Patient rights and responsibilities - Centurion Surgery Centers

The Centurion Surgery Center of Jacksonville’s Patient Rights and Responsibilities are established with the expectation that observance of these rights will contribute to more effective patient care and greater satisfaction for the patient, their family, their physician, and the facility caring for the patient. Patients shall have the following rights without regard to age, race, sex, national origin, religion or culture, physical handicap, personal value and belief systems or source of payment.

The patient has the right:

To exercise his or her rights without being subjected to discrimination or reprisal and to be free from all forms of abuse or harassment.
To be treated with courtesy, respect, full recognition of individuality and with protection of his or her privacy in treatment and care. Center personnel will treat with confidence all personal matters that relate to the patient.
To approve or refuse the release of medical records or any individually identifiable health information to any individual or entity outside of the center, except in the case of transfer to another health facility, or as required by law or third-party payment contract.
To be provided, to the extent known by the physician, complete information regarding diagnosis, treatment, and prognosis, as well as alternative treatments or procedures and the possible risks and side effects associated with treatment. If medically inadvisable to disclose to the patient such information, the information is given to a person designated by the patient or to a legally authorized individual.
To participate in decisions involving their health care, unless contraindicated by concerns for their health. In these situations, the patient’s designated representative or other legally designated person shall exercise the patient’s rights.
To be fully informed of the scope of services available at the surgery center, provisions for emergency or after-hours care, and to receive, upon request and prior to treatment, a reasonable estimate of charges for medical care. To receive and examine an explanation of charges regardless of payment source.
To know if the medical treatment is for the purposes of experimental research and to give his or her consent or refusal to participate in such experimental research.
To have an Advance Directive, such as a living will or healthcare proxy or to receive information on Advance Directives.
To identify the professional status and to know the credentials of all individuals providing services to them.
To change primary or specialty physicians if other qualified physicians are available.
To refuse treatment, except as otherwise provided by law and to be informed of the medical consequences of such a refusal.
To express suggestions, complaints, or grievances through the grievance procedure of the health care provider or the health care center which served them and to the appropriate licensing agency and/or the Medicare Ombudsman’s office.

The patient is responsible:

For providing to all of their healthcare providers, to the best of his or her knowledge, the most accurate and complete information about present complaints, past illnesses, hospitalizations, allergies, any medications and other matters relating to his or her health.
For reporting whether he or she clearly understands the planned course of treatment and what is expected of them.
For following the treatment plan recommended by his or her health care provider.
For keeping appointments and, when unable to do so for any reason, for notifying the surgical center and physician.
For his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.
For providing a responsible adult to transport him or her home from the center and to remain with him or her for twenty-four (24) hours, if required by the health care provider.
For informing the health care provider about any Advance Directive, living will or medical power of attorney that may affect the care provided.
For promptly fulfilling his or her financial obligations for any charges not covered by insurance.
For being considerate of other patients, health care providers and surgical center personnel and for assisting in the control of noise and other distractions. The patient and family are responsible for the respect of property of others and of the center.

complaints or grievances

The Centurion Surgery Center of Jacksonville sincerely hopes that we meet your expectations and that you are pleased with the care that you receive here. We encourage your suggestions and/or feedback. We also would like to know about any concerns or complaints you may have. Please call 904.593.5146 and ask to speak with the Clinical Administrator. Our mailing address is:

Centurion Surgery Center of Jacksonville 5191 First Coast Tech Pkwy, 1st Floor Jacksonville, FL 32224

If you feel that your concerns and/or complaints have not been handled appropriately and you have concerns about patient safety or quality of care, you may contact:

Agency for Health Care Administration (AHCA) 2727 Mahan Dr. Tallahassee, FL 32308 (888) 419-3456

All Medicare beneficiaries may also file a complaint or grievance with the Medicare Beneficiary Ombudsman.

Visit the Ombudsman’s webpage at:
https://medicare.gov/claims-and-appeals