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Welcome to Vision One Laser & Surgery Center

Vision One Laser & Surgery Center is designed for patients requiring outpatient surgery. This pamphlet tells you about the Center and answers many of the questions you may have about outpatient surgery.
Please review this pamphlet carefully. It is important that you, your surgeon, and the Center’s staff work together to make your experience at the Vision One Laser & Surgery Center as pleasant as possible.

Ownership

Your physician or his colleagues may have an ownership interest in Vision One. As always, you as the patient are free to utilize any health care provider of your choice. Should you have any questions or concerns about your referral or insurance participation, please bring them directly to the attention of your physician or to our administrator.

Privacy Notice

The Surgery Center’s Privacy Notice describes how medical information about you may be used and disclosed and how you can get access to this information. The Notice is a six page document. If you have questions and would like to review it, please call the Center at 610-280-9144 and a copy will be provided to you at no charge.

Patient Bill of Rights

Patients’ Rights

  1. A patient has the right to respectful care given by competent personnel in a considerate, dignified manner that is safe and free from abuse or harassment.
  2. A patient has the right, upon request, to be given the name of his attending practitioner, the names of all other practitioners directly participating in his care, and the names and functions of other health care personnel having direct contact with the patient.
  3. A patient has the right to every consideration of his privacy concerning his own medical care program. Case discussion, consultation, examination and treatment are considered confidential and should be conducted discreetly.
  4. A patient has the right to have records pertaining to his medical care treated as confidential except as otherwise provided by law or third party contractual arrangements. Except when required by laws, patients are given the opportunity to approve or refuse release of their records.
  5. A patient has the right to know what Center rules and regulations apply to his conduct as a patient.
  6. A patient has the right to expect emergency procedures to be implemented without unnecessary delay. A patient also has the right to be informed about Center provision for emergency and after hours care. A patient has the right to be informed of the Center’s policy with regard to advance directives.
  7. A patient has the right to good quality care and high professional standards that are continually maintained and reviewed. A patient has the right to receive information regarding the Center’s credentialing policies.
  8. A patient has the right to full information before care is delivered, in lay terms, concerning diagnosis, treatment, expected outcome and prognosis, including information about alternative treatments and possible
    complications. When it is not medically advisable to give the information to the patient, the information shall be given on his behalf to the patient’s next of kin or other appropriate person.
  9. Except for emergencies, the practitioner shall obtain the necessary informed consent prior to the start of any procedure or treatment, or both.
  10. A patient or, in the event the patient is unable to give informed consent, a legally responsible party, has the right to be advised when a practitioner is considering the patient as part of a medical care research program or donor program, and the patient or legally responsible party must give informed consent prior to actual participation in such program. A patient or legally responsible party may, at any time, refuse to continue in any such program to which he has previously given informed
    consent.
  11. A patient has the right to refuse drugs, treatment, or procedures offered by the Center, to the extent permitted by law, and a practitioner shall inform the patient of the medical consequences of the patient’s refusal of drugs, treatment or procedures.
  12. A patient has the right to medical and nursing services without discrimination based upon race, color, religion, gender, sexual preference, national origin, handicap or source of payment.
  13. A patient who does not speak English shall have access, where possible, to an interpreter.
  14. The Center shall provide the patient, or patient designee, upon request, access to the information contained in his medical records, unless the attending practitioner for medical reasons specifically restricts
    access.
  15. A patient has the right to expect good management techniques to be implemented within the Center considering the effective use of time of the patient and to avoid the personal discomfort of the patient.
  16. When medically advisable, a patient may be transferred to another facility. He or his next of kin or other legally responsible representative will be provided with complete information and an explanation concerning the needs for and alternatives to such a transfer. The institution to which the patient is to be transferred shall be notified prior to the patient transfer.
  17. A patient has the right to examine and receive a detailed explanation of his bill, and to receive information on fees for services received and on Center payment policies.
  18. A patient has the right to expect that the Center will provide information for continuing health care requirements following discharge and the means for meeting them.
  19. Except in instances in which quality of care would be compromised, a patient has the right to be informed of his rights in advance of the date of procedure by verbal and written notification.
  20. Marketing material does not mislead patients regarding the Center’s capabilities or competence.
  21. A patient has the right to be informed of procedures for expressing suggestions and policies, to be notified of grievance procedures, and to voice grievances regarding treatment or care that is or fails to be furnished.
  22. A patient has the right to change their provider if other qualified providers are available.
  23. A patient has the right to exercise his rights without being subjected to discrimination or reprisal.

Patients’ Responsibilities Patient and Visitor

Patients are expected to:

  1. Provide accurate and complete information about their present complaints, past medical illnesses, hospitalizations, surgeries, medications, over the counter products, dietary supplements, allergies/ sensitivities and other matters relating to their health.
  2. Tell their health care providers whether they understand the treatment, plan of care, and what is expected of the patient.
  3. Help the practitioners, nurses and other allied health personnel in their efforts to care for patients by following their instructions and medical orders.
  4. Observe the Center’s no smoking policy, be considerate of other patients and of staff regarding noise and number of visitors, and respect the Center’s property and that of other persons.
  5. If required by their practitioner, provide a responsible adult to transport/accompany him home and to remain with him for 24 hours after care at the Center.
  6. Accept financial responsibility for any charges not covered by his insurance.

Complaints

In the course of providing clinical services and carrying out the business of the Center, patients or visitors may have complaints about particular Center activities or staff.

The first and most valuable approach to resolving complaints or problems is through informal discussions. If immediate resolution of the matter is not achieved or requires further investigation or other activity, the patient will be contacted within five working days with information regarding the progress in addressing the matter with a resolution to the matter. If the Director of Nursing cannot resolve the matter, she will present it to the Medical Director for consideration and further action.

Issues will be presented to the Quality Assessment and Performance Improvement Committee. Summary reports of patient/visitor complaints and resolutions thereof will be presented to the Center’s Board of Directors.

If necessary, patients wishing to register a complaint regarding the Center with the Pennsylvania Department of Health may do so by calling 1-800-254-5164 or in writing addressed to:

Director, Division of Acute and Ambulatory Care
Room 532, Health & Welfare Building
Harrisburg, PA 17120

The Medicare Ombudsman may also be contacted at: www.cms.hhs.gov/center/ombudsman.asp
Presentation of a complaint will not compromise care.

Advance Directives (Living Wills)

Given the nature of the procedures routinely provided at the Center, requests for patients’ Advance Directives would unnecessarily and inappropriately heighten patient anxiety. Accordingly patients are not required to prepare or provide Advance Directives prior to receiving treatment. For elective procedures, resuscitation measures are executed regardless of the contents of the patients’ Advance Directives. Should a patient present with Advance Directives, those Directives will be placed on the patient’s chart. In the event of an unanticipated transfer to a hospital, a copy of the Advance Directives will be provided to the hospital with the other elements of the patient’s record. For a template and information regarding Advance Directives and Pennsylvania Act 169, please call the Center and it will be provided to you. You may also contact:

PA Department of Aging Press Office
555 Walnut St., 5th Floor
Harrisburg, PA 17101-1919

(717) 783-1549

aging.pa.gov and click on Brochures

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