PATIENT RIGHTS:

• Every patient has the right to courtesy, respect, dignity, personal privacy, responsiveness to his/her needs. These rights are regardless of age, race, sex, nationality , religion, cultural, or physical handicap, and personal value and beliefs.
• Every patient has the right to every consideration of his privacy and individuality as it relates to his social, religious, and psychological well-being.
• Every patient has the right to confidentiality. Every patient has the right to approve or refuse the release of medical information to any individual outside the facility, except in the case of transfer to another health facility, or as required by law or third-party payment contract.
• Every patient has the right to express grievances or complaints without fear of reprisals.
• Every patient has the right to continuity of health care. The physician may not discontinue treatment of a patient as long as further treatment is medically indicated, without giving the patient sufficient opportunity to make alternative arrangements.
• Every patient is provided complete information regarding diagnosis, treatment and prognosis, as well as alternative treatments or procedures and the possible risk and side effects associated with treatment. If medically inadvisable to disclose to the patient such information, the information is given to a person designated by the patient or to a legally authorized individual.
• Every patient has the right to make decisions regarding the health care that is recommended by the physician. Accordingly, the patient may accept or refuse any recommended medical treatment.
• Every patient has the right to be informed of any research or experimental projects and to refuse participation without compromise to the patient’s usual care.
• Every patient has the right to appropriate treatment and care to include assessment and management of pain.
• Every patient has the right to understand facility charges. You have the right to an explanation of all facility charges related to his/her health care.
• Every patient has the right to all resuscitative measures; therefore we will not honor Advance Directives.
• Every patient has the right to participate in their health care treatment and decisions.

PATIENT RESPONSIBILITIES:

• Patients are responsible to be honest and direct about matters that relate to them, including answering questions honestly and completely.
• Patients are responsible to provide accurate past and present medical history, present complaints, past illnesses, hospitalizations, surgeries, the existence of advanced directive, medication and other pertinent data.
• Patients agree to accept all caregivers without regard to race, color, religion, sex, age, gender preference or handicap, or national origin.
• Patients are responsible for assuring that the financial obligations for health care rendered are paid in a timely manner.
• Patients are responsible to sign required consents and releases as needed.
• Patients are responsible for their actions if they should refuse a treatment or procedure, or if they do not follow or understand the instructions given them by the physician or West Michigan Surgical Center employees.
• Patients are responsible for keeping their procedure appointment. If they anticipate a delay or must cancel, they will notify West Michigan Surgical Center as soon as possible.
• Patients are responsible for the disposition of their valuables, as West Michigan Surgical Center does not assume the responsibility.
• Patients are responsible to be respectful of others, or other people’s property and the property of West Michigan Surgical Center.
• Patients are to observe safety and no smoking regulations.

PATIENT COMPLAINT OR GRIEVANCE:

To report a complaint or grievance you may contact the facility Administrator by phone at 616-748-0630 or by mail to the center address.

State of Michigan Dept. LARA
Bureau of Community & Health Systems PO Box 30664 Lansing, MI 48909
Fax: 517-241-0093
Phone at 517-373-9196
www.michigan.gov/LARA

The Joint Commission
Office of Quality & Patient Safety
One Renaissance Boulevard Oakbrook Terrace, IL 60181
Fax: 630-792-5636
patientsafetyreport@jointcommission.org

All Medicare beneficiaries may file a complaint or grievance with the Medicare Beneficiary Ombudsman Online at: http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html