Thank you for choosing The Wooster Ambulatory Surgery Center for your surgery or
procedure.
Along with the information that your doctor’s office will gather to help us make the day of
your surgery or procedure as easy as possible, we are taking this opportunity to
give you some information that is important for you to know before the day you
are scheduled to be at the Wooster Ambulatory Surgery Center.
Everyone has certain Rights and Responsibilities as a patient in the surgery center which we take seriously. They include:
1)
Right
to personal privacy – It is the WASCs
goal for everyone who works here to treat every person with dignity and respect
in an environment that is as private as possible so that you feel safe,
comfortable and at east. For
instance: You will be provided a
private place to change clothing and to wait instead of returning to the waiting
room.
We also commit to keeping your personal health information confidential as
provided by law (HIPAA). Therefore:
a. Patients have the Responsibility to indicate if they feel their privacy is being violated or feel unsafe while at the WASC;
2) Right to receive care in safe setting – The surgery center employs trained, professional healthcare workers and adheres to State, Local and Federal safety/health standards. Therefore:
a.
Patients have the Responsibility to indicate if they feel their safety is
threatened while in the WASC;
3)
Right
to be free from all forms of abuse or harassment –
WASC, will treat all patients equally, with courtesy and respect. Therefore:
a.
Patients have the Right &Responsibility to file a grievance by
following the policy and procedure (posted in
WASCs lobby) by notifying the person in charge in writing if they feel that their rights are being or have been violated. Patients will be informed of the
investigation, time-frame for a response and the outcome, in a timely manner;
Resources for filing a complaint or grievance to Administrator:
Or to:
Victoria Caillet Administrator WASC, 330-804-2000
·
Medicare Ombudsman website:
www.medicare.gov/ombudsman/resources.asp
·
Ohio Department of Health website:
4)
Right
to be informed and understand planned care by your physician while at
WASC, the expected outcome and
possible complications or possible effects if the procedure is not performed. Therefore:
a.
Patients have the Responsibility to ask questions about anything they do
not understand;
5)
Right
of patient or patient’s designated representative (if one exists) to make
informed decisions about care whether or not the patient is incapacitated or
been declared incompetent by the court.
Therefore:
a.
Patients have the Responsibility to designate that individual if they
wish and inform WASC of that decision
before surgery; and
6)
Right
to know that the WASC policy on
Advance Directives is to stabilize and transfer patients experiencing a
life-threatening emergency to a nearby hospital where, their advance Directives
will be honored. Patients may
receive forms for A. D. form the WASC
Therefore:
a.
Patients have the Responsibility to inform the
WASC if they have Advance Directives or want information.
You will receive telephone call(s) from the
WASC to gather health and financial information prior to your scheduled
surgery or procedure. If you are a
non-English speaking person, please inform us ahead of time. You may do that by notifying
personnel in the doctor’s office at your appointment. If you can provide an interpreter
with whom you feel comfortable hearing what may be private information, it will
be necessary to make arrangements for them to be available for those telephone
calls and to accompany you on the date of surgery. Otherwise other arrangements
will be made.
Please call us with questions about your experience at
WASC.
The
WASC,
LLC is owned by community physicians including: DRs.
Fiorita, Gesler, Jabour, Kase, Knapic, Laing, A Mathur, K Mathur, Miller,
Ransom, Stern, and Suppan.
E-mail: info@companyname.com
