Patient Rights
- Receive access to equal medical treatment and accommodations regardless of race, creed, sex, national origin, religion, or care payment sources.
- Be fully informed and have complete information, to the extent known by the physician, regarding diagnosis, treatment, procedure, and prognosis, as well as the risks and side effects associated with treatment and procedure prior to the procedure.
- Exercise his or her rights without being subjected to discrimination or reprisal.
- Voice grievances regarding treatment or care that are (or fails to be) furnished.
- Personal privacy.
- Receive care in a safe setting.
- Be free from all forms of abuse or harassment.
- Receive the care necessary to regain or maintain his or her maximum state of health and, if necessary, cope with death.
- Expect personnel who care for the patient to be friendly, considerate, respectful, and qualified through education and experience, as well as performing the services for which they are responsible with the highest quality of services.
- Be fully informed of the scope of services available at the facility, provisions for after-hours care, and related fees for services rendered.
- Be a participant in decisions regarding the intensity and scope of treatment. If the patient cannot participate in those decisions, the patient’s rights shall be exercised by the patient’s designated representative or other legally designated people.
- Make informed decisions regarding his or her care.
- Refuse treatment to the extent permitted by law and be informed of the medical consequences of such refusal. The patient accepts responsibility for his or her actions, including refusal of treatment or not following the physician’s or facility’s instructions.
- Approve or refuse the release of medical records to any individual outside the facility or as required by law or third-party payment contracts.
- Be informed of any human experimentation or other research/educational projects affecting his or her care or treatment and can refuse participation in such experimentation or research without compromising the patient’s usual care.
- Express grievances/complaints and suggestions at any time.
- Access to and/or copies of his/her medical records.
- Be informed of the facility’s advance directives/living will policy.
- Be fully informed before any transfer to another facility or organization and ensure the receiving facility has accepted the patient transfer.
- Express those spiritual beliefs and cultural practices that do not harm or interfere with the patient’s planned course of medical therapy.
- Expect the facility to agree to comply with Federal Civil Rights Laws that assure it will provide interpretation for individuals who are not proficient in English.
- Have an assessment and regular assessment of pain.
- Education of patients and families, when appropriate, regarding their roles in managing pain.
- To change providers if other qualified providers are available.
- If a patient is adjudged incompetent under applicable state health and safety laws by a court of proper jurisdiction, the patient’s rights are exercised by the person appointed under State law to act on the patient’s behalf.
- If a state court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with state laws may exercise the patient’s rights to the extent allowed by state law.
PATIENT RESPONSIBILITIES
- Be considerate of other patients and personnel and for assisting in the control of noise, eating, and other distractions.
- Respecting the property of others and the facility.
- Reporting whether he or she clearly understands the planned course of treatment and what is expected of him or her.
- Keeping appointments and notifying the facility and physician when unable to do so for any reason.
- Providing caregivers with the most accurate and complete information regarding present complaints, past illnesses and hospitalizations, medications, unexpected changes in the patient’s condition, or any other patient health matters.
- Observing prescribed rules of the facility during his or her stay and treatment and, if instructions are not followed, forfeit of care at the facility.
- Promptly fulfilling his or her financial obligations to the facility.
- Identifying any patient safety concerns.
ADVANCE DIRECTIVE NOTIFICATION
In the state of Texas, all patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Powers of Attorney that authorizes others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions. Baylor Surgicare at Fort Worth respects and upholds those rights.
However, unlike in an acute care hospital setting, Baylor Surgicare at Fort Worth does not routinely perform “high-risk” procedures. While no surgery is without risk, most procedures performed in this facility are considered minimal risk. You
will discuss the specifics of your procedure with your physician, who can answer your questions about its risks, your expected recovery, and care after your surgery.
Therefore, it is our policy, regardless of the contents of any Advance Directive or instructions from a healthcare surrogate or attorney-in-fact, that if an adverse event occurs during your treatment at this facility, we will initiate resuscitative or other stabilizing measures and transfer you to an acute care hospital for further evaluation. At the acute care hospital, further treatments or withdrawal of treatment measures already begun will be ordered in accordance with your wishes, Advance Directive, or healthcare Power of Attorney. Your agreement with this facility’s policy will not revoke or invalidate any current health care directive or health care power of attorney.
If you wish to complete an Advance Directive, copies of the official State forms are available at our facility.
If you do not agree with this facility’s policy, we will be pleased to assist you in rescheduling your procedure.
If you wish to complete an Advance Directive, copies of the official State forms are available at our facility.
If you do not agree with this facility’s policy, we will be pleased to assist you in rescheduling your procedure.
PATIENT COMPLAINT OR GRIEVANCE
To report a complaint or grievance, you can contact the facility Administrator by phone at 817-334-5100 or by mail at:
Baylor Scott & White Sirgicare Fort Worth
750 12th Avenue
Fort Worth, Texas 76104
817-334-5100
Complaints and grievances may also be filed through:
Texas Department of State Health Services
1100 West 49th Street
Austin, TX 78756-3199
888-973-0022
Medicare beneficiaries may receive information regarding their options under Medicare and their rights and protections by visiting the website for the Office of the
Medicare Beneficiary Ombudsman at: