Call Us: 575-437-0890
(2020) Patient Rights and Responsibilities
PATIENT OR THE PATIENTS REPRESENTATIVE OR SURROGATE OR DESIGNATED REPRESENTATIVE HAS THE FOLLOWING RIGHTS:
The right to be:
- treated with respect, consideration, and dignity.
- provided appropriate and personal privacy at check in and evaluation and treatment areas
- Interpretation services are available
- receive care in a safe setting
- Given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons
- To the degree that is known, patients are provided with the information concerning their diagnosis, evaluation, treatment, and prognosis. When it is 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
- Be informed of the patients’ rights and protect and promote the exercise of these rights
- free from all forms of abuse or harassment.
- free from any act of discrimination or reprisal.
- to exercise rights and respect for property and person
- fully informed about a treatment or procedure and the expected outcome before it is performed and the right to be provided, to the degree known, information concerning their diagnosis, evaluation, treatment, and prognosis. When it is 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.
- informed and to have the information available for services available at the organization.
- or disclosure and information of payment policies.
- refuse to participate in research.
- Prior to receiving care change providers if other qualified providers are available.
- make informed decisions regarding the patients care.
- have information available for provisions for after-hours and emergency care.
- have information available for fees for services and disclosure of fees for services provided.
- have written information concerning its policies and procedures available for advanced directives including a description of applicable state health and safety laws (NM State Statutes) , and if requested, official NM State advance directive forms provided by the ASC upon admission to the center
- right to have documented in a prominent part of the patient’s current medical record whether or not the individual has executed an advanced directive
- have information available for the credentials of health care professionals.
- disclosure of physician owners or physicians with financial interest in the ASC.
- under the facility Privacy Notice to have information available on how the center will use and disclose personal health information, rights under HIPAA, and the center duties under HIPAA.
- or those patient who are Medicare Beneficiaries or their representatives to be provided and informed of the Medicare Beneficiary Ombudsman website (http://www.medicare.gov/claims-and-appeals/medicare-rigths/get-help/ombudsman.html), prior to the start of the procedure, and informed that the role of the Medicare Beneficiary Ombudsman is to ensure that the Medicare beneficiary receives the information and help needed to understand their Medicare options and to apply their Medicare rights and protections.
- have information available if organization has an absence of malpractice coverage.
- Prior to receiving care to have information for methods for providing feedback including complaints
- Prior to receiving care patients are informed of their rights
- Prior to receiving care patient are informed how to voice grievances regrading treatment and care
- Prior to receiving care patients are informed about advanced directive as required by prevailing law and regulations
- prior to the start of the surgical procedure, to have provided the Verbal and written “Notice of Rights” in a “language and manner” ensuring that I understand. Language and manner are defined as a means of communication, which may include, use of a translation service provided by the ASC, using an interpreter of my own, verbal, written, Information Technology, or use of gestures, due to limited communication.
- To receive a good faith estimate of expected charges
- The right to voice grievances regarding treatment or care that is (or fails to be) furnished.
- The contact information to report a complaint including contact at: ATTN: Title: Compliant supervisor at DHI Complaint Unit, PO Box 26110,Santa Fe, NM 87505, phone 1-800-752-8649 at https://www.nmhealth.org/about/dhi/ane/rahf/
- or the New Mexico Medical Review Association (for Medicare beneficiaries), 5801 Osuna Road NE Suite 200, Albuquerque, NM 87109, 1-800-945-5845,
- To learn more about the Centers for Medicare and Medicaid Services (contact information 1-800-Medicare), https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance
- If you are a Medicare beneficiary the contact information for the Medicare Beneficiary Ombudsman website is (https://www.cms.gov/Center/Special-Topic/Ombudsman/Medicare-Beneficiary-Ombudsman-Home), and understand that the role of the Medicare Beneficiary Ombudsman is to ensure that the Medicare beneficiary receives the information and help needed to understand the Medicare options and to apply Medicare rights and protections.
- Facility Contact Patsey Bridges Facility Administrator at 575-437-0890
1. If a patient is judged incompetent under applicable state 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.
2. If a state court has not judged a patient incompetent, any legal representative or surrogate designated by the patient in accordance with state law may exercise the patients' rights to the extent allowed by state law.
PATIENTS OR THE PATIENTS REPRESENTATIVE OR SURROGATE OR DESIGNATED REPRESENTATIVE IS RESPONSIBLE TO CONDUCT, RESPONSIBILITIES, AND PARTICIPATION IN THE BELOW MANNER:
Is responsible to provide:
- complete and accurate information to the best of his/her ability about his/ her health, any medications, including over the counter products and dietary supplements, and any allergies or sensitivities.
- follow the treatment plan prescribed by his/her provider and participate in his/her care.
- provide a responsible adult to transport him/her home from the facility remain with him/ her for 24 hours, if required by his/ her provider.
- accept personal financial responsibility for any charges not covered by his/ her insurance.
- be respectful of all the health care professionals and staff, as well as other patients.
Medical Passports are secure, online patient-controlled accounts that provide medical history information.
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Southern New Mexico Surgery Center is a 2020 National APEX Quality Award Winner.