Notice of Patient Rights (California)

Our patients have the right to:

• Receive access to equal medical treatment and accommodations regardless of race, creed, sex, national origin, religion or sources of payment for care.
• Be fully informed and have complete information, to the extent known by the physician, regarding diagnosis, evaluation, treatment, procedure and prognosis, as well as the risks, side effects, and expected outcomes associated with treatment and procedure prior to the service.
• To give or withhold informed consent, participate in making decisions about his/her care, treatment, or services.
• Exercise his or her rights without being subjected to discrimination or reprisal.
• Personal privacy.
• Receive care in a safe setting and be treated with dignity.
• Be free from all forms of abuse, exploitation, or harassment.
• Receive notice of their rights prior to treatment or service in verbal and written notice in a language and manner that ensures the patient, or the patient’s representative, or the patient’s surrogate, understand all of the patient’s rights.
• Expect personnel who care for the patient to be friendly, considerate, respectful and qualified through education and experience, as well as perform the services for which they are responsible with the highest quality of services.
• Be fully informed of the scope of services available at the facility, provisions for after-hour care and related fees for services rendered.
• Be a participant in decisions regarding the intensity and scope of treatment. If the patient is unable to participate in those decisions, the patient’s rights shall be exercised by the patient’s designated representative, patient’s surrogate or other legally designated person.
• Refuse treatment to the extent permitted by law and be informed of the medical consequences of such refusal. The patient accepts responsibility for his or her actions including refusal of treatment or not following the instructions of the physician or facility.
• Approve or refuse the release of medical records to any individual outside the facility, or as required by law or third-party payment contract.
• Be informed of any human experimentation or other research/educational projects affecting his or her care of treatment and can refuse participation in such experimentation or research without compromise to the patient’s usual care.
• Express grievances/complaints and suggestions at any time and to have those reviewed by the organization.
• Access to and/or copies of his/her medical records.
• Be informed as to the facility’s policy regarding advanced directives/living wills.
• Be fully informed before any transfer to another facility or organization and ensure the receiving facility has accepted the patient’s transfer.
• Express those spiritual beliefs and cultural practices that do not harm or interfere with the planned course of medical therapy for the patient.
• Expect the facility to agree to comply with Federal Civil Rights Laws that assure it will provide interpretation for individuals who are not proficient in English.
• Have an assessment and regular assessment of pain.
• Education of patients and families, when appropriate, regarding their roles in managing pain.
• To change providers if other qualified providers are available.
• If a patient is deemed 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 deemed a patient incompetent, any legal representative designated by the patient in accordance with state laws may exercise the patient’s rights to the extent allowed by state law.

PATIENT RESPONSIBILITIES

• Be respectful and considerate of other patients and personnel and for assisting in the control of noise, eating and other distractions.
• Respecting the property of others and the facility.
• Reporting whether he or she clearly understands the planned course of treatment and what is expected of him or her.
• Keeping appointments and, when unable to do so for any reason, notifying the facility and physician.
• Providing care givers with the most accurate and complete information regarding present complaints, past illnesses and hospitalizations, medications, including over-the-counter products and dietary supplements, any allergies or sensitivities, unexpected changes in the patient’s condition, or any other patient health matters.
• Follow the treatment plan prescribed by his/her provider and participate in his/her care.
• Observing prescribed rules of the facility during his or her stay and treatment and, if instructions are not followed, forfeit of care at the facility.
• Promptly fulfilling his or her financial obligations to the facility and accepting personal financial responsibility for any charges not covered by his/her insurance.
• Identifying any patient safety concerns.
• It is the patient’s responsibility and those accompanying the patient to be respectful of all healthcare providers and staff as well as other patients and visitors and follow the center’s policies.

PATIENT COMPLAINT OR GRIEVANCE

If you are concerned that your rights may have been violated, please contact us using the following information.

Pure Infusion – Attn: Director of Compliance
75 W Towne Ridge Parkway, Tower 2 Suite 500
Sandy, Utah 84070
Phone: 801-921-6305
Email: [email protected]

If you wish to remain anonymous, please call our Compliance Hotline at 1-801-823-0120.

You may also file a complaint with the U.S. Department of Health and Human Services Office of Civil Rights via phone, fax, mail, or through their portal at ocrportal.hhs.gov.

Medicare beneficiaries may receive information regarding their options under Medicare and their rights and protections by visiting the website for the Office of the Medicare Beneficiary Ombudsman at:

https://www.cms.gov/center/special-topic/ombudsman/medicare-beneficiary-ombudsman-home
https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance
https://www.medicare.gov/basics/your-medicare-rights/get-help-with-your-rights-protections