Patient Rights & Responsibilities

You have the right:

To have Illinois Sports Medicine & Orthopedic Surgery Center respond to your requests and needs for treatment or service provided that the space is available, and to receive the care that reflects your interests and that has been determined by your physician, and respects your advance directives or your right to formulate advance directives.
To be informed of the right to care that is respectful, recognizes dignity and is private to the extent possible.
To have patient information treated confidentially based on applicable laws and regulations.
To be involved in making decisions regarding your care, including assessment and management of pain.
To be given information in the language you understand or to have information interpreted.

To give informed consent, that is, to make decisions in collaboration with your physician that involve your health care. Consent may be given by the patient or the patient’s legal representative. In order to give consent, the patient will be provided information to include:

an explanation of recommended treatments or procedures in terms which are understandable;
an explanation of the risks and benefits of treatment, including the chance of success, mortality risk and serious side-effects;
an explanation of the alternatives and the risks and benefits of such;
an explanation of the likely consequences if no treatment is pursued
an explanation of the recuperative period, including anticipated problems and anticipated length of recuperation;
an explanation that the patient or his / her legal representative is free to withdraw consent and discontinue participation in treatment;
a disclosure statement that the patient’s physician is participating in teaching, research, experimental or education projects relating to the patient’s case.

To an explanation of admission procedures, that shall include disclosure upon admission, of the facility’s policy statement on patient rights, which shall include:

the right to participate in all decisions involving care or treatment, consistent with state and federal statutes;
the right to refuse any drug, test, treatment, procedure or treatment consistent with the state and federal statutes, including likely medical consequences of such refusal;
the right to receive considerate and respectful care in a clean and safe environment, free of unnecessary restraint;
the right to be informed of the facility’s rules and regulations applicable to the patient;
the right to be informed of the facility’s grievance procedure;
the right to file a grievance with the appropriate state agency.

To know the name, professional status and experience of the staff providing care or treatment.
To be informed prior to the initiation of general billing procedures:

prior to the initiation of non-emergency treatment, upon request, the patient has the right to be informed of routine, usual and customary charges or estimated charges for service based on an average patient with a diagnosis similar to the tentative admission diagnosis of the patient;
if you have questions, please call 847-213-5444 for estimated medical cost information between the hours of 7:00 AM and 4:00 PM on weekdays;
based upon insurance information provided by the patient, the facility shall provide assistance as needed with estimates of copayments, deductibles or other charges that must be paid by the patient. Such assistance may be obtained weekdays between 7:00 AM and 4:00 PM by calling the facility at 847-213-5444;
the facility may include a disclaimer with the disclosure of any charges. Such disclaimer may include further variables, which may alter any disclosed charge. Any charges prohibited by law or third party payor contract will include a no-charge disclaimer in the disclosure.
To be provided with information regarding teaching, research, educational or experimental projects related to your care. You have the right to refuse to participate in such projects.
To have your medical records maintained in confidence and in accordance with the Medical Staff Bylaws, rules and regulations. You have the right to have access to a copy of your medical record by contacting the facility at 847-213-5444.

You have the responsibility:

To provide, to the best of your knowledge, accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate practitioner(s).
To be respectful of all the health care providers and staff, as well as other patients. This includes the belongings of others and facility property.
To discuss your health problems with only those involved in your care.
For your actions if you refuse treatment, leave the facility against the advice of the practitioner, and/or do not follow the practitioner's instructions relating to your case.
To request your records from the facility.
To inquire as to the name and purpose of any personnel caring for you.
To indicate whether you clearly understand a contemplated course of action and what is expected of you.
To cooperate with any research or experimental project in which you consent to participate.
To inform the staff that translation is required.
To provide an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.
To provide the facility with the necessary information for insurance processing and to be prompt in payment of facility bills.
To provide information about and/or copies of any living will, power of attorney or other directives that you desire us to know about.
To be cooperative during recommended treatment.

Nondiscrimination Policy:

This facility has agreed to comply with the provisions of the Federal Civil Rights Act of 1964 and the Pennsylvania Human Relations Act and all requirements imposed pursuant thereto the end that no person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of or otherwise be subject to discrimination in the provision of any care or service.