Except where medically contraindicated, these rights apply to all adults, neonates, children and adolescents treated at Neighborhood Outreach Access to Health – NOAH outpatient/physician office facilities and their parents and/or guardians.
You Have the Right…
- To access treatment regardless of race, color, creed, sex, sexual orientation, national origin, mental or physical disability, diagnosis, religion, age or socio-economic status.
- To designate a surrogate decision maker to exercise the rights you have given them to act on your behalf in accordance with state and federal laws.
- To considerate and respectful care and to expect a reasonable response to your requests.
- To reasonably expect, from staff members responsible for your care and welfare, complete and current information concerning your condition.
- To know by name and specialty, if any, the staff members responsible for your care.
- To know the relationship(s) of the facility to other persons or organizations participating in the provision of his/her care.
- To reasonable consideration of your privacy and to be treated with respect and full recognition of your dignity, individuality, and reasonable cultural and religious needs.
- To expect reasonable safety insofar as the clinic practices and environment are concerned.
- To be free from all forms of abuse, assault, harassment, manipulation, coercion, neglect or exploitation of a sexual nature or otherwise.
- To be free from retaliation for submitting a compliant to the Compliance Department or another entity.
- To be free from misappropriation of personal and private property by an employee, volunteer or student.
- To consent to photographs and digital monitoring, as appropriate to document specific care or to assist in my care (example, but not limited to: an open wound, or monitoring of a waiting room). I understand that photos will be stored in a confidential and secured manner and that I may view and/or obtain copies. I understand that I, or my designated other, will be informed if photos are indicated and that I may refuse to have photos taken. I understand that photos will not be released without my written authorization.
- To expect reasonable continuity of care and to know in advance the time and location of appointments as well as the identity of the person(s) providing the care.
- To be reasonably informed, prior to or at the time of your visit, of medical and/or ancillary services available at the facility and the related charges.
- To examine and receive an explanation of the bill, regardless of the source of payment.
- To be informed of the source of the facility reimbursement for your services, and of any limitations which may be placed upon your care.
- To be afforded the opportunity to participate in planning and implementing your treatment program. To refuse care, treatment or services in accordance with law and regulation, including but not limited to experimental research.
- To the maintenance of confidentiality of your clinical record.
- To access information contained within your medical record, in accordance with facility policy.
- To appropriate assessment, prevention and management of your pain and to receive information about pain and pain relief measures.
- To be informed, when appropriate, about the outcomes of care, including unanticipated outcomes.
- To request consultation at your expense or to request an in-house review of your treatment plan.
- To receive a referral to another health care institution if the outpatient treatment center is not authorized or not able to provide physical health services or behavioral health services needed by the patient.
- To have your rights explained to you in a language you understand.
- To reasonable resources to facilitate communications.
- To have an advance directive (Living Will, Healthcare Proxy, Durable Power of Attorney for Healthcare, or DNR order/identification) and to have facility staff and practitioners comply with these directives.
You Have the Responsibility…
- To be honest about matters that relate to you as a patient.
- To make an effort to understand your health-care needs and ask your physician or other member of the health- care team for information relating to your treatment.
- To provide staff with accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters pertaining to your health.
- To report any unexpected changes in your condition or symptoms, including pain.
- To follow the care, service or treatment plan developed and report any perceived risks in your care.
- To understand the consequences of the treatment alternatives and not following your plan of care.
- To inform staff of your pain management needs.
- To be considerate and respectful of the rights of both fellow patients and staff.
- To honor the confidentiality and privacy of other patients.
- To follow the facility rules and regulations concerning patient care and conduct.
- To comply with our smoke-free environment policy.
- To be considerate of the facilities property.
- To assure that the financial obligations of your healthcare are fulfilled as promptly as possible.
- To notify the Department of Consumer Relations if you feel your rights are being violated.
Good Faith Estimate
Uninsured patients have the right to an estimate cost for non-emergent services called a Good Faith Estimate. Healthcare providers like NOAH are required to provide a Good Faith Estimate to any patients not using insurance in writing at least 1 business day before the scheduled service. Estimates include expected costs for non-emergency items and services and related costs like tests and prescriptions.
Potential Conflict of Rights
Where any person raises a concern that remains unresolved regarding a divergence of opinion regarding the rights or treatment of a neonate, child, or adolescent patient and the rights of their parents and/or guardians, the facility shall consult with the Arizona Department of Child Safety to ensure that the minor’s rights are protected.
How to File a Complaint
Any patient or patient’s representative who has a concern regarding their visit to this facility is encouraged to contact the Practice Manager at this site within 7 days of their visit.
Any patient or patient’s representative has the right to report their unresolved concerns to Arizona Department of Health Services, Medical Facilities Licensing, 150 N. 18th Avenue, 4th Floor, Phoenix, AZ 85007, (602) 364-3030.
Ethics
Any patient or family member who has a concern of an ethical nature, is encouraged to speak with the Provider or Practice Manager at this facility.
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