Patient Rights and Responsibilities

As a patient you have the right to:

• Request or refuse treatment. Be free from all forms of abuse or harassment.
• Be involved in your plan of care, including pain management, discharge planning, and your healthcare decisions.
• Receive quality treatment and care in a safe setting.
• Be treated with dignity and respect, without discrimination, and receive prompt and courteous treatment.
• Practice your own cultural and spiritual beliefs that do not interfere with the well-being of others.
• Have privacy respected, with communications and records confidentiality.
• Know the name and role of any person providing services to you.
• Receive information regarding your care in terms you can understand before any treatment.
• Be informed about the outcomes of your care, including unanticipated outcomes.
• Receive information and have a choice in treatment, referral or transfer to a different facility if you choose or when recommended by your physician.
• Receive information regarding your needs for continuing care after discharge.
• Have access to your medical record and receive information regarding charges and available payment methods.
• Have pain needs recognized and addressed promptly.
• Formulate Advance Directives and have practitioners and staff provide care consistent with these directives to the extent permitted by law.
• Have freedom from seclusion and restraints unless clinically necessary.
• Contact the Director of The Endoscopy Center if you have a grievance or complaint concerning the quality of your care.
• If a patient is adjudged incompetent under applicable State health and safety laws by a court of proper jurisdiction, the rights of the patient are exercised by the person appointed under State law to act on the patient’s behalf.
• If a State court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with State law may exercise the patient’s rights to the extent allowed by State law.

As a patient, you and your family have the responsibility to:

• Respect the privacy and confidentiality of other patients.
• Respect the right of other patients and staff. Follow all The Endoscopy Center rules and regulations pertaining to safety, smoking, noise, general conduct, and procedures.
• Inform staff of all past illnesses, previous hospitalizations, and current medications.
• If you have Advance Directives, provide a copy to The Endoscopy Center.
• Notify staff when you are in pain and assist with your pain management.
• Follow the treatment plan established by the physician and health care providers.
• Be responsible for your own actions if treatment is not followed and recognize the impact of your lifestyle choices on your personal health.
• Ask questions regarding your treatment procedures.
• Provide information concerning your ability to pay for services rendered.
• Work with staff to provide for resources to assist with your care after discharge.
• Inform staff of any complaints or grievances.

Patient Grievance Procedure:

During your stay, if you have comments or questions, please ask to speak with the Charge Nurse. To file a written comment, question, or concern with our facility, you may write to:

The Endoscopy Center, Inc.

Attn: Endoscopy Center Director

2820 Mt. Rushmore Rd.

Rapid City, SD 57701

At any time, a patient or his/her representative may contact the South Dakota Department of Health at:

South Dakota Dept. of Health

Licensure and Certifications

615 East 4th Street

Pierre, SD 57501

Phone: (605) 773-3356

www.cms.hhs.gov/center/ombudsman.asp

Comments, questions, or concerns to this facility will be addressed within ten (10) business days.