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A Center of Excellence.
Dedicated to Your Care.
Boulder Community Musculoskeletal Surgery Center

303-938-5470

1136 Alpine Avenue, Suite 115
Boulder, CO  80304
Patient Rights

Decision Making
You or your representative have the right to:

P Be informed of your rights before patient care is given or discontinued whenever possible.
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P Receive complete and current information regarding your health status in terms you can understand.

P Participate in care planning treatment and discharge recommendations.

P Receive and explanation of any proposed procedure or treatment, including risks, serious side effects and treatment alternatives.

P Make informed decisions regarding care and treatment.

P Participate in managing your pain effectively.

P Request a specific treatment.

P Refuse or discontinue a treatment to the extent permitted by law and to be informed of the consequences of such refusal.

P Request a second opinion.

P Have persons of your choice and your physicians promptly notified of admission.

P Write a Living Will, Medical Power of Attorney, and/or a CPR Directive.

P Accept, refuse or withdraw from clinical research.

P Choose or change our healthcare provider.

P Receive care and/or a referral according to the urgency of your situation. When medically stable, you may be transferred to another facility after the need has been fully explained.

Quality of Care
You have the right to:

P Respectful treatment, which recognizes and maintains your dignity and values.

P Care in a safe setting.

P Identification of all healthcare providers.

P Know who is primarily responsible for your care.

P Pastoral and/or spiritual support.

P Interpreters and/or special equipment to assist language needs.

P Information about continuing healthcare requirements following discharge.

Confidentiality and Privacy
You have the right to:

P Personal privacy.

P Personal information being shared only with those who are involved in your care.

P Confidentiality of your medical and billing records.

Access to Medical Records
You have the right to:

P Review and get a copy of your Medical Records at any time (Behavioral Health records are an exception).

Grievance Process
You and your representative have the right to:

P Voice a complaint to your healthcare providers and administrators without a fear of reprisal.

P Contact the Management Representative at 303-938-5470 to file a formal grievance.

P Receive a timely response with the results of your complaint. Unresolved complaints are directed to the facilities director within 3 days and are responded to within 7 days.

P Additionally, we have published a list on the right hand column of this web page for a list of organizations with whom you can file a complaint.

Seclusion and Restraints
You have the right to:

P Be free of any sort of restraint unless medically necessary.

P Be free from seclusion or restraint for behavioral management unless there is a need to protect your physical safety or the safety or others.

Billing
You have the right to:

P A complete explanation of your bill.

Please know that we support you in meeting your responsibilities during your stay.

Patient Responsibilities

Providing Information
You have the responsibility to:

P Provide accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other health-related matters.

P Report perceived risks in your care and unexpected changes in your condition.

P Understand your treatment plan, and ask questions when needed.

P Provide accurate and updated information for insurance and billing.

Involvement
You have the responsibility to:

P Actively participate in your treatment by following your recommended treatment plan.

Respect and Consideration
You have the responsibility to:

P Act in a respectful and considerate manner toward healthcare providers, other patients, and visitors. Physical or verbal threats are not tolerated.

P Respect the property of others.

P Be mindful of noise levels.

Insurance Billing
You have the responsibility to:

P Know the extent of your insurance coverage.

P Know your insurance requirements such as pre-authorization, deductibles and co-payments.

P Call the billing office with questions or concerns.

P Fulfill your financial obligations as promptly as possible.
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TO ISSUE A
COMPLAINT WITH:

Colorado Department of Health
303-692-2800
1-800-886-7689 ext. 2800

State of Colorado  www.dora.state.co.us/
303-894-7690

CMS (Medicare recipients)
Ombudsman Webpage
Select inquiries/complaint
or
CMS 1-800-MEDICARE
(1-800-633-4227)

Joint Commission for the Accreditation of Healthcare Organizations go to
Web site created by Peak Design Services. Published by Boulder Community Musculoskeletal Surgery Center. Copyright © 2006-2009 Boulder Community Musculoskeletal Surgery Center. All rights reserved.

Boulder Surgery Center is the sole owner of the information collected on this site. We respect you and the privacy of your information. We will not share your information with any third party organization at any time. You may click here at any time to be removed from our email list or contact Boulder Surgery Center via the address or phone number given above.
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    Patient Rights & Responsibilities
Your physician may have a financial interest in the Boulder Surgery Center.