SUMMARY OF THE PATIENT’S BILL OF RIGHTS AND RESPONSIBILITIES

Florida law requires that your health care provider or health care facility recognize your rights when you are receiving medical care and that you respect the health care provider’s or health care facility’s right to expect certain respectful behavior on the part of patients towards all healthcare professionals as well as staff and other patients.  You may request a copy of the full text of this law from your health care provider or health care facility.  A summary of your rights and responsibilities follows:

  • A patient has the right to be treated with consideration, respect for property and persons, courtesy, with appreciation of his or her individual dignity and with protection of his or her need for appropriate privacy in a safe setting.
  • A patient has the right to a prompt and reasonable response to questions and requests.
  • A patient has the right to have properly credentialed and qualified healthcare professionals providing patient care.
  • A patient has the right to know what patient support services are available, including whether an interpreter is available if he or she does not speak English.
  • A patient has the right to know what rules and regulations apply to his or her conduct.
  • A patient has the right to be given by his health care provider, to the degree known, complete information concerning diagnosis, evaluation, treatment, and know who is responsible for the care. When the patients medical condition makes it inadvisable or impossible, the information is provided to a person designated by the patient or to a legally authorized person.
  • A patient has the right to be fully informed about a treatment or procedure and the expected outcome before it is performed.
  • A patient has the right to refuse any treatment, except as otherwise provided by law and be informed of medical consequences of this action.
  • A patient has the right to be given, upon request, full information and necessary counseling on the availability of known financial resources for his or her care.
  • A patient has the right to receive information about rights, patient conduct and responsibilities in a language and manner that the patient the patient representative or surrogate can understand.
  • A patient has the right to have disclosures and records treated confidentially and be given the opportunity to approve or refuse records release except when release is required by law.
  • A patient has the right to be given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons.
  • A patient has the right to be informed of the names of physicians who have ownership in the facility.
  • A patient has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care and know, upon request and in advance of treatment, whether the health care provider or health facility accepts the Medicare assignment rate.
  • A patient has the right to information regarding payment policies and to receive a copy of a reasonably clear and understandable, itemized bill and upon request, to have the charges explained.
  • A patient has the right to treatment for an emergency medical condition that will deteriorate from failure to provide treatment.
  • A patient has the right to information regarding provisions for after-hours and emergency care.
  • A patient has the right to know if medical treatment is for purposes of experimental research and to give his or her consent or refusal to participate in such experimental research.
  • A patient has the right to voice grievances regarding any violation of his/her rights, as well as treatment or care that is (or fails to be) furnished, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served him or her and to the appropriate state licensing agency.
  • A patient has the right to information regarding methods for providing feedback, including complaints and/or voicing grievances regarding treatment of care that is (or fails to be) furnished.
  • A patient has the right to change his/her provider if other qualified provider(s) is/are available.
  • A patient has the right to exercise his or her rights without being subjected to discrimination or reprisal with to impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment.
  • A patient has the right to be free from all forms of abuse or harassment.
  • A patient has the right to be appropriately informed regarding the absence of malpractice insurance coverage.
  • A patient has the right to written information concerning FOISC’s policies on advance directives, including a description of applicable state health and safety laws and, if requested, official State advance directive forms, as well as information regarding the patient’s right to make informed decisions regarding the patient’s care. Patient has the right to appoint a surrogate to make health care decisions on his/her behalf to the extent permitted by law and provide a copy to the facility for placement in his/her medical record.
  • A patient is responsible for providing to the healthcare provider, to the best of his or her knowledge, accurate and complete information to the best of his/her ability about present complaints, past illnesses, hospitalizations, medications, including over-the-counter products and dietary supplements, allergies or sensitivities, and other matters relating to his or her health.
  • A patient is responsible for reporting unexpected changes in his or her condition to the health care provider.
  • A patient is responsible for reporting to the health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.
  • A patient is responsible for following the treatment plan recommended by the health care provider and participate in his/her care.  
  • A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility.
  • A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.
  • A patient is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.
  • A patient is responsible for following health care facility rules and regulations affecting patient care and conduct.
  • A patient is responsible for ensuring that he/she provides a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, unless specifically exempted from this responsibility by his/her provider.
  •  A patient is responsible for accepting personal financial responsibility for any charges not covered by his/her insurance.
  • A patient is responsible for providing a copy of information that he/she desires the provider to know about a durable medical power of attorney, health care surrogate or other advance directive that could affect his/her care.
  • A patient is responsible for being respectful of all the health care professionals and staff, as well as other patients.
  • If a patient is adjudged incompetent under applicable state laws by a court of proper jurisdiction, the rights of the patient are exercised by the person appointed under state law to act on the patient’s behalf.  If a state court has not adjudged a patient incompetent, any legal representative or surrogate designated by the patient in accordance with state law may exercise the patient’s rights to the extent allowed by state law.
  • A patient receiving care in a health care facility or in a provider’s office has the right to bring any person of his or her choosing to the patient accessible areas of the healthcare facility or provider’s office to accompany the patient while the patient is receiving inpatient or outpatient treatment or is consulting with his or her health care provider, unless doing so would risk the safety or health of the patient, other patients, or staff of the facility or office or cannot be reasonably accommodated by the facility or provider.

Submission and Investigation of Grievances:

Sara Boasi (Quality Assurance Manager)

(813) 972-4905 ext. 6622

Email: sboasi@floridaortho.com13060 N Telecom Parkway, Temple Terrace, Florida  33637

Submission and Investigation of Identifiable Health and Privacy Information violations:

Michelle Jones (HIPAA Compliance and Privacy Officer)

(813) 972-4905 ext. 6611

Email: mjones@floridaortho.com13060 N Telecom Parkway, Temple Terrace, Florida  33637

 STATE AND FEDERAL FILING OF COMPLAINTS

HOSPITALS

AGENCY FOR HEALTH CARE ADMINISTRATION COMPLAINT ADMINISTRATION UNIT

2727 MAHAN DRIVE MAILSTOP 49 TALLAHASSEE, FL 32308 1-888-419-3456 (Press 1)

HEALTHCARE PROFESSIONALS 

MEDICAL QUALITY ASSURANCE FLORIDA DEPARTMENT OF HEALTH CONSUMER SERVICES UNIT      

4052 BALD CYPRESS WAY C-75 TALLAHASSEE, FL 32399        1-888-419-3456 (Press 2)

Abusive, Neglectful or Exploitative Practices – To report abuse, neglect or exploitation, please call Dept. of Children and Family Services at 1-800-962-2873.         

If you are a Medicare/Medicaid Patient: 

Medicare Beneficiary Ombudsman – (provides beneficiaries with information and help in understanding Medicare options regarding rights and protections).

http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html 1 (800) 633-4227; TTY Users should call 1(877) 486-2048      

File a Quality of Care Complaint

FMQAI: Beneficiary Complaints

5201 West Kennedy Blvd. Suite 900

Tampa, Florida 336091 (800) 844-0795

Medicaid – To report suspected Medicaid fraud, please call AHCA Medicaid Program at 1-888-419-3456 or the Attorney General at  1-866-966-7226