Patient Rights & Privacy
Patient’s Rights and Responsibilities
Patient’s Rights and Responsibilities
The patient or the patient's representative (agent, guardian or
surrogate) will be provided with this notice of the patient’s rights in
advance of the procedure, and may exercise these rights without
being subjected to discrimination or reprisal. The purpose of this
brochure is to inform the patient or the patient's representative of
the patient’s rights, and how the staff of the Seaford Endoscopy
Center will protect and promote the exercise of these rights. If you
do not understand all of the patient’s rights as set forth in this
brochure, please ask one of our staff for assistance.
WHile you are a patient, we respect your right to:
1. Be treated with respect, consideration and dignity, and receive care which reflects consideration of your cultural and personal values and beliefs.
2. Be free from any act of discrimination or reprisal, and have impartial access to treatment regardless of age, race, ethnicity, religion, culture, language, national origin, socioeconomic status, sex, physical or mental disability, sexual orientation, gender identity or expression, marital status, genetic information or source of payment.
3. Be informed of your patient rights as set forth in this document, both verbally and in writing prior to the start of your procedure or administration of anesthesia. If you are unable to fully communicate directly with our staff, your representative will be informed of your rights as a patient.
4. Designate, in writing or verbally, a person to be your representative. If you are incapable of understanding a proposed treatment or procedure, are unable to communicate your wishes regarding care, are judged to be incompetent according to the law, or otherwise wish to delegate your right to make informed decisions, your rights may be exercised to the extent permitted by law, by your designated/legally authorized representative.
5. Receive your patient rights and other communication in a language and manner you understand. You have the choice of using an interpreter of your own, or one will be supplied free of charge.
6. Be provided with written notice of any physician owners or physicians with a financial interest in the Center prior to the start of the procedure.
7. Have an advance directive, receive official State advance directive forms upon request and to know the Center policy on advance directives prior to the procedure. We respect and follow advance health care directives with the following limitation: in the event of a life-threatening event, it is the policy of the Center to attempt resuscitation and transfer the patient to a hospital if necessary. Information about the patient’s advance directive will be sent with the patient including a copy if it has been made available to us.
8. Receive to the degree known, complete, accurate and easily understood information about diagnosis, specific treatments or procedures, possible length of recuperation and prognosis, including information about medically reasonable alternatives and their accompanying risks and benefits before the procedures or treatments are performed. When it is medically inadvisable to give such information to you, the information shall be given on your behalf to your designated/legally authorized representative.
9. Exercise your patient rights, and voice grievances regarding treatment or care that is or fails to be provided, and to be informed about procedures for expressing suggestions, complaints and grievances without fear of discrimination or reprisal.
10. Be fully informed about a treatment or procedure and the expected outcome before it is performed. You or your representative have the right to receive information to the degree that it is known about your health, diagnosis and prognosis provided in a manner you understand so you can effectively exercise your right to make informed decisions. When it is medically inadvisable to give such information to you, the information is provided to your designated representative.
11. Participate, except when contraindicated for medical reasons, in the development of your care plan including the right to refuse a recommended plan of care to the extent permitted by the law and Center policy, and to be informed of the medical consequences of this action. In the case of such refusal, you are entitled to other appropriate care and services at the Center, or transfer to another facility or qualified provider.
12. Expect respect, dignity and comfort including personal privacy during care discussions, personal hygiene activities and treatments.
13. Receive care in an environment that is safe, clean, and secure.
14. Be free from all forms of abuse, neglect or harassment from staff, other patients or visitors.
15. Expect confidentiality of, and access to your medical records in accordance with HIPAA Notice of Privacy Practices and be provided with a copy of the Center’s Notice of Privacy Practice upon request.
16. Receive information about the services available at the Center and provisions for after-hours and emergency care.
17. Know the financial implications of treatment choices in so far as they are known, including fees for service and payment policies. Have charges explained upon request.
18. Receive care from individuals who are properly trained and competent to perform their duties, and to know the names, positions, and credentials of all persons directly involved in your care.
19. Receive high-quality care delivered in a safe, timely, efficient and cost-effective manner and receive assurance the expected results can be reasonable anticipated.
20. Have research studies fully explained prior to consent and refuse to participate in those studies without compromise to your care.
21. Choose to have a visitor present in PACU as per Center visitation policy.
Patients are responsible for:
1. Providing information to the best of your ability complete and accurate information about past illnesses, hospitalizations, medications including over the counter and dietary supplements, any allergies or sensitivities, changes in your condition and other matters related to their health status.
2. Requesting additional information or clarification about your health status or treatment when you do not fully understand information and instructions.
3. Recognizing the impact of your life-style on your health.
4. Informing your provider about any living will, medical power of attorney, or other directives that could affect your care.
5. Following the treatment plan prescribed by your provider and participating in your care. You are responsible for informing your provider and other caregivers if you anticipate problems in following the prescribed treatment.
6. Arranging for a responsible adult to transport you from the facility and remain with you as recommended by your provider. The procedure will be canceled if you are not accompanied by a responsible adult.
7. Keeping your appointments and notifying the Center as early as possible if a cancellation or delay cannot be avoided.
8. Providing necessary information for insurance claims and for working with the Center to make payment arrangements when necessary. You must accept personal responsibility for any charges not covered by your insurance.
9. Being respectful of all of the health care providers, staff, visitors and other patients.
10. Respecting the privacy and confidentiality of other patients.
11. Following Center policies established to maintain a safe environment including refraining from cell phone use in clinical areas, and smoking or vaping, carrying weapons, and all forms of aggressive behavior in the Center.
12. The disposition of your valuables, as the Center does not assume this responsibility.
During your stay, please voice any concerns or complaints about the care you received to the nurse manager or charge nurse. After discharge, you may contact the nurse manager at 302-629-7177 or mail your concern to:
Seaford Endoscopy Center
c/o Nurse Manager
13 Fallon Ave, Seaford, DE 19973
To contact other agencies:
Delaware Office of Health Facilities Licensing and Certification
The Cambridge Building
263 Chapman Road, Suite 200, Newark, DE 19702
800-942-7373
https://dhss.delaware.gov/dhcq/ohflcmain.html
For Medicare beneficiaries to receive help with Medicare options, rights and protections:
Office of the Medicare Beneficiary Ombudsman.
https://www.cms.gov/center/special-topic/ombudsman/medicare-beneficiary-ombudsman-home
Accreditation Association for Ambulatory Health Care
5250 Old Orchard Rd, Suite 200, Skokie, IL 60077
847-853-6060
Statement of Non-Discrimination
Seaford Endoscopy Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you.
*****
Seaford Endoscopy Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
*****
Seaford Endoscopy Center konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks.
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.
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