As a patient, or parent or legal guardian of a minor patient you have a right to:

• Be informed of your rights before patient care is furnished or discontinued whenever possible.


• Be treated kindly and respectfully by all facility personnel.


• Receive complete and current information concerning your diagnosis, treatment and prognosis in terms you can understand. When it is not medically advisable to give you such information, it should be made available to an appropriate person on your behalf.


• Be given an explanation of any proposed procedure or treatment. The explanation should include a description of the nature and purpose of the treatment or procedure; the known risks or serious side effects; and treatment alternatives.


• Know the name, identity and professional status of the person providing services for you.


• Know who is primarily responsible for your care.


• Participating in developing and implementing your plan of care.


• Refuse medical care or specific treatment to the extent permitted by law and to be informed of the medical consequences of such refusal.


• Request transfer of your care to another physician or facility.


• Receive medical evaluation, service and/or referral as indicated by the urgency of your situation. When medically permissible, you may be transferred to another facility only after having received complete information and explanation concerning the need for, and alternative to, such a transfer. The facility to which you will be transferred must first accept the transfer.


• Personal privacy concerning your own medical care program. Care discussion, consultation, examination and treatments are confidential and should be conducted discreetly. You have the right to exclude those persons not directly involved in your care.


• Expect that all communications and clinical records pertaining to your care will be treated confidentially.


• Access information contained in your medical records within a reasonable time frame.


• Approve or refuse the release of medical records to any individual outside the facility, expect in the case of transfer to another health facility, or as required by law or third-party/payment contract.


• Exercise cultural and spiritual beliefs that do not interfere with the well being of others or planned course of medical therapy for you.


• Know if your care involves any experimental methods and treatment, and if so, you have the right to consent or refuse to participate.


• Be informed by the practitioner of the continuing healthcare requirements following discharge.


• Examine your bill and receive an explanation of the charges, regardless of the source of payment for your care.


• Be informed as to the facility's policy regarding advance directives/living wills.


• Use the Lakeview Surgery Center Grievance (complaint) process for submitting a written or verbal complaint or a suggestion to administration.
• Receive a written response to your grievance from Lakeview Surgery Center within ten (10) business days from the time it's received by administration.


• Refer concerns or grievances regarding quality of care, premature discharge or beneficiary complaints to the Iowa Foundation for Medical Care (IFMC), which is the external peer review organization for Iowa. The IFMC may be reached at 515-223-2900 or at address: 6000 Westown Parkway, West Des Moines, IA 50266.


• Receive the information about rights as a Medicare beneficiary at admission.


• Receive Care in a safe and secure setting.


• Be free from all forms of abuse or harassment.


• Have an initial assessment and reassessment of pain.


• Be informed of your rights when your are admitted.


• Be informed on your health status.


• Be informed about the outcomes of your care, including unanticipated outcomes.

As a patient, you have the responsibility:

• To provide accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health, and reporting, perceived risks in your care and unexpected changes in your condition, and whether you clearly comprehend a contemplated course or action and what is expected.


• To follow the treatment plan recommended by the practitioner primarily responsible for your care. This may include following the instructions of nurses and other health care professionals as they implement the practitioner's orders and enforce the applicable hospital rules and regulations.


• For your actions if you refuse treatment or if you do not follow the practitioner's instructions.


• To assure that the financial obligations of your care are fulfilled as promptly as possible.


• To follow Lakeview Surgery Center rules and regulations affecting patient care and conduct.


• To be considerate of the rights of other patients and Lakeview Surgery Center personnel.


• To ask questions when you do not understand what you have been told about your care or what you are expected to do.