect your wishes and in order to give informed consent or refusal of treatment.
The right to participate in decisions about the intensity and scope of treatment, within the limits of the organization's philosophy and mission and applicable law and regulation.
Formulate advance directives. This includes designating a decision maker if you become incapable of understanding a proposed treatment or become unable to communicate your wishes regarding care.
Note: This facility does not honor advance directives but will forward them with your chart should a need for transfer arise.
The right to accept medical care or to refuse treatment, to the extent permitted by law, and to be informed of the medical consequences of such refusal.
The right of the patient or the patient's designated representative to participate in the consideration of ethical issues that arise in the care of the patient.
The right to be informed of any human experimentation or other research/educational projects affecting your care or treatment, and the right to refuse participation in such experimentation or research.
Be informed by physician, or a delegate of the physician, of continuing health care requirements following discharge.
To be informed about the patients' responsibilities.
To be informed of the rights and the responsibilities designed to resolve complaints relating to quality of care. To file a grievance/complaint with state Department of Health Services and be informed of action taken.
Receive care in a safe setting, free from verbal or physical abuse or harassment. You have the right to access protective services including notifying government agencies of neglect or abuse.
To receive explanations for fees for service and payment policies and to examine bills regardless of the source of payment.
Access information contained in your records in a reasonable time frame, except in certain circumstances specified by law.
Exercise the rights without regard to sex, economic status, educational background, race, color, religion, ancestry, national origin, sexual orientation or marital status, or the source of payment for care.
To be informed of the right to change primary or specialty physicians if other qualified physicians are available.
Marketing or advertising regarding the competence and capabilities of the organization is not misleading
To be provided with appropriate information regarding the absence of malpractice insurance coverage.

Grievance Process

Any patient or patient representative that has a concern regarding their visit to Bradenton Surgery Center may submit a written request for resolution to:

Bradenton Surgery Center

Attn: Brian Dorner, Medical Director

4930 Bradenton Ave.

Dublin, Ohio 43017

614-336-9000

BDorner@Dornerps.com

The patient or patient representative also has the right to report their concerns to:

Ohio Department of Health - Bureau of Survey and Certification – Complaint Unit

1-800-342-0553.

More information and access to forms can be found online at

https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/complaints-nursing-ho me-and-healthcare-facilities

Advance Directive Policy Statement

Advance directives are statements that indicate the type of medical treatment wanted or not wanted in the event an individual is unable to make those determinations and who is authorized to make those decisions. There are many types of advance directives, but the two most common forms are: Living Wills and Durable Power of Attorney for Health Care. If you would like more information about these forms, please ask prior to your procedure day. Bradenton Surgery Center will not honor previously signed advance directives for any patient. In the event of a medical emergency, it is our policy to initiate resuscitative measures and transfer the patient to the hospital for further evaluation, when permitted by State law. If you do not agree with this policy, please address this issue with your physician prior to the procedure.