Cleveland Eye and Laser Surgery Center is committed to ensuring the following Patient Rights:
- The right to safe, confidential and considerate care with respect, consideration and dignity, free from all forms of abuse or harassment.
- The right to privacy concerning your personal care.
- The right to expect all disclosures and records are treated confidentially and the opportunity to approve or refuse their release unless reporting is required by law.
- The right to confidentiality regarding your medical care and treatment.
- The right to complete information concerning their diagnosis, evaluation, treatment and prognosis, as well as risks and dangers of that treatment, expected outcome, and opportunity to participate in informed decisions related to that treatment. When medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person. The patient also has the right to know the name of the person(s) who will implement the procedures and/or treatment and are informed of their right to change their provider if other qualified providers are available.
- The right to submit an advance directive.
- The right to refuse part or all of the treatment suggested to you, including participation in experimental research.
- The right to impartial treatment without regard to race, color, religion, gender, sexual preference, disability, national origin, age, veteran’s status or source of payment, except for fiscal capability thereof in accordance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91.
- The right to expect reasonable continuity of care and to be informed by his/her physician, or a delegate of the physician, of the patient’s continuing health care requirements following discharge.
- The right to be informed of the facility charges incurred for treatment, payment policies, and immediate and long-term financial implications.
- The right to express any grievance, either verbally or in writing, regarding their care.
- The right to accurate and true marketing and/or advertising regarding the competence and capabilities of the organization.
- The right to access the Ohio Revised Code 1337.12 which includes detailed information related to Advance Directive, Do Not Resuscitate Orders and Power of Attorney.
As a patient, you are responsible for:
- Providing accurate and complete information concerning your present health, past medical history, medications, including over-the-counter products and dietary supplements, any allergies or sensitivities, and other matters relating to your health.
- Following the treatment plan prescribed by his/her physician.
- For asking questions when you do not understand information or instructions, or if you do not believe you can follow through with the treatment prescribed by your physician.
- Your actions should you refuse treatment or not follow your physician’s orders.
- Providing a responsible driver for transportation home and for them to remain with you for 24 hours if required by provider.
- Informing his/her provider about any living will, medical power of attorney, or other directive that could affect his/her care.
- Accepting personal financial responsibility for any charges not covered by insurance.
- Being considerate of the rights of other patients, healthcare providers, and staff .
- The ASC has the right to refuse care to or dismiss a patient from care in the event they are disruptive, uncooperative, and belligerent or physically threatening to the staff or other patients. Additionally, the ASC has the right to refuse care to or dismiss a patient from care in the event the designated responsible driver is incapacitated, disruptive, uncooperative, belligerent, or physically threatening to the staff or other patients.
If questions concerning this policy, or in the event of a desire to file a complaint, please contact:
Jeannine Arcuri, RN, Clinical Director-Section 504 Coordinator, Cleveland Eye and Laser Surgery Center,
22715 Fairview Center Drive, Fairview Park, OH 44126 Phone: 440-777-8400
- The Ohio Department of Health (ODH), Division of Quality Assurance, Provider and Consumer Services Unit (PCSU) is the responsible agency for ambulatory surgical center’s complaint investigation. Complaints may be registered with the department by phone (800-342-0553), fax (614) 728-9169), email HCComplaints@odh.ohio.govor in writing to the Ohio Department of Health, PCSU, 246 North High Street, Columbus, OH 43215. A complainant may provide his/her name, address, and phone number to the Department. Anonymous complaints may be registered. All complaints are confidential.
- Office of the Medicare Ombudsman, www.cms.hhs.gov/center/ombudsman.asp.
- Ohio Revised Code https://codes.ohio.gov/orc/1337.12 1-800-669-3534 Health Care Safety