Patient Rights & Responsibilities

As a patient, you have the right to:

• Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity.
• Personal and informational privacy and security for your property and identity.
• Have a guardian, legal guardian, person with medical power of attorney exercise the Patient Rights when you are unable to do so, without coercion, discrimination or retaliation.
• Confidentiality of records and disclosures and the right to access information contained in your clinical record, except when required by law.
• Information concerning your diagnosis, treatment and prognosis, to the degree known.
• Participate in decisions involving your healthcare and be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising your access to services.
• Make decisions about medical care, including the right to accept or refuse medical or surgical treatment after being adequately informed of the benefits, risks and alternatives, and to have those decisions documented.
• Self-determination including the rights to accept or to refuse treatment and the right to formulate an advance directive.
• Competent, caring healthcare professionals who act as your advocates and treats your pain as effectively as possible.
• Know the identity and professional status of individuals providing service and be provided with adequate education regarding self-care at home, written in a language you can understand.
• Be free from unnecessary use of physical or chemical restraint and or seclusion as a means of coercion, convenience or retaliation.
• Know the reasons for any transfer either inside or outside the facility.
• Impartial access to treatment regardless of race, color, age, sex, sexual orientation, national origin, religion, handicap or disability.
• Receive an itemized list of all services performed within a period of time and be informed of the source of reimbursement and any limitations or constraints placed upon your care.
• Change providers if other qualified providers are available.
• File a grievance with the facility by contacting the Administrator, via telephone or in writing, when you feel your rights have been violated.

Report any concerns about the quality of services provided to you during the time spent at the facility and receive fair follow-up on your comments. Know about any business relationships among the facility, healthcare providers, and others that might influence your care or treatment. File a complaint of suspected violations of health department regulations and/or patient rights.

Health and Human Services Commission
Complaint and Incident Intake
Mail Code E-249
P.O. Box 149030, Austin, TX 78714-9030
(800) 458-9858, Option 5 Complaint Hotline
(833) 709-5720 Fax

Office of the Medicare Beneficiary Ombudsman
cms.gov Medicare Beneficiary Ombudsman

Medicare Complaint via online form:
medicare.gov/submit-a-complaint

Office of Quality and Patient Safety Joint Commission
One Renaissance Boulevard, Oakbrook Terrace, IL 60180

Preoperative Facility Disclosure

Providing, to the best of your knowledge, accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate physician(s).

• Following the treatment plan recommended by the primary physician involved in your care.
• Providing an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.
• Indicating whether you understand the course of action proposed for you, your condition, what is expected of you, and ask questions when you need further information.
• Your actions if you refuse treatment: leave the facility against the advice of the physician, and/or do not follow the physician's instructions relating to your care.
• Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.
• Providing information about, and/or copies of any living will, power of attorney or other directive that you desire us to know about.

Advance Directives

Regardless of an Advance Directive or instructions from a health care surrogate or Power of Attorney, an unexpected medical emergency, which occurs during treatment at this facility, will be appropriately treated by a representative of this facility to stabilize the patient and transport to the closest emergency room. This facility will not honor a refusal of treatment or withdrawal of treatment measures already begun in accordance with patient wishes, Advance Directive, or Healthcare Power of Attorney. Acknowledgement of this policy does not revoke or invalidate any currently operative written or healthcare Power of Attorney. You can download Advance Directive forms from the following website: nhsrptn.org advance directives.

Questions or Grievances

If you have a concern about patient rights, care, or safety, please contact the facility team first so the concern can be reviewed directly.

• Medicare Ombudsman: 1-800-633-4227
• Office of Inspector General: oig.hhs.texas.gov

Financial Disclosure

We are required by law to inform you of this ownership interest. You have the right to choose the provider of your health care services, including the health care provider who performs your procedure. You may elect to have your procedure performed at a different facility, if you prefer.

Physician(s) with Ownership Interest: Ronald Thane Morgan, MD

© VMG Holdings, LLC. All Rights Reserved.

Your Rights as a Patient

• Be treated with dignity, respect, and consideration
• Privacy and confidentiality in your care
• Receive information about your diagnosis and treatment in terms you understand
• Give informed consent before any procedure
• Refuse treatment and be told of the medical consequences
• Access your medical records in a timely manner
• Know the identity of all caregivers involved in your care
• Have pain assessed and managed effectively
• Receive care regardless of race, religion, gender, disability, or financial status
• Voice grievances without fear of reprisal
• Receive an itemized bill and ask questions about your charges
• Have a family member or support person present when appropriate

Your Responsibilities

• Provide accurate and complete health information
• Follow the care plan agreed upon with your physician
• Keep scheduled appointments or notify us if you cannot
• Be respectful of staff, other patients, and facility property
• Provide a responsible adult to drive you home after your procedure
• Meet your financial obligations in a timely manner
• Ask questions if you don't understand your care plan

Questions or Grievances

If you have a concern about patient rights, care, or safety, please contact the facility team first so the concern can be reviewed directly.

• Medicare Ombudsman: 1-800-633-4227
• Office of Inspector General: oig.hhs.texas.gov