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It is understood and agreed that the term “patient” is utilized as and extended to the parent or legal guardian of the patient.
- The patient has the right to considerate and respectful care to be provided in a pleasing and courteous environment and to be treated equally and receive care without regard to age, sex, religion, race, or creed.
- The patient has the right to be informed of all his/her rights before and care is provided.
- The Patient and/or their legal guardians or parents have the right to formulate an advanced directive as legally appropriate for a pediatric patient.
- The patient has the right to and is encouraged to obtain from doctors and other direct caregivers appropriate, current, and understandable information about diagnosis, treatment, and prognosis. Patients have the right to know the identity of doctors, nurses, and others involved in their care, as well as when those involved are students, patients, or other trainees. The patient also has the right to know the immediate and long-term financial implications of treatment choices, insofar as they are known.
- The patient has the right to receive care without discrimination based on the form of payment for services rendered.
- The patient has the right to make decisions about the plan of care before and during treatment. The patient has the right to refuse a recommended treatment or plan of care to the extent allowed by law and to be informed of the medical consequences of this action. In case of refusal, the patient is entitled to a second opinion. CIMG should notify patients of any policy that might affect patient choice within the organization.
- The patient has the right to present and place on file with CIMG an advance directive (such as a living will, health care proxy, or durable power of attorney for health care) concerning treatment or designating a surrogate decision maker with the expectation that CIMG will honor the intent of that directive to the extent permitted by law and CIMG’s policies.
- The patient has the right to every consideration of privacy. Case discussion, consultation, examination, and treatment should be conducted to protect each patient’s privacy as per HIPAA rules and regulations.
- The patient has the right to expect all communications and records related to his/her care will be treated as confidential by CIMG, except in cases such as suspected abuse and public health hazards when reporting is permitted or required by law. The patient has the right to expect that CIMG will stress the confidentiality of this information when it releases it to any other parties entitled to review information in these records.
- The patient has the right to review the records about his/her care and to have the information explained or interpreted as necessary, except when restricted by law.
- The patient has the right to expect that, within its capacity and policies, CIMG will make reasonable response to a patient’s request for appropriate and medically indicated care and services.
- The patient has the right to ask and be informed of business relationships among CIMG and hospitals, educational institutions, other healthcare providers, or payers that may influence the patient’s treatment and care.
- The patient has the right to consent to or decline to take part in research studies or human experimentation affecting care and treatment or requiring direct patient involvement and to have those studies fully explained prior to consent. A patient who declines to take part in research or experimentation is entitled to the most effective care that CIMG can otherwise provide.
- The patient has the right to expect reasonable continuity of care when appropriate and to be informed by doctors and other caregivers of available and realistic patient care options to the best of the provider’s knowledge.
- The patient has the right to be informed of CIMG’s policies and practices that relate to patient care treatment, and responsibilities. The patient has the right to be informed of available resources for resolving disputes, grievances, and conflicts. The patient has the right to be informed of CIMG’s charges for services and available payment methods.
- The patient has the right to access the patient’s medical records. A hard copy will be provided if requested in writing within five business days. The handling and production charges are the patient’s responsibility.
- The patient has the right to be evaluated and treated during normal business hours by a CIMG’s Primary Care provider for acute sickness on the same day.
- The patient has the right to maintain personal privacy and receive care in a safe setting, free from verbal or physical abuse and harassment.
- The patient has the right to choose and change providers within CIMG.
- The patient has the right to a private room for breastfeeding.
Learn About PATIENT RESPONSIBILITIES
Patient Responsibilities The partnership nature of health care requires that patients, or their families/surrogates, take part in their care. The effectiveness of care and patient satisfaction with the treatment depends, in part, on the patient fulfilling certain responsibilities. Failure to fulfill these responsibilities could result from the termination of services and discharge from the practice. The following are patient responsibilities:
- The patient is responsible for providing information about past illnesses, hospitalizations, medications, and other matters related to health status. To participate effectively in decision making, the patient must be responsible for asking for additional information or an explanation about their health status or treatment when they do not fully understand information and instructions.
- The patient is also responsible for ensuring that CIMG has a copy of legal documents stating any court order that precludes a parent from participating in the healthcare process of the child.
- The parent or legal guardian has the legal responsibility to provide a written authorization that will accompany the patient when the patient is brought to the clinic by a proxy not legally related to the patient or by a minor sibling.
- The patient is responsible for telling their provider and other caregivers if they expect problems in following prescribed treatment.
- The patient is responsible for providing CIMG with up to date and true demographic information including but not limited to full name, address, social security number, phone numbers, emergency contact and responsible party.
- The parent or legal guardian is responsible for bringing in a copy of the patient’s current insurance card for each visit.
- The patient is responsible for following CIMG’s policy of no smoking, no eating, no drinking, appropriate behavior and appearances within property boundaries. Failure to comply with such policies could result in patients, as well as all siblings, being discharged from the practice.
- The patient is responsible, not only as a courtesy to the staff and Provider but to assure the best possible healthcare service, to restrain from the usage of cell phone, laptop, tablets, and any electronic device that could distract and/or interfere with the patient/healthcare provider interaction/and privacy.
- The patient is responsible for following instructions and guidelines given by those providing health care services.
- The patient is responsible for all NSF and/or Collection Agency fees, interest and penalties for bad checks.
- The patient is responsible for providing any and all insurance benefits and any other necessary information for insurance claims or working with CIMG to make payment arrangements, when necessary.
- The patient is financially responsible for any and all insurance co-pays and /or deductibles at the time of the visit. Failure to meet such responsibility could result in the patient’s balance being forwarded to the collection agency and the patient, as well as all siblings, being discharged from the practice.
- The patient is responsible to show up to their appointment on time. If the patient is not able or not planning to keep the scheduled appointment, a 24 hour noticed is requested. If a patient fails to show to their scheduled appointment for more than 3 times in a fiscal year, the patient could be discharged from the practice and all CIMG’s clinics.
- A person’s health depends on much more than health care services. Patients and their family are responsible for recognizing the impact of their lifestyle on their personal health.
Opportunities PATIENT’S PRIVILEGES
- As a member of the CIMG family, the patient has free access to CIMG’s free I-Phone and Android app.
- As a member of the CIMG family, the patient can and is encouraged to take advantage of any outreach/community program sponsored by CIMG such as “Waterproof your child”, “Hand me down”, ”Back to school”, “Boo Fest”, “Santa’s email”, etc.
- As a member of the CIMG family, the patient has priority and is encouraged to apply for fundraising events and team sponsorships within the limits and policies of CIMG.
- As a member of the CIMG family, the patient benefits from 24/7/365 medical advice by one of the CIMG auxiliary medical staff. The patient understands that this is a free courtesy service that is an opinion only and is not in any way to be construed as or replaces the face to face examination, diagnosis and treatment plan with a provider.
If you suspect FRAUD, WASTE OR ABUSE
- At CIMG providing excellent care with the utmost integrity is our commitment to our patients. If you suspect that a provider, an employee or any member of the organization has committed fraud, waste, or abuse, you have the right and responsibility to report it. Your confidential report of fraud, waste, or abuse can be made in different ways:
- E-mail us at firstname.lastname@example.org
- Call 1-985-646-1580, ext 6
- Mail to:
Children’s International Medical Group
Attn: Compliance Officer
59101 Amber Street Slidell, LA 70461