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 RIGHTS OF PATIENTS
The following list of patients rights is not intended to be all inclusive. Patients receiving care have the right to:
- Be treated with respect, consideration and dignity.
- Exercise these rights and be treated without regard to gender, race, cultural, economic, educational or
religious background and without fear of discrimination or reprisal.
- Be treated in a safe environment that is free of physical or psychological threats.
- Expect that any architectural barriers identified will be addresses, and, whether feasible, such barriers
will be modified or corrected.
- Access communication aids(i.e. Interpreters, sign language, etc.).
- Be provided appropriate privacy and confidentiality concerning their care - the patient has the right to be
advised as to the reason for the presence of any individual directly involved or observing their care.
- Be free of restraint except when indicated to protect the patient or others from injury.
- Have their questions, concerns or complaints addressed in good faith.
- Expect continuity of care. The patient will not be discharged or transferred to another facility without prior
notice, except in the case of a medical emergency and within the limits of legal regulations.
- Provisions for after-hour and emergency care.
- Access necessary surgical and/or procedural interventions that are medically indicated.
- Obtain any information they need to give informed consent before any treatment or procedure.
- Be provided, to the degree known, complete and timely information concerning their diagnosis,
evaluation, treatment and prognosis. 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.
- Make choices and decisions regarding their medical care to the extent permitted by law - this includes
the right to refuse treatment.
- Formulate advance directives and appoint a surrogate to make health decisions on their behalf to the
extent permitted by law. The provision of the patient's care shall not be conditioned on the existence of
an advanced directive. (please see the center's policy on advanced directives below.
- Have their disclosures and records treated confidentially, and given the opportunity to approve or refuse
their release, except when release is required by law
- Receive, on request, and at a reasonable fee established by the Health Information Management
Department, a copy of their medical record.
- Know the services available at the organization.
- Know the facility fees for service.
- Request an itemized statement of all services provided to them through the facility, along with the rights
to be informed of the payment methodology utilized.
- At their own expense, to consult with another physician or specialist if other qualified physicians or
dentists are requested and available.
- Be informed of patient conduct and responsibilities rules.
- Refuse to participate in experimental research.
- Know the identity, professional status, institutional affiliation and credentials of health care professionals
providing their care, and be assured these individuals have been appropriately credentialed according to
the policies of the center.
- Be informed of their rights to change their provider if other qualified providers are available.
- Be provided with appropriate information regarding the absence of malpractice insurance coverage.
- Be informed about procedures for expressing suggestions, complaints and grievances, including those
required by state and federal regulations.
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:
- Provide complete and accurate information to the best of his/her ability about his/her health, and
medications, including over-the-counter products and dietary supplements and any allergies or
sensitivities.
- Make it known whether he/she clearly comprehends the source of his/her medical treatment and what is
expected of him/her.
- Follow the treatment plan prescribed by his/her provider.
- Keep appointments and notify surgery center or physician when unable to do so.
- 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.
- Accept responsibility for his/her actions should he/she refuse treatment or not follow his/her physician's
orders.
- Accept personal financial responsibility for any charges not covered by his/her insurance.
- Follow our facility policies and procedures.
- Be respectful of all the health care providers and staff, as well as other patients.
PATIENT GUARDIAN
The patient's guardian,next of kin, or legally authorized responsible person has the right to exercise the rights
delineated on the patients 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.
PHYSICIAN PARTICIPATION
This is to inform you that your physician might have a financial interest/ownership in this center. The following
are physicians who have direct/indirect ownership interest of five percent or more:
Bertuna, Kathleen M., D.O. 75 Hospital Dr., Athens, OH NPI# 1770784613
Broecker, Jane, D.O. 75 Hospital Dr., Athens, OH NPI# 1548360852
Clark, Michael J., D.O. 75 Hospital Dr., Athens, OH NPI# 1275633513
Dodrill, Craig H., M.D. 75 Hospital Dr., Athens, OH NPI# 1003803388
Driggs, Earl L., DPM 75 Hospital Dr., Athens, OH NPI# 1033109418
Gerome,, Jody, D.O. 75 Hospital Dr.,Athens, OH
McAdoo, Jeffrey F., M.D. 75 Hospital Dr., Athens, OH NPI# 1982690814
Nesbitt, Neal J., M.D. 75 Hospital Dr., Athens, OH NPI# 1710942594
Ramey, Jack M., D.O. 75 Hospital Dr., Athens, OH NPI# 1407957996
Reedus, Derrick, M.D. 75 Hospital Dr. Athens, OH
Sheltering Arms Foundation, Inc. 55 Hospital Dr., Athens, OH
ADVANCE DIRECTIVES
In accordance with Ohio law, this center must inform you that we are not required to honor and do not honor
DNR directives. A health care power of attorney will be honored.
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. While the state of Ohio does not have required a specific form for an advanced directive,
sample forms are available at the center's office. To obtain this form and information, please call (740)566-4500.
PATIENT RIGHTS NOTIFICATION
Each patient at the center will be notified of their rights in the following manner:
- A written notice provided in advance of the day of their surgery in a language and manner the patient
understands.
- A verbal notice provided in advance of the day of their surgery in a language and manner the patient
understands.
- A posted notice visible by patients and families waiting for treatment.
PATIENT GRIEVANCES
The patient and family are encouraged to help the facility improve its understanding of the patient's environment
by 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 Ohio
Department of Health or Medicare (numbers provided below). The surgery center will respond in writing with
notice of how the grievance has been addressed.
Contacts: Athens Surgery Center
Tari McCulloch, Administrator
75 Hospital Drive
Athens, OH 45701
(740)566-4500
mcculloch@athenssurgerycenter.com
Ohio Department of Health
246 North High Street
Columbus, OH 43215
(614)995-7466
Medicare Beneficiary Ombudsman
1-800-MEDICARE
(1-800-633-4227)
www.medicare.gov
(ombudsman link is on left hand column)
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