Sacramento Surgery Center Patient Rights and Responsibilities
GSSC observes and respects a patientís rights and responsibilities
without regard to age, race, color, sex, national origin, religion,
culture, physical or mental disability, personal values or belief
You have the right to:
- Considerate, respectful and dignified care and
respect for personal values, beliefs and preferences.
- Access to treatment without regard to race,
ethnicity, national origin, color, creed/religion, sex, age, mental
disability, or physical disability. Any treatment determinations
based on a personís physical status or diagnosis will be made on the
basis of medical evidence and treatment capability.
- Respect of personal privacy.
- Receive care in a safe and secure environment.
- Exercise your rights without being subjected to
discrimination or reprisal.
- Know the identity of persons providing care,
treatment or services and, upon request, be informed of the
credentials of healthcare providers and, if applicable, the lack of
- Expect the center to disclose, when applicable,
physiciansí financial interests or ownership in the center.
- Receive assistance when requesting a change in
primary or specialty physicians or dentists if other qualified
physicians or dentists are available.
- Receive information about health status,
diagnosis, the expected prognosis and expected outcomes of care, in
terms that can be understood, before a treatment or a procedure is
- Receive information about unanticipated outcomes
- Receive information from the physician about any
proposed treatment or procedure as needed in order to give or
withhold informed consent.
- Participate in decisions about the care,
treatment or services planned and to refuse care, treatment or
services, in accordance with law and regulation.
- Be informed, or when appropriate, your
representative be informed (as allowed under state law) of your
rights in advance of furnishing or discontinuing patient care
- Receive information in a manner tailored to your
level of understanding, including provision of interpretative
assistance or devices.
- Have family be involved in care, treatment, or
services decisions to the extent permitted by you or your surrogate
decision maker, in accordance with laws and regulations.
- Appropriate assessment and management of pain,
information about pain, pain relief measures and participation in
pain management decisions.
- Give or withhold informed consent to produce or
use recordings, film, or other images for purposes other than care,
and to request cessation on production of the recordings, films or
other images at any time.
- Be informed of and permit or refuse any human
experimentation or other research/educational projects affecting
care or treatment.
- Confidentiality of all information pertaining to
care and stay in the center, including medical records and, except
as required by law, the right to approve or refuse the release of
your medical record.
- Access to and/or copies of your medical
records within a reasonable time frame and the ability to request
amendments to your medical records.
- Obtain information on disclosures of health
information within a reasonable time frame.
- Have an advance directive, such as a living
will or durable power of attorney for healthcare, and be informed as
to the centerís policy regarding advance directives/living will.
Expect the center to provide the stateís official advance directive
form if requested and where applicable.
- Obtain information concerning fees for
services rendered and the centerís payment policies.
- Be free from restraints of any form that are
not medically necessary are used as a means of coercion, discipline,
convenience or retaliation by staff.
- Expect the center to establish a process for
prompt resolution patientsí grievances and to inform each patient
whom to contact to file a grievance. Grievances/complaints and
suggestions regarding treatment or care that is (or fails to be)
furnished may be expressed at any time. Grievances may be lodged
with the state agency directly using the contact information
You are responsible for:
- Being considerate of
other patients and personnel and for assisting in the control of
noise, smoking and other distractions.
- Respecting the property
of others and the center.
- Identifying any patient
- Observing prescribed
rules of the center during your stay and treatment.
- Providing a responsible
adult to transport you home from the center and remain with you
for 24 hours if required by your provider.
- Reporting whether you
clearly understand the planned course of treatment and what is
expected of you and asking questions when you are expected to
- Keeping appointments
and, when unable to do so for any reason, notifying the center
- Providing caregivers
with the most accurate and complete information regarding
present complaints, past illnesses and hospitalizations,
medications, unexpected changes in your condition or any other
patient health matters.
- Promptly fulfilling
your financial obligations to the center, including charges not
covered by insurance.
- Payment to center for
copies of the medical records you may request.
- Informing your
providers about any living will, medical power of attorney, or
other advance directive that could affect your care.
You may contact the following entities to express
any concerns, complaints or grievances you may have:
CENTER: Susan Brunone, Administrator
STATE Deputy Director
California Department of
Center for Health Care
P.O. Box 997377 MS 3000
Sacramento, CA 95899
Complaints (800) 236-9747
General Information (916)
MEDICARE Office of the Medicare Beneficiary