is performed outside of a hospital setting, it is imperative to make
sure the facility of where the procedure is going to be done is
accredited. This will help you make an informed decision on
whether or not this procedure should be done in a hospital setting,
out-patient surgery center, or free standing ambulatory surgical
the ASAPS, in 2005, a majority of surgical procedures were performed
outside of a hospital. Forty-eight percent (48%) of procedures took place in
an office-based facility and twenty eight percent (28%) were performed in a free
standing out-patient surgical center. Research has shown that
with proper precautions, surgery outside the hospital setting is
just as safe as surgery in a hospital. Additionally, this off
site advantage seems to work better for the patient with not only
being less costly but also more private and less stress for the
outpatient surgical facilities administering sedation of
any kind during the performance of any type of surgical
procedure must be accredited by one of
several approved accrediting bodies rigorous enough
to meet the tough standards put out by AB 595. Medicare
licensure, accreditation by
AOA are the only
facility accreditation bodies one should give
credence to when evaluating the safety of a facility.
The Joint Commission on
Accreditation of Healthcare Organizations (JCAHO)
establishes a baseline standard of excellence among
hospitals and is recognized nationwide. You should ask
if the hospital where your surgery will be performed is
accredited by JCAHO.
has the right to considerate and respectful care.
has the right to obtain from his or her physician complete current
information concerning his or her diagnosis, treatment and prognosis in
terms the patient can be reasonable expected to understand. When
it is not medically advisable to give such information to the patient,
the information should be made available to an appropriate person in his
or her behalf. He or she has the right to know, by name, the
physician responsible for coordinating his or her care.
has the right to receive from his or her physician information necessary
to give informed consent prior to the start of any procedure and or
treatment. Except in emergencies, such information for informed
consent should include but not necessarily be limited to the specific
procedure and or treatment, the medically significant risks involved,
and the probable duration of incapacitation. Where medically
significant alternatives for care of treatment exist, or when the
patient requests information concerning medical alternative, the patient
has the right to know the name of the person responsible for the
procedures and or treatment.
has the right to refuse treatment to the extent permitted by law and to
be informed of the medical consequences of his or her action.
has the right to every consideration of his or her privacy concerning
his or her medical care program. Case discussions, consultation,
examination, and treatment are confidential and should be conducted
discreetly. Those not directly involved in his or her care must
have permission of the patient to be present.
has the right to expect that all communications and records pertaining
to his or her care should be treated as confidential.
has the right to expect that within its capacity, the accredited
ambulatory surgery facility must provide evaluation, service and or
referral as indicated by the urgency of the case. When medically
permissible, a patient may be transferred to another facility only after
he or she has received complete information and explanation concerning
the needs for the alternatives to such a transfer. The institution
to which the patient is to be transferred must first have accepted the
patient for transfer.
has the right to obtain information as to any relationship of the
facility to other health care and educational institutions insofar as
his or her care is concerned. The patient has the right to obtain
information as to the existence of any professional relationships among
individuals, by name, who are treating him or her.
has the right to be advised if the accredited ambulatory surgery
facility proposes to engage in or perform human experimentation
affecting his or her care or treatment. The patient has the right
to refuse to participate in such research projects.
has the right to expect reasonable continuity of care. He or she
has the right to know in advance what appointment times and physicians
are available and where. The patient has the right to expect that
the facility will provide a mechanism whereby he or she is informed by
his physician of the patient's continuing health care requirements
has the right to examine and receive an explanation of his or her bill
regardless of the source of payment.
has the right to know what facility rules and regulations apply to his
or her conduct as a patient.
No catalog of rights can guarantee for the
patient the kind of treatment he or she has a right to expect. The
facility has many functions to perform, including the prevention and treatment
of disease, the education of both health professionals and patients, and the
conduct of clinical research. All these activities must be conducted with
an overriding concern for the patient, and above all, the recognition of his or
her dignity as a human being. Success in achieving this recognition
assures success in the defense of the rights of the patient.
It is the patient's responsibility to fully
participate in decisions involving his or her own health care and to accept the
consequences of these decisions if complications occur.
The patient is expected to follow up on his or
her doctor's instructions, take medication when prescribed, and ask questions
concerning his or her own health care that he or she feels is necessary.