Patient Rights & Responsibilities

PATIENT’S BILL OF RIGHTS

The PATIENT has the right to be treated with consideration, respect, and dignity.

The PATIENT and/or the PATIENT REPRESENTATIVE has the right to all complete and current information concerning their diagnosis and treatment and in terms that he/she can understand. The PATIENT has the right to know the person or persons responsible for coordinating their care. If not
medically advisable to give information to the patient, the information shall be made
available to an appropriate person in the patient’s behalf.

The PATIENT has the right to receive from the physician enough information so that
he/she may understand the services being rendered in order to sign the informed consent.

The PATIENT has the right to refuse treatment and to be informed of the consequences
of his/her actions.

The PATIENT has the right to privacy of any information or treatment concerning his/her own medical care.

The PATIENT has the right to be informed of any persons other than routine personnel that would be observing or participating in his/her treatment and to refuse that observation and/or participation.

The PATIENT has the right for all medical records to be treated as confidential and given the opportunity to approve or refuse their release unless it would cause a negative outcome in the continuation of medical care.

The PATIENT has the right to information concerning the facility to which he/she
may have to be transferred. The facility, that the patient is to be transferred to, must
give approval prior to the patient transfer.

The PATIENT has the right to know if any research will be done during his/her treatment and has the right to refuse it.

The PATIENT has the right to expect quality care and service from WASC.

The PATIENT has the right to be informed of the mechanism by which he/she will have continuing health care following discharge from WASC.

The PATIENT has the right to examine and receive an explanation of their bill, regardless
of the source of payment.

The PATIENT has the right to know, in advance, the expected amount of his/her bill, regardless of the source of the payment.

The PATIENT has the right to know what WASC Rules and
Regulations apply to his/her conduct as a patient.

PATIENT RESPONSIBILITIES

It is the PATIENT’S responsibility to read and understand all permits and/or consents to be signed: Either ask the nurse or physician to clarify any information not understood about your care or services.

It is the PATIENT’S responsibility to answer all medical questions truthfully, to the best
of your knowledge including complete information about your symptoms, past illnesses, medications, and other matters relating to your plan of care.

It is the PATIENT’S responsibility to follow the pre-operative instructions given by the
physician and/or WASC.

It is the PATIENT’S responsibility to notify WASC upon admission if pre-
operative instructions have not been followed. The PATIENT is responsible for your actions if you refuse treatment or do not follow preoperative instructions.

It is the PATIENT’S responsibility to provide transportation to and from WASC appropriate to the medications and/or anesthesia to be given and according to preoperative instructions.

It is the PATIENT’S responsibility to follow the post-operative instructions given by the
physician(s) and/or nurses. This includes instructions regarding post-operative appointments.

It is the PATIENT’S responsibility to contact the physician if any complications occur.

It is the PATIENT’S responsibility to assure all payments for service rendered are on a
timely basis and ultimate responsibility is the patients, regardless of the insurance
coverage. It is the PATIENT’S responsibility to provide financial and/or insurance information regarding who will be responsible for the bill including current address and authorized contact information.

It is the PATIENT’S responsibility to notify the administration of WASC, if the PATIENT or the PATIENT REPRESENTATIVE thinks their right(s) have been violated or if the PATIENT has a significant compliant.

It is the PATIENT’S responsibility and those accompanying the PATIENT to respect the rights of other patients and WASC personnel and follow the Center’s policies.

 

Resources for filing a complaint or grievance to Administrator:

Victoria Caillet, Administrator

Wooster Ambulatory Surgery Center

3373 Commerce Parkway Suite 1

Wooster, Ohio 44691

330-804-2000

 

  • Medicare Ombudsman website:

https://www.medicare.gov//claims-and-appeals/medicare-rights/get-help/ombudsman.html

 

  • Ohio Department of Health website:

www.odh.ohio.gov

 

Please call us with questions about your experience at WASC, 330-804-2000. 

 

 

The WASC, LLC is owned by community physicians including: DRs.  S. Clark, V. Fiorita, V. Jabour, M. Knapic, A. Mathur, K. Mathur, R. Miller, J. Proano, L. Stern, J. Suppan, C. Wartmann & J. Zackary.